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Biomedical subjects

H Jonsdottir

Publications and source records attributed to H Jonsdottir.

5 recordsLinked to original sources
PubMed2001

Group reminiscence among people with end-stage chronic lung diseases.

BACKGROUND: Reminiscence is a process of recalling long-forgotten memorable experiences and events through verbal interaction between the person eliciting memories and one or more persons. Reminiscence is considered an effective treatment for various groups of people, particularly the elderly. AIM: This paper describes an intervention study on group reminiscence intervention for people with end-stage chronic lung diseases. The following hypotheses were proposed: (1) Depression in people with end-stage chronic lung diseases will decrease after participating in a reminiscence group. (2) Self-esteem in people with end-stage chronic lung diseases will increase after participating in a reminiscence group. (3) People with end-stage chronic lung diseases will report increased well-being after participating in a reminiscence group. METHODS: The research design was quasi-experimental, using Beck Depression Inventory and Rosenberg's Self-Esteem Survey pre- and posttreatment, in addition to conducting semistructured interviews after the treatment was finished and qualitatively evaluating outcomes of selected nursing diagnosis. A total of 12 patients participated, 10 women (mean age 70 years) and two men (mean age 86 years). The treatment was provided by two nurses to a group of patients dwelling at a long-term unit for people with end-stage lung diseases located in Iceland. A total of 13 group meetings were held, with 5-8 participants each time. Each group meeting had a preselected focus. It started with a short period of relaxation followed by a selected reading from a biography or from Icelandic literature and then the group discussion started, focusing on the topic of the day. RESULTS: The first two hypotheses were not supported. The following themes support the third hypothesis: (a) enjoyment, (b) feeling well and (c) closeness and affirmation of self and others. CONCLUSIONS: The purpose of the study was partly achieved. Although hypotheses one and two were not supported, the third was supported by the qualitative results, which clearly demonstrated that participation in the intervention increased well-being.

Adaptation, Psychological↗
PubMed2001

Does physical exercise in addition to a multicomponent smoking cessation program increase abstinence rate and suppress weight gain? An intervention study.

Does physical exercise in addition to a multicomponent smoking cessation program increase abstinence rate and suppress weight gain? An intervention study Tobacco use is considered the single most preventable cause of premature morbidity and mortality. Smoking cessation programs aim at two interrelated purposes, to help people to give up smoking and to prevent relapse. A multicomponent intervention consisting of nicotine replacement therapy, health education, behaviour modification therapy and counselling is widely recommended in the health care literature. Smoking cessation studies from a nursing perspective are few. The purpose of this quasi-experimental study was to compare outcomes of two nurse-managed 1-year group smoking cessation interventions. Intervention 1 (n=34) was provided at a health care centre and consisted of nicotine replacement therapy, health education, behavioural modification and individual and group counselling. In intervention 2 (n=33), provided in a health club, physical exercise was added to the intervention provided in 1. Participants were self-referred with equal numbers in both interventions. A nonsignificant difference in lapse free abstinence time (LFAT) at 1 year was demonstrated between intervention 1 (20.6%, n=7) and intervention 2 (39.4%, n=13) (p=0.16, odds ratio=2.5). The difference in weight gain between intervention groups was also nonsignificant. Within intervention comparison between abstinent participants and smokers showed that abstinent participants had gained significantly more weight than smokers in intervention 2 (p=0.001), but in intervention 1 the difference was nonsignificant (p=0.2). The small sample size in the study detracts from the significance of the findings. However, a trend is observed showing that physical exercise increases the abstinence rate of participants. The conclusion is drawn that a multicomponent smoking cessation program that includes physical exercise might be an effective intervention, but further studies with a larger sample size are needed.

Adult↗
PubMed1999

Outcomes of implementing primary nursing in the care of people with chronic lung diseases: the nurses' experience.

AIM: This study describes the outcomes of an action research project carried out to implement primary nursing in the care of people with chronic lung diseases at two hospital units in Iceland. METHODS: The methodological approach was the interpretative perspective. Data from transcribed interviews with 21 nurses and a research journal written by the author were analysed. Themes were generated according to dialectical procedures of interpretation. FINDINGS: The following themes were identified: close relationships with patients, continuity of care, reports of satisfied and secure patients, centrality of individual patient's needs, constant refinement of the system, sensitivity to staffing load and ambitious and responsible nurses. CONCLUSIONS: The nurses participating in this study clearly valued the possibilities that primary nursing brought in terms of higher quality of care for their patients. One of the most important components of high quality care is to know and understand patients' experiences, which is the main outcome of this study. This indicates that implementing primary nursing in the care of people with chronic lung diseases was beneficial from the point of view of the nurses. However, concerns were raised that primary nursing is more sensitive to low staffing than the system it was meant to replace.

Attitude of Health Personnel↗
PubMed1998

Life patterns of people with chronic obstructive pulmonary disease: isolation and being closed in.

This study is based on Newman's theory of health as expanding consciousness and applies Newman's hermeneutic dialectic method and hermeneutic phenomenology in describing the experience of people with chronic obstructive pulmonary disease. The researcher engaged in five in-depth interviews with 10 people. Results demonstrate the participants' life pattern of isolation and being closed in. Core themes characterizing the life pattern are resignation to the situation as it is, unsuccessful solutions to traumatic events, and difficulties in expressing oneself and relating to others. None of the participants had experienced the turning point central to the process of expanding consciousness.

Activities of Daily Living↗