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Leder
(side 3)
av Bente Martinsen
Vitenskapelig publikasjon
(side 4-14)
av Bjørg Th. Landmark, Siv Venke Gran og Ellen Karine Grov
Nutritional status among patients in nursing homes and primary care assessed by the nutrition journal
Engelsk sammendrag

Background: Malnutrition amongst the elderly may lead to serious consequences for the person and for the community in terms of need for public support. Assessment of the nutritional status is the first step regarding treatment and follow-up. Purpose: To use the Norwegian Directorate of Health Nutrition Assessment Tool to gain knowledge about the risks of malnutrition. Method: A descriptive study was performed among 532 patients ≥67 years admitted to nursing homes or receiving home care nursing. Data included assessment of the patients’ height, weight, Body Mass Index (BMI), and clinical data relevant for nutrition status. Results: BMI lower than recommended (BMI<24 kg/m2) was found among 50% of the patients, and 30% were reported in the category undernourished (BMI<22 kg/m2). Patients with lack of appetite and reduced ability to chew and/or swallow had significantly lower BMI than patients not suffering from these problems. Conclusion: Systematic use of the nutrition journal seems appropriate to assess the nutrition status among elderly in order to offer adequate treatment and systematic follow-up.

(side 15-22)
av Merete Lehmkuhl, Grith Walløe og Tom Skyhøj Olsen
Prognosis for stroke patients with PEG-tube
Engelsk sammendrag

PEG tubes are increasingly used in stroke rehabilitation. The prognosis for patients discharged with a PEG tube after their completion of stroke rehabilitation has, however, not yet been investigated in Denmark.

Retrospectively, we studied the functional status of stroke patients upon admission/discharge as indicated by the Barthel Indeks (BI 0-100) and the discharge destination for stroke patients discharged from a Danish stroke unit from 2003-2011.

In total, 34 patients had a PEG tube inserted when discharged. Nine per cent died in hospital while using PEG, 82 per cent were discharged to nursing homes while nine per cent were discharged to their own homes. Median admission BI 0 (range 0-20); median discharge BI 0 (range 0-30). Median length of hospital stay was 60 days. Between 2003-2005 and 2009-2011, respectively 0.4 per cent and 3.2 per cent of the patients were discharged with a PEG tube. PEG tubes saved lives, but survival was at the expense of a bad prognosis: 91 per cent of the patients either died or were discharged to nursing homes totally dependant on others in all Activity of Daily Living functions. Patients and caretakers should be informed about the functional consequences of survival with a PEG tube.

(side 23-34)
av Bettina Sletten Paasch
Wireless phones in hospitals can affect nursing practice
Engelsk sammendrag

The use of wireless phones in hospital units are increasing, inducing all nurses to carry a working phone. As the effect has not been investigated, a qualitative study was performed in a hospital unit in Denmark. The aim was to explore how the use of wireless phones affects nursing practice, using participant observations and interviews with nurses and patients.

The study demonstrated that nurses tend to answer their wireless phone, regardless of the situation they are engaged in. This affects their communication and attentiveness, consequently compromising their ability to conduct compassionate care. Also, wireless phones were shown to compromise patient safety by disturbing nurses’ concentration, consequently causing mistakes in the procedure they were performing. Furthermore, they interrupted medicine administration and transferred bacteria between patients.

The results emphasize the necessity to define and develop the use of wireless phones and further investigate their effects in health care settings.

Vitenskapelig publikasjon
(side 35-45)
av Trine Ramsgaard-Jensen, Malene Horskjær, Lone Bodil Jensen, Karen Margrete Due og Mette Grønkjær
Continuous, positive airway pressure treatment causes serious nasal skin problems among very premature children
Engelsk sammendrag

Nasal CPAP treatment is the preferred treatment of preterm infants with respiratory problems. Studies show that nasal CPAP treatment is associated with nasal skin problems, but no previous Danish studies have investigated skin problems among infants receiving nasal CPAP treatment. The purpose was to examine the frequency and severity of skin problems among preterm infants in the neonatal ward of Aalborg University Hospital. The study was a retrospective observational study including 101 preterm infants born before week 32 in 2010 and 2011. The study showed that the prevalence of skin problems was significantly higher for infants born before week 28 than for infants born between week 28 and 32. Infants with a birth weight < 1500 gms had significantly worse skin problems than those with a birth weight ≥ 1500 gms. The study indicates the need for preventive actions to reduce the prevalence of nasal skin problems of preterm infants treated with nasal CPAP.

Vitenskapelig publikasjon
(side 46-62)
av Kirsten Rud, Ingrid Egerod og John Brodersen
Patient experiences of fast-track breast cancer surgery
Engelsk sammendrag

Background: The care of patients undergoing fast-track surgery for breast cancer is supported by specific clinical guidelines and pathways during the perioperative period. Aims: The aim of the study was to develop and validate a questionnaire to assess the patient experience of adherence to guidelines for breast cancer fast-track surgery. Methods: A questionnaire was developed for each stage of the trajectory, and the core areas of the questionnaires were: knowledge and development, psycho-social factors, pain and nausea, skin and tissue, sexuality and activity for each clinical pathway. Nine Danish hospitals participated in the study. Results: The main areas such as: knowledge and development, sexuality and psychosocial factors, and pain treatment need to be improved, and the post discharge period is insufficiently covered. Conclusion: An important finding is that the post discharge period needs more attention. The method can be used for other patient groups as well.

(side 63-74)
av Birgitte Pontoppidan
The difficult choice. The wives’ experiences when their husbands are moved to a nursing home
Engelsk sammendrag

Background: There is limited knowledge on the perception of quality of life of wives with husbands at a nursing home, especially in a Danish setting. The aim was to investigate how wives perceive their life conditions when they have accepted the necessity of their husbands’ move to a nursing home.

A. The considerations made prior to the husband being admitted to the nursing home

B. The daily life of the wife and the husband after his admittance to the nursing home Methods: A qualitative study based on structured interviews with 14 women with husbands confined to a nursing home. Content analyses were made, and themes derived from analyses. Results: The time prior to the husband’s admittance to nursing home is filled with difficult and painful considerations. Many wives have a deep feeling of guilt for accepting the need for admittance of the husband to the nursing home. There is a broad variation in the wives’ perceptions of their new life conditions, from the feeling of guilt to relief. Conclusion: The wives of husbands at a nursing home generally feel guilty because they were unable to manage the care of their husbands at home. The health personnel at the nursing homes must focus on understanding the problems facing the wives.

(side 78-80)
av Vibeke Østergaard Steenfeldt
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