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Oskrba uporabnikov s terapevtskimi pripomočki po zlomu kolka v procesu rehabilitacije v zdravilišču Dolenjske Toplice : diplomsko delo
ID Golob, Maruška (Author), ID Popit, Sara (Author), ID Galof, Katarina (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Za starostnike je kakovost življenja v današnjem času zelo pomembna in je bistvenega pomena za produktivno in zdravo življenje tudi v tem življenjskem obdobju. S starostjo se posamezne aktivnosti izvajajo počasneje, poslabša se občutek za ravnotežje, slabšata se vid in sluh. Padci predstavljajo eno glavnih težav tretjega življenjskega obdobja. Namen: Namen diplomskega dela je bil raziskati, kakšna je vloga delovnega terapevta pri oskrbi uporabnikov po zlomu kolka kot posledice padca, uporabo katerih pripomočkov jim svetuje, kateri so po mnenju udeležencev dejavniki tveganja za nastanek padca in s kakšnimi težavami se srečujejo udeleženci, ki so bili pred padcem samostojni. Metode dela: Uporabljena je bila kvalitativna metoda raziskovanja. Narejen je bil pregled literature, na podlagi katerega smo pripravili izhodišča za kvalitativno raziskovanje s pomočjo intervjujev. V raziskavi je prostovoljno sodelovalo šest oseb, ki so bile vključene v Center za Medicinsko rehabilitacijo v Dolenjskih Toplicah in so bile obravnavane zaradi zloma kolka. Vzorec intervjujev je bil zajet v mesecu avgustu 2018. Izvedenih je bilo šest intervjujev, kjer so v prvem delu odgovarjali na demografska vprašanja, v drugem delu pa še na 11 odprtih vprašanj, kjer so pripovedovali o svoji nezgodi na podlagi lastnih izkušenj, misli, stališč in občutkov. Dobljene rezultate smo utemeljili in primerjali z izsledki pregleda literature. Rezultati: Najpogostejši vzrok za padec so bili izguba ravnotežja, nezadostna pazljivost, utrujenost in vrtoglavica. Posledice padca so bile vidne na različne načine, in sicer v obliki bolečin, nesamostojnosti, omejenega gibanja in podobno. Najpogosteje uporabljena pripomočka sta bila hodulja in bergle. Večina sodelujočih v raziskavi je navedla, da je bila nesamostojna pri umivanju, oblačenju in opravljanju gospodinjskih del. Sodelujoči se tudi zavedajo, da se da padec preprečiti z boljšo telesno pripravljenostjo in ravnotežjem, z dobro mišično močjo in s prilagoditvami tako v bivalnem okolju kot tudi v zunanjem okolju. Razprava in zaključek: S pomočjo kvalitativne analize smo dobili odgovore na zastavljena raziskovalna vprašanja. Veliko različnih dejavnikov lahko privede do padca, kot najpogostejši so bili navedeni naslednji: nezadostna pazljivost oziroma pozornost, izguba ravnotežja ter vrtoglavica in utrujenost. Padec lahko povzroči veliko nevšečnosti, še posebej pri starejših ljudeh, pri katerih traja okrevanje dlje časa. Prišli smo do zaključka, da je zlom kolka zelo pogost in dolgotrajen proces, predvsem pri starejših osebah, ki se zgodi nenadoma, sama rehabilitacija pa traja daljše časovno obdobje. Na hitrost celjenja vplivata motivacija in volja poškodovanega. Vloga delovnega terapevta je zelo pomembna za uspešnost zdravljenja. S svetovanjem ustreznega pripomočka delovni terapevti pripomorejo k hitrejšemu napredku in skrajšujejo ležalno dobo.

Language:Slovenian
Keywords:zlom kolka, rehabilitacija, pripomočki za mobilnost, prilagoditve, delovna terapija
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2019
PID:20.500.12556/RUL-106889 This link opens in a new window
COBISS.SI-ID:5599339 This link opens in a new window
Publication date in RUL:24.03.2019
Views:3118
Downloads:813
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Secondary language

Language:English
Title:The treatment of patients with therapeutic equipment in the process of rehabilitation after hip fracture at the center for medical rehabilitation in Dolenjske Toplice : diploma work
Abstract:
Introduction: For the elderly, the quality of their life today is very important. It is essential that they are productive and healthy throughout this era of life as well. With age, individual activities are performed more slowly, while the sense of balance, vision and hearing deteriorate. Falls represent one of the main problems of older people. Purpose: The purpose of this diploma thesis is to investigate the role of a healthcare worker after a hip fracture, what devices they recommend people use, what, according to the participants, are the risk factors for falls, and what difficulties the participants who were self-sufficient before, are now faced with. Methods: A qualitative method of research was used. An overview of literature was conducted, based on which we prepared the starting point for a qualitative research through interviews. Six people who were treated for hip fractures at the Center for Medical Rehabilitation in Dolenjske Toplice, voluntarily participated in the study. These interviews were carried out in August, 2018. The interviews consisted of two parts. In part one, the participants answered questions about demography, while in part two, they answered eleven open questions in which participants state their subjective experiences, thought, attitudes and feelings about their accident. The obtained results were compared with the results found in scientific literature. Results: The most common cause of falls was the loss of balance, carelessness, fatigue, and dizziness. The consequences of the fall were experienced in various ways – pain, dependence on others, limited movement, etc. The most commonly used mobility aids were walkers and crutches. Most of the interviewees were able to bathe, dress, and perform household chores by themselves. The users are aware that falls can be prevented with better physical fitness and balance, good muscular strength and adaptations in both domestic and external environments. Discussion and conclusion: With the help of research questions, we established the importance of a healthcare worker on the path to recovery. Using the appropriate devices contributes to a faster recovery and shortens the time of bed rest required. Among the most common factors that lead to a fall, are the following: carelessness or inattentiveness, loss of balance, dizziness, and fatigue. The fall itself, however, can cause a lot of inconvenience, especially as is the case with older people, whose recovery takes considerable time. We came to the conclusion that hip fractures are a very frequent occurrence and, what is more, the rehabilitation is a lengthy process. The speed of recovery is affected by the motivation and the will of the injured person.

Keywords:hip fracture, rehabilitation, recovery, devices, mobility aids, adaptations, occupational therapy

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