EBP discussion board discussion
3262�Պ|Պ� wileyonlinelibrary.com/journal/jocn J Clin Nurs. 2019;28:3262–3270.© 2019 John Wiley & Sons Ltd
!;1;b�;7Ĺ�Ɩ��o�;l0;u�ƑƏƐѶՊ |Պ!;�bv;7Ĺ�ƐѶ��rubѴ�ƑƏƐƖՊ |Պ�11;r|;7Ĺ�Ƒ��-��ƑƏƐƖ DOI: 10.1111/jocn.14903
O R I G I N A L A R T I C L E
Improved patient satisfaction 2 years after introducing person- centred handover in an oncological inpatient care setting
Anna Kullberg RN, PhD, Nursing Development Manager1 Պ| Lena Sharp RN, PhD, Head of Department2,3Պ| Hemming Johansson MSc, Statistician1Պ| Yvonne Brandberg PhD, Psychologist1Պ| Mia Bergenmar RN, PhD, Assistant Professor1,4
1 ;r-u|l;m|�o=��m1oѴo]�Ŋ�-|_oѴo]�ķ� �-uoѴbmvh-��mv|b|�|;|ķ�"|o1h_oѴlķ�"�;7;m 2 ;r-u|l;m|�o=��;-umbm]ķ��m=oul-|b1vķ� �-m-];l;m|�-m7��|_b1v�Ő����őķ��-uoѴbmvh-� �mv|b|�|;|ķ�"|o1h_oѴlķ�"�;7;m 3!;]bom-Ѵ��-m1;u��;m|u;�"|o1h_oѴlŊ �o|Ѵ-m7ķ�"|o1h_oѴlķ�"�;7;m 4�;m|;u�=ou� b];v|b�;� bv;-v;vķ��-uoѴbmvh-� &mb�;uvb|���ovrb|-Ѵķ�"|o1h_oѴlķ�"�;7;m
Correspondence �mm-���ѴѴ0;u]ķ� ;r-u|l;m|�o=��m1oѴo]�Ŋ �-|_oѴo]�ķ��-uoѴbmvh-��mv|b|�|;|ķ�"|o1h_oѴl� ƐƕƐ�ƕѵķ�"�;7;mĺ �l-bѴĹ�-mm-ĺh�ѴѴ0;u]Šhbĺv;
Abstract Aims and objectives: $o�bm�;v|b]-|;�r-|b;m|vĽ�v-|bv=-1|bom��b|_�1-u;ķ�Ƒ��;-uv�-=|;u�|_;� bm|uo7�1|bom�o=�r;uvomŊ1;m|u;7�_-m7o�;u�Ő���ő�bm�-m�om1oѴo]b1-Ѵ�bmr-|b;m|�v;||bm]ķ� -m7�|o�7;v1ub0;�r-|b;m|vĽ�r;u1;r|bomv�o=�bm7b�b7�-Ѵbv;7�1-u;ĺ Background: $o�o0|-bm�_b]_;u�Ѵ;�;Ѵv�o=�r-|b;m|�v-|bv=-1|bomķ�0;7vb7;�m�uvbm]�_-m7oŊ �;uv�_-�;�0;;m�;�-Ѵ�-|;7��b|_�rovb|b�;�u;v�Ѵ|vĺ��m;�v�1_�lo7;Ѵ�bv����ķ��_b1_�0Ѵ;m7v� -vr;1|v�o=�r;uvomŊ1;m|u;7�1-u;��b|_�|_;�0;7vb7;�u;rou|�-m7�ruo�b7;v�|_;�orrou|�mb|�� =ou�m�uvbm]�v|-==�-m7�r-|b;m|v�|o�r;u=oul�|_;�_-m7o�;u�|o];|_;uĺ Design: ��v�u�;�Ŋ0-v;7�7;vb]m��-v��v;7��b|_�om;�7-|-�1oѴѴ;1|bom�r;ubo7ĺ��-|b;m|� v-|bv=-1|bom�v1ou;v��;u;�1olr-u;7��b|_�0-v;Ѵbm;�7-|-�=uol�-�ru;�bo�v�v|�7��|_-|�_-v� 0;;m�1om7�1|;7�bm�|_;�v-l;��-u7vĺ Method: �-|b;m|�v-|bv=-1|bom��-v�l;-v�u;7��b|_�|_;���!$����Ŋ��$"�$ƒƑ�t�;v|bomŊ m-bu;ķ�-m7�bm7b�b7�-Ѵbv;7�1-u;��-v�-vv;vv;7��b|_�|_;��m7b�b7�-Ѵb�;7��-u;�"1-Ѵ;ĺ���|o|-Ѵ� o=�ƐƑƏ�-7�Ѵ|�r-|b;m|v��b|_�1-m1;u��;u;�bm�b|;7�|o�r-u|b1br-|;�=uol���]�v|�ƑƏƐƕŋ �-u1_�ƑƏƐѶĺ��=�|_;v;ķ�ƖƏ�1_ov;�|o�r-u|b1br-|;ĺ�$_;�"$!����1_;1hѴbv|�=ou�1uovvŊv;1Ŋ |bom-Ѵ�v|�7b;v��-v��v;7��_;m�ru;r-ubm]�|_;�r-r;uĺ Results: �olr-u;7�|o�|_;�ru;�bo�v�v|�7�ķ�v|-|bv|b1-ѴѴ��vb]mb=b1-m|�blruo�;l;m|v�bm� r-|b;m|�v-|bv=-1|bom��;u;�o0v;u�;7�bm�|_;�v�0v1-Ѵ;v�ľ��1_-m];�o=�bm=oul-|bom�0;Ŋ |�;;m�1-u;]b�;uvĿ�-m7�ľ��uv;vĽ�bm=oul-|bom�ruo�bvbomĿ�rov|blrѴ;l;m|-|bom�o=����ĺ� !;]-u7bm]�r-|b;m|vĽ�r;u1;r|bomv�o=�bm7b�b7�-Ѵbv;7�1-u;ķ�|_;�_b]_;v|�v1ou;v��;u;�bm�|_;� ��"Ŋ��v�0v1-Ѵ;�ľ�Ѵbmb1-Ѵ�vb|�-|bomĿ�-m7���"Ŋ��ľ ;1bvbom-Ѵ�1om|uoѴķĿ��_bѴ;�ľ�;uvom-Ѵ�Ѵb=;� vb|�-|bomĿ�v1ou;7�|_;�Ѵo�;v|�o�;u-ѴѴĺ Conclusions: �;uvomŊ1;m|u;7�_-m7o�;u�v;;lv�|o�_-�;�v�v|-bm-0Ѵ;�rovb|b�;�;==;1|v� om�blrou|-m|�o�|1ol;v�u;]-u7bm]�r-|b;m|�v-|bv=-1|bomĺ���mo�;Ѵ�=bm7bm]�bv�|_;�rovb|b�;� blr-1|�om�m�uv;vĽ�bm=oul-|bom�ruo�bvbomķ�bm7b1-|bm]�|_-|�����1-m�=-1bѴb|-|;�;==;1|b�;� bm=oul-|bom�;�1_-m];�0;|�;;m�r-|b;m|v�-m7�m�uv;vĺ Relevance to clinical practice: �;uvomŊ1;m|u;7�_-m7o�;u�v;;lv�|o�blruo�;�r-|b;m|vĽ� v-|bv=-1|bom��b|_�m�uv;vĽ�ruo�bvbom�-m7�;�1_-m];�o=�bm=oul-|bomĺ���uv;v�-m7�l-m-]Ŋ ;uv�v_o�Ѵ7�1-u;=�ѴѴ��1omvb7;u�|_;�blrѴ;l;m|-|bom�ruo1;vv�o=�����-m7�;�-Ѵ�-|;�b|v� Ѵom]Ŋ|;ul�;==;1|vĺ�����1-m�0;�u;1oll;m7;7�bm�|_;�om1oѴo]��bmr-|b;m|�v;||bm]ĺ
ՊՍ�Պ |�ՊƒƑѵƒKULLBERG Et aL.
ƐՊ|Պ��$!� &�$���
$_;� blrou|-m1;� o=� |u-mv=oulbm]� _;-Ѵ|_� 1-u;� |o� =�u|_;u� ruolo|;� r-|b;m|vĽ� bm=Ѵ�;m1;� -m7� r-u|b1br-|bom� _-v� 0;;m� �b7;Ѵ�� 7;v1ub0;7ķ� 0o|_�bm�|;ulv�o=�_;-Ѵ|_�o�|1ol;v�v�1_�-v�r-|b;m|�v-=;|��-m7�|u;-|Ŋ l;m|�-7_;u;m1;�Ő -�bvķ��-1hѴbmķ�";�7-Ѵbvķ�ş�(bm1;m|ķ�ƑƏƏƕĸ��om]|bm� ;|�-Ѵĺķ�ƑƏƐƏő�-m7�bm�|;ulv�o=�|_;�;|_b1-Ѵ�-vr;1|�o=�r-|b;m|vĽ�ub]_|�|o� bm=oul-|bom� Ő�;;�ş��-u�bmķ�ƑƏƏƒő� -m7� |o� v_-u;7�7;1bvbomŊl-hbm]� Ő�hl-m�;|�-Ѵĺķ�ƑƏƐƐőĺ� �m�|_bv�1om|;�|ķ� Ѵ-�l-h;uv�_-�;�rѴ-1;7�Ѵ;]-Ѵ� 7;l-m7v�om�_;-Ѵ|_1-u;�ruo�b7;uv�|o�;m_-m1;�r-|b;m|�r-u|b1br-|bom� Ő" "ķ�ƑƏƐƔőĺ��;��lo7;Ѵv�o=�1-u;�-u;�0;bm]�7;�;Ѵor;7�|o�ruolo|;� r-|b;m|� v-|bv=-1|bom�-m7�;m_-m1;�r-|b;m|vĽ�;�r;ub;m1;v�o=�r-u|b1bŊ r-|bomĺ��m;�;�-lrѴ;�bv�r;uvomŊ1;m|u;7�1-u;ķ��_b1_�bv�-m�-rruo-1_� �_;u;�;-1_�r;uvomŝv�1-u;�bv�rѴ-mm;7�bm�-�fobm|�r-u|m;uv_br�0;|�;;m� |_;� _;-Ѵ|_1-u;� ruo=;vvbom-Ѵvķ� |_;� r-|b;m|� -m7� |_;� r-|b;m|ŝv� 1Ѵov;� om;v�Ő�hl-m�;|�-Ѵĺķ�ƑƏƐƐőĺ��;uvomŊ1;m|u;7�1-u;�Ѵ-1hv�-��mb�;uv-Ѵķ�;vŊ |-0Ѵbv_;7�-m7��b7;Ѵ��-11;r|;7�7;=bmb|bomĺ�$_;u;�-u;ķ�_o�;�;uķ�1ou;� 1om1;r|vķ�v�1_�-v�ruolo|bm]�r-u|b1br-|bomķ�v_-u;7�7;1bvbomŊl-hbm]� bm� 1-u;� -m7�r;uvom-Ѵbv;7� bm=oul-|bom�;�1_-m];ķ� �|bѴbvbm]� |_;�r;uŊ vomŝv�o�m�1-r-1b|b;v�-m7�u;vo�u1;vķ��_bѴ;�u;1o]mbvbm]�;-1_�r;uvomŝv� �mbt�;�m;;7vķ��-Ѵ�;vķ��bv_;v�-m7�;�r;1|-|bomv�bm�u;Ѵ-|bom�|o�bѴѴm;vv� -m7�_;-Ѵ|_�Ő�Ѵ_-u0bķ��-uѴv|uolķ��hl-mķ��-um;0oumķ�ş��Ѵvvomķ�ƑƏƐƓĸ� ;�bm]�ş��1�oul-1hķ�ƑƏƐѵĸ��ouķ��uoohvķ�ş�$Ѵ�1�;hķ�ƑƏƐѵĸ��ou]-m� ş�+o7;uķ�ƑƏƐƑĸ�"_-ul-ķ��-l=ou7ķ�ş� o7l-mķ�ƑƏƐѵőĺ� �m�-� u;�b;�ķ� |_;�bm7b�b7�-Ѵbv-|bom�o=�1-u;�bv�7;v1ub0;7�-v�-�1;m|u-Ѵ�1olrom;m|�o=� r;uvomŊ1;m|u;7m;vv�Ő7;�"bѴ�-ķ�ƑƏƐƓőĺ�$_;�|�o�1om1;r|v�-u;�|_�v�bmŊ |;u|�bm;7ĺ��m7b�b7�-Ѵbv;7�1-u;�bv�o=|;m�7;v1ub0;7�-v�0;bm]�|-bѴou;7� |o�;-1_�r-|b;m|ŝv�7;l-m7v�-m7�m;;7vķ��_bѴ;�-ѴѴo�bm]�=ou��-ub-|bomv� bm�|_;�7;Ѵb�;u��o=�_;-Ѵ|_�1-u;�Ő�_-u-Ѵ-l0o�vķ��_-rr;ѴѴķ��-|-fbv|oķ�ş� "�_om;mķ�ƑƏƐƑĸ�"�_om;mķ�(-Ѵbl-hbķ��;bmoŊ�bѴrbķ�ş��-|-fbv|oķ�ƑƏƏƓőĺ� �;-v�u;v�o=�r-|b;m|� v-|bv=-1|bom� -m7�r-|b;m|vĽ� r;u1;r|bomv�o=� bmŊ 7b�b7�-Ѵbv;7� 1-u;� _-�;�0;;m��v;7� -v� ;�r;ub;m1;�o�|1ol;v��_;m� ;�-Ѵ�-|bm]�r;uvomŊ1;m|u;7�m�uvbm]�bm|;u�;m|bomv�Ő�ou]-m�ş�+o7;uķ� ƑƏƐƑőĺ��vvo1b-|bomv�0;|�;;m�r-|b;m|�v-|bv=-1|bom�-m7�bm7b�b7�-Ѵbv;7� 1-u;�_-�;�-Ѵvo�0;;m�7;lomv|u-|;7ķ�-m7�bm7b�b7�-Ѵbv;7�1-u;�_-v�0;;m� v_o�m�|o�ru;7b1|�r-|b;m|�v-|bv=-1|bom�Ő"�_om;mķ��-r-v|-�uo�ķ�;|�-Ѵĺķ� ƑƏƐƑőĺ
ƑՊ|Պ�����!�&�
$o�ruolo|;ķ�blrѴ;l;m|�-m7�l-bm|-bm�r;uvomŊ1;m|u;7m;vv�bm�_;-Ѵ|_� 1-u;ķ�b|�bv�m;1;vv-u��|o�bm1ourou-|;�b|v�;|_b1v�-m7�-rruo-1_;v�bm|o�|_;� ru-1|b1-Ѵb|b;v�o=�1-u;�Ő�ub||;m�;|�-Ѵĺķ�ƑƏƐƕőĺ�$_;�m�uv;�v_b=|Ŋ|oŊv_b=|� _-m7o�;u�bm�bmr-|b;m|�v;||bm]v�_-v�0;;m�b7;m|b=b;7�-v�-�1ou;�m�uvbm]� |-vh�-m7�-m�-1|b�b|���_;u;�r-|b;m|�r-u|b1br-|bom�1o�Ѵ7�rovvb0Ѵ��0;� ;m_-m1;7ĺ�$u-7b|bom-ѴѴ�ķ�m�uv;Ŋ|oŊm�uv;�u;rou|v�-u;�ou-Ѵ�ou�u;1ou7;7�
-m7�1-uub;7�o�|�0;_bm7�1Ѵov;7�7oouv�-|�|_;�m�uv;vĽ�v|-|bomĺ�$_bv�ruoŊ 1;7�u;�;�1Ѵ�7;v�|_;�r-|b;m|vĺ���uv;�_-m7o�;uv�_-�;�0;;m�7;v1ub0;7� -v�-�1ub|b1-Ѵ�ruo1;7�u;ķ��b|_�-�_b]_�ubvh�o=�lbv1oll�mb1-|bomķ��_b1_� 1-m�u;v�Ѵ|�bm�lbvv;7�1-u;ķ�l;7b1-Ѵ�;uuouv�-m7�7;1Ѵbmbm]�r-|b;m|�r-uŊ |b1br-|bom�Ő"|-]];uv�ş��Ѵ-�ķ�ƑƏƐƒĸ�"|-]];uvķ��Ѵ-uhķ��Ѵ-�ķ�ş��-rv-m7o�ķ� ƑƏƐƐĸ�$_olvomķ�$o�u-m];-�ķ��;==vķ�ş���|vķ�ƑƏƐƕőĺ��==;1|b�;�1olŊ l�mb1-|bom�0;|�;;m�_;-Ѵ|_1-u;�ruo=;vvbom-Ѵv�-m7�r-|b;m|v�-m7ņou� |_;�r-|b;m|ŝv�1Ѵov;�om;v�bv�-�ru;u;t�bvb|;�=ou�blruo�bm]�r-|b;m|�v-|Ŋ bv=-1|bom�-m7�v-=;|��Ő�u;7-u|�;|�-Ѵĺķ�ƑƏƏƕĸ��;;�ş��-u�bmķ�ƑƏƏƒĸ�)oѴ=ķ� �;_l-mķ� �bmѴbmķ�,�ѴѴoķ�ş��o==l-mķ�ƑƏƏѶőĺ�$_;�_-m7o�;u�ruo�b7;v� -m�orrou|�mb|��=ou�bm=oul-|bom�;�1_-m];ĺ
$_;�7;�;Ѵorl;m|�o=�0;7vb7;�m�uvbm]�_-m7o�;u�lo7;Ѵv�_-v�0;;m� om]obm]� bm� �-ubo�v� bmr-|b;m|� v;||bm]v� =ou� 7;1-7;vĺ� �-m|b|-|b�;� ;�-Ѵ�-|bomv�_-�;�v_o�m�l-bmѴ��rovb|b�;�u;v�Ѵ|v�bm�o�|1ol;vķ�v�1_� -v� r-|b;m|vĽ� v-|bv=-1|bom��b|_� 1-u;� Ő ou7ķ��;�l-mķ�ş��_-rl-mķ� ƑƏƐƓĸ�!-7|h;ķ�ƑƏƐƒĸ�"-m7Ŋ�;1hѴbm�ş�"_;ul-mķ�ƑƏƐƓĸ�"1_;b7;m_;Ѵl� ş�!;b|�ķ�ƑƏƐƕőķ�m�uv;vĽ�v-|bv=-1|bom��b|_�1-u;�Ő�o_mvomķ�"-m1_;�ķ� ş� ,_;m]ķ� ƑƏƐѵő� -m7� r-|b;m|� v-=;|�� Ő�uo�;vķ� �-m];vķ� ş� "1o||Ŋ �-�b;�;ѴѴķ�ƑƏƐѵĸ��;uuķ��Ѵblķ��;ѴѴ�ķ�ş��1�-mmķ�ƑƏƐѵĸ��;uuķ���ķ�ş� �1�bmѴ-�ķ� ƑƏƐƒőĺ� ";�;u-Ѵ� v|�7b;v� _-�;� -Ѵvo� 7;v1ub0;7� r-|b;m|vĽ� ;�r;ub;m1;v�o=�r;u=oulbm]�-m7�r-u|b1br-|bm]�bm�_-m7o�;uv�-|�|_;� 0;7vb7;ĺ� ou�;�-lrѴ;ķ�r-|b;m|v�_-�;�u;rou|;7�|_-|�0;7vb7;�_-m7oŊ �;uv�1u;-|;7�-m�orrou|�mb|��=ou� bm1u;-v;7�r-u|b1br-|bom�Ő��rb;ubķ� �u;-||bķ�ş��-Ѵ;v;ķ�ƑƏƐѵőķ�-m7�|_-|�|_;��=;Ѵ|�v-=;u�-m7�u;-vv�u;7�|_-|� |_;���;u;�0;bm]�|-h;m�1-u;�o=�Ő�-_bѴѴķ�ƐƖƖѶőĺ��m�-77b|bomķ�0;7vb7;� _-m7o�;uv�_-�;�0;;m�v_o�m�|o�ruolo|;�v_-u;7�7;1bvbomŊl-hbm]� Ő�1��uu-�ķ��_-0o�;uķ�)-ѴѴbvķ��o_mvomķ�ş��;_uh;ķ�ƑƏƐƐőĺ�"ol;�o=� |_;v;�u;v�Ѵ|v�=uol�|_;�t�-Ѵb|-|b�;�;�-Ѵ�-|bomv�o=�0;7vb7;�_-m7oŊ �;uv�u;=Ѵ;1|�1om1;r|v�=o�m7�bm�7;v1ubr|bomv�o=�bm7b�b7�-Ѵbv;7�1-u;� Ő�_-u-Ѵ-l0o�v�;|�-Ѵĺķ�ƑƏƐƑőĺ� oѴѴo�bm]�|_;v;�rovb|b�;�u;v�Ѵ|v�-m7� |_;�Ѵ-1h�o=�Ѵ-u];u�v|�7b;v��b|_�1olr-u-|b�;�7-|-�Ő"l;�Ѵ;uvķ���1-vķ� ş�(;ul;�Ѵ;mķ�ƑƏƐƓőķ�u;1;m|�-m7�lou;�-l0b|bo�v�v|�7b;v�_-�;�0;;m� bmb|b-|;7�|o�0�bѴ7�lou;�ub]ouo�v�;�b7;m1;�1om1;umbm]�|_;�;==;1|v�o=�
��+ )�! "
0;7vb7;�_-m7o�;uķ�1oll�mb1-|bomķ�_-m7o�;uķ�bm7b�b7�-Ѵbv;7�1-u;ķ�bm=oul-|bom�;�1_-m];ķ� m�uvbm]ķ�om1oѴo]�ķ�r-|b;m|�v-|bv=-1|bomķ�r;uvomŊ1;m|u;7�1-u;
What does this paper contribute to the wider global clinical community? Ŏ� $_bv�r-r;u�ru;v;m|v�mo�;Ѵ�=bm7bm]v�om�|_;�Ѵom]Ŋ|;ul�;=Ŋ =;1|v�o=�-�0;7vb7;�v_b=|�_-m7o�;u�lo7;Ѵ�bm�|_;�om1oѴo]�� bmr-|b;m|�v;||bm]ķ��_b1_�_-v�mo|�ru;�bo�vѴ��0;;m�v|�7b;7ĺ
Ŏ� �;uvomŊ1;m|u;7�_-m7o�;uv�blruo�;�r-|b;m|v�v-|bv=-1|bom� �b|_�bm=oul-|bom�;�1_-m];�-m7�bm=oul-|bom�ruo�bvbom�0�� m�uv;vĺ
Ŏ� �;uvomŊ1;m|u;7� _-m7o�;uv� 1-m� 0;� u;1oll;m7;7� =ou� ru-1|b1;�bm�|_;�bmr-|b;m|�om1oѴo]��v;||bm]
ƒƑѵƓՊ�|Պ�ՊՍ KULLBERG Et aL.
0;7vb7;�_-m7o�;uvĺ��m;�;�-lrѴ;�bv�|_;��v;�o=�-�l�Ѵ|b1;m|u;ķ�Ѵom]bŊ |�7bm-Ѵ�lb�;7�l;|_o7v�7;vb]m�Ő�-Ѵ=-b|ķ��;1hѴooķ���v|ķ�(-m�b;v;mķ� ş�(-m�;1h;ķ�ƑƏƐѵőĺ��|�|_;�v-l;�|bl;ķ�7b==b1�Ѵ|b;v�u;]-u7bm]�blŊ rѴ;l;m|-|bom�-m7�m�uv;�-7_;u;m1;�|o�|_;�m;��lo7;Ѵ�_-�;�0;;m� 7;v1ub0;7�Ő�-Ѵ=-b|�;|�-Ѵĺķ�ƑƏƐѶőĺ
�m;�v�1_�lo7;Ѵ�bv�r;uvomŊ1;m|u;7�_-m7o�;u�Ő���ő�|_-|�_-v�|_;� -bl�o=�0Ѵ;m7bm]�0;7vb7;�m�uv;�_-m7o�;u��b|_�|_;�-rruo-1_�-m7�;|_Ŋ b1v�o=�r;uvomŊ1;m|u;7�1-u;ĺ�����bv�|_;�v_b=|Ŋ|oŊv_b=|�u;rou|�0;|�;;m� m�uvbm]�v|-==�-m7�|_;�r-|b;m|ĺ��om7�1|;7�-|�0;7vb7;ķ�ou��_;u;�;u� |_;�r-|b;m|�ru;=;uvķ�����-ѴѴo�v�=ou�bm=oul-|bom�;�1_-m];�0;|�;;m� |_;�loumbm]�v_b=|ķ�|_;�r-|b;m|�-m7�|_;�;�;mbm]�v_b=|ĺ��|�-Ѵvo�bm1Ѵ�7;v� -�v-=;|��1_;1h��_;u;ķ�=ou�;�-lrѴ;ķ�=-ѴѴ�ubvhķ�1�uu;m|�l;7b1-|bomv�-m7� � �-u;�1_;1h;7�-m7�7bv1�vv;7��b|_�|_;�r-|b;m|ĺ�$_;�r-|b;m|v�-u;�;mŊ 1o�u-];7�|o�v_-u;�|_;bu�;�r;ub;m1;v�u;Ѵ-|;7�|o�|_;bu�7-bѴ��1-u;ķ�|o�-vh� t�;v|bomv�-m7�|o�vr;-h��rĺ�$_;�_-m7o�;u�bv�r;u=oul;7�0-v;7�om�-� v|u�1|�u;��b|_�-�=o1�v�om�r-|b;m|�r-u|b1br-|bom�-m7�|_;�v_-ubm]�o=�u;ѴŊ ;�-m|�1Ѵbmb1-Ѵ�bm=oul-|bomķ�bm1Ѵ�7bm]�r-|b;m|�v-=;|��Ő��ѴѴ0;u]ķ�"_-urķ� �o_-mvvomķ��u-m70;u]ķ�ş��;u];ml-uķ�ƑƏƐƕőĺ
�m�ƑƏƐƔķ������-v�bm|uo7�1;7�-m7�_-v�vbm1;�0;;m�l-bm|-bm;7�-v� v|-m7-u7�1-u;�bm�|_;�bmr-|b;m|��-u7v�-|�|_;� ;r-u|l;m|�o=��m1oѴo]�ķ� �-uoѴbmvh-� &mb�;uvb|�� �ovrb|-Ѵĺ� ���� �-v� ;�-Ѵ�-|;7� v_ou|Ѵ�� -=|;u� 0;bm]�bm|uo7�1;7�0��1olr-ubm]�b|�|o�uo�|bm;�_-m7o�;u��b|_�u;]-u7�|o� r-|b;m|�v-|bv=-1|bom�-v�r;u1;b�;7�0��r-|b;m|v�Ő��ѴѴ0;u]�;|�-Ѵĺķ�ƑƏƐƕőĺ� �m�|_;�-m-Ѵ�vbvķ�omѴ��om;�v�0v1-Ѵ;�Ő;�1_-m];�o=�bm=oul-|bom�0;|�;;m� 1-u;]b�;uvő�v_o�;7�-�v|-|bv|b1-ѴѴ��vb]mb=b1-m|�7b==;u;m1;�0;|�;;m�|_;� bm|;u�;m|bom��-u7�-m7�|_;�1om|uoѴ��-u7vĺ�$_;�u;v�Ѵ|v�lb]_|�_-�;� 0;;m� -==;1|;7�0�� |_;�ru;l-|�u;� |blbm]�o=� |_;� ;�-Ѵ�-|bomķ��_b1_� 0;]-m�|oo�voomķ�-rruo�bl-|;Ѵ��om;�lom|_�-=|;u�bmb|b-|bm]�|_;�blrѴ;Ŋ l;m|-|bom�o=�r;uvomŊ1;m|u;7�_-m7o�;uĺ��m�-77b|bomķ�|_;�7;r-u|l;m|� �m7;u�;m|�l-fou�1_-m];v�bm�Ѵ;-7;uv_br�-m7�=bm-m1b-Ѵ�1�|v�7�ubm]�|_;� ;�-Ѵ�-|bom�r;ubo7ĺ
�ou;�u;1;m|Ѵ�ķ�-�t�-Ѵb|-|b�;�v|�7���-v�r;u=oul;7�bm�|_;�7;r-u|Ŋ l;m|ķ��_b1_�bm�;v|b]-|;7�m�uv;vĽ�r;u1;r|bomv�o=��ouhbm]��b|_����� Ő��ѴѴ0;u]ķ�"_-urķ� -_Ѵķ��u-m70;u]ķ�ş��;u];ml-uķ�ƑƏƐѶőĺ�$_;�u;v�Ѵ|v� bm7b1-|;7� |_-|������-v�-m�;v|-0Ѵbv_;7�uo�|bm;� bm� |_;��-u7vĺ�);� |_;u;=ou;�7;1b7;7�|o�;�-Ѵ�-|;�����=uol�-�Ѵom];uŊ|;ul�r;uvr;1|b�;ĺ
ƑĺƐՊ|Պ�blv
$_;�rubl-u��-bl��-v�|o�-vv;vv�r-|b;m|vĽ�v-|bv=-1|bom��b|_�1-u;�|�o� �;-uv�-=|;u�|_;�bm|uo7�1|bom�o=�r;uvomŊ1;m|u;7�_-m7o�;uv�bm�|_;�omŊ 1oѴo]b1-Ѵ� bmr-|b;m|�v;||bm]�-m7�|o�1olr-u;�|_;�u;v�Ѵ|v�|o�0-v;Ѵbm;� l;-v�u;l;m|vĺ�$_;�v;1om7-u��-bl��-v�|o�7;v1ub0;�r-|b;m|vĽ�r;u1;rŊ |bomv�o=�bm7b�b7�-Ѵbv;7�1-u;ĺ
ƒՊ|Պ��$�� "
�m� |_bv� v|�7�ķ�7-|-�om�r-|b;m|�v-|bv=-1|bom�-m7� bm7b�b7�-Ѵbv;7�1-u;� �;u;� 1oѴѴ;1|;7� =uol� ��]�v|� ƑƏƐƕŋ�-u1_� ƑƏƐѶĺ� -|-� om� r-|b;m|� v-|bv=-1|bom�=uol�-�ru;�bo�v�v|�7��Ő��ѴѴ0;u]�;|�-Ѵĺķ�ƑƏƐƕő��;u;��v;7� =ou�1olr-ubvomĺ�$_bv�v|�7��|_�v�;lrѴo�;7�-m� bm7;r;m7;m|�]uo�r� 7;vb]m�bm��_b1_�r-|b;m|v�1o�Ѵ7�u;vrom7�omѴ��om1;ĺ�$_;�u;v;-u1_�bv�
ru;v;m|;7�-11ou7bm]� |o� |_;�"$!����1_;1hѴbv|� =ou� 1uovvŊv;1|bom-Ѵ� v|�7b;vķ�v;;� bѴ;�"Ɛĺ
ƒĺƐՊ|Պ";||bm]
