20.500.12556/RUL-184684 Vloga delovnoterapevtske obravnave na domu pri starejših odraslih – pregled literature diplomsko delo The role of home based occupational therapy among older adults – scoping review diploma work Uvod: Staranje prebivalstva povečuje potrebo po pristopih, ki starejšim odraslim omogočajo čim daljše, varno in kakovostno bivanje v domačem okolju. Delovna terapija na domu ima pri tem pomembno vlogo, saj z ocenjevanjem funkcionalnega stanja, prilagajanjem okolja, uporabo podpornih pripomočkov ter podporo pri izvajanju vsakodnevnih aktivnosti prispeva k ohranjanju samostojnosti starejših odraslih. V slovenskem prostoru je ta vloga posebej aktualna v kontekstu razvoja sistema dolgotrajne oskrbe. Namen: Namen diplomskega dela je bil pregledati obstoječo literaturo o delovnoterapevtski obravnavi na domu pri starejših odraslih ter opredeliti njeno vlogo pri ohranjanju samostojnosti. Metode dela: Uporabljen je bil sistematični pregled znanstvene literature. Iskanje je potekalo marca 2026 v podatkovnih bazah PubMed, CINAHL in Web of Science prek Digitalne knjižnice Univerze v Ljubljani. Študije so bile izbrane na podlagi vnaprej določenih vključitvenih in izključitvenih kriterijev. Proces izbire literature je bil prikazan s PRISMA diagramom, metodološka kakovost pa ocenjena z JBI ocenjevalnimi orodji. Raven dokazov je bila določena po merilih AOTA. Rezultati: V končno analizo je bilo vključenih 12 člankov, objavljenih med letoma 2016 in 2026. Raziskave so bile izvedene v različnih državah in z različnimi metodološkimi pristopi. Ugotovitve kažejo, da delovnoterapevtska obravnava na domu vključuje predvsem prilagoditve domačega okolja, trening osnovnih in širših dnevnih aktivnosti, uvajanje podpornih pripomočkov, preprečevanje padcev, podporo pri vzpostavljanju rutin ter izobraževanje uporabnikov in svojcev. Vloga delovnega terapevta se kaže tudi v okviru reablement pristopov in storitev dolgotrajne oskrbe, kjer podpira samostojnost, varnost in vključenost starejših odraslih. Razprava in zaključek: Pregled literature potrjuje, da ima delovna terapija pomembno vlogo pri ohranjanju samostojnosti starejših odraslih v domačem okolju, predvsem preko individualiziranih in na posameznika usmerjenih obravnavi. Kljub pozitivnim učinkom se med raziskavami pojavljajo razlike v pristopih, trajanju in vsebini obravnavi, kar otežuje neposredno primerjavo rezultatov. Ugotovitve poudarjajo potrebo po nadaljnjem raziskovanju, zlasti na področju dolgoročnih učinkov in prenosa obravnavi v različne sisteme dolgotrajne oskrbe. Rezultati so pomembni tudi za slovenski prostor, kjer razvoj dolgotrajne oskrbe odpira možnosti za večjo vključitev delovne terapije v podporo starejšim odraslim pri bivanju doma. Introduction: Population ageing increases the need for approaches that enable older adults to live safely and independently in their home environment for as long as possible. Home-based occupational therapy plays an important role by assessing functional abilities, adapting the environment, introducing assistive devices, and supporting daily activities to maintain independence. In Slovenia, this role is particularly relevant in the context of the development of long-term care. Aim: The aim of this thesis was to review existing literature on home-based occupational therapy for older adults and to define its role in maintaining independence. Methods: A systematic literature review was conducted. The search was carried out in March 2026 in the PubMed, CINAHL, and Web of Science databases via the Digital Library of the University of Ljubljana. Studies were selected based on predefined inclusion and exclusion criteria. The selection process was presented using a PRISMA diagram, while methodological quality was assessed using JBI appraisal tools. Levels of evidence were determined according to AOTA criteria. Results: A total of 12 articles published between 2016 and 2026 were included in the final analysis. The studies were conducted in different countries and used various methodological approaches. Findings show that home-based occupational therapy interventions mainly include environmental modifications, training in activities of daily living and instrumental activities, introduction of assistive devices, fall prevention, support in establishing routines, and education of users and caregivers. The role of occupational therapists is also evident within reablement approaches and long-term care services, where they support independence, safety, and participation of older adults. Discussion and conclusion: The review confirms that occupational therapy plays an important role in maintaining independence of older adults in the home environment, particularly through individualized and client-centered interventions. However, variations in intervention approaches, duration, and content across studies limit direct comparison of results. The findings highlight the need for further research, especially regarding long-term effects and implementation within different long-term care systems. The results are relevant for Slovenia, where the development of long-term care creates opportunities for greater integration of occupational therapy in supporting aging in place. diplomska dela delovna terapija vsakodnevne aktivnosti domače okolje samostojnost dolgotrajna oskrba diploma theses occupational therapy daily activities ageing in place independence long-term care true false false [N. Osredkar] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-07-12 07:46:03 2026-07-12 07:46:11 2026-07-17 10:14:58 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana X, 34 str., [18] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.851 160493 285207043 59621.pdf 59621.pdf 1 07F01D02EA4EDB1E30B7EBE213F3112B a84ee8718e64eeb05708fcb622b0d7d803547bb4ce79320a2a678a4e42742f70 d6c4d04c-7db4-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=237631 Zdravstvena fakulteta 0 0 0