20.500.12556/RUL-188321 Delovnoterapevtske intervencije pri osebah z amputacijo zgornje okončine diplomsko delo Occupational therapy interventions for individuals with upper limb amputation diploma work Uvod: Amputacija zgornje okončine predstavlja pomemben zdravstveni in družbeni problem, saj vpliva na funkcionalno sposobnost, samostojnost in socialno vključenost posameznika. Rehabilitacija po amputaciji je celosten proces, v katerem ima delovna terapija ključno vlogo pri ponovni vzpostavitvi vsakodnevnega funkcioniranja in kakovostnega življenja. Namen: Namen pregleda literature je bil raziskati obstoječo znanstveno in strokovno literaturo, ki opisuje delovnoterapevtske intervencije pri obravnavi oseb z amputacijo zgornje okončine. Metode dela: Opravili smo pregled literature. Iskanje znanstvenih in strokovnih člankov je potekalo v treh podatkovnih bazah: CINAHL, OTSEEKER in PUBMED. Izdelali smo tudi tabelo ocene relevantnosti. Pri izboru literature smo upoštevali vnaprej določene vključitvene in izključitvene kriterije. V pregled smo vključili študije, ki so obravnavale osebe z amputacijo zgornje okončine, pri čemer so bile v ospredju delovnoterapevtske intervencije v kontekstu rehabilitacijskega okolja. Vključeni članki so bili kvalitativne in kvantitativne študije, pregledni članki ter strokovni članki. Iskanje literature je bilo omejeno na članke objavljene v slovenskem in angleškem jeziku. Postopek izbora študij je predstavljen v PRISMA diagramu. Rezultati: V končno analizo smo vključili 18 člankov, ki so ustrezali vključitvenim kriterijem. V pregled literature so bile vključene 4 kvantitativne in 2 kvalitativni študiji, 3 študije z integracijo kvalitativnih in kvantitativnih metod, 8 strokovnih člankov in 1 pregled literature. Z vsebinsko analizo člankov smo oblikovali 6 tem, zaradi obsežnosti tematike pa še 17 podtem. Razprava in zaključek: Delovnoterapevtske intervencije pri osebah z amputacijo zgornje okončine so raznolike in morajo biti individualno prilagojene uporabnikovim sposobnostim, ciljem, stopnji amputacije, uporabi proteze ter življenjskemu okolju. Poudarek je na učenju kompenzacijskih strategij, uporabi prilagojenih pripomočkov in prilagoditvi izvedbe vsakodnevnih aktivnosti. Pri osebah, ki uporabljajo protezo, je pomembna postopna predprotetična priprava, učenje osnovne kontrole proteze in vključevanje proteze v smiselne vsakodnevne aktivnosti. Pomemben del obravnave predstavljajo tudi nega krna, desenzitizacija, obvladovanje fantomske bolečine, edukacija in psihosocialna podpora. Delovna terapija je bistveni del celostne rehabilitacije oseb z amputacijo zgornje okončine, vendar je obstoječa literatura na tem področju omejena. V prihodnje bi bile potrebne dodatne študije, predvsem takšne, ki bi podrobneje opisovale učinkovitost posameznih delovnoterapevtskih intervencij. Koristna bi bila pa tudi kakšna študija izvedena v slovenskem prostoru. Introduction: Upper limb amputation represents a significant medical and social issue, as it affects an individual's functional ability, independance and social participation. Rehabilitation following amputation is a comprehensive process in which occupational therapy plays a key role in restoring everyday function and quality of life. Purpose: The aim of the literature review was to investigate the existing scientific and professional literature describing occupational therapy interventions in the treatment of individuals with upper limb amputation. Methods: A literature search was carried out. Scientific and professional articles were searched in three databases: CINAHL, OTSEEKER and PUBMED. A relevance assessment table was also developed. Predefined inclusion and exclusion criteria were applied during literature selection process. The review included studies involving individuals with upper limb amputation, with a particular focus on occupational therapy interventions within the context of rehabilitation setting. The included sources contained qualitative and quantitative studies, review articles and professional articles. The literature search was limited to articles published in slovenian and english languages. The study selection process is presented in the PRISMA diagram. Results: A total of 18 articles meeting the inclusion criteria were included in the final analysis. Among them were 4 quantitative and 2 qualitative studies, 3 studies employing a mixed method approach that integrated qualitative and quantitative methodologies, 8 professional articles and 1 literature review. Through content analysis 6 main themes and 17 subthemes were identified. Discussion and conculsion: Occupational therapy interventions for individuals with upper extremity amputation are diverse and must be individually modified to the user's abilities, goals, level of amputation, prosthetic use and living environment. Emphasis is placed on learning compensatory strategies, using assistive devices and adapting the performance of daily activities. For prosthetic users rehabilitation emphasizes gradual pre-prosthetic preparation, acquision of basic control skills and the integration of the prosthesis into meaningful daily tasks. Residual limb care, desensitization, phantom limb pain management, education and psychosocial support are also essential components of treatment. Occupational therapy represents a crucial element of comprehensive rehabilitation, however, the current body of literature remains limited. Future studies should focus on evaluating the effectivness of specific interventions. Studies conducted in the slovenian context would also be beneficial. diplomska dela delovna terapija rehabilitacija protetična rehabilitacija aktivnosti vsakodnevnega življenja prilagoditvene strategije funkcionalna neodvisnost kakovost življenja diploma theses occupational therapy rehabilitation prosthetic rehabilitation activities of daily living adaptive strategies functional independence quality of life true false false [T. Kosi] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-09-20 07:45:42 2026-09-20 07:45:55 2026-09-22 09:46:47 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana IX, 33 str., [10] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.851 165521 291944707 65202.pdf 65202.pdf 1 0EE377F20EF1992771CB598B7646FF9B dcfdd5d85b0ebf1584b8f9ab0b5de9c16111dbc7d339722ccfa10cf04e292a19 7ece06fd-b4b6-11f1-8bc5-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=248354 Zdravstvena fakulteta 0 0 0