$_;�v|�7���-v�1om7�1|;7�bm�|_;�bmr-|b;m|��-u7v�o=�|_;� ;r-u|l;m|� o=��m1oѴo]�ķ��-uoѴbmvh-�&mb�;uvb|���ovrb|-Ѵĺ�$_;�|�o��-u7v�ruoŊ �b7;7�-1�|;�1-u;�=ou�-7�Ѵ|�r-|b;m|v��b|_�voѴb7�|�lo�uvĺ�$_;��-u7v� _-7�7b==;u;m|�vr;1b-Ѵbv-|bomvĹ�om;�rubl-ubѴ��1-u;7�=ou�r-|b;m|v��b|_� ]�m-;1oѴo]b1-Ѵ�l-Ѵb]m-m1b;v�ou�0u;-v|�1-m1;uķ�-m7�|_;�o|_;u��-v�rubŊ l-ubѴ��=ou�r-|b;m|v��b|_�]-v|uobm|;v|bm-Ѵķ��uoѴo]b1-Ѵķ�_;-7�-m7�m;1h�ou� Ѵ�m]�1-m1;uĺ�$_;�r-|b;m|v��;u;�;b|_;u�bm�-�1�u-|b�;�ou�r-ѴѴb-|b�;�r_-v;� -m7��m7;u�;m|�u-7boŊķ�|-u];|;7Ŋ�-m7ņou�1_;lo|_;u-r�ĺ��7lbvvbomv� �;u;�;b|_;u�-1�|;�ou�rѴ-mm;7ĺ�$_;�ƐѶŊ0;7��-u7v�_-7�|_;�v-l;�v|-==� u-|boķ�|_;�v-l;�l;7b-m�Ѵ;m]|_�o=�v|-��Ő-rruo�bl-|;Ѵ��=b�;�7-�vő�-m7� -�vblbѴ-u�m�uvbm]��ouhѴo-7ĺ�����_-7�0;;m�-m�;v|-0Ѵbv_;7�uo�|bm;�om� 0o|_��-u7v�=ou�|_;�ru;�bo�v�|�o��;-uvĺ��m�;�|;mvb�;�7;v1ubr|bom�o=� |_;�����lo7;Ѵ�1-m�0;�=o�m7�bm�o�u�ru;�bo�v�r-r;u�Ő��ѴѴ0;u]�;|�-Ѵĺķ� ƑƏƐƕőĺ
ƒĺƑՊ|Պ"|�7��v-lrѴ;�1-Ѵ1�Ѵ-|bom
�m�|_;�Ѵ-u];�bm|;um-|bom-Ѵ�1uovvŊ1�Ѵ|�u-Ѵ�v|�7��bm��_b1_�|_;�rv�1_oŊ l;|ub1� 1_-u-1|;ubv|b1v� o=� |_;� t�;v|bomm-bu;� ��!$�� ��Ŋ��$"�$ƒƑ� �;u;�-vv;vv;7ķ�|_;�l;-m��-Ѵ�;�-m7�v|-m7-u7�7;�b-|bom�ŐSDő�=ou�ľ;�Ŋ 1_-m];�o=�bm=oul-|bom�0;|�;;m�1-u;]b�;uvĿ��-v�ѵƔ�ŐƑƔő�o=�ƐƏƏķ�u;Ŋ vr;1|b�;Ѵ��Ő�u;7-u|�;|�-Ѵĺķ�ƑƏƏƔőĺ� ou�7-|-�=uol�-�ru;�bo�v�;�-Ѵ�-|bom� v|�7��bm�|_;�om1oѴo]��7;r-u|l;m|ķ�|_;�l;-m��-Ѵ�;�ŐSDő�o=�ľ;�1_-m];� o=�bm=oul-|bom�0;|�;;m�1-u;]b�;uvĿ��-v�ѵƒ�ŐƑƔő�-lom]�ƐƏƓ�r-|b;m|v� Ő��ѴѴ0;u]ķ�"_-urķ��o_-mvvomķ�ş��;u];ml-uķ�ƑƏƐƔőĺ���v-lrѴ;�o=�ƐƏƏ� r-|b;m|v�bm�|_;�ru;v;m|�v|�7���o�Ѵ7�u;v�Ѵ|�bm�-�ro�;u�ŐƐŊ!ő�o=�ѶƏѷ�|o� 7;|;1|�-�|u�;�l;-m�7b==;u;m1;�o=�ƐƏ��mb|v�0;|�;;m�r-|b;m|�7-|-�=uol� |_;�ru;�bo�v�l;-v�u;l;m|v�-m7�|_ov;�=uol�|_;�ru;v;m|�v|�7�ķ��vbm]� -�vb]mb=b1-m1;�Ѵ;�;Ѵ�Ő!ő�o=�Ɣѷĺ��11ou7bm]Ѵ�ķ�|_;�|-u];|�bm�|_;�ru;v;m|� v|�7���-v�|o�bm1Ѵ�7;�-�|o|-Ѵ�o=�ƐƏƏ�r-|b;m|vĺ
ƒĺƒՊ|Պ�-|b;m|v
�-|b;m|v��b|_�1-m1;u�ƾƐѶ��;-uv�oѴ7ķ��_o�_-7�0;;m�_ovrb|-Ѵbv;7�=ou� -|�Ѵ;-v|�|_u;;�7-�v�-m7��m7;uv|oo7�-m7�vroh;�"�;7bv_ķ��;u;�bm�b|;7� |o�r-u|b1br-|;ĺ��o]mb|b�;Ѵ��blr-bu;7�r-|b;m|v�-m7�r-|b;m|v��b|_�-�v;Ŋ �;u;Ѵ��u;7�1;7�];m;u-Ѵ�1om7b|bom��;u;�;�1Ѵ�7;7ĺ��-1_�r-|b;m|�1o�Ѵ7� omѴ��r-u|b1br-|;�om1;ĺ
ƒĺƓՊ|Պ -|-�1oѴѴ;1|bom
�m;�o=�|_;�-�|_ouv�Ő��ő�v1u;;m;7�|_;�;Ѵ;1|uomb1�_;-Ѵ|_�u;1ou7v� Ő��!vő�om��;;h7-�v�|o� b7;m|b=��r-|b;m|v��_o�=�Ѵ=bѴѴ;7�|_;�bm1Ѵ�Ŋ vbom�1ub|;ub-ĺ��77b|bom-Ѵ� bm=oul-|bom�u;]-u7bm]� |_;�r-|b;m|ŝv�1�uŊ u;m|�v|-|�v��-v�o0|-bm;7�=uol�|_;�u;vromvb0Ѵ;�m�uv;�om�|_;��-u7ĺ� �-|b;m|v��_o�=�Ѵ=bѴѴ;7�|_;�bm1Ѵ�vbom�1ub|;ub-�u;1;b�;7��ub||;m�-m7� ou-Ѵ�bm=oul-|bom�-0o�|�|_;�v|�7��0������_bѴ;�|_;���;u;�bmŊ_o�v;ĺ� �-|b;m|v��_o��;u;�bm|;u;v|;7�bm�r-u|b1br-|bm]�bm�|_;�v|�7��u;1;b�;7�
ՊՍ�Պ |�ՊƒƑѵƔKULLBERG Et aL.
|_;�t�;v|bomm-bu;v�-m7��;u;�bm�b|;7�|o�u;vrom7�;b|_;u�7�ubm]�|_;bu� _ovrb|-Ѵ�v|-��ou�-=|;u�7bv1_-u];�-m7��;u;�bmv|u�1|;7�|o�u;|�um�|_;� t�;v|bomm-bu;v�bm�-�ru;r-b7�;m�;Ѵor;�0��u;]�Ѵ-u�l-bѴ�|o�|_;�ruof;1|� Ѵ;-7;u�Ő��őĺ���1olrѴ;|;7�t�;v|bomm-bu;��-v�u;]-u7;7�-v�bm=oul;7� 1omv;m|�=ou�r-u|b1br-|bomĺ
-|-�om�v;�ķ�-];�-m7�|u;-|l;m|�bm|;m|bom��;u;�]-|_;u;7�=uol�|_;� ��!v�o=�-ѴѴ�;Ѵb]b0Ѵ;�r-|b;m|v��_o�1_ov;�|o�r-u|b1br-|;ĺ
$_;�7-|-�om�r-|b;m|�v-|bv=-1|bom�=uol�-�ru;�bo�v�v|�7�ķ��_b1_� �-v��v;7�=ou�1olr-ubvom�Ő$Ɛőķ��;u;�1oѴѴ;1|;7�=uol�|_;�v-l;��-u7v� rubou�|o�|_;�bm|uo7�1|bom�o=�����Ő��ѴѴ0;u]�;|�-Ѵĺķ�ƑƏƐƕőĺ��m�|_;�ru;�bŊ o�v�v|�7�ķ�|_;�v-l;�|�o��-u7v�bm�oѴ�;7�bm�|_;�ru;v;m|�v|�7��v;u�;7� -v�-�1olr-ubvom�]uo�rĺ����|_-|�|bl;ķ�bm�ƑƏƐƔķ�|_;��-u7v�;lrѴo�;7�-� momou-Ѵ�_-m7o�;u�lo7;Ѵ�0-v;7�om�|_;�r-|b;m|vĽ���!vķ��b|_o�|�-m�� m�uv;ŋr-|b;m|�bm|;u-1|bomvĺ
ƒĺƔՊ|Պ �;v|bomm-bu;v
ƒĺƔĺƐՊ|Պ�-|b;m|�v-|bv=-1|bom
$_;�rubl-u��o�|1ol;��-v�r-|b;m|vĽ� r;u1;r|bom�o=� |_;� v|-==vĽ� ;�Ŋ 1_-m];�o=�bm=oul-|bomĺ�$_;���!$������$"�$ŊƒƑķ�bm��_b1_�|_;�;�Ŋ 1_-m];�o=�bm=oul-|bom�1olrubv;v�om;�v�0v1-Ѵ;ķ��-v��v;7�|o�1oѴѴ;1|� 7-|-�om�r-|b;m|�v-|bv=-1|bomĺ� �m�-ѴѴķ� |_;�t�;v|bomm-bu;�1o�;u;7�|_;� v�0v1-Ѵ;v�o=�7o1|ouvĽ�-m7�m�uv;vŝ�|;1_mb1-Ѵ�vhbѴѴv�Ő $"Ĺ�ƒ�b|;lv�-m7� �$"Ĺ�ƒ�b|;lvőķ� bm|;ur;uvom-Ѵ�vhbѴѴv� Ő �"Ĺ�ƒ� b|;lv�-m7���"Ĺ�ƒ�b|;lvőķ� bm=oul-|bom�ruo�bvbom�Ő ��Ĺ�ƒ�b|;lv�-m7����Ĺ�ƒ�b|;lvő�-m7�-�-bѴ-0bѴb|�� Ő �(Ĺ�Ƒ�b|;lv�-m7���(Ĺ�Ƒ�b|;lvőĸ�o|_;u�_ovrb|-Ѵ�v|-==ŝv�bm|;ur;uvom-Ѵ� vhbѴѴv�-m7�bm=oul-|bom�ruo�bvbom�Ő�$�Ĺ�ƒ�b|;lvőķ�;�1_-m];�o=�bm=ouŊ l-|bom�Ő�*�Ĺ�Ɛ�b|;lő�-m7��-b|bm]�|bl;�Ő)��Ĺ�Ƒ�b|;lvőĸ�-m7�_ovrb|-Ѵ� -11;vvb0bѴb|��Ő���Ĺ�Ƒ�b|;lvőķ�1ol=ou|�-m7�1Ѵ;-mѴbm;vv�Ő���Ĺ�Ɛ�b|;lő� -m7�];m;u-Ѵ�v-|bv=-1|bom� Ő���Ĺ�Ɛ� b|;lőĺ�$_;���!$����Ŋ��$"�$ƒƑ� �-v� vr;1b=b1-ѴѴ�� 7;�;Ѵor;7� =ou� _ovrb|-Ѵbv;7� r-|b;m|v� �b|_� 1-m1;uĺ� $_;�"�;7bv_��;uvbom�o=�|_;�|;v|�_-v�7;lomv|u-|;7�;�1;ѴѴ;m|�bm|;um-Ѵ� 1omvbv|;m1�ķ�1om�;u];m|��-Ѵb7b|��-m7�_b]_�u;Ѵb-0bѴb|��Ő�u;7-u|�;|�-Ѵĺķ� ƑƏƏƔőĺ�$_bv�bmv|u�l;m|�_-v�0;;m��v;7�bm�|_;�ru;�bo�v�;�-Ѵ�-|bomv�o=� |_;�ruof;1|ķ�|_�v�-ѴѴo�bm]�=ou�1olr-ubvomvĺ
ƒĺƔĺƑՊ|Պ�m7b�b7�-Ѵbv;7�1-u;
$o�l;-v�u;�|_;�;�|;m|�|o��_b1_�r-|b;m|v�r;u1;b�;�|_;bu�m�uvbm]�1-u;� -v�|-bѴou;7�-m7�bm7b�b7�-Ѵbv;7�|o�|_;bu�o�m�m;;7v�-m7�ru;=;u;m1;vķ� |_;� �m7b�b7�-Ѵb�;7��-u;�"1-Ѵ;� Ő��"ő��-v��v;7�-v�-�v;1om7-u��o�|Ŋ 1ol;�l;-v�u;ĺ� ;�;Ѵor;7�0��"�_om;mķ��;bmoŊ�bѴrbķ�-m7�(-Ѵbl-hbķ� ŐƑƏƏƔőķ�|_;���"�bv�-�|�oŊr-u|� bmv|u�l;m|�Ő��"Ŋ�ņ��"Ŋ�ő�1olrubv;7� o=�Ɛƕ�b|;lv�;-1_ķ��_b1_�-u;�|o�0;�-mv�;u;7��vbm]�-�ƔŊrobm|��bh;u|� v1-Ѵ;�u-m]bm]�=uol�Ɛ�Ʒ�ľv|uom]Ѵ��7bv-]u;;Ŀ�|o�Ɣ�Ʒ�ľv|uom]Ѵ��-]u;;ĺĿ� $_;���"Ŋ��l;-v�u;v�r-|b;m|vĽ�u-|bm]�o=�_o��m�uvbm]�1-u;�v�rrou|v� bm7b�b7�-Ѵb|�ķ�-m7�|_;���"Ŋ��-vv;vv;v�_o��bm7b�b7�-Ѵb|��bv�r;u1;b�;7� bm�|_;�1-u;�u;1;b�;7ĺ��o|_���"Ŋ��-m7���"Ŋ��1o�;u�|_;�|_u;;�v�0v1-Ѵ;v� ľ�Ѵbmb1-Ѵ�vb|�-|bomĿ�Őƕ�b|;lvőķ�ľ�;uvom-Ѵ� Ѵb=;�vb|�-|bomĿ�ŐƓ�b|;lvő�-m7� ľ ;1bvbom-Ѵ�1om|uoѴ�o�;u�1-u;Ŀ�Őѵ�b|;lvĸ�"�_om;mķ�"1_lb7|ķ�ş�!-7�bmķ� ƑƏƏƕőĺ�$_;���"�bv�om;�o=�|_;�=o�u�lov|��v;7�bmv|u�l;m|v�|o�l;-v�u;� r;uvomŊ1;m|u;7�1-u;�Ő7;�"bѴ�-ķ�ƑƏƐƓőķ�_-v�ruo�;m�1omv|u�1|�1ub|;ubom�
-m7�1uovvŊ1�Ѵ|�u-Ѵ��-Ѵb7b|��Ő"�_om;m�;|�-Ѵĺķ�ƑƏƐƏķ�ƑƏƐѵő�-m7�_-v�0;;m� �v;7�bm�|_;�bmr-|b;m|�1-m1;u�v;||bm]�Ő�_-u-Ѵ-l0o�v�;|�-Ѵĺķ�ƑƏƐѵőĺ
ƒĺѵՊ|Պ -|-�-m-Ѵ�vbv
!;vromv;�v1ou;v� =ou� |_;�rubl-u��o�|1ol;� Ő��!$������$"�$ŊƒƑő� �;u;�Ѵbm;-uѴ��|u-mv=oul;7�|o�-�ƏŋƐƏƏ�v1-Ѵ;ķ�-11ou7bm]�|o�|_;���!$�� u;1oll;m7-|bomķ��_;u;�_b]_;u�v1ou;v�u;ru;v;m|�_b]_;u�v-|bv=-1|bom� Ő�u;7-u|�;|�-Ѵĺķ�ƑƏƏƔőĺ��;-m�v1ou;v�=ou�;-1_�v1-Ѵ;�o=�|_;���!$����Ŋ ��$"�$ƒƑ��;u;�1-Ѵ1�Ѵ-|;7ĺ�$_;v;�v1ou;v��;u;�blrou|;7�bm|o�-�ѴbmŊ ;-u�u;]u;vvbom�lo7;Ѵ��b|_�|_;�1ouu;vrom7bm]�7-|-�=uol�|_;�ru;�bo�v� v|�7�ĺ���rov�u;�|o������-v�|_;�bm7;r;m7;m|��-ub-0Ѵ;ķ�-m7�r-|b;m|� v-|bv=-1|bom�v1ou;v��;u;�|_;�7;r;m7;m|��-ub-0Ѵ;ĺ�$_;�)-Ѵ7�|;v|ķ�;lŊ 0;77;7�bm�|_;�u;]u;vvbom�lo7;Ѵvķ��-v��v;7�|o�|;v|�|_;�1olr-ubvomv� =ou�v|-|bv|b1-Ѵ�vb]mb=b1-m1;ĺ� buv|ķ�bm�|_;��mb�-ub-|;�u;]u;vvbom�lo7;Ѵķ� omѴ��|_;�;�rov�u;�|o�|_;������-ub-0Ѵ;�-m7�|_;�r-|b;m|�v-|bv=-1|bom� v1ou;v��;u;� bm1Ѵ�7;7ĺ�";1om7ķ� bm�-�l�Ѵ|b�-ub-|;�u;]u;vvbom�lo7;Ѵķ� |_;�0-1h]uo�m7��-ub-0Ѵ;v�v�1_�-v�-];�Ő1om|bm�o�vőķ�v;��Ő=;l-Ѵ;ņl-Ѵ;ő� -m7�|u;-|l;m|�bm|;m|bom�Őr-ѴѴb-|b�;ņ1�u-|b�;ő��;u;�bm1Ѵ�7;7�-v�1o�-ubŊ -|;vĺ�$_;�u;v�Ѵ|v�-u;�ru;v;m|;7�-v�|_;�l;-m�7b==;u;m1;v�0;|�;;m�|_;� ]uo�rv�=ou�|_;��mbŊ�-m7�l�Ѵ|b�-ub-|;�-m-Ѵ�v;vķ�u;vr;1|b�;Ѵ�ķ�|o];|_;u� �b|_�|_;bu�ƖƔѷ�1om=b7;m1;�bm|;u�-Ѵvĺ
