Biomedical subjects

L R Hallberg

Publications and source records attributed to L R Hallberg.

22 records · Page 2Linked to original sources

PubMed1991

A qualitative study of strategies for managing a hearing impairment.

The aim of this study was to gain a deeper understanding of what hearing-impaired people are doing to deal with demanding auditory situations in everyday life. Twelve middle-aged subjects with clinical hearing impairments were interviewed monthly during 5 months. The interviews focused on the subjects' own descriptions of demanding auditory situations and what they did, thought and felt in these situations. Verbatim transcribed protocols were content-analysed according to Grounded Theory. Fourteen categories were grounded in the data, forming a model for dealing with demanding auditory situations, including two qualitatively different management patterns: 'to control the social scene' and 'to avoid the social scene'. The emerging core variable was socio-psychological: the hearing-impaired individuals strive to maintain the normal identity and to prevent their definition as deviant in interactions with hearing people. The result of the inductive study was verified in a deductive study of 50 hearing-impaired subjects.

Adaptation, Psychological↗

PubMed1991

Validation of a Swedish version of the Mishel Uncertainty in Illness Scale.

Uncertainty and fear are realities patients often have to face in illness and hospitalization. Mishel has described how perceived uncertainty under these circumstances can affect the patient's coping strategies. The Mishel Uncertainty in Illness Scale (MUIS), along with a diagnosis-specific version of the MUIS, the Cardiovascular Population Scale, was translated into Swedish with the purpose of testing the usefulness of the scale on a Swedish coronary population. The sample included 60 patients, 40 males and 20 females, with coronary pain, cared for on two intensive coronary care units. The Swedish version of the MUIS seems to be in most instances a reliable instrument for measuring perceived uncertainty. Coefficient alpha was .82, compared with Mishel's reported .84. The reliability of the Cardiovascular Population Scale was .74. Study findings revealed that recency of prior hospitalization was significantly related to perceived uncertainty. Results point to the necessity of further validity testing.

Aged↗

PubMedDate not supplied

Gender and age differences in pain, coping and health status among children with chronic arthritis.

OBJECTIVE: To investigate pain, coping and health status in children with chronic arthritis. Additional aims were to explore gender variations in pain, coping and health status, and the same factors in children under 16 years versus children 16 years or older. METHODS: For 125 children (43 boys) with a median age of 14.1 years (range 10.3-17.8) disability and discomfort were assessed (Childhood Health Assessment Questionnaire, CHAQ). Pain, coping, fatigue, sleeping and satisfaction with life were evaluated (Visual Analogue Scales). The Pain Intensity Scale was used to assess the variation in pain intensity during one week. RESULTS: The CHAQ disability index (DI) was 0.63. In the total sample, girls had larger numbers of affected joints in upper extremities (p = 0.028) and more days with morning pain (p = 0.025) than boys. Boys reported greater perceived ability to reduce pain than girls (p = 0.020). Compliance with treatment was more frequent in girls than in boys (p = 0.029). In children 16 years of age and older, boys reported greater perceived ability to control pain (p = 0.032) and to reduce pain than girls (p = 0.001) and fewer days with worst pain in the mornings (p = 0.013), as well as less pain variations over the period of a day (p = 0.014) and over a period of a week (p = 0.035). CONCLUSIONS: As a group, the children were clearly affected by their arthritis. Pain was related to the severity of disease. Some significant gender and age differences were highlighted, which should be considered in clinical pain management.

Adaptation, Psychological↗

PubMedDate not supplied

Well-being in children with juvenile chronic arthritis.

OBJECTIVE: The aim of this study was to describe a model for predicting well-being in children with juvenile chronic arthritis (JCA). METHODS: 125 children (43 boys) (median age 14.1 yrs; range 10.3-17.8) rated disability and discomfort (Childhood Health Assessment Questionnaire). Pain control, pain reduction and fatigue were evaluated (visual analogue scales). In addition, variation of pain intensity was rated by a pain intensity scale. Analysis by the stepwise regression technique was used to explain the variability in well-being. Eight independent variables were included as possible predictors in the model (p < 0.1). RESULTS: The analyses indicated that well-being in children with JCA is related to three clusters of variables; pain "as it normally is", number of pain-free days and attending physical education classes. The analysis explained a substantial portion of the total variance in the children's well-being (55.1%). CONCLUSION: Pain is a robust predictor of well-being in children with JCA. This supports the concept of the benefits of reducing chronic joint pain as a major goal in caring of these children.

Adaptation, Psychological↗