Uporaba načel terapije sprejemanja in predanosti v delovnoterapevtski obravnavi oseb s kronično bolečino : diplomsko delo

Vidmar, Petra (author), Švajger, Andreja (mentor), Plemelj Mohorič, Alenka (reviewer)

Uvod: Kronična bolečina je najpogostejša bolečina, ki lahko povzroča težave na vseh področjih človekovega delovanja. Eden od terapevtskih pristopov k zmanjševanju in obvladovanju vpliva kronične bolečine je tudi terapija sprejemanja in predanosti, ki skozi čuječnost, sprejemanje, predanost in vedenjsko aktivacijo prispeva k večji psihološki fleksibilnosti, ki prek preusmeritve misli, vedenja, pozornosti vpliva na obvladovanje kronične bolečine. Delovni terapevti so člani interdisciplinarnega tima za obravnavo oseb s kronično bolečino, zato je pomembno, da v izvajanju obravnave razumejo in upoštevajo tudi načela kognitivno-vedenjskega referenčnega okvira. Namen: Z diplomskim delom smo želeli bolj natančno pregledati literaturo o tem, kako delovni terapevti v obravnavo oseb s kronično bolečino vključujejo načela terapije sprejemanja in predanosti. Metode dela: Izvedli smo sistematični pregled literature, objavljene od leta 2010 dalje. V analizo so bili vključeni članki, ki smo jih iskali s pomočjo spletnih bibliografskih baz, napisanih v slovenskem ali angleškem jeziku. Rezultati: Tematska analiza izbranih člankov je izpostavila temi čuječega izvajanja dejavnosti in povezavo med delovno terapijo in psihološko fleksibilnostjo. Ugotovljeno je bilo, da čuječe, t. i. namensko in namerno usmerjanje pozornosti lahko omogoča boljše izvajanje in vključevanje v dejavnosti. Vpliva tudi na spremembo in odzivanje ter na vedenje med samim izvajanjem. Delovnoterapevtska obravnava oseb s kronično bolečino pa lahko prispeva k psihološki fleksibilnosti, predvsem s podporo stika s sedanjim trenutkom, prepoznavanjem in upoštevanjem vrednot, poglabljanjem predane aktivnosti ter kognitivne difuzije in sprejemanja. Razprava in zaključek: Pregled omenjene literature je pokazal, da delovni terapevti v obravnavo oseb s kronično bolečino načela terapije sprejemanja in predanosti vključujejo z uporabo pristopa čuječnosti ter z nekaterimi elementi psihološke fleksibilnosti z omogočanjem sodelovanja v dejavnostih. Poleg omogočanja umeščanja formalne vadbe čuječnosti v vsakodnevno življenje kot pomembne strategije obvladovanja vpliva bolečine in stresa je vloga delovnega terapevta pomembna zlasti v vzpodbujanju neformalne vadbe ob izvajanju vsakodnevnih dejavnosti ob namenskem zavedanju in prepoznavanju misli, občutkov in odzivov.

• Language: Slovenian
• Keywords: diplomