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dc.contributor.authorAmofah, Hege Andersen
dc.contributor.authorBroström, Anders
dc.contributor.authorInstenes, Irene
dc.contributor.authorFridlund, Bengt
dc.contributor.authorHaaverstad, Rune
dc.contributor.authorKuiper, Karel Kier-Jan
dc.contributor.authorRanhoff, Anette Hylen
dc.contributor.authorNorekvål, Tone Merete
dc.date.accessioned2021-05-25T07:50:12Z
dc.date.available2021-05-25T07:50:12Z
dc.date.created2021-04-02T13:54:41Z
dc.date.issued2021-01
dc.identifier.citationAmofah HA, Broström A, Instenes I On behalf of the CARDELIR Investigators, et al. (2021) Octogenarian patients’ sleep and delirium experiences in hospital and four years after aortic valve replacement: a qualitative interview studyBMJ Open, 2021;11:e039959.en_US
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/11250/2756166
dc.description.abstractObjectives Sleep disturbances and delirium are frequently observed complications after surgical aortic valve replacement (SAVR) and transcutaneous aortic valve implantation (TAVI), especially in octogenarian patients. However, a knowledge gap exists on patient experiences of sleep and delirium. In particular, patients’ long-term sleep and delirium experiences are unknown. This article explores and describes how octogenarian patients suffering from delirium after aortic valve replacement experience their sleep and delirium situation. Design An explorative and descriptive design with a longitudinal qualitative approach was applied. Qualitative content analysis following the recommended steps of Graneheim and Lundman was performed. Setting Patients were included at a tertiary university hospital with 1400 beds. Delirium and insomnia screening was performed at baseline and five postoperative days after aortic valve treatment. For qualitative data, 10 patients were interviewed 6–12 months after treatment with focus on delirium. Five of these patients were reinterviewed 4 years after treatment, with focus on their sleep situation. Participants Inclusion criteria; age 80+, treated with SAVR or TAVI and had experienced delirium after treatment. Results For the initial interview, we included five men and five women, four following TAVI and six following SAVR, mean age 83. One overarching theme revealed from the content analyses; Hours in bed represented emotional chaos. Whereas three subthemes described the patients’ experiences with sleep and delirium, a cascade of distressful experiences disturbing sleep, the struggle between sleep and activity and elements influencing sleep. Four years after the treatment, sleep disturbances persisted, and patients still remembered strongly the delirium incidences. Conclusions For octogenarian patients, sleep disturbances and delirium are long-term burdens and need a greater attention in order to improve patient care.en_US
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/deed.no*
dc.subjectkardiologien_US
dc.subjectsøvnforstyrrelseren_US
dc.subjecteldre pasienteren_US
dc.subjectdeliriumen_US
dc.titleOctogenarian patients' sleep and delirium experiences in hospital and four years after aortic valve replacement: A qualitative interview studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© Author(s) 2020.en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Kardiologi: 771en_US
dc.source.pagenumber1-11en_US
dc.source.volume11en_US
dc.source.journalBMJ Openen_US
dc.source.issue1en_US
dc.identifier.doi10.1136/bmjopen-2020-039959
dc.identifier.cristin1901977
dc.source.articlenumbere039959en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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