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Holmlund, Lena
Publications (4 of 4) Show all publications
Holmlund, L., Hörnsten, C., Valham, F., Olsson, K., Hörnsten, Å. & Hellström Ängerud, K. (2024). Illness perceptions and health-related quality of life in women and men with atrial fibrillation. Journal of Cardiovascular Nursing, 39(1), 49-57
Open this publication in new window or tab >>Illness perceptions and health-related quality of life in women and men with atrial fibrillation
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2024 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 39, no 1, p. 49-57Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Health-related quality of life (HRQoL) is worse in patients with atrial fibrillation (AF) compared with other populations. Factors affecting HRQoL in patients with AF are not fully clarified. Illness perceptions are important determinants of disease management and may affect HRQoL.

OBJECTIVE: The aims of this study were to describe illness perceptions and HRQoL in women and men with AF and to explore the relationship between illness perceptions and HRQoL in patients with AF.

METHODS: This cross-sectional study included 167 patients with AF. Patients completed the Revised Illness Perception Questionnaire and HRQoL questionnaires: Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias, the three-level version of the EuroQol 5-dimensional questionnaire, and EuroQol visual analog scale. Subscales of the Revised Illness Perception Questionnaire significant in correlation analysis with the Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias HRQoL total scale were included in a multiple linear regression model.

RESULTS: Mean age was 68.7 ± 10.4 years, and 31.1% were women. Women reported lower personal control (P = .039) and worse HRQoL measured with the Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias physical subscale (P = .047) and the EuroQol visual analog scale (P = .044) compared with men. Illness identity (P < .001), consequences (P = .031), emotional representation (P = .014), and timeline cyclical (P = .022) were related to and adversely affected HRQoL.

CONCLUSIONS: This study found a relationship between illness perceptions and HRQoL. Some subscales of illness perceptions negatively affected HRQoL in patients with AF, which indicates that efforts to change illness perceptions may be helpful in improving HRQoL. Patients should be given the opportunity to talk about the disease, their symptoms, their emotions, and the consequences of the disease to enable increased HRQoL. A challenge for healthcare will be to design support for each patient based on his/her illness perceptions.

Place, publisher, year, edition, pages
Wolters Kluwer, 2024
Keywords
atrial fibrillation, health-related quality of life, illness perceptions
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-206996 (URN)10.1097/JCN.0000000000000995 (DOI)37074949 (PubMedID)2-s2.0-85178651164 (Scopus ID)
Available from: 2023-04-25 Created: 2023-04-25 Last updated: 2023-12-22Bibliographically approved
Holmlund, L., Hörnsten, C., Hörnsten, Å., Olsson, K., Valham, F. & Hellström Ängerud, K. (2024). More positive patient-reported outcomes in patients newly diagnosed with atrial fibrillation: a comparative longitudinal study. European Journal of Cardiovascular Nursing
Open this publication in new window or tab >>More positive patient-reported outcomes in patients newly diagnosed with atrial fibrillation: a comparative longitudinal study
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2024 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aims: To compare patient-reported outcomes (PROs) in patients newly (<6 months) diagnosed with atrial fibrillation (AF) with those who have had a longer diagnosis (≥6 months) and to investigate whether or not these outcomes change over a 6-month period.

Methods and results: In this longitudinal survey study, 129 patients with AF completed the Revised Illness Perception Questionnaire, the Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmia, and the Hospital Anxiety and Depression Scale at baseline and after 6 months. At baseline, patients newly diagnosed with AF (n = 53), compared with patients with a previous diagnosis (n = 76), reported AF as more temporary (P = 0.003) and had a higher belief in personal and treatment control (P = 0.004 and P = 0.041, respectively). At a 6-month follow-up, patients newly diagnosed reported a lower symptom burden (P = 0.004), better health-related quality of life (HRQoL); (P = 0.015), and a higher personal control (P < 0.001) than patients previously diagnosed. Over time, in patients newly diagnosed, symptom burden and the anxiety symptom score decreased (P = 0.001 and P = 0.014, respectively) and HRQoL improved (P = 0.002).

Conclusion: Patients newly diagnosed with AF reported more positive PROs both at baseline and at a 6-month follow-up than patients with a previous diagnosis of AF. Therefore, it is important to quickly capture patients newly diagnosed to support their belief in their own abilities. Such support may, alongside medical treatments, help patients manage the disease, which may lead to reduced symptom burden and better HRQoL over time.

Place, publisher, year, edition, pages
Oxford University Press, 2024
Keywords
Anxiety, Atrial fibrillation, Depression, Health-related quality of life, Newly diagnosed, Patient-reported outcomes, Symptom burden
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-222452 (URN)10.1093/eurjcn/zvad139 (DOI)
Funder
Umeå UniversitySwedish Heart Lung Foundation
Available from: 2024-03-18 Created: 2024-03-18 Last updated: 2024-03-18
Holmlund, L., Hellström Ängerud, K., Hörnsten, Å., Valham, F. & Olsson, K. (2023). Experiences of living with symptomatic atrial fibrillation. Nursing Open, 10(3), 1821-1829
Open this publication in new window or tab >>Experiences of living with symptomatic atrial fibrillation
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2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 3, p. 1821-1829Article in journal (Refereed) Published
Abstract [en]

AIM: To explore the experiences of living with symptomatic atrial fibrillation.

DESIGN: This study, with a descriptive qualitative adesign, was performed using semi-structured individual interviews.

METHOD: Six women and nine men with symptomatic atrial fibrillation were included. The transcribed interviews were analysed using qualitative content analysis. The COREQ checklist was followed.

RESULTS: The analysis resulted in a main theme, namely balancing life and included the themes striving for illness control, becoming a receiver or an active partner in care and dealing with changed self-image. The participants strived to understand their illness, prevent attacks and manage anxiety. Some of the participants were not involved in decision-making, were uninformed about self-care measures, reported a lack of continuity in care and felt that the doctors focused on information about the medical part of care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
atrial fibrillation, experiences, interviews, qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-200942 (URN)10.1002/nop2.1442 (DOI)000875848500001 ()36309946 (PubMedID)2-s2.0-85141152075 (Scopus ID)
Available from: 2022-11-10 Created: 2022-11-10 Last updated: 2023-07-13Bibliographically approved
Holmlund, L., Brännström, M., Lindmark, K., Sandberg, C. & Hellström Ängerud, K. (2020). Health‐related quality of life in patients with heart failure eligible for treatment with sacubitril–valsartan. Nursing Open, 7(2), 556-562
Open this publication in new window or tab >>Health‐related quality of life in patients with heart failure eligible for treatment with sacubitril–valsartan
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2020 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 2, p. 556-562Article in journal (Refereed) Published
Abstract [en]

Aim: To describe and compare self‐reported health‐related quality of life between younger and older patients with severe heart failure eligible for treatment with sacubitril–valsartan and to explore the association between health‐related quality of life and age, NYHA classification, systolic blood pressure and NT‐proBNP level.

Design: Cross‐sectional study.

Methods: A total of 59 patients, eligible for treatment with sacubitril–valsartan were consecutively included and divided into a younger (≤75 years) and older group (>75 years). Health‐related quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire and the EuroQol 5‐dimensions. Data were collected between June 2016 and January 2018. The STROBE checklist was used.

Results: There were no differences in overall health‐related quality of life between the age groups. The older patients reported lower scores in two domains measured with the Kansas City Cardiomyopathy Questionnaire, namely self‐efficacy (67.0 SD 22.1 vs. 78.8 SD 19.7) and physical limitation (75.6 SD 19.0 vs. 86.3 SD 14.4). Higher NYHA class was independently associated with lower Kansas City Cardiomyopathy Questionnaire Overall Summary Score.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
health‐related quality of life, heart failure, self‐care, self‐efficacy
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-166129 (URN)10.1002/nop2.420 (DOI)000497180800001 ()2-s2.0-85075214418 (Scopus ID)
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2021-05-05Bibliographically approved
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