Tímarit hjúkrunarfræðinga - 2019, Page 100

inga steinþóra guðbjartsdóttir, helga jónsdóttir og marianne e. klinke
100 tímarit hjúkrunarfræðinga • 2. tbl. 95. árg. 2019
Aim: Subarachnoid hemorrhage (Sah) has been labeled the “stroke
of the younger population”. Due to psychosocial problems, patients
with Sah oen encounter difficulties in regaining a normal pace
in life, even years aer the event. numerous studies have addressed
the topic, but an overview of challenges and solutions is warranted.
erefore, we set out to synthesize knowledge about psychosocial
functioning of patients with Sah three months or more aer the
bleed, describe the prevalence of common psychosocial symptoms,
and identify implications for nursing practice and research.
Method: Systematic literature review guided by the joanna Briggs
institute (jBi) reviewer’s handbook. e PriSMa statement was
used to present the results. PubMed and CinahL were searched
for articles published from january 2007 until november 2017. jBi
checklists were used to assess weaknesses of the primary studies.
Data were synthesized with “the matrix method”.
Results: irty-three articles were included in the review with 5073
patients participating. Psychosocial problems were present in
> 50% of the participants at all time-points; from three months aer
Sah until 20 years thereaer. four categories were identified: (1)
Decreased quality of life, (2) anxiety/depression, (3) post-traumatic
stress, fear and psychosocial distress, and (4) change in employ-
ment, social life and life-space mobility. Psychosocial problems
were among others associated with lack of intimacy with spouses,
communication problems, being single, recurrent experience of the
incident, cognitive and behavioral problems. Predictive factors for
psychosocial distress were being; female, younger, lower educated,
and in an unstable relationship.
Conclusion: e results can be used to develop new systematic me -
thods of assessment and follow-up, and also to inform patients and
their families about possible psychosocial challenges. e high fre-
quency and serious consequences of psychosocial problems under -
score an urgent need for healthcare professionals to respond to the
challenges that patients with Sah are confronted with.
Correspondent: marianne@hi.is
English Summary
gudbjartsdottir, i.S., jonsdottir, h., klinke, M.E.
Psychosocial functioning in adults aer subarachnoid hemorrhage:
a systematic review of the literature
Viðauki 1. Leit í gagnabönkum PubMed og CINAHL
PubMed-inntökuskilyrði: fullorðnir 18 ára og eldri, greinar á ensku, frá janúar 2007 til nóvember 2017
Leit Leitarorð „Hits“ Titlar Útdrættir
1 Subarachnoid hemorrhage (MeSh) anD nurs* 80 16 11
2 Subarachnoid hemorrhage (MeSh) anD emotion* 31 30 21
3 Subarachnoid hemorrhage (MeSh) anD psychosocial 21 20 12
4 Subarachnoid hemorrhage (MeSh) anD social life 20 20 15
5 Subarachnoid hemorrhage (MeSh) anD post traumatic stress 10 12 11
6 Subarachnoid hemorrhage (MeSh) anD depression (MeSh) 83 22 12
7 Subarachnoid hemorrhage (MeSh) anD rehabilitation (MeSh) 171 22 13
8 Subarachnoid hemorrhage (MeSh) anD community 71 13 10
9 Subarachnoid hemorrhage (MeSh) anD fatigue 20 10 10
SAMTALS 507 165 115
CinahL-inntökuskilyrði: fullorðnir 18 ára og eldri, greinar á ensku, frá janúar 2007 til nóvember 2017
Leit Leitarorð „Hits“ Titlar Útdrættir
1 Subarachnoid hemorrhage (MM) anD nurs* 9 5 3
2 Subarachnoid hemorrhage (MM) anD emotion 1 1 1
3 Subarachnoid hemorrhage (MM) anD psychosocial* 19 7 5
4 Subarachnoid hemorrhage (MM) anD social life 1 1 0
5 Subarachnoid hemorrhage (MM) anD post traumatic stress 0 0 0
6 Subarachnoid hemorrhage (MM) anD depression 16 12 0
7 Subarachnoid hemorrhage (MM) anD rehabilitation (MeSh) 13 4 0
8 Subarachnoid hemorrhage (MM) anD community 14 4 1
9 Subarachnoid hemorrhage (MM) anD fatigue 5 3 2
SAMTALS 78 37 12