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Research

Quality Management

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Methods

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Physical Activity

A fourth component of a clinical health promotion programme physical activity. One of our projects investigated the effect of prehabilitation and early rehabilitation after spinal surgery. The prehabilitation included an intensive exercise programme and optimization of the analgesic treatment. Protein drinks were given the day before surgery. The early postoperative rehabilitation included balanced pain therapy with self-administered epidural analgesia, doubled intensified mobilization and protein supplements. The integrated programme of prehabilitation and early rehabilitation improved the outcome and shortened the hospital stay - without more complications, pain or dissatisfaction. The integrated programme of prehabilitation and early rehabilitation in spine surgery is more cost-effective compared to standard care programme alone.

Co-morbidity

The VIP project investigates health and co-morbidity for patients at “Beroendecentrum Malmö”. These patients often have more risk factors and chronic medical diseases than the rest of the population, but specific knowledge about the Swedish context does not exist. This project seeks to identify the effect of adding health promotion activities to treatment of alcohol and drug misuse.

Nutrition

A third component in a clinical health promotion programme is intervention towards overweight and malnutrition. In these areas we have tested a model for systematic registration of overweight and malnutrition as two of five significant health determinants. Except for the waist measurement, the evaluation of usefulness showed a high degree of understanding, applicability and sufficiency for the health determinants. Another research project has shown that the restricted perioperative intravenous fluid regimen aiming at unchanged body weight reduces complications after elective colorectal resection.

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