�m�|_;���"ķ�v�l�v1ou;v�=ou�|_;���"Ŋ��-m7���"Ŋ���;u;�1-Ѵ1�Ѵ-|;7�-v� |_;�l;-m��-Ѵ�;v�=ou�|_;�|�o�r-u|v�-m7�=ou�|_;bu�|_u;;�u;vr;1|b�;�v�0Ŋ v1-Ѵ;v�=ou�;-1_�r-|b;m|ĺ�$_;�u;vromv;v��;u;�v�ll-ubv;7�-m7�7b�b7;7� 0��|_;�m�l0;u�o=�b|;lv�bm�;-1_�v1-Ѵ;ķ�];m;u-|bm]�-��-Ѵ�;�0;|�;;m� ƐŋƔ�r;u�r-u|�-m7�v�0v1-Ѵ;ĺ��b]_;u��-Ѵ�;v�bm7b1-|;7�lou;�bm7b�b7�-ѴŊ bv;7�1-u;ĺ�"bm1;�|_;���"�_-v�mo|�0;;m��v;7�bm�ru;�bo�v�;�-Ѵ�-|bomv�o=� r;uvomŊ1;m|u;7�_-m7o�;uvķ�-�1olr-ubvom��-v�mo|�rovvb0Ѵ;ĺ
ƒĺƕՊ|Պ�|_b1-Ѵ�1omvb7;u-|bomv
$_;� v|�7�� �-v� -rruo�;7� 0�� |_;� !;]bom-Ѵ� �|_b1-Ѵ� !;�b;�� �o-u7ķ� "|o1h_oѴl�ŐƑƏƐƕņƕƔƏŊƒƐņƑőĺ�$o�-�ob7�vo1b-Ѵ�7;vbu-0bѴb|��-m7�ruolo|;� �oѴ�m|-ubm;vvķ�-�u;v;-u1_;u�Ő��ő�mo|�;lrѴo�;7�-|�-m��o=�|_;��-u7vķ� bm=oul;7�|_;�r-|b;m|v�-m7�-vh;7� =ou� |_;bu�1omv;m|� |o�r-u|b1br-|;ĺ� "bm1;�lov|�r-|b;m|v��_o�|ooh�r-u|�bm�|_;�v|�7���;u;�v;�;u;Ѵ��bѴѴķ�b|� �-v��b|-Ѵ�|o�or|blbv;�|_;�;muoѴl;m|�ruo1;vvĺ�$_�vķ�blrѴb1b|�bm=oul;7� 1omv;m|��-v�;lrѴo�;7ķ��_b1_�l;-m|�|_-|�-�u;|�um;7�t�;v|bomm-bu;� �-v�u;]-u7;7�-v�1omv;m|�|o�r-u|b1br-|;�bm�|_;�v|�7�ĺ��=�|_;�r-|b;m|v� 7b7�mo|��bv_�|o�r-u|b1br-|;ķ�|_;��1o�Ѵ7�vblrѴ��u;=u-bm�=uol�=bѴѴbm]�o�|� |_;�t�;v|bomm-bu;vķ�-m7�mo�u;lbm7;uv��;u;�v;m|�|o�momu;vrom7;uv�bm� -m�;==ou|�|o�7;1u;-v;�|_;�r-|b;m|vĽ�0�u7;mĺ
ƓՊ|Պ!�"&�$"
�=� ƐƑƏ� r-|b;m|v� =�Ѵ=bѴѴbm]� |_;� bm1Ѵ�vbom� 1ub|;ub-� 7�ubm]� |_;� v|�7�� r;ubo7ķ�ƖƏ�1_ov;�|o�r-u|b1br-|;�bm�|_;�v|�7�ķ��b;Ѵ7bm]�-m�o�;u-ѴѴ�u;Ŋ vromv;�u-|;�o=�ƕƔѷĺ��=�|_;�u;vrom7bm]�r-|b;m|vķ�ƔѶѷ�Őn�Ʒ�Ɣƒő��;u;� =;l-Ѵ;ķ�-m7�|_;�l;-m�-];��-v�ѵƓ��;-uv�bm�|_;�|o|-Ѵ�v-lrѴ;ķ�u-m]bm]� =uol�ƐѶŋѶƒ��;-uvĺ�$_;�r-|b;m|v�bm�|_;�ru;�bo�v�v|�7���v;7�=ou�1olŊ r-ubvom��;u;�vblbѴ-u�bm�|;ulv�o=�-];�-m7�v;�ĺ�$_;u;��-vķ�_o�;�;uķ�-�
ƒƑѵѵՊ�|Պ�ՊՍ KULLBERG Et aL.
Ѵ-u];u�ruorou|bom�ŐѶƐѷő�o=�r-|b;m|v�bm�-�r-ѴѴb-|b�;�v|-];�bm�|_;�ru;v;m|� 7-|-�1oѴѴ;1|bom�1olr-u;7��b|_�|_;�ru;�bo�v�;�-Ѵ�-|bom�ŐѵѶѷőĺ
ƓĺƐՊ|Պ�-|b;m|�v-|bv=-1|bom
$_;�l-bm�o�|1ol;�bm�|_;�ru;v;m|�v|�7��Ő$Ƒő��-v�|_;�l;-m�v1ou;�o=� |_;�v�0v1-Ѵ;�ľ��1_-m];�o=�bm=oul-|bom�0;|�;;m�1-u;]b�;uvĿ�Ő�*�őķ� bm�1olr-ubvom��b|_� |_;�ru;�bo�v�l;-v�u;l;m|� Ő$Ɛőĺ�$_;u;��-v�-� v|-|bv|b1-ѴѴ��vb]mb=b1-m|�Őp�ƺ�ƏĺƏƏƐő� blruo�;l;m|�o=�ƐƔ��mb|v�-|�$Ƒ� 1olr-u;7��b|_�$Ɛķ�0o|_�bm�|_;��mb�-ub-|;�-m-Ѵ�vbv�-m7�|_;�l�Ѵ|b�-ubŊ -|;�-m-Ѵ�vbvķ�1om|uoѴѴbm]�=ou�-];ķ�v;��-m7�|u;-|l;m|�bm|;m|bomĺ�$_;u;� �-v�-Ѵvo�-�v|-|bv|b1-ѴѴ��vb]mb=b1-m|�blruo�;l;m|�Őp�Ʒ�ƏĺƏƑѶő�om�|_;� v�0v1-Ѵ;�ľ��uv;vĽ�bm=oul-|bom�ruo�bvbomĿ�Ő���ő�-|�$Ƒķ�Ƒ��;-uv�-=|;u� |_;� bm|uo7�1|bom� o=� ���ĺ� $_;� u;v�Ѵ|v� =uol� |_;� l;-v�u;l;m|� o=� ��Ŋ��$"�$ƒƑ�-u;�v_o�m�bm�$-0Ѵ;�Ɛĺ�!;]-u7bm]�|_;�7o1|ouvĽ�v1-Ѵ;vķ� ľ o1|ouvĽ�bm|;ur;uvom-Ѵ�vhbѴѴvĿ�Ő �"ő�-m7�ľ o1|ouvĽ�-�-bѴ-0bѴb|�Ŀ�Ő �(őķ� |_;�r-u|b1br-m|v�v1ou;7�vb]mb=b1-m|Ѵ��Ѵo�;u�-|�$Ƒ�1olr-u;7��b|_�$Ɛ� Őp < 0.001 and p�Ʒ�ƏĺƏƏƑķ�u;vr;1|b�;Ѵ�őĺ�$_;�v�0v1-Ѵ;�ľ�ol=ou|�-m7� 1Ѵ;-mѴbm;vvĿ�Ő���ő�ru;v;m|;7�-�ƐƔ��mb|�Ѵo�;u�v1ou;�-|�$Ƒ�Őp�ƺ�ƏĺƏƏƐőĺ� $_;�v|-|bv|b1-ѴѴ��vb]mb=b1-m|�=bm7bm]v�bm�|_;��mb�-ub-|;�-m-Ѵ�v;v��;u;� -ѴѴ�v�v|-bm;7��_;m�1om|uoѴѴ;7�=ou�-];ķ�v;��-m7�|u;-|l;m|�bm|;m|bomvĺ
ƓĺƑՊ|Պ�m7b�b7�-Ѵbv;7�1-u;
$_;� v1ou;v� =uol� |_;� �m7b�b7�-Ѵb�;7� �-u;� "1-Ѵ;� -u;� ru;v;m|;7� bm� $-0Ѵ;�Ƒķ�|o];|_;u��b|_�u;vromv;�u-|;v�=ou�|_;�v�0v1-Ѵ;vĺ�$_;�v�0v1-Ѵ;� ľ�;uvom-Ѵ�Ѵb=;�vb|�-|bomĿ�u;1;b�;7�|_;�Ѵo�;v|�v1ou;v�=ou�0o|_�r-u|��ķ� �_;u;�|_;�r-|b;m|v�u-|;7�_o��bm7b�b7�-Ѵb|���-v�v�rrou|;7ķ�-m7�r-u|� �ķ��_;u;�|_;�r-|b;m|v�u-|;7�|_;bu�r;u1;r|bomv�o=�bm7b�b7�-Ѵb|��o=�1-u;ĺ� ��;u-ѴѴķ�_b]_;u�v1ou;v��;u;�=o�m7�bm�r-u|���|_-m�bm�r-u|��ĺ
ƔՊ|Պ �"�&""���
�m�|_bv�v|�7�ķ�r-|b;m|�v-|bv=-1|bom�-m7�bm7b�b7�-Ѵbv;7�1-u;��;u;�bm�;vŊ |b]-|;7�|�o��;-uv�-=|;u�|_;�bm|uo7�1|bom�o=����ĺ�$_;�l;-m�v1ou;�o=� |_;���Ŋ��$"�$ƒƑ�v�0v1-Ѵ;v�ľ��1_-m];�o=�bm=oul-|bom�0;|�;;m�1-uŊ ;]b�;uvĿ�-m7�ľ��uv;vĽ�bm=oul-|bom�ruo�bvbomĿ��-v�vb]mb=b1-m|Ѵ��_b]_;u� |_-m�|_;�ru;�bo�v�l;-v�u;l;m|� =uol�|_;�v-l;��-u7vĺ�!;]-u7bm]� bm7b�b7�-Ѵbv;7�1-u;ķ�r-|b;m|vĽ�u-|bm]�o=�_o��m�uvbm]�1-u;�v�rrou|;7� bm7b�b7�-Ѵb|���-v�Ѵo�;u�|_-m�_o��bm7b�b7�-Ѵb|���-v�r;u1;b�;7�bm�|_;� 1-u;�u;1;b�;7ĺ�$_bv�v|�7��ruo�b7;v�-�7;v1ubr|bom�o=�Ѵom]Ŋ|;ul�o�|Ŋ 1ol;v�-=|;u�bm|uo7�1bm]�����bm�-m�-1�|;�om1oѴo]��v;||bm]ĺ
$�����ƐՊ�;-m�v1ou;v�o=�|_;���!$����Ŋ��$"�$ƒƑ�v1-Ѵ;v�-|�|_;�7b==;u;m|�robm|v�o=�l;-v�u;l;m|�Ő$Ɛ�bv�-�1olrbѴ-|bom�o=�7-|-�=uol�|_;� ru;�bo�v�l;-v�u;l;m|ķ�-m7�$Ƒ�u;ru;v;m|v�|_;�7-|-�1oѴѴ;1|;7�bm�|_;�1�uu;m|�v|�7�ő�u;ru;v;m|�|_;�1olr-ubvom��b|_��mbŊ�-m7�l�Ѵ|b�-ub-|;� u;]u;vvbom�-m-Ѵ�v;vĺ�$_;�Ѵ;�;Ѵ�o=�vb]mb=b1-m1;��-v�ƏĺƏƔ
��!$����Ŋ��$"�$ƒƑ�v1-Ѵ;
Mean (Standard deviation) &mb�-ub-|; Multivariatea
$Ɛ�Őn = 103) $Ƒ�Őn = 90) Mean difference (95% CI) pb
Mean difference (95% CI) pb
o1|ouvĽ�bm|;ur;uvom-Ѵ�vhbѴѴv� Ő �"ő
ƕƔ�ŐƑƓő ѵƏ�ŐƒƏő ƴƐƔ�ŐƴƑƑ�|o�ƴƕő <0.001 ƴƐƓ�ŐƴƑƒ�|o�ƴƕő <0.001
o1|ouvĽ�|;1_mb1-Ѵ�vhbѴѴv�Ő $"ő ƕƓ�ŐƑƒő ƕƐ�ŐƑƒő ƴƒ�ŐƴƖ�|o�Ɠő 0.394 ƴƒ�ŐƴƐƏ�|o�Ɠő ƏĺƓƏƔ
o1|ouvĽ�bm=oul-|bom�ruo�bvbom� Ő ��ő
ѵƖ�ŐƑƕő ѵѶ�ŐƑƔő ƴƒ�ŐƴƐƏ�|o�Ɠő 0.871 Ə�ŐƴѶ�|o�ƕő 0.948
o1|ouvĽ�-�-bѴ-0bѴb|��Ő �(ő ѵѶ�ŐƑƔő ƔƔ�ŐƑѶő ƴƐƒ�ŐƴƑƏ�|o�ƴƔő 0.001 ƴƐƒ�ŐƴƑƏ�|o�ƴƔő 0.002
��uv;vĽ�bm|;ur;uvom-Ѵ�vhbѴѴv� Ő��"ő
Ѷƒ�ŐƑƏő Ѷƒ�ŐƑƒő Ə�Őƴѵ�|o�ѵő 0.964 Ə�Őƴѵ�|o�ѵő 0.946
��uv;vĽ�|;1_mb1-Ѵ�vhbѴѴv�Ő�$"ő ѶƑ�ŐƑƐő ƕƖ�ŐƑƏő ƴƒ�ŐƴѶ�|o�ƒő 0.364 ƴƑ�ŐƴѶ�|o�ƒő 0.409
��uv;vĽ�bm=oul-|bom�ruo�bvbom� Ő���ő
ƕƓ�ŐƑƒő ѶƐ�ŐƑƑő ƕ�ŐƐ�|o�ƐƓő 0.028 Ѷ�ŐƐ�|o�ƐƓő ƏĺƏƑƔ
��uv;vĽ�-�-bѴ-0bѴb|��Ő��(ő ƕѶ�ŐƑƐő ƕƑ�ŐƑƔő ƴѵ�ŐƴƐƑ�|o�Ɛő 0.086 ƴѵ�ŐƴƐƒ�|o�Ɛő 0.088
�|_;u�_ovrb|-Ѵ�r;uvomm;Ѵ�bm|;uŊ r;uvom-Ѵ�vhbѴѴv�-m7�bm=oul-Ŋ |bom�ruo�bvbom�Ő�$�ő
ƕƐ�ŐƑƏő ƕƑ�ŐƑƓő Ɛ�Őƴѵ�|o�ƕő 0.814 Ɛ�Őƴѵ�|o�ƕő 0.814
)-b|bm]�|bl;�Ő)��ő ѵƕ�ŐƑƔő ѵƒ�ŐƑƒő ƴƓ�ŐƴƐƐ�|o�ƒő 0.282 ƴƒ�ŐƴƐƏ�|o�Ɠő 0.392
�11;vv�Ő���ő ƓѶ�ŐƑƕő ƓƖ�ŐƑƕő Ɛ�Őƴƕ�|o�Ѷő ƏĺѶѵƔ Ɛ�Őƴƕ�|o�Ɩő ƏĺƕƔƏ
��1_-m];�o=�bm=oul-|bom�Ő�*�ő ѵƑ�ŐƑѵő ƕƕ�ŐƑѵő ƐƔ�Őƕ�|o�ƑƑő <0.001 ƐƔ�Őƕ�|o�Ƒƒő <0.001
�ol=ou|�-m7�1Ѵ;-mѴbm;vv� Ő���ő
ƔƐ�ŐƒƐő ƒƕ�ŐƒƐő ƴƐƔ�ŐƴƑƓ�|o�ѵő 0.001 ƴƐƓ�ŐƴƑƒ�|o�Ɣő 0.003
�;m;u-Ѵ�v-|bv=-1|bom�Ő���ő ѶƏ�ŐƑƐő ѶƏ�ŐƑƑő Ə�Őƴѵ�|o�ѵő ƏĺƖƔѶ ƴƐ�Őƴѵ�|o�ƕő 0.829
a�om|uoѴѴbm]�=ou�-];ķ�v;��-m7�|u;-|l;m|�bm|;m|bomĺ� b)-Ѵ7�|;v|ĺ�
ՊՍ�Պ |�ՊƒƑѵƕKULLBERG Et aL.
