20.500.12556/RUL-183169 Delovna terapija pri gluhih in naglušnih odraslih diplomsko delo Occupational therapy for deaf and hard-of-hearing adults diploma work Uvod: Po svetu število odraslih oseb z okvaro sluha in gluhih vztrajno narašča, s tem pa se pojavljajo številni izzivi, s katerimi se te osebe srečujejo v vsakdanjem in delovnem okolju. Med najpogostejšimi oblikami prevladujeta starostna in poklicna okvara sluha. Posamezniki s temi težavami potrebujejo ustrezno rehabilitacijo in podporo za ohranjanje samostojnosti in kakovosti življenja. Namen: Namen diplomskega dela je bil pridobiti vpogled v vlogo delovnih terapevtov pri obravnavah gluhih in naglušnih odraslih oseb ter prepoznati področja, kjer je njihovo vključevanje najbolj potrebno in učinkovito. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo pregleda literature. Iskanje je potekalo v podatkovnih bazah CINAHL, Web of Science in PubMed v angleškem jeziku. Uporabljene so bile ključne besede: deaf, hard of hearing, hearing loss, hearing impairment, occupational hearing loss, noise-induced hearing loss, presbycusis, age-related hearing loss AND occupational therapy, OT, occupation, meaningful activit, activities of daily living, ADL, vocational rehabilitation, workplace adaptation. Časovna omejitev iskanja je bila med leti 2015 in 2025. Rezultati: V končno analizo smo vključili 9 člankov, ki so bili ocenjeni po kakovosti. Izvedli smo tematsko in deskriptivno analizo člankov. Na podlagi tematske analize smo izpostavili pet glavnih tem: komunikacijska dostopnost in ovire v različnih okoljih, opolnomočenje, samozagovorništvo in psihosocialno sprejemanje okvare, poklicna rehabilitacija in vključevanje na trg dela, podporna tehnologija in strategije za večjo samostojnost ter kompetence strokovnjakov in vrzel v izobraževanju. Razprava in zaključek: Osebe z okvaro sluha in gluhi se pogosto vključujejo v proces poklicne rehabilitacije, kjer so strokovnjaki pomembni povezovalci med uporabniki z okvaro sluha in delodajalci. Za uspeh rehabilitacije je ključno razvijanje samozagovorništva, saj se posamezniki zaradi stigme pogosto izogibajo uporabi pripomočkov in socialnim interakcijam. Večje vključevanje delovnih terapevtov na področju podporne tehnologije, bi lahko bistveno zmanjšalo opuščanje pripomočkov. Do opuščanja lahko prihaja zaradi osebnih, okolijskih, tehničnih ali drugih dejavnikov. Kritična pomanjkljivost v zdravstvenem sistemu ostaja nepoznavanje osnov znakovnega jezika ter kulture gluhih, kar onemogoča vzpostavljanje zaupnega terapevtskega odnosa. Rezultati opozarjajo na nujnost posodobitve študijskih programov delovne terapije, ki se trenutno preveč osredotoča le na anatomsko zgradbo organa, premalo pa na praktične strategije komuniciranja in specifične delovnoterapevtske intervencije za to populacijo. Introduction: The number of adults with hearing impairment and deafness is steadily increasing worldwide, which brings numerous challenges that these people face in their everyday and work environments. The most common forms are age-related and occupational hearing loss. Individuals with these problems need appropriate rehabilitation and support to maintain their independence and quality of life. Purpose: The purpose of the thesis was to gain insight into the role of occupational therapists in the treatment of deaf and hard of hearing adults and to identify areas where their involvement is most necessary and effective. Methods: In the thesis, we used the descriptive method of literature review. The search was conducted in the CINAHL, Web of Science, and PubMed databases in English. The keywords used were: deaf, hard of hearing, hearing loss, hearing impairment, occupational hearing loss, noise-induced hearing loss, presbycusis, age-related hearing loss AND occupational therapy, OT, occupation, meaningful activity, activities of daily living, ADL, vocational rehabilitation, workplace adaptation. The search time limit was between 2015 and 2025. Results: We included 9 articles in the final analysis, which were evaluated for quality. We conducted a thematic and descriptive analysis of the articles. Based on the thematic analysis, we highlighted five main themes: communication accessibility and barriers in different environments, empowerment, self-advocacy and psychosocial acceptance of impairment, vocational rehabilitation and integration into the labor market, assistive technology and strategies for greater independence, and the competencies of experts and the gap in education. Discussion and conclusion: People with hearing impairments and the deaf are often included in the process of vocational rehabilitation, where experts are important connectors between users with hearing impairments and employers. Developing self-advocacy is crucial for the success of rehabilitation, as individuals often avoid using devices and social interactions due to stigma. Greater involvement of occupational therapists in the field of assistive technology could significantly reduce the abandonment of devices. Abandonment can occur due to personal, environmental, technical or other factors. A critical flaw in the healthcare system remains the lack of knowledge of the basic sign language and deaf culture, which prevents the establishment of a confidential therapeutic relationship. The results highlight the need to update occupational therapy study programs, which currently focus too much on the anatomical structure of the organ and too little on practical communication strategies and specific occupational therapy interventions for this population. diplomska dela delovna terapija gluhi in naglušni poklicna rehabilitacija samozagovorništvo podporna tehnologija diploma theses occupational therapy deaf and hard of hearing vocational rehabilitation self-advocacy assistive technology true false false [A. Jazbinšek] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-06 07:45:38 2026-06-06 07:46:02 2026-06-08 08:01:23 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana IX, 24 str., [15] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.851 159996 280729091 59275.pdf 59275.pdf 1 88AC9F87943A2C1168E59D6E3ED7E6C4 4d0db621d6f4d6c782099ae8b83e43dbd0d0e632da45308becafbd8947a37e78 a1c97bea-616a-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=235036 Zdravstvena fakulteta 0 0 0