Huvudintresseområde: Opplevelsen av intensivoppholdet: symptomer og livskvalitet (QOL).
Phd, Førsteamanuensis (Associate professor), Intensivsykepleier
Lovisenberg Diakonal Høyskole, Oslo, Norge
telefon: + 47 99 54 45 09
Doctoral thesis, titel: Symptoms and quality of life of women with breast cancer, before, during and after radiotherapy.
Introduction: The incidence rate of breast cancer has increased internationally and in Norway since the 1950s , and today breast cancer is the most frequent cancer diagnosis among women in Norway. The survival rate for women with breast cancer (all stages), has also increased in the same period. The implication of both higher incidence and survival is that more women are living with the psychological and physiological symptoms that accompany the disease and its treatment.
Theme: The main theme of this dissertation was the patient-reported outcomes of women with breast cancer before, during and after RT. The present study has investigated the high symptom burden for these women, how it changes over time, the various dimensions of the symptoms, what predicts the symptoms, and finally how the symptom burden affects QOL.
Method and Material: Patients in the present study (n=188) completed the Memorial Symptom Assessment Scale (symptoms), the Short-form 12 (SF-12) (quality of life), the Karnofsky Performance Status Scale (performance status), and the Self-Administrated Comorbidity (comorbidities) prior to, during and after the completion of RT, over a six month period. To investigate differences in symptoms for women with or without chemotherapy, frequency distributions and appropriate non parametric tests were used. Changes over time were evaluated using appropriate mixed-model analyses, for both symptoms and quality of life.
Results: These women reported a high symptom burden that persisted through the whole study period. CTX was a strong predictor for a higher number of symptoms, and for the development of fatigue related symptoms over time. The most frequent symptoms were not the symptoms that caused the most distress. These women had diminished QOL, and a high symptom burden was the most important variable associated with the diminished level.
Masterdegree, titel: Physical restraint in ICU patients.
Abstract: Chemical and physical restraint is frequently used in the intensive care unit (ICU) to control agitated patients and to prevent self-harm and unplanned extubations. Published work relating to the numerous issues of the care and treatment strategies for these patients remains conflicting and unclear. Literature regarding sedation and chemical restraint reveals a trend towards management with lighter sedation, use of sedation assessment tools and sedation protocols. It remains unclear which treatment is best for agitated and delirious patients, and the evidence on the effect of sedation is conflicting. A large portion of the literature on the use of physical restraint is from general hospital wards and residential homes, and not from the ICU environment. The purpose of this paper is to provide a summary of the existing literature on the use of physical and chemical restraint in the ICU setting.
Utvidgat intresseområde: Det kan være fokus på spesifikke symptomer og ikke bare total symptomopplevelse (f.eks.; smerte, tørste, engstelse etc) både under og etter intensiv oppholdet. Andre gode endepunktsmål annet enn QOL (eks. Aktivitetsnivå, lykke, tilbake til arbeid etc.)
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