$_;�lov|�v|ubhbm]�-m7�u;Ѵ;�-m|�u;v�Ѵ|�bm�|_bv�v|�7���-v�u;Ѵ-|;7�|o� o�u�rubl-u��o�|1ol;ķ�ľ��1_-m];�o=�bm=oul-|bom�0;|�;;m�1-u;]b�Ŋ ;uvĿ�Ő�*�őĺ�$_;�_�ro|_;vbv��-v�|_-|ķ�|_uo�]_�|_;�bm|uo7�1|bom�-m7� l-bm|;m-m1;�o=����ķ�|_;�r-|b;m|vĽ�r;u1;r|bomv�o=� bm=oul-|bom�;�Ŋ 1_-m];��o�Ѵ7�blruo�;ķ�-m7�rovvb0Ѵ��r-|b;m|vĽ�r;u1;r|bomv�o=�m�uv;vĽ� bm=oul-|bom�ruo�bvbom�-v��;ѴѴĺ��m�-�ru;�bo�v�v|�7��=uol�|_;�v-l;�7;Ŋ r-u|l;m|ķ�r-|b;m|v��_o��;u;�;�rov;7�|o�����v1ou;7�vb]mb=b1-m|Ѵ�� _b]_;u�Ől;-m�v1ou;�Ʒ�ƕƒķ�1olr-u;7�|o�ѵƑ�bm�|_;�1om|uoѴ��-u7vő�om� |_bv�v1-Ѵ;�Ő��ѴѴ0;u]�;|�-Ѵĺķ�ƑƏƐƕőĺ��m�|_;�ru;v;m|�v|�7�ķ�Ƒ��;-uv�Ѵ-|;uķ� r-|b;m|v�;�rov;7�|o�����v1ou;7�;�;m�_b]_;uĺ��;1-�v;�mo�o|_;u�v|�7Ŋ b;v��vbm]�|_;���!$����Ŋ��$"�$ƒƑ�|o�;�-Ѵ�-|;�����ou�o|_;u�0;7Ŋ vb7;�_-m7o�;u�lo7;Ѵv�1o�Ѵ7�0;�b7;m|b=b;7ķ�-�7bu;1|�1olr-ubvom�o=�o�u� =bm7bm]v�bv�7b==b1�Ѵ|ĺ��-|b;m|�v-|bv=-1|bom�_-vķ�_o�;�;uķ�0;;m��v;7�-v� -m�o�|1ol;�l;-v�u;�bm�o|_;u�r-|b;m|�]uo�rvĺ��m�-m��l;ub1-m�l;7bŊ 1-ѴŊv�u]b1-Ѵ�v;||bm]ķ�0;7vb7;�_-m7o�;uv��;u;�;�-Ѵ�-|;7��vbm]�-�t�-vbŊ ;�r;ubl;m|-Ѵ�7;vb]m�bm1Ѵ�7bm]�-�ƐƒŊlom|_�=oѴѴo�Ŋ�r�Ő"-m7Ŋ�;1hѴbm�ş� "_;ul-mķ�ƑƏƐƓőĺ��lom]�o|_;u�u;v�Ѵ|vķ� blruo�;l;m|�u;]-u7bm]�|_;� t�;v|bom�ľ�oll�mb1-|;7�blrou|-m|�bm=oul-|bom�v_b=|�|o�v_b=|Ŀ��-v� =o�m7�1olr-u;7� |o�0-v;Ѵbm;�l;-v�u;l;m|vĺ�$_bv�r-u|b1�Ѵ-u�t�;vŊ |bom�u;v;l0Ѵ;v�|_;��*��v1-Ѵ;�o=�|_;���Ŋ��$"�$ƒƑĺ��|�v;;lv�Ѵo]b1-Ѵ� |_-|�r-|b;m|v��_o�-1|�-ѴѴ��|-h;�r-u|�bm�|_;�_-m7o�;u��o�Ѵ7�u-|;�|_;� v|-==vĽ�bm=oul-|bom�;�1_-m];�_b]_;uķ�-v�|_;��];|�-m�orrou|�mb|��|o� v;;�-m7�_;-u�_o��|_;��1oll�mb1-|;ĺ��o�;�;uķ�-�ruo0Ѵ;l��b|_�|_bv� o�|1ol;�l;-v�u;�bv�|_-|�b|�7o;v�mo|�1-r|�u;�|_;�r-|b;m|vĽ�-1|�-Ѵ�bmŊ �oѴ�;l;m|�bm�|_;�bm=oul-|bom�;�1_-m];ĺ�$_;u;=ou;ķ�-�_b]_;u�v1ou;� 7o;v�mo|�blrѴ��|_-|�|_;�r-|b;m|v��;u;�|-hbm]�om�-�lou;�-1|b�;�uoѴ;ĺ
�;bm]�-m�bmr-|b;m|�om�-m�om1oѴo]b1-Ѵ��-u7�o=|;m�bm1Ѵ�7;v�Ѵom]� _o�uv�o=��-b|bm]�=ou�bm=oul-|bom�-m7�bv�-11olr-mb;7�0���m1;u|-bm|�� -0o�|�|_;�rѴ-mv�-m7�-1|b�b|b;v�u;Ѵ-|;7�|o�om;ŝv�1-u;ĺ��7;-ѴѴ�ķ�����1-m� =�m1|bom� -v� -m�orrou|�mb|�� |o� u;1;b�;� bm7b�b7�-Ѵbv;7� bm=oul-|bomķ� ruo�b7;�om;ŝv�o�m�r;uvr;1|b�;�-m7�l-h;� fobm|�rѴ-mv�=ou�|_;�m;�|� _o�uv��b|_�m�uvbm]�v|-==ĺ��m�|_;�ru;v;m|�v|�7�ķ�|_;�r-|b;m|v�u;rou|;7� blruo�;l;m|v� �b|_� |_;� m�uv;vĽ� bm=oul-|bom� ruo�bvbomķ� bm7b1-|bm]� |_-|�����lb]_|�_-�;�1om|ub0�|;7�|o�r-|b;m|v�0;bm]�0;||;u�bm=oul;7� 7�ubm]�|_;bu�v|-�ĺ�$_;�-vvo1b-|bom�0;|�;;m�m�uv;vĽ�bm=oul-|bom�ruoŊ �bvbom�-m7�����bv�=�u|_;u�v|u;m]|_;m;7�0��|_;�u-|bm]v�o=�7o1|ouvĽ�bmŊ =oul-|bom�ruo�bvbomķ��_b1_�bv�mo|�v�rrov;7�|o�0;�-==;1|;7�0�����ĺ��m� |_;�v_b=|Ŋ|oŊv_b=|�u;rou|�1om|;�|ķ�;m_-m1;7�bm=oul-|bom�ruo�bvbom�bv�
o=|;m�-�1ou;�bm1;m|b�;�=ou�blrѴ;l;m|bm]�0;7vb7;�_-m7o�;uvĺ� ;vrb|;� |_bvķ�ru;�bo�v�t�-m|b|-|b�;�;�-Ѵ�-|bomv�_-�;�mo|�0;;m�-0Ѵ;�|o�v_o�� blruo�;7� r-|b;m|Ŋu;rou|;7� o�|1ol;v� om� bm=oul-|bom� ruo�bvbom� Ő��ѴѴ0;u]�;|�-Ѵĺķ�ƑƏƐƕĸ�"-m7Ŋ�;1hѴbm�ş�"_;ul-mķ�ƑƏƐƓĸ�"1_;b7;m_;Ѵl� ş� !;b|�ķ� ƑƏƐƕőĺ� �o�;�;uķ� 0;m;=b|v� u;]-u7bm]� bm=oul-|bom� bvv�;v� _-�;�0;;m�u;rou|;7�bm�t�-Ѵb|-|b�;�bmt�bub;vķ�v�1_�-v�r-|b;m|v�]-bmŊ bm]�-77b|bom-Ѵ�bm=oul-|bom�-0o�|�l;7b1-|bomv�-m7�|_;�1-u;�rѴ-m�=ou� |_;��r1olbm]�v_b=|�Ő�1��uu-��;|�-Ѵĺķ�ƑƏƐƐő�ou�0;bm]�u;-vv�u;7�|_-|� |_;�m�uv;v�1om�;�;7�-11�u-|;�bm=oul-|bom�-0o�|�|_;l�|o�|_;�o|_;u� m�uv;v�Ő��rb;ub�;|�-Ѵĺķ�ƑƏƐѵőĺ�$o�o�u�hmo�Ѵ;7];ķ�o�u�ru;v;m|�v|�7��bv� |_;�=buv|�|o�v_o��blruo�;7�bm=oul-|bom�=uol�m�uv;v�0;bm]�u;rou|;7� 0��r-|b;m|v�-=|;u�|_;�bm|uo7�1|bom�o=����ĺ
��;u-ѴѴķ� |_;�r-|b;m|vĽ� v-|bv=-1|bom��b|_� 1-u;� u;v�Ѵ|;7� bm�l;-m� v1-Ѵ;� v1ou;v� 1olr-u-0Ѵ;� |o� o|_;u� v�u�;�v� �vbm]� |_;� v-l;� t�;vŊ |bomm-bu;�Ő�uu-u-v�;|�-Ѵĺķ�ƑƏƏƖĸ��u;7-u|�;|�-Ѵĺķ�ƑƏƏƔĸ�"hu;|Ŋ�-]b;uѴoķ� !-vķ��-um-vķ�ş�"hu;|ķ�ƑƏƐѵőĺ��r-u|�=uol�ľ��1_-m];�o=�bm=oul-|bom� 0;|�;;m� 1-u;]b�;uvĿ� -m7� ľ��uv;vĽ� bm=oul-|bom� ruo�bvbomķĿ� |_;u;� �;u;�|_u;;�;�1;r|bomv��_;u;�|_;�r-u|b1br-m|v�bm�o�u�v|�7��v1ou;7� u;l-uh-0Ѵ�� Ѵo�ķ� m-l;Ѵ�� ľ o1|ouvĽ� bm|;ur;uvom-Ѵ� vhbѴѴvķĿ� ľ o1|ouvĽ� -�-bѴ-0bѴb|�Ŀ�-m7�ľ�ol=ou|�-m7�1Ѵ;-mѴbm;vvĺĿ�!;]-u7bm]�|_;�7o1|ouvĽ� v1-Ѵ;vķ��;�1-mmo|��b|_�1;u|-bm|��;�rѴ-bm��_-|�1-�v;7�|_;�7b==;u;m1;� 0;|�;;m�|_bv�-m7�|_;�=buv|�l;-v�u;l;m|ĺ��m;�vr;1�Ѵ-|bom�u;Ѵ-|;v�|o� |_;�blr-1|�o=�|_;�=bm-m1b-Ѵ�7o�mvb�bm]�bm�|_;�om1oѴo]��7;r-u|l;m|ķ� u;v�Ѵ|bm]�bm�=�u|_;u�v|u-bmv�om�r_�vb1b-mv��_o��;u;�-Ѵu;-7���ouhbm]�-� |b]_|�v1_;7�Ѵ;ĺ��77b|bom-ѴѴ�ķ�lou;�r-|b;m|v�bm�|_;�ru;v;m|�v|�7���;u;� bm�-�r-ѴѴb-|b�;�v|-];�-m7�|_;u;=ou;�l-��_-�;�m;;7;7�lou;�l;7b1-Ѵ� -||;m|bomĺ�$_;�Ѵo�;v|�v1ou;�bm�|_;�v|�7���-v�1om1;umbm]�1ol=ou|�-m7� 1Ѵ;-mѴbm;vv�bm�|_;��-u7vĺ�$_bv�o�|1ol;�bv��mѴbh;Ѵ��|o�0;�-==;1|;7�0�� ����0�|�bv�v|bѴѴ��ou|_�_b]_Ѵb]_|bm]�-v�b|�v|-m7v�o�|�-lom]�|_;�o|_;u� v1-Ѵ;vĺ��Ѵ;-mѴbm;vv�bm�_ovrb|-Ѵv�bv�mo|�omѴ��-�t�;v|bom�o=�l-bm|-bmbm]� ]oo7�_�]b;m;�-m7�ru;�;m|bm]�bm=;1|bomv�0�|�bv�-Ѵvo�1omm;1|;7�|o�|_;� �b7;u�r-|b;m|�;�r;ub;m1;�o=�|_;bu�_ovrb|-Ѵ�v|-��Ő�ovrb|-Ѵ��omv�l;u� �vv;vvl;m|�o=��;-Ѵ|_1-u;��uo�b7;uv�-m7�"�v|;lv�Ő�����"ő�ƑƏƐѵőĺ� );�7o�mo|�_-�;�-�rѴ-�vb0Ѵ;�;�rѴ-m-|bom�=ou�|_;�Ѵo��v1ou;�-m7�1-m� omѴ��;lr_-vbv;�|_-|�|_;�r_�vb1-Ѵ�1-u;�;m�buoml;m|�v_o�Ѵ7�0;�-�rubŊ oub|��=ou�_ovrb|-Ѵ�l-m-];l;m|ĺ
�mo|_;u� blrou|-m|�7bl;mvbom�o=�|_;�r-|b;m|vĽ�_ovrb|-Ѵ�;�r;ubŊ ;m1;�bv�|_;�7;]u;;�|o��_b1_�bm7b�b7�-Ѵbv-|bom�o=�1-u;�bv�v�rrou|;7� -m7�r;u1;b�;7ĺ�$_;�u;v�Ѵ|v�o=�|_;���"Ŋ��-m7�|_;���"Ŋ���;u;�o0|-bm;7� -|�-�vbm]Ѵ;�l;-v�u;l;m|ķ�-m7�|_;u;��;u;�mo�ru;�bo�v�7-|-�=uol�|_;� v-l;��-u7v�|o��v;�=ou�1olr-ubvomĺ�$o�-77�r;uvr;1|b�;�|o�o�u�u-|Ŋ bm]v�o=�bm7b�b7�-Ѵbv;7�1-u;�-lom]�|_;�r-u|b1br-m|v�bm�o�u�v|�7�ķ��;� 1olr-u;7�o�u�u;v�Ѵ|v��b|_�7-|-�=uol�"�_om;m�;|�-Ѵĺ�ŐƑƏƐѵőĺ��m�|_;bu� v�u�;�ķ� |_;�� 7;v1ub0;7� r;u1;r|bomv� o=� bm7b�b7�-Ѵbv;7� 1-u;� -lom]� _ovrb|-Ѵbv;7�1-m1;u�r-|b;m|v�bm�=o�u���uor;-m�1o�m|ub;vĺ��=�|_;�ƔƖƖ� u;vrom7;m|vķ�ƐƓƐ��_o�-Ѵvo� u;rou|;7� |_;�_b]_;v|�v1ou;v��;u;� u;Ŋ 1u�b|;7�=uol�-�"�;7bv_�&mb�;uvb|���ovrb|-Ѵĺ�$_;�7-|-��;u;�1oѴѴ;1|;7� =b�;��;-uv�rubou�|o�o�u�v|�7�ķ�-m7�om;�bm1Ѵ�vbom�1ub|;ubom��-v�ƻƓѶ�_u� o=�_ovrb|-Ѵbv-|bomķ�bm�1om|u-v|�|o�o�u�ƒ�7-�vĺ�$_;�u;vromv;�u-|;��-v� -Ѵvo�Ѵo�;u�ŐƔƑѷ�bm�|_;�"�;7bv_�v-lrѴ;ő�1olr-u;7��b|_�o�uv�ŐƕƔѷőĺ� ��7b==;u;m1;�bm�l;-m�v1ou;v�o=�ƼƏĺƔ��-v�7;v1ub0;7�-v�1Ѵbmb1-ѴѴ��blŊ rou|-m|�Ő"�_om;m�;|�-Ѵĺķ�ƑƏƐѵőĺ�$_;�r-u|b1br-m|v�bm�o�u�v|�7��v1ou;7� ƏĺƔƓ��mb|v�Ѵo�;u�om�|_;���"Ŋ��o�;u-ѴѴ�-m7�om�|_;�v�0v1-Ѵ;v�ľ�;uvom-Ѵ�
$�����ƑՊ!;vromv;�u-|;vķ�l;-m�v1ou;v�-m7�ƖƔѷ�1om=b7;m1;� bm|;u�-Ѵv�o=�|_;���"Ŋ��-m7���"Ŋ��-m7�|_;bu�v�0v1-Ѵ;v
n (%) Mean (95% CI)
"�rrou|�o=�bm7b�b7�-Ѵb|�� Ő��"Ŋ�ő
ѶƓ�ŐƖƒő ƒĺƓѵ�ŐƒĺƐƖŋƒĺƕƒő
�Ѵbmb1-Ѵ�vb|�-|bom ѶƓ�ŐƖƒő ƒĺƕƐ�ŐƒĺƓѵŋƒĺƖѵő
�;uvom-Ѵ�Ѵb=;�vb|�-|bom Ѷƒ�ŐƖƑő ƒĺƏƒ�ŐƑĺƕƓŋƒĺƒƑő
;1bvbom-Ѵ�1om|uoѴ Ѷƒ�ŐƖƑő ƒĺƓƕ�ŐƒĺƑƐŋƒĺƕƒő
�;u1;r|bomv�o=�bm7b�b7�-Ѵb|�� Ő��"Ŋ�ő
ѶƐ�ŐƖƏő ƒĺѵƖ�ŐƒĺƓƑŋƒĺƖѵő
�Ѵbmb1-Ѵ�vb|�-|bom ѶƐ�ŐƖƏő ƒĺѶƔ�ŐƒĺѵŋƓĺƐő
�;uvom-Ѵ�Ѵb=;�vb|�-|bom ƕƔ�ŐѶƒő ƒĺƏƕ�ŐƑĺƕƕŋƒĺƒƕő
;1bvbom-Ѵ�1om|uoѴ ѶƐ�ŐƖƏő ƒĺƖƐ�ŐƒĺѵѵŋƓĺƐѵő
ƒƑѵѶՊ�|Պ�ՊՍ KULLBERG Et aL.
Ѵb=;�vb|�-|bomĿ�-m7�ľ ;1bvbom-Ѵ�1om|uoѴķĿ�0�|�mo�1Ѵbmb1-ѴѴ�� blrou|-m|� 7b==;u;m1;��-v�o0v;u�;7�bm�|_;���"Ŋ�ĺ�$_;�u;v�Ѵ|v�=uol�|_;���"�bm� o�u�v|�7��v;;l�u;-vom-0Ѵ;�-m7�=-buѴ��vblbѴ-u�|o�|_ov;�o=�v�u]b1-Ѵ�r-Ŋ |b;m|v�u;rou|;7�bm�o|_;u�v|�7b;v�Ő"�_om;mķ��=v|-|_bo�ķ�;|�-Ѵĺķ�ƑƏƐƑĸ� "�_om;mķ�(࢜Ѵbl࢜hbķ�ş��;bomoŊ�bѴrbķ�ƑƏƏƔőĺ
�v�bm�|_;�ru;v;m|�v|�7�ķ�|_;�v�0v1-Ѵ;v�ľ�;uvom-Ѵ�Ѵb=;�vb|�-|bomĿ�bm� 0o|_���"Ŋ��-m7���"Ŋ��1omvbv|;m|Ѵ��_-�;�Ѵo�;u�v1ou;v�|_-m�|_;�o|_;u� v�0v1-Ѵ;v�bm�lov|�v�u�;�v�bm��_b1_�|_bv�t�;v|bomm-bu;�_-v�0;;m��v;7ĺ� $_;v;�v�0v1-Ѵ;v�1omvb7;u�|_;�r-|b;m|ŝv�ru;�bo�v�;�r;ub;m1;v�o=�1-u;ķ� -1|b�b|b;v�-m7�7-bѴ��_-0b|v�o�|vb7;�o=�|_;�_ovrb|-Ѵ�;m�buoml;m|�-m7� |_;�bm�oѴ�;l;m|�o=�1Ѵov;�om;v�bm�|_;bu�1-u;ĺ��|�_-v�0;;m�_�ro|_;vbv;7� |_-|�m�uv;v�bm�];m;u-Ѵ�-u;�;b|_;u�mo|��v;7�|o�ou�mo|�|u-bm;7�|o�-vh� r-|b;m|v�-0o�|�|_;bu�r;uvom-Ѵ�Ѵb�;v�o�|vb7;�o=�|_;�1�uu;m|�vb|�-|bom� ou�|o�v_-r;�|_;�1-u;�|_;��ruo�b7;�bm�u;Ѵ-|bom�|o�ru;�bo�v�r;uvom-Ѵ� ;�r;ub;m1;v�Ő�_-u-Ѵ-l0o�v�;|�-Ѵĺķ�ƑƏƐƑĸ�"�_om;m�;|�-Ѵĺķ�ƑƏƏƓőĺ��m�u;Ŋ Ѵ-|bom�|o����ķ�om;�1o�Ѵ7�;�r;1|�|_;�v�0v1-Ѵ;v�u;]-u7bm]�ľ ;1bvbom-Ѵ� 1om|uoѴĿ�-m7�ľ�Ѵbmb1-Ѵ�vb|�-|bomĿ�|o�0;�lov|�u;Ѵ;�-m|ķ�-v�|_;�_-m7oŊ �;u�bv�=o1�v;7�om�|_;�r-|b;m|ŝv�1�uu;m|�v|-|�v�-m7�1o1u;-|bom�o=�-� rѴ-m�=ou�|_;�m;�|�v_b=|ķ�u-|_;u�|_-m�0;bm]�0-v;7�om�ru;�bo�v�;�r;ubŊ ;m1;vĺ�$_�vķ�|_;�v1ou;v�o=�|_;���"�bm�u;Ѵ-|bom�|o�����v;;l�|o�0;�-v� ;�r;1|;7ĺ
�m�|_bv�v|�7�ķ�|_;�1olr-u;7�7-|-�Ő$Ɛ�-m7�$Ƒő��;u;�1oѴѴ;1|;7�=uol� 7b==;u;m|�bm7b�b7�-Ѵvĸ�|_�vķ�-�Ѵom]b|�7bm-Ѵ�-rruo-1_��_;u;�r-|b;m|v� �;u;�=oѴѴo�;7�o�;u�|bl;�1o�Ѵ7�mo|�0;�-rrѴb;7ĺ�$_bv�1-�v;7�-� ѴblŊ b|-|bom�u;]-u7bm]�|_;�bm|;uru;|-|bom�o=�|_;�u;v�Ѵ|vĺ�$_;u;�lb]_|�0;� =-1|ouv�o|_;u�|_-m�|_;�;�rov�u;�o=�����-lom]�|_;�r-u|b1br-m|v�|_-|� 1o�Ѵ7�;�rѴ-bm�|_;�o0v;u�;7�7b==;u;m1;vĺ��|�|_;�v-l;�|bl;ķ�|_;�]uo�rv� v;;l;7�1olr-u-0Ѵ;�bm�|;ulv�o=�-];�-m7�v;�ķ�-Ѵ|_o�]_�|_;u;��;u;� lou;�r-ѴѴb-|b�;�r-|b;m|v�|-hbm]�r-u|�bm�|_;�Ѵ-v|�l;-v�u;l;m|ĺ�$_;�-bl� �-v�|o�bm1Ѵ�7;�ƐƏƏ�r-|b;m|vķ�0�|�;muoѴl;m|��-v�1Ѵov;7�-=|;u�ƖƏ�r-Ŋ |b;m|vĺ�$_;u;��;u;�v;�;u-Ѵ�u;-vomv�=ou�1Ѵovbm]�|_;�v|�7��ru;l-|�u;Ѵ�ĺ� �m;�o=�|_;��-u7v��-v�|;lrou-ubѴ��1Ѵov;7�7o�m�7�ubm]�|_;�v|�7��r;Ŋ ubo7�7�;�|o�-�m�uvbm]�v_ou|-];ĺ��m�-77b|bomķ�-=|;u�v;�;m�lom|_vķ�0o|_� �-u7v��;u;�r;ul-m;m|Ѵ��lo�;7�|o�-�m;�Ѵ��0�bѴ|�_ovrb|-Ѵĺ��v�-�u;v�Ѵ|� o=�|_;�lo�;ķ�|_;�_ovrb|-Ѵ�v|u�1|�u;ķ�v|-==bm]�-m7�ou]-mbv-|bom��m7;uŊ �;m|�l-fou�1_-m];vĺ�$_�vķ�|_;�m;���-u7v�1o�Ѵ7�mo|�0;�1omvb7;u;7�-� 1olr-u-0Ѵ;�1om|bm�-|bom�o=�|_;�ru;�bo�v�om;vķ�-m7�|_;�7-|-�1oѴѴ;1Ŋ |bom��-v�|_;u;=ou;�v|orr;7ĺ�)_bѴ;��;�omѴ��l-m-];7�|o�u;1u�b|�ƖƏ� u;vrom7;m|vķ�|_;�u;vromv;�u-|;�ŐƕƔѷő��-v�]oo7ĺ�$_;�7-bѴ��v1u;;mbm]� ruo1;7�u;�u;7�1;7�|_;�ubvh�o=�v;Ѵ;1|bom�0b-v�-m7�ruolo|;7�1omv;1Ŋ �|b�;�v-lrѴbm]ĺ��o�;�;uķ�r-|b;m|v��;u;�mo|�-rruo-1_;7�om��;;hŊ ;m7vķ�;�;mbm]v�ou�mb]_|v�vo�|_-|�|_ov;��_o��;u;�7bv1_-u];7�7�ubm]� |_ov;�_o�uv��;u;�lbvv;7ĺ�);�-Ѵvo�7b7�mo|�]-|_;u�0-1h]uo�m7�7-|-� om�momu;vrom7;uvķ� Ѵblb|bm]� |_;�1oѴѴ;1|;7�7-|-� f�v|� |o� u;vrom7;uvĺ� $_bv��-v�7om;�rubl-ubѴ��|o�_omo�u�|_;�r-|b;m|vĽ�bm|;]ub|�ĺ��m�o�u�ru;Ŋ �bo�v�v|�7�ķ�mo�0-1h]uo�m7��-ub-0Ѵ;v�Ő-];ķ�v;�ķ�|u;-|l;m|�bm|;m|bom� ou�;7�1-|bom-Ѵ�Ѵ;�;Ѵő��;u;�v_o�m�|o�_-�;�blr-1|;7�|_;�r-|b;m|�v-|Ŋ bv=-1|bom�v1ou;v�Ő��ѴѴ0;u]�;|�-Ѵĺķ�ƑƏƐƕőĺ�"�_om;m�;|�-Ѵĺ�ŐƑƏƐѶő�v_o�;7� |_-|�1-m1;u�b|v;Ѵ=�bv�|_;�v|uom];v|�7;|;ulbm-m|�o=�_o��r-|b;m|v�u-|;� |_;�t�-Ѵb|��o=�1-u;ķ�u-|_;u�|_-mķ�=ou�;�-lrѴ;ķ�;7�1-|bom-Ѵ�Ѵ;�;Ѵĺ
$_;��v;�o=��-Ѵb7-|;7�bmv|u�l;m|v�-rruorub-|;�=ou�|_;�vr;1b=b1� ror�Ѵ-|bom�bv�-�v|u;m]|_�o=�|_;�v|�7�ĺ�$_;���Ŋ��$"�$ƒƑķ���"Ŋ��-m7� ��"Ŋ��-ѴѴ�u;=;u�|o�|_;�;m|bu;�7�u-|bom�o=�|_;�_ovrb|-Ѵ�v|-�ķ�7�ubm]�
�_b1_�-ѴѴ�|�r;v�o=�;�r;ub;m1;v�1-m�=oul�|_;�0-vbv�=ou�|_;�u-|bm]vķ� �_bѴ;� |_;�m�uv;�_-m7o�;u�1omv|b|�|;v�-rruo�bl-|;Ѵ�� =b�;� |o� |;m� lbm�|;v�r;u�7-�ĺ�$o�o�u�hmo�Ѵ;7];ķ�mo�vr;1b=b1�bmv|u�l;m|�=ou�r-Ŋ |b;m|v�|o�;�-Ѵ�-|;�|_;�_-m7o�;u�b|v;Ѵ=��-v�-�-bѴ-0Ѵ;�-|�|_;�|bl;�o=� |_;�v|�7�ĺ
ѵՊ|Պ�����&"���
�m�1om1Ѵ�vbomķ�|_;�����lo7;Ѵ�v;;l;7�|o�ruolo|;�r-|b;m|vĽ�r;uŊ 1;r|bomv� o=� bm=oul-|bom� ;�1_-m];� 0;|�;;m� 1-u;]b�;uv� -m7� |_;� bm=oul-|bom�ruo�bvbom� =uol�m�uv;vĺ�$_;v;�rovb|b�;� u;v�Ѵ|v��;u;� o0v;u�;7�Ƒ��;-uv�-=|;u�bm|uo7�1bm]�����-m7�|_�v�v;;l�v�v|-bmŊ -0Ѵ;ĺ���;m�|_o�]_�lou;�Ѵom]Ŋ|;ul�u-m7olbv;7�;�-Ѵ�-|bomv�o=�0;7Ŋ vb7;�_-m7o�;u�lo7;Ѵv�-u;�m;;7;7ķ�����1-m�0;�u;1oll;m7;7�bm� |_;�om1oѴo]b1-Ѵ� bmr-|b;m|�v;||bm]�-m7�v;;lv�0;m;=b1b-Ѵ�|o�1u�1b-Ѵ� r-|b;m|�o�|1ol;vĺ
ƕՊ|Պ!���(�����$������������!��$���
$_bv�v|�7��1-m�0;�o=�bm|;u;v|�|o�-m��_;-Ѵ|_1-u;�ruo=;vvbom-Ѵ��_o�bv� 1omvb7;ubm]�blrѴ;l;m|bm]�����ou�-�vblbѴ-u�0;7vb7;�_-m7o�;u�lo7;Ѵĺ� $_;�v|�7��ruo�b7;v�-�7;v1ubr|bom�o=�����|_-|�1o�Ѵ7�0;��v;=�Ѵ�=ou� 1Ѵbmb1b-mvĺ���u�u;v�Ѵ|v�=�u|_;u�_b]_Ѵb]_|�|_;�blrou|-m1;�o=�r;uv;�;uŊ -m1;�bm�|_;�blrѴ;l;m|-|bom�ruo1;vvĺ� ou�1Ѵbmb1b-mvķ�|_bv�v|�7��-77v� |o�|_;�0o7��o=�;�b7;m1;�v�rrou|bm]�0;7vb7;�_-m7o�;u�lo7;Ѵv�-m7� 1-m�0;��v;7�-v�-�lo|b�-|ou�=ou�b|v�blrѴ;l;m|-|bomĺ�����bv�=;-vb0Ѵ;� bm�|_;�bmr-|b;m|�om1oѴo]��v;||bm]�-m7�_-v�0;m;=b1b-Ѵ�o�|1ol;v��_;m� �b;�;7�=uol�-�Ѵom]Ŋ|;ul�r;uvr;1|b�;ĺ
��� ���$�� ���$�!�"$
$_;�-�|_ouv�_-�;�mo�1om=Ѵb1|�o=�bm|;u;v|�|o�7;1Ѵ-u;ĺ
�!��
Anna Kullberg _||rvĹņņou1b7ĺou]ņƏƏƏƏŊƏƏƏƐŊѶѵƑѵŊѵƏƒƓ
!� �!����"
�Ѵ_-u0bķ� $ĺ� "ĺķ� �-uѴv|uolķ� �ĺķ� �hl-mķ� �ĺķ� �-um;0oumķ� �ĺķ� ş� �Ѵvvomķ� �ĺ� �ĺ� ŐƑƏƐƓőĺ� ��r;ub;m1;v� o=� r;uvomŊ1;m|u;7� 1-u;� Ŋ� r-|b;m|vŝ� r;uŊ 1;r|bomvĹ� �-Ѵb|-|b�;� v|�7�ĺ� BMC Nursingķ� 13ķ� ƑѶĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐѶѵņƐƓƕƑŊѵƖƔƔŊƐƒŊƑѶ
�uu-u-vķ��ĺ��ĺķ�(;u-ķ�!ĺķ��-u|झm;�ķ��ĺķ��;um࢙m7;�ķ��ĺķ��-झm;�ķ��ĺķ�!b1oķ� �ĺķ� Ļ� �vझmķ� �ĺ� ŐƑƏƏƖőĺ� $_;� ��!$�� 1-m1;u� bmŊr-|b;m|� v-|bv=-1Ŋ |bom��b|_�1-u;�t�;v|bomm-bu;Ĺ���!$�� ��Ŋ��$"�$ƒƑĺ� Clinical and Translational Oncologyķ� 11ķ� ƑƒƕŋƑƓƑĺ� _||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƏƕņ vƐƑƏƖƓŊƏƏƖŊƏƒƓѵŊѵ
�u;7-u|ķ��ĺķ��o||olѴ;�ķ��ĺķ��Ѵ-�;0�ķ��ĺ��ĺķ��omuo�ķ�$ĺķ��o;mvķ��ĺķ� ŝ�-;v;ķ� "ĺķ�Ļ� �-Ѵb|��o=��b=;�&�ŐƑƏƏƔőĺ��m�bm|;um-|bom-Ѵ�ruovr;1|b�;�v|�7��o=� |_;���!$��1-m1;u�bmŊr-|b;m|�v-|bv=-1|bom��b|_�1-u;�l;-v�u;�Ő��!$�� ��Ŋ��$"�$ƒƑőĺ�European Journal of Cancerķ�41ķ�ƑƐƑƏŋƑƐƒƐĺ�_||rv�Ĺņņ 7obĺou]ņƐƏĺƐƏƐѵņfĺ;f1-ĺƑƏƏƔĺƏƓĺƏƓƐ
ՊՍ�Պ |�ՊƒƑѵƖKULLBERG Et aL.
�u;7-u|ķ��ĺķ��o;mvķ��ĺķ��-uomvomķ��ĺķ��_b;ķ�)ĺ��ĺķ��==b1-1;ķ� ĺķ��omuo�ķ� $ĺķ�Ļ&mb|�� o��ŐƑƏƏƕőĺ� ;|;ulbm-m|v�o=�r-|b;m|�v-|bv=-1|bom�bm�omŊ 1oѴo]��v;||bm]v� =uol���uor;-m�-m7��vb-m�1o�m|ub;vĹ��u;Ѵblbm-u�� u;v�Ѵ|v�0-v;7�om�|_;���!$����Ŋ��$"�$ƒƑ�t�;v|bomm-bu;ĺ�European Journal of Cancerķ� 43ķ� ƒƑƒŋƒƒƏĺ� _||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺ ejca.2006.10.016
�ub||;mķ��ĺķ��oou;ķ��ĺķ���7-_Ѵķ� ĺķ��-Ѵ7;lbu1bķ��ĺķ��Ѵ-lķ��ĺķ�ş�)oѴ=ķ��ĺ� ŐƑƏƐƕőĺ� �Ѵ-0ou-|bom� o=� |_;� �o|_;m0�u]� lo7;Ѵ� o=� r;uvomŊ1;m|u;7� care. Health Expectationsķ� 20ķ� ƓƏƕŋƓƐѶĺ� _||rv�Ĺņņ7obĺou]ņƐƏĺƐƐƐƐņ _;�ĺƐƑƓѵѶ�
�-_bѴѴķ� �ĺ� ŐƐƖƖѶőĺ� �-|b;m|ŝv� r;u1;r|bomv� o=� 0;7vb7;� _-m7oŊ �;uvĺ� Journal of Clinical Nursingķ� 7ķ� ƒƔƐŋƒƔƖĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƏƓѵņfĺƐƒѵƔŊƑƕƏƑĺƐƖƖѶĺƏƏƐƓƖĺ�
�_-u-Ѵ-l0o�vķ��ĺķ��_-rr;ѴѴķ��ĺ��ĺķ��-|-fbv|oķ��ĺķ�ş�"�_om;mķ�!ĺ�ŐƑƏƐƑőĺ�$_;� 1om1;r|�-Ѵb�-|bom�-m7�l;-v�u;l;m|�o=�bm7b�b7�-Ѵb�;7�1-u;ĺ�Geriatric Nursingķ�33ķ�ƐƕŋƑƕĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺ];ubm��uv;ĺƑƏƐƐĺƐƏĺƏƏƐ
�_-u-Ѵ-l0o�vķ��ĺķ�!-7�bmķ��ĺķ��;u]ķ��ĺķ�"fo�-ѴѴķ��ĺķ��-|bu-hbķ��ĺķ��;lomb7o�ķ� �ĺķ�Ļ�"�_om;mķ�!ĺ�ŐƑƏƐѵőĺ��m�bm|;um-|bom-Ѵ�v|�7��o=�_ovrb|-Ѵb�;7�1-mŊ 1;u�r-|b;m|vŝ�_;-Ѵ|_�v|-|�vķ�m�uvbm]�1-u;�t�-Ѵb|�ķ�r;u1;b�;7�bm7b�b7�Ŋ -Ѵb|��bm�1-u;�-m7�|u�v|�bm�m�uv;vĹ���r-|_�-m-Ѵ�vbvĺ�International Journal of Nursing Studiesķ� 61ķ� ƐƕѵŋƐѶѵĺ� _||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺbfm�u� v|�ĺƑƏƐѵĺƏѵĺƏƐƒ
-�bvķ�!ĺ��ĺķ��-1hѴbmķ�!ĺķ�";�7-Ѵbvķ��ĺķ�ş�(bm1;m|ķ��ĺ��ĺ�ŐƑƏƏƕőĺ��-|b;m|�bmŊ �oѴ�;l;m|�bm�r-|b;m|�v-=;|�Ĺ�)_-|�=-1|ouv�bm=Ѵ�;m1;�r-|b;m|�r-u|b1Ŋ br-|bom�-m7�;m]-];l;m|ĵ�Health Expectationsķ�10ķ�ƑƔƖŋƑѵƕĺ�_||rv�Ĺņņ 7obĺou]ņƐƏĺƐƐƐƐņfĺƐƒѵƖŊƕѵƑƔĺƑƏƏƕĺƏƏƓƔƏĺ�
7;�"bѴ�-ķ� ĺ�ŐƑƏƐƓőĺ�Helping measure person-centred care – A review of evi- dence about commonly used approaches and tools used to help measure person-centred careĺ��om7omķ�&�Ĺ�$_;��;-Ѵ|_� o�m7-|bomĺ
;�bm]ķ��ĺķ�ş��1�oul-1hķ��ĺ�ŐƑƏƐѵőĺ�$;ѴѴ�l;ķ�_o��7o��o��7;=bm;�r;uvomŊ 1;m|u;7m;vvĵ�Journal of Clinical Nursingķ�26ķ�ƑƔƏƖŋƑƔƐƏĺ
�hl-mķ��ĺķ�"�;70;u]ķ��ĺķ�$-=|ķ��ĺķ��bm7v;|_ķ��ĺķ��ou0;u]ķ��ĺķ��ubmhķ��ĺķ�Ļ� "�mm;u_-];mķ��ĺ�"ĺ� ŐƑƏƐƐőĺ��;uvomŊ1;m|;u;7�1-u;ŋu;-7�� =ou�rubl;� |bl;ĺ�European Journal of Cardiovascular Nursingķ�10ķ�ƑƓѶŋƑƔƐĺ�_||rv� Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺ;f1m��uv;ĺƑƏƐƐĺƏѵĺƏƏѶ
ou7ķ�+ĺķ��;�l-mķ��ĺķ�ş��_-rl-mķ�+ĺ��ĺ�ŐƑƏƐƓőĺ��-|b;m|vŝ�r;u1;r|bomv�o=� 0;7vb7;�_-m7o==Ĺ�$_;�m;;7�=ou�-�1�Ѵ|�u;�o=�-Ѵ�-�vĺ�Journal of Nursing Care Qualityķ�29ķ�ƒƕƐŋƒƕѶĺ
�uo�;vķ��ĺ�"ĺķ��-m];vķ��ĺ��ĺķ�ş�"1o||Ŋ�-�b;�;ѴѴķ��ĺ�ŐƑƏƐѵőĺ��-m7bm]��==� "-=;|��-|�|_;��;7vb7;ĺ�Clinical Nursing Researchķ�25ķ�ƓƕƒŋƓƖƒĺ�_||rv�Ĺņņ 7obĺou]ņƐƏĺƐƐƕƕņƐƏƔƓƕ�ƕƒѶƐѵ�ѵƒƏƔƒƔ
�ovrb|-Ѵ��omv�l;u��vv;vvl;m|�o=��;-Ѵ|_1-u;��uo�b7;uv�-m7�"�v|;lv� Ő�����"ő� ŐƑƏƐѵőĺ� Environmental Services: Delivering on the Patient- Centered Promiseĺ�!;|ub;�;7�=uol�_||rvĹņņ���ĺ1olr-vvom;_;-Ѵ|_Ŋ 1-u;ĺ1olņ=bѴ;vņƖƕƐƔņƏѶƕƖņƐѶƐƕņ��ō�olr-vvō�m;ō)_b|;r-r;uō bm-ѴƐĺr7=ĺ
�o_mvomķ��ĺķ�"-m1_;�ķ��ĺķ�ş�,_;m]ķ��ĺ�ŐƑƏƐѵőĺ�$_;�blr-1|�o=�-m�bm|;]u-|;7� m�uvbm]�_-m7o�;u�v�v|;l�om�m�uv;vŝ�v-|bv=-1|bom�-m7��ouh�ru-1|b1;vĺ� Journal of Clinical Nursingķ� 25ķ� ƑƔƕŋƑѵѶĺ� _||rv�Ĺņņ7obĺou]ņƐƏĺƐƐƐƐņ jocn.13080
�;uuķ� ĺķ��Ѵblķ�"ĺķ��;ѴѴ�ķ��ĺ��ĺķ�ş��1�-mmķ�$ĺ�ŐƑƏƐѵőĺ��lr-1|�o=�-�lo7b=b;7� m�uvbm]�_-m7o�;u�lo7;Ѵ�=ou�blruo�bm]�m�uvbm]�1-u;�-m7�7o1�l;m|-Ŋ |bom�bm�|_;�;l;u];m1��7;r-u|l;m|Ĺ���ru;Ŋ�-m7�rov|ŊblrѴ;l;m|-|bom� v|�7�ĺ�International Journal of Nursing Practiceķ�22ķ�ѶƖŋƖƕĺ�_||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐƐƐņbfmĺƐƑƒѵƔ�
�;uuķ� ĺķ���ķ�"ĺķ�ş��1�bmѴ-�ķ��ĺ�ŐƑƏƐƒőĺ��;7vb7;�_-m7o�;u�;m_-m1;v�1olŊ rѴ;|bom�o=�m�uvbm]�1-u;�-m7�7o1�l;m|-|bomĺ�Journal of Nursing Care Qualityķ� 28ķ� ƑƐƕŋƑƑƔĺ� _||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƖƕņ�� ĺƏ0ƏƐƒ�;ƒƐѶƑ� 8aa6e0
��ѴѴ0;u]ķ��ĺķ�"_-urķ��ĺķ� -_Ѵķ��ĺķ��u-m70;u]ķ�+ĺķ�ş��;u];ml-uķ��ĺ�ŐƑƏƐѶőĺ� ��uv;�r;u1;r|bomv�o=�r;uvomŊ1;m|;u;7�_-m7o�;uv�bm�|_;�om1oѴo]b1-Ѵ� bmr-|b;m|�v;||bm]�ŋ���t�-Ѵb|-|b�;�v|�7�ĺ�International Journal of Nursing Studies. 86ķ�ƓƓŋƔƐ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺbfm�u�v|�ĺƑƏƐѶĺƏѵĺƏƏƐ
��ѴѴ0;u]ķ� �ĺķ� "_-urķ� �ĺķ� �o_-mvvomķ� �ĺķ� ş� �;u];ml-uķ� �ĺ� ŐƑƏƐƔőĺ� �m=oul-|bom� ;�1_-m];� bm� om1oѴo]b1-Ѵ� bmr-|b;m|� 1-u;� Ŋ� �-|b;m|�
v-|bv=-1|bomķ�r-u|b1br-|bomķ�-m7�v-=;|�ĺ�Eur J Oncol Nursķ�19ķ�ƐƓƑŋƐƓƕĺ� _||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺ;fomĺƑƏƐƓĺƐƏĺƏƏƔ
��ѴѴ0;u]ķ��ĺķ�"_-urķ��ĺķ��o_-mvvomķ��ĺķ��u-m70;u]ķ�+ĺķ�ş��;u];ml-uķ��ĺ� ŐƑƏƐƕőĺ��-|b;m|�v-|bv=-1|bom�-=|;u�blrѴ;l;m|-|bom�o=�r;uvomŊ1;m|u;7� _-m7o�;u�bm�om1oѴo]b1-Ѵ�bmr-|b;m|�1-u;�ŋ���1uovvŊv;1|bom-Ѵ�v|�7�ĺ�PLoS ONEķ�12ķ�;ƏƐƕƔƒƖƕĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƒƕƐņfo�um�-Ѵĺrom;ĺƏƐƕƔƒƖƕ
�;;ķ�!ĺ��ĺķ�ş��-u�bmķ�$ĺ�ŐƑƏƏƒőĺ��o�bm]�=uol�bm=oul-|bom�|u-mv=;u�|o�bm=ouŊ l-|bom�;�1_-m];�bm�_;-Ѵ|_�-m7�_;-Ѵ|_�1-u;ĺ�Social Science and Medicineķ� 56ķ�ƓƓƖŋƓѵƓĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņ"ƏƑƕƕŊƖƔƒѵŐƏƑőƏƏƏƓƔŊ*
�om]|bmķ�+ĺķ�"-�ķ��ĺķ��;-r;ķ��ĺ��ĺķ�"_;ub7-mķ�"ĺ��ĺķ� om-Ѵ7vomķ��ĺķ�ş��b||;|ķ� ĺ�ŐƑƏƐƏőĺ��-|b;m|�r-u|b1br-|bomĹ���uu;m|�hmo�Ѵ;7];�-m7�-rrѴb1-0bѴŊ b|��|o�r-|b;m|�v-=;|�ĺ�Mayo Clinic Proceedingsķ�85ķ�ƔƒŋѵƑĺ�_||rv�Ĺņņ7obĺ ou]ņƐƏĺƓƏѵƔņl1rĺƑƏƏƖĺƏƑƓѶ
�ouķ��ĺķ��uoohvķ��ĺķ�ş�$Ѵ�1�;hķ��ĺ�ŐƑƏƐѵőĺ���ruorov;7�lo7;Ѵ�o=�r;uvomŊķ� =-lbѴ�Ŋķ�-m7�1�Ѵ|�u;Ŋ1;m|;u;7�m�uvbm]�1-u;ĺ�Nursing Outlookķ�64ķ�ƒƔƑŋ ƒѵѵĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺo�|Ѵo�ohĺƑƏƐѵĺƏƑĺƏƏѵ
��rb;ubķ��ĺķ��u;-||bķ��ĺķ�ş��-Ѵ;v;ķ��ĺ�ŐƑƏƐѵőĺ��-u7boŊ|_ou-1b1�v�u]b1-Ѵ�r-Ŋ |b;m|vŝ�;�r;ub;m1;�om�0;7vb7;�m�uvbm]�_-m7o�;uvĹ� bm7bm]v� =uol�-� t�-Ѵb|-|b�;�v|�7�ĺ�Intensive and Critical Care Nursingķ�35ķ�ƑѶŋƒƕĺ�_||rv� Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺb11mĺƑƏƐƔĺƐƑĺƏƏƐ
�-Ѵ=-b|ķ�"ĺķ��;1hѴooķ��ĺķ���v|ķ��ĺķ�(-m�b;v;mķ�)ĺķ�ş�(-m�;1h;ķ��ĺ�ŐƑƏƐѵőĺ� ;-vb0bѴb|�ķ� -rruorub-|;m;vvķ� l;-mbm]=�Ѵm;vv� -m7� ;==;1|b�;m;vv� o=� r-|b;m|�r-u|b1br-|bom�-|�0;7vb7;�v_b=|�u;rou|bm]Ĺ��b�;7Ŋl;|_o7�u;Ŋ v;-u1_�ruo|o1oѴĺ�Journal of Advanced Nursing. 73ķ�ƓѶƑŋƓƖƓĺ�_||rv�Ĺņņ 7obĺou]ņƐƏĺƐƐƐƐņf-mĺƐƒƐƔƓ�
�-Ѵ=-b|ķ�"ĺķ��;1hѴooķ��ĺķ�(-m��b;v;mķ�)ĺķ� ;u�1h;u;ķ��ĺķ���v|ķ��ĺķ�ş�(-m� �;1h;ķ� �ĺ� ŐƑƏƐѶőĺ� �olrѴb-m1;� �b|_� -� v|u�1|�u;7� 0;7vb7;� _-m7oŊ �;u� ruo|o1oѴĹ� �m� o0v;u�-|bom-Ѵķ� l�Ѵ|b1;m|u;7� v|�7�ĺ� International Journal of Nursing Studiesķ�84ķ�ƐƑŋƐѶĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺbfm�u� v|�ĺƑƏƐѶĺƏƓĺƏƐƐ
�1��uu-�ķ��ĺķ��_-0o�;uķ�)ĺķ�)-ѴѴbvķ��ĺķ��o_mvomķ��ĺķ�ş��;_uh;ķ�$ĺ�ŐƑƏƐƐőĺ� �-|b;m|vŝ�r;uvr;1|b�;v�o=�0;7vb7;�m�uvbm]�_-m7o�;uĺ� Collegianķ� 18ķ� ƐƖŋƑѵĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƐѵņfĺ1oѴ;]mĺƑƏƐƏĺƏƓĺƏƏƓ
�ou]-mķ�"ĺķ�ş�+o7;uķ��ĺ��ĺ� ŐƑƏƐƑőĺ���1om1;r|�-m-Ѵ�vbv�o=�r;uvomŊ1;mŊ |;u;7� 1-u;ĺ� Journal of Holistic Nursingķ� 30ķ� ѵŋƐƔĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐƕƕņƏѶƖѶƏ�ƐƏƐƐƐ�ƓƐƑƐѶƖ
!-7|h;ķ��ĺ�ŐƑƏƐƒőĺ��lruo�bm]�r-|b;m|�v-|bv=-1|bom��b|_�m�uvbm]�1oll�mbŊ 1-|bom��vbm]�0;7vb7;�v_b=|�u;rou|ĺ�Clinical Nurse Specialistķ�27ķ�ƐƖŋƑƔĺ� _||rv�Ĺņņ7obĺou]ņƐƏĺƐƏƖƕņ�&!ĺƏ0ƏƐƒ�;ƒƐѶƑ�ƕƕƕƏƐƐ
"-m7Ŋ�;1hѴbmķ��ĺķ�ş�"_;ul-mķ��ĺ�ŐƑƏƐƓőĺ���t�-m|b|-|b�;�-vv;vvl;m|�o=�r-Ŋ |b;m|�-m7�m�uv;�o�|1ol;v�o=�0;7vb7;�m�uvbm]�u;rou|�blrѴ;l;m|-|bomĺ� Journal of Clinical Nursingķ�23ķ�ƑѶƔƓŋƑѶѵƒĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƐƐƐņ fo1mĺƐƑƔƕƔ�
"1_;b7;m_;Ѵlķ�"ĺķ�ş�!;b|�ķ��ĺ��ĺ� ŐƑƏƐƕőĺ��-u7�bubm]�0;7vb7;� v_b=|� u;Ŋ rou|ĺ� Journal of Nursing Administrationķ� 47ķ� ƐƓƕŋƐƔƒĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƏƖƕņ���ĺƏƏƏƏƏ�ƏƏƏƏƏ�ƏƏƏƓƔƕ
" "� ŐƑƏƐƔő� Patientlag 2014:821ĺ� �m� ƑƏƐƓĹѶƑƐĺ� ��v|b|b;7;r-u|;l;m|;|ķ� "|o1h_oѴlĺ
"_-ul-ķ�$ĺ��ĺ�!ĺķ��-l=ou7ķ��ĺ��ĺ�!ĺķ�ş� o7l-mķ� ĺ��ĺ�!ĺ��ĺ��ĺ�ŐƑƏƐѵőĺ� �;uvomŊ�1;m|u;7�1-u;Ĺ��m�o�;u�b;��o=�u;�b;�vĺ�Contemporary Nurseķ� 51ķ�ƐŋƒƏĺ
"hu;|Ŋ�-]b;uѴoķ��ĺķ�!-vķ�!ĺķ��-um-vķ��ĺķ�ş�"hu;|ķ��ĺ�ŐƑƏƐѵőĺ���-Ѵ�-|bom�o=� |_;�_ovrb|-Ѵ�;m�buoml;m|�=ou��ol;m��b|_�;m7ol;|ub-Ѵ�1-m1;uĺ�Annals of Agricultural and Environmental Medicineķ�23ķ�ƔƐƐŋƔƐѵĺ�_||rv�Ĺņņ7obĺ ou]ņƐƏĺƔѵƏƓņƐƑƒƑƐ�ƖѵѵĺƐƑƐƖƑƏƐ
"l;�Ѵ;uvķ��ĺķ���1-vķ��ĺķ�ş�(;ul;�Ѵ;mķ��ĺ�ŐƑƏƐƓőĺ��==;1|b�;m;vv�o=�7b==;uŊ ;m|�m�uvbm]�_-m7o�;u�v|�Ѵ;v�=ou�;mv�ubm]�1om|bm�b|��o=�bm=oul-|bom� bm�_ovrb|-Ѵbv;7�r-|b;m|vĺ�Cochrane Database of Systematic Reviews 6ķ� � ƏƏƖƖƕƖĺ
"|-]];uvķ� �ĺķ� ş� �Ѵ-�ķ� �ĺ� )ĺ� ŐƑƏƐƒőĺ� !;v;-u1_� om� m�uvbm]� _-m7Ŋ o==v� =ou� l;7b1-Ѵ� -m7� v�u]b1-Ѵ� v;||bm]vĹ� �m� bm|;]u-|b�;� u;Ŋ view. Journal of Advanced Nursingķ� 69ķ� ƑƓƕŋƑѵƑĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐƐƐņfĺƐƒѵƔŊƑѵƓѶĺƑƏƐƑĺƏѵƏѶƕĺ�
"|-]];uvķ��ĺķ��Ѵ-uhķ��ĺķ��Ѵ-�ķ��ĺ�)ĺķ�ş��-rv-m7o�ķ�"ĺ�ŐƑƏƐƐőĺ�)_��r-|b;m|� v�ll-ub;v�bm�;Ѵ;1|uomb1�_;-Ѵ|_�u;1ou7v�7o�mo|�ruo�b7;�|_;�1o]mb|b�;�
ƒƑƕƏՊ�|Պ�ՊՍ KULLBERG Et aL.
v�rrou|�m;1;vv-u��=ou�m�uv;vŝ�_-m7o==v�om�l;7b1-Ѵ�-m7�v�u]b1-Ѵ��mb|vĹ� �mvb]_|v�=uol�bm|;u�b;�v�-m7�o0v;u�-|bomvĺ�Health Informatics Journalķ� 17ķ�ƑƏƖŋƑƑƒĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƐƕƕņƐƓѵƏƓ�ƔѶƑƐƐ�ƓƏƔѶƏƖ
"�_om;mķ�!ĺķ��;u]ķ��ĺķ� �7�-ѴѴķ��ĺķ��-Ѵ-=-|bķ��ĺķ��-|-fbv|oķ��ĺķ��-m7ķ��ĺķ�Ļ� �;bmoŊ�bѴrbķ��ĺ� ŐƑƏƐƏőĺ��7-r|bm]� |_;� �m7b�b7�-Ѵb�;7��-u;�"1-Ѵ;� =ou� 1uovvŊ1�Ѵ|�u-Ѵ� 1olr-ubvomĺ� Scandinavian Journal of Caring Sciencesķ� 24ķ�ƒƖƑŋƓƏƒĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƐƐƐņfĺƐƓƕƐŊѵƕƐƑĺƑƏƏƖĺƏƏƕƐƑĺ�
"�_om;mķ�!ĺķ��_-u-Ѵ-l0o�vķ��ĺķ��;u]ķ��ĺķ��-|-fbv|oķ��ĺķ��;lomb7o�ķ��ĺķ� �-|bu-hbķ��ĺķ�Ļ�!-7�bmķ��ĺ��ĺ�ŐƑƏƐѵőĺ��ovrb|-Ѵbv;7�1-m1;u�r-|b;m|vĽ�r;uŊ 1;r|bomv�o=�bm7b�b7�-Ѵbv;7�m�uvbm]�1-u;�bm�=o�u���uor;-m�1o�m|ub;vĺ� European Journal of Cancer Care (Engl) 27ķ�ƐƐƔƔŋƐƐѵƕĺ
"�_om;mķ� !ĺķ� �=v|-|_bo�ķ� �ĺķ� $v-m]-ubķ� �ĺķ� �-uovo�-ķ� ĺķ� �;bmoŊ�bѴrbķ� �ĺķ� �-|bu-hbķ� �ĺķ� Ļ� �-r-v|-�uo�ķ� �ĺ� ŐƑƏƐƑőĺ� �-|b;m|vŝ� -m7� m�uv;vŝ� r;u1;r|bomv� o=� bm7b�b7�-Ѵbv;7� 1-u;Ĺ� �m� bm|;um-|bom-Ѵ� 1olr-u-Ŋ |b�;� v|�7�ĺ� Journal of Clinical Nursingķ� 21ķ� ƐƐƔƔŋƐƐѵƕĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐƐƐņfĺƐƒѵƔŊƑƕƏƑĺƑƏƐƐĺƏƒѶƒƒĺ�
"�_om;mķ� !ĺķ� �;bmoŊ�bѴrbķ� �ĺķ� ş� (-Ѵbl-hbķ� �ĺ� ŐƑƏƏƔőĺ� ;�;Ѵorl;m|� -m7� rv�1_ol;|ub1� ruor;u|b;v� o=� |_;� �m7b�b7�-Ѵb�;7� �-u;� "1-Ѵ;ĺ� Journal of Evaluation in Clinical Practiceķ� 11ķ� ƕŋƑƏĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐƐƐņfĺƐƒѵƔŊƑƕƔƒĺƑƏƏƒĺƏƏƓѶƐĺ�
"�_om;mķ� !ĺķ� �-r-v|-�uo�ķ� �ĺķ� �=v|-|_bo�ķ� �ĺķ� $v-m]-ubķ� �ĺķ� �-uovo�-ķ� ĺķ� �;bmoŊ�bѴrbķ� �ĺķ� Ļ� �;uho�ubvķ� �ĺ� ŐƑƏƐƑőĺ� �-|b;m|� v-|bv=-1|bom� -v� -m� o�|1ol;� o=� bm7b�b7�-Ѵbv;7� m�uvbm]� 1-u;ĺ� Scandinavian Journal of Caring Sciencesķ� 26ķ� ƒƕƑŋƒѶƏĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐƐƐņfĺƐƓƕƐŊѵƕƐƑĺƑƏƐƐĺƏƏƖƓƒĺ�
"�_om;mķ� !ĺķ� "1_lb7|ķ� �ĺ� �ĺķ� ş� !-7�bmķ� �ĺ� ŐƑƏƏƕőĺ� �;-v�ubm]� bm7bŊ �b7�-Ѵb�;7� m�uvbm]� 1-u;Ĺ� �vv;vvl;m|� o=� u;Ѵb-0bѴb|�� -m7� �-Ѵb7b|�� o=� |_u;;� v1-Ѵ;vĺ� Journal of Advanced Nursingķ� 59ķ� ƕƕŋѶƔĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐƐƐņfĺƐƒѵƔŊƑѵƓѶĺƑƏƏƕĺƏƓƑѶƑĺ�
"�_om;mķ�!ĺķ�"|oѴ|ķ��ĺķ��;u]ķ��ĺķ��-|-fbv|oķ��ĺķ��;lomb7o�ķ��ĺķ��-|bu-hbķ��ĺķ� Ļ��_-u-Ѵ-l0o�vķ��ĺ�ŐƑƏƐѶőĺ��-m1;u�r-|b;m|vŝ�r;u1;r|bomv�o=�t�-Ѵb|�Ŋ o=Ŋ1-u;� -||ub0�|;vŊ�vvo1b-|bomv��b|_� -];ķ� r;u1;b�;7� _;-Ѵ|_� v|-|�vķ� ];m7;u�-m7�;7�1-|bomĺ�Journal of Clinical Nursingķ�27ķ�ƒƏѵŋƒƐѵĺ�_||rv� Ĺņņ7obĺou]ņƐƏĺƐƐƐƐņfo1mĺƐƒƖƏƑ�
"�_om;mķ�!ĺķ�(-Ѵbl-hbķ��ĺķ��;bmoŊ�bѴrbķ��ĺķ�ş��-|-fbv|oķ��ĺ�ŐƑƏƏƓőĺ�$;v|bm]� |_;�bm7b�b7�-Ѵb�;7�1-u;�lo7;Ѵĺ�Scandinavian Journal of Caring Sciencesķ� 18ķ�Ƒƕŋƒѵĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƐƐƐņfĺƐƓƕƐŊѵƕƐƑĺƑƏƏƓĺƏƏƑƔƔĺ�
"�_om;mķ� !ĺķ� �hbķ࢜Ѵbl࢜) �ĺķ� ş� �;bomoŊ�bѴrbķ� �ĺ� ŐƑƏƏƔőĺ� �m7b�b7�-Ѵb�;7� 1-u;ķ� t�-Ѵb|�� o=� Ѵb=;� -m7� v-|bv=-1|bom� �b|_� m�uvbm]� 1-u;ĺ� Issues and Innovations in Nursing Practiceķ� 50ķ� ƑѶƒŋƑƖƑĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƐƐƐņfĺƐƒѵƔŊƑѵƓѶĺƑƏƏƔĺƏƒƒƖƐĺ�
$_olvomķ��ĺķ�$o�u-m];-�ķ��ĺķ��;==vķ��ĺķ�ş���|vķ��ĺ�ŐƑƏƐƕőĺ� -1|ouv�-==;1|Ŋ bm]�t�-Ѵb|��o=�m�uv;�v_b=|�_-m7o�;u� bm�|_;�;l;u];m1��7;r-u|l;m|ĺ� Journal of Advanced Nursingķ�74ķ�ѶƕѵŋѶѶѵĺ�_||rv�Ĺņņ7obĺou]ņƐƏĺƐƐƐƐņ jan.13499
)oѴ=ķ� ĺ��ĺķ� �;_l-mķ��ĺķ� �bmѴbmķ�!ĺķ�,�ѴѴoķ�$ĺķ�ş��o==l-mķ��ĺ� ŐƑƏƏѶőĺ� �==;1|�o=�r-|b;m|Ŋ1;m|;u;7�1-u;�om�r-|b;m|�v-|bv=-1|bom�-m7�t�-Ѵb|�� o=� 1-u;ĺ� Journal of Nursing Care Qualityķ� 23ķ� ƒƐѵŋƒƑƐĺ� _||rv�Ĺņņ7obĺ ou]ņƐƏĺƐƏƖƕņƏƐĺ�� ĺƏƏƏƏƒ�ƒѵѵƕƑĺƏƑƕƑƔĺ-Ɣ
"&���!$������ �!��$���
�77b|bom-Ѵ� v�rrou|bm]� bm=oul-|bom� l-�� 0;� =o�m7� omѴbm;� bm� |_;� "�rrou|bm]��m=oul-|bom�v;1|bom�-|�|_;�;m7�o=�|_;�-u|b1Ѵ;ĺՓ
How to cite this article:���ѴѴ0;u]��ķ�"_-ur��ķ��o_-mvvom��ķ� �u-m70;u]�+ķ��;u];ml-u��ĺ��lruo�;7�r-|b;m|�v-|bv=-1|bom�Ƒ� �;-uv�-=|;u�bm|uo7�1bm]�r;uvomŊ1;m|u;7�_-m7o�;u�bm�-m� om1oѴo]b1-Ѵ�bmr-|b;m|�1-u;�v;||bm]ĺ�J Clin Nurs. 2019;28:3262– 3270. _||rv�Ĺņņ7obĺou]ņƐƏĺƐƐƐƐņfo1mĺƐƓƖƏƒ