Biomedical subjects

Ole-Johan Eikeland

Publications and source records attributed to Ole-Johan Eikeland.

5 recordsLinked to original sources

PubMed2006

[Occupation and drug consumption--results from a survey in Hordaland county].

BACKGROUND: There is little systematized knowledge about drug use and its association to occupation. We studied how drug use varied between different occupational groups, with particular emphasis on those that impair awareness and psychomotor performance. MATERIAL AND METHODS: Study data stemmed from the Hordaland county health survey (Norway) performed in 1997 - 99. 34,249 persons 40 - 49 years of age were included in the study and 66 % responded. The participants were classified into 10 different occupational categories according to national standards. Information about drug use and occupation was analysed and corrected for age and gender. RESULTS: 21.1 % of working men and 36.1 % of working women reported that they had used at least one registered drug the day before they answered the questionnaire. The pattern of drug use varied between occupational groups. Individuals with a military occupation had the lowest rate of use (12.8 %), while employees within sales, service and care reported the highest one (35.7 %). The variation between groups in terms of drugs that impair awareness and psychomotor performance, was small and non significant INTERPRETATION: Drug use varied between occupational groups, even after control for age and gender. This may either be due to differences between the occupations, to differences between the individuals who choose certain occupations, or a combination of the two. The main conclusion is, however, that the study uncovered no association between hazardous or unfortunate drug use and any single kind of occupation.

Adult↗

PubMed2005

Coping with chronic pain.

Many models of pain give coping an important role in understanding adaptation to chronic pain. Among these, Lazarus and Folkman's cognitive-phenomenological model of stress and coping provides a theoretical framework to conceptualise stress phenomena and coping strategies related to chronic pain. Chronic pain often necessitates new coping skills. An understanding of the concept of coping and how the patients cope is therefore crucial for the success of rehabilitation. The current study examined how coping, as measured by the Ways of Coping Checklist, was related to medical variables, depression measured by the Short Zung depression rating scale, and Rosenberg's self-esteem scale. The study sample consisted of 88 people who were recruited for a multidisciplinary pain management programme. Data were collected as part of a routine pre-treatment evaluation. Results indicated that the most predominant stressors were related to family life and social activities. We also recognised on the one hand, appraising pain as a challenge was predictive of problem-focused coping, while on the other hand, appraising pain as a threat, experiencing depression, and reduced self-esteem were predictive of emotion-focused coping. Clinical implications of these results in nursing are discussed.

Adaptation, Psychological↗

PubMed2004

Health-related quality of life and pain beliefs among people suffering from chronic pain.

Chronic pain, when not effectively treated and relieved, may have a harmful effect on all aspects of health-related quality of life (HRQL). Furthermore, pain beliefs are considered an important mediating psychological factor in chronic pain. The present study focused on HRQL as measured by the Medical Outcomes Survey-Short Form (SF-36) and addressed possible relationships between pain beliefs as measured by the Pain Beliefs and Perceptions Inventory (PBAPI). The possible impact of background variables such as age, gender, social support, pain intensity, pain duration, and analgesics on HRQL were controlled for in the analyses. The study sample consisted of 81 people who were recruited from a multidisciplinary pain management program. Data were collected as the first part of a routine pretreatment evaluation. The chronic-pain patients reported lower scores on all dimensions of HRQL compared to normal controls and other patient groups. No significant association was found between pain beliefs and the physical health dimension of HRQL whereas gender, pain duration, and pain intensity were significant predictors of that dimension. In addition, one of the dimensions of pain beliefs (i.e., mystery) was found to be predictive of the mental health dimension of HRQL. Social support made an additional contribution to the explained variance in mental health. The implications of these results for assessing HRQL and pain beliefs in chronic pain are discussed.

Adult↗

PubMed2004

The effectiveness of a multidisciplinary pain management programme managing chronic pain.

The aim of this study was to develop and evaluate the effects of a multidisciplinary pain management programme on coping, health-related quality of life and pain intensity. Seventy-six outpatients suffering from chronic pain completed this eight-week programme with the primary aims to increase coping, as measured by the Ways of Coping Checklist, and health-related quality of life, as measured by the Short Form-36 Health Survey. Therapeutic dialogues and education, combined with physical activity, were given in order to increase understanding of and attention to non-medical factors that might affect pain perception. The programme was active, time-limited and structured on the basis of multidisciplinary pain management programmes based on a cognitive-behavioural approach. The findings suggest that this programme has the potential to improve coping skills and health-related quality of life. Additionally, pain intensity, as measured by the Visual Analogue Scale, was reduced. Age and disability were revealed as the prominent predictors of change after treatment. The differences in this sample indicated that the drop-outs tended to be older and reported more health problems, although these findings were non-significant. Clinical and research implications are discussed.

Adaptation, Psychological↗

PubMedDate not supplied

Results of a multidisciplinary pain management program: a 6- and 12-month follow-up study.

The aim of this study was to evaluate an 8-week multidisciplinary pain management program offered to patients suffering from chronic pain. The study initially included 88 participants, and 61 of the sample completed a follow-up program conducted at 6 and 12 months after the initial programs. The pain management program was based on a cognitive behavioral approach with active patient participation in learning new coping skills. The intervention consisted of supervised dialog, physical activity, and education. The main goals were change of focus from pain and disability to resources and functional coping strategies. It was hypothesized that the positive changes gained at posttest registration after an 8-week program on coping, health-related quality of life, and pain intensity would be maintained during follow-up sessions. The results indicated that these hypotheses were mainly supported and further pain reduction, decreased emotion-focused coping, better social functioning, and overall physical and mental health gains were observed. The participants who did not complete the follow-up program did not differ from the patients who completed the program on background variables investigated. The study also supported the claim that professional nurses are competent to lead such programs and to evaluate treatment results. Clinical and research implications are discussed.

Adaptation, Psychological↗