Publications by authors named "Hilde Myhren"

Objectives: To investigate the effect of nurse-led consultations on reducing post-traumatic stress symptoms and increasing sense of coherence in discharged ICU patients with clinically relevant post-traumatic stress symptoms and to identify variables associated with symptoms 12 months later.

Design: A pragmatic nonblinded randomized controlled trial.

Settings: Five surgical and medical ICUs at Oslo University Hospital.

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Background: Post-traumatic stress (PTS) symptoms following intensive care unit (ICU) treatment can lead to post-traumatic stress disorder and represent a severe health burden. In trauma patients, a strong sense of coherence (SOC) is associated with fewer PTS symptoms. However, this association has not been investigated in a general ICU sample.

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Introduction. Nurses and physicians working in the intensive care unit (ICU) may be exposed to considerable job stress. The study aim was to assess the level of and the relationship between (1) job satisfaction, (2) job stress, and (3) burnout symptoms.

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Objective: The aim of the study was to investigate the proportion of patients who return to work and predictors of return to pre-injury level of work participation the first year after trauma.

Methods: A prospective single-centre study of 188 patients aged 18-65 years with different degrees of injury severity was carried out in a trauma referral centre. All patients were working or studying full or part time before the injury.

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Background: Trauma patients have impaired health-related quality of life (HRQOL) after trauma. The aim of the study was to assess HRQOL during the first year after trauma and hospital stay in trauma patients admitted to an intensive-care unit (ICU) for >24 hours compared with non-ICU trauma patients and the general population, and to identify predictors of HRQOL.

Methods: A prospective one-year follow-up study of 242 trauma patients received by the trauma team of a trauma referral centre in Norway was performed.

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Objective: To study intensive care unit (ICU) patients' and relatives' satisfaction in regard to communication with medical staff (nurses and physicians), perceived support, environmental strain and their psychological distress. Further, to compare this with expectations of the medical staff.

Methods: Cross-sectional study, 4-6 weeks post-ICU discharge.

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Background: The aim of the study was to investigate the level of psychologic distress after trauma and intensive care unit (ICU) stay, memory from the ICU, and predictors for psychologic distress at 12 months.

Methods: Prospective single center study in a trauma referral center for Eastern and Southern Norway. Participants were 150 trauma patients treated in an ICU for > 24 hours.

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Objective: To study how health-related quality of life of intensive care unit survivors compares with the general population, changes over time, and association with an optimistic personality trait and posttraumatic stress. Further, to explore differences in health-related quality of life between medical, trauma, and surgical patients and to assess return to work/school at 1 yr.

Design: Prospective 1-yr follow-up study.

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Introduction: To study the level and predictors of posttraumatic stress, anxiety and depression symptoms in medical, surgical and trauma patients during the first year post intensive care unit (ICU) discharge.

Methods: Of 255 patients included, 194 participated at 12 months. Patients completed the Impact of Event Scale (IES), Hospital Anxiety and Depression Scale (HADS), Life Orientation Test (LOT) at 4 to 6 weeks, 3 and 12 months and ICU memory tool at the first assessment (baseline).

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Purpose: To compare patients' psychological distress and memories from intensive care unit (ICU) treatment 4-6 weeks after ICU discharge with expectations of their relatives. Further, to explore the relationship between personality traits and ICU memories with psychological distress.

Methods: A cross-sectional study of 255 patients and 298 relatives.

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Objective: Patient satisfaction is increasingly used to measure and evaluate patient treatment in hospital. The aim of this study is to assess satisfaction regarding communication, support and the degree of anxiety and depression among the patients, and to compare reports from the patients with the expectations of the staff.

Methods: In a prospective study, 176 (93%) of the patients and 52 (80%) of the nurses completed a similar questionnaire.

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Objectives: To determine satisfaction in regard to information concerning, and support and facilities for relatives in the intensive care unit (ICU), and to compare this with the staff's expectations on these issues; to determine relatives' degree of psychological distress and use of hypnotics, anxiolytics, and antidepressants; finally, to compare the distress of relatives of survivors and relatives of non-survivors.

Design: Prospective study.

Setting: University-affiliated ICU.

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