Hearing is considered to be the most important sense for the communication between people. Several studies have shown that hearing loss can lead to deterioration in quality of life, reduced social activities, feelings of alienation and hence the increasing incidence of depression symptoms.An early audiological rehabilitation is a prerequisite for proper communication among people with hearing loss. Knowledge has been shown to be of great importance and structured learning and individually targeted approach can be expected to facilitate the audiological rehabilitation.The purpose of this study was to examine the effect of an educational effort for people with hearing loss where the effort was made in the distance within the audiological rehabilitation and was followed-up by professional phone support, through a randomized controlled study.The study group consisted of 69 hearing aid users who were randomized by an independent person into two groups, an intervention group and a control group. The intervention group (n = 33) had access to the book "When the sounds are weaker - on hearing and hearing aids". The group received weekly topic-based information related to the different chapters of the book, in five rounds.

Patienter som väntade på en operation kände ofta oro och ångest och studier visade att förutom att skapa obehag för patienten, försämrades återhämtningen postoperativt. Tidigare studier har visat att musik har god effekt som oro och ångest dämpare. Syftet med denna studie var att genom en evidensbaserad systematisk litteraturöversikt ge svar på om musik kan lindra oro och ångest dygnet innan operation. Studien grundades på tre frågeställningar: kan musik minska den upplevda oron och ångesten dygnet innan operation, kan musik minska fysiologiska symtom skapade av oro och ångest dygnet innan operation, om möjligheten att välja musik påverkar effekten av interventionen? Nio studier granskades utifrån frågeställningarna.

This thesis is a case study that examines what political decisions have been taken and how these policies have been implemented. Further this thesis discusses how legitimacy of local policy makers and implementors is affected. The subject studied have been the social service of Jönköping municipality and the intervention of safe-housing aimed at women who have been, or are subject to violence by person close to them. In our study we have examined local policy within the territory of the intervention and how this policy is implemented. A qualitative method with semi-structured interviews was used in combination with quantitative methods to examine protocols from the social welfare board and an action program named "Skydd och stöd för misshandlade kvinnor och deras barn? [Protection and support for abused women and their children].The purpose of this study has been to highlight how the social services implemented the local policy of safe-house accommodation in Jönköping municipality from the legitimacy and discretion perspectives.

Syftet med denna litteraturstudie var att beskriva hur sjuksköterskor arbetar med preventiva åtgärder vid trycksårs uppkomst samt vilka omvårdnadsåtgärder som ges till patienter som utvecklat trycksår. Vetenskapliga artiklar söktes i databaserna Medline via Pubmed och Cinahl med sökorden nursing, pressure ulcer, prevention, treatment, therapy, intervention. Endast artiklar från år 2003- mars 2008 användes i studien. Både kvantitativa och kvalitativa artiklar användes, dessa artiklar granskades utifrån två modifierade granskningsprotokoll. Resultatet påvisade variationer av dessa preventiva insatser som sjuksköterskor använde sig av.

There is strong evidence that cognitive-behavioural therapy for insomnia (CBT-I) is effective. The aim of this study was to compare 7 group-sessions of mindfulness-based cognitive therapy for insomnia (MBCT-I) with 3 group-sessions of CBT-I, on sleep measures and sleep related psychological processes, such as pre-sleep arousal, thought control strategies and mindfulness. Participants (N = 44; age 18-66) with long term insomnia were stratified and randomized into waiting list, MBCT-I and CBT-I. Significant improvements were seen in both groups, compared to waiting list, for instance on insomnia severity, sleep latency and restorative sleep. Small improvements on psychological processes were also found in both groups.

Although known and feared for thousands of years, rabies remains a real and present threat to thousands of people, especially in low- and middle income countries. In India, rabies is an endemic disease, causing human deaths every year. The primary mode of transmission is through the bite of an infected dog. Fighting the disease in the dog population through vaccinations remains the most efficient way to eradicate the disease. The knowledge of rabies in India is unsatisfactory, as a lot of people lack awareness about the severity of the disease and the importance of washing the bitten area and seeking medical attention for post exposure prophylaxis when bitten by a dog.

Background: Dementia is an umbrella term for a group of diseases that affects the brain and causes cognitive impairment. Animal-assisted Therapy's goal is to meet patients' physical, psychological and social dimensions within the current health care field. To avoid problems like infections and allergy, robotic animals has been developed. The purpose of robotic animals is to induce relaxation and well-being of persons with cognitive impairment for example.Purpose: To compile scientific articles on which effects care dog and robotic animals have on mental and physical health in patients with dementia. Method: A literature review consisting of nine quantitative research articles.

In the nurse's profession ulcer care is a common nursing intervention. Being inserted in methods of treatment and updated with evidence-based knowledge is therefore an important part of the nurse's work. Chronic ulcers are expensive for health care and occupy a lot of time. Knowledge is therefore important for ulcer healing, for the patient comfort and to reduce costs. The aim of the study was to illustrate the nurse's knowledge of nursing interventions of chronic ulcer.

During the last decade research in leadership has escalated and newleadership styles have started to prevail. This study intends to examinewhether a leaders increased level of motivation in turn can motivateemployees. A major company included all employees in a leader position inan exhaustive intervention with the purpose to increase the leaders?motivation in order for them to motivate their employees. After theintervention, which ended in spring 2012, interviews with six differentemployees at the company were made to see if their level of motivation hadincreased.

Bakgrund: Vårdrelaterade infektioner är ett globalt problem inom hälso- och sjukvård. Patienter smittas ofta av vårdrelaterade infektioner genom vårdpersonalens händer. Hög följsamhet till riktlinjer för handhygien har visat sig minska risken för vårdrelaterade infektioner. Syfte: Syftet med denna studie var att utvärdera vilka interventioner som är effektiva för att öka följsamhet till riktlinjer för handhygien hos vårdpersonal. Som tillägg undersöktes incidensen av vårdrelaterade infektioner som mått på följsamhet. Metod: Litteraturstudie utarbetad efter SBUs principer för litteraturöversikter bestående av tio vetenskapliga studier med kvantitativ ansats. Resultat: Tre typer av interventioner identifierades; utbildning, stöd och uppmuntran samt utbildning kombinerat med stöd och uppmuntran. Nio av tio studier visade varierande grad av ökad följsamhet till riktlinjer för handhygien efter en intervention.

Afasi medför en språklig och kommunikativ begränsning för personer med afasi vid samspel med andra individer. Syftet med föreliggande studie är att undersöka interaktion mellan personer med afasi, samt mellan afasigruppsledare och deltagare i en afasigrupp under behandlingssituationer. Tre afasigrupper, med sammanlagt elva afasigruppsdeltagare och fyra afasigruppsledare deltog i föreliggande studie. Datainsamling skedde via videoupptagning samt ljudinspelning. Det insamlade materialet transkriberades och analyserades enligt samtalsanalytiska principer.

A speech-based material that early can assess a child's hearing is needed to provide an indication of a hearing impaired child's language development. Being able to identify and discriminate between different sounds is a requirement for interpreting speech. Hearing assessments that examine speech perception can therefore, unlike, for example, pure tone audiometry, examine a hearing impaired child's perceptual language skills and provide a basis for intervention.The purpose of this work is to evaluate a new auditory material on 3-year-old children. The auditory material is based on the Ling-6-sounds and the main question was which of the sounds in the test were adequate for test of discrimination. Furthermore, it was investigated how the test works with children aged 3:0?3:11 years and how age and gender affect the result.Twenty-four children aged 3:0?3:11 years were tested using a computer based test.

Bakgrund: Diabetes mellitus typ 2 fo?rva?ntas o?ka drastiskt de kommande a?ren. Fo?r att uppna? fo?ra?ndring beho?ver personerna fa? insikt och fo?rsta?else fo?r sambandet mellan delar i egenva?rd. Empowerment har visat sig vara av betydelse fo?r att uppna? egenkontroll och sja?lvsta?ndighet i egenva?rd.Syfte: Syftet var att beskriva effekten av empowerment pa? egenva?rd hos personer med diabetes mellitus typ 2.Metod: En litteraturo?versikt har genomfo?rts baserad pa? vetenskapliga artiklar med kvantitativ design och analyserades enligt Fribergs trestegsmodell.Resultat: Resultatet a?r en sammansta?llning av totalt tio artiklar besta?ende av ett sjukdoms- specifikt- eller patientdrivet program inneha?llande empowermentinterventioner.

The purpose of this essay was to examine how youths are described in certain written statements that are produced by the social services. The statements that this study has focused on, are those written with the purpose of serving the court with suggestions of treatment-measures when a person between 15 and 18 is suspected of having committed a crime. The main issues were: How is the content in these statements described and what do these descriptions tell the reader? Do the images of youths in the statements differ, depending on the degree of intervention for the suggested treatment-measure? The essay is based on a qualitative content-analysis of 50 statements and the material has been analysed from a social-constructive theoretical perspective.The study shows that the youths in the statements are described through descriptions that reinforces a positive or a negative image of the youth, and that these descriptions are described as either utterances or facts. Depending on the degree of intervention for the suggested treatment-measures, the information in the statements differ in that descriptions that are likely to reinforce a positive image of the youth are more frequent in the statements where no or less intervening treatment-measures is suggested.

Chronic illness is associated with conditions that may result in psychological ill-health in the adolescence. Consequently there is a need for development of preventive psychosocial support interventions for this target group. The objective was to develop, implement, and evaluate the effect of supportive intervention group program for teenagers suffering from chronic illness - aiming at increasing quality of life and supporting mental and physical health. Method: Six different intervention groups were conducted between 2007 and 2011, age 13?17.