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About me

I work mainly as a lecturer at the division of nursing, but also with my own research.

Education

Registered nurse.

Degree of bachelor with a major in nursing science with the emphasis on cardiologic care.

PhD in medicine, with emphasis on caring science, patients with heart failure and thirst.

Research description

My research has a special interest in thirst and patients with heart failure. In order to study thirst in patients with heart failure in my thesis, the "The Theory of Unpleasant Symptoms (TOUS)" was used. TOUS has been applied in studies to increase the knowledge of the symptoms. Three components form the theory: the symptom as experienced by the individual, factors that cause or influence the symptom, and the consequences of the symptom experience. The theory emphasizes that these components interact and influence each other. In my current research I have developed a questionnaire, “The Thirst Distress Scale for patients with Heart Failure (TDS-HF)”, which assesses the degree of thirst distress. In international collaboration between Sweden, the Netherlands and Japan, the TDS-HF is currently being validated for patients with heart failure. An intervention will be planned for a future study, with the aim to prevent and relieve thirst in patients with heart failure.

I also work on a project where I develop a questionnaire, a PREM (Patient Reported Experienced Measurement), to measure the patient's experience of health care at an outpatient clinic for patients with pulmonary arterial hypertension. This is part of the development of health care for patients with pulmonary arterial hypertension, in order to highlight the needs of patients and strengthen their position in health care (SOU 2015: 102). The PREM is tested for validity and reliability. Moreover, I study symptoms of dehydration in healthy young and old persons. A balanced intake of fluids is significant for human health, and is especially important for the older person in order to prevent e.g. confusion and falls.

 

 

PUBLICATIONS

Johansson P, van der Wal M, Strömberg A, Waldréus N, Jaarsma T. Fluid restriction in patients with heart failure: how should we think?  Eur J Cardiovasc Nurs. 2016 Aug;15(5):301-4.

 

Waldréus N. Thirst in patients with heart failure: description of thirst dimensions and associated factors with thirst. Linköping University Medical Dissertations No. 1514, 2016 Apr 16, LiU-Tryck, Linköping, Sweden, 2016.

 

 

Hahn R, Jaarsma T, Waldréus N, Linssen G. Urine measurement indicates the plasma brain natriuretic peptide concentration during optimization of heart failure treatment.   Scand J Clin Lab Invest. 2016;76(2):112-7.

 

Waldréus N, van der Wal M, Chung M, Jaarsma T. Fluid restriction predicts thirst distress in patients with heart failure. Eur J Cardiovasc Nurs 2016; 15(S1): S66.

 

Waldréus N, Hahn R, Lyngå P, van der Wal M, Hägglund E, Jaarsma T. Changes in Thirst Intensity During Optimization of Heart Failure Medical Therapy by Nurses at the Outpatient Clinic.  J Cardiovasc Nurs. 2015 Dec 21. [Epub ahead of print] PMID:26696035

 

Hooper L, Abdelhamid A, Attreed NJ, Campbell WW, Channell AM, Chassagne P, Culp KR, Fletcher SJ, Fortes MB, Fuller N, Gaspar PM, Gilbert DJ, Heathcote AC, Kafri MW, Kajii F, Lindner G, Mack GW, Mentes JC, Merlani P, Needham RA, Olde Rikkert MG, Perren A, Powers J, Ranson SC, Ritz P, Rowat AM, Sjöstrand F, Smith AC, Stookey JJ, Stotts NA, Thomas DR, Vivanti A, Wakefield BJ, Waldréus N, Walsh NP, Ward S, Potter JF, Hunter P. Clinical symptoms, signs and tests for identification of impending and current water-loss dehydration in older people  Cochrane Database Syst Rev. 2015 Apr 30;(4):CD009647.

 

Johnson P, Waldreus N, Hahn RG, Stenström H, Sjöstrand F. Fluid retention index predicts the 30-day mortality in geriatric care. Scand J Clin Lab Invest. 2015 Oct;75(6):444-51.

 

Waldréus N, Jaarsma T. Evaluation of a nine-item thirst distress scale for patients with heart failure. Eur J Cardiovasc Nurs 2015; 14(S1): S71.

 

Waldréus N, Hahn R, van der Wal M, Lyngå P, Hägglund E, Jaarsma T. Thirst in patients with heart failure. Eur J Heart Fail 2015; 17(Suppl.1): 381.

 

Waldréus N, van der Wal M, Hahn R, van Veldhuisen D, Jaarsma T. Thirst Trajectory and Factors Associated With Persistent Thirst in Patients With Heart Failure. J Card Fail. 2014 Sep;20(9):689-95.

 

Waldréus N, van der Wal M, Jaarsma T. Thirst trajectory and factors associated with persistent thirst in patients with heart failure. Eur J Cardiovasc Nurs 2014; 13(S1): S25.

 

Waldréus N, Hahn R, Jaarsma T. Thirst in heart failure- a systematic review. Eur J Heart Fail. 2013 Feb;15(2):141-9.

 

Waldréus N, Hahn RG, Engvall J, Skoog J, Ewerman L, Lindenberger M. Thirst response to acute hypovolemia in healthy women and women prone to vasovagal syncope.  Physiol Behav. 2013 Aug 15;120:34-9.

 

Hahn R, Waldréus N. An Aggregate Urine Analysis Tool to Detect Acute Dehydration.  Int J Sport Nutr Exerc Metab. 2013 Aug;23(4):303-11.

 

Waldréus N, Hahn R, Jaarsma T. Suitability of the Thirst Distress Scale for patients with heart failure. Eur J Heart Fail Suppl 2012; 11: S49-S50.

 

Waldréus N, Sjöstrand F, Hahn R. Thirst in the elderly with and without heart failure. Arch Gerontol Geriatr. 2011 Sep-Oct;53(2):174-8.

 

 

 

Congressess

2016 Athen, EuroHeartCare, ”Fluid restriction predicts thirst distress in patients with heart failure”, abstract presentation.

2015 Dubrovnik, EuroHeartCare, ”Evaluation of a nine-item thirst distress scale for patients with heart failure”, poster.

2015 Sevilla, Heart Failure, ”Thirst in heart failure”, muntlig poster presentation.

2014 Stavanger, EuroHeartCare, ”Thirst trajectory and factors associated with persistent thirst in patients with heart failure”, poster.

2012 Stockholm, Kardiovaskulära Vårmötet ”Översättning och modifiering av törst frågeformulär för patienter med hjärtsvikt”, poster.

2012 Belgrad, Heart Failure, “Suitability of the Thirst Distress Scale for heart failure patients”, poster.

2012 Köpenhamn, EuroHeartCare, ”Thirst in heart failure- a systematic review”, poster.

2010 Stockholm, Medicinska läkarstämman ”Thirst in the elderly with and without heart failure”, poster.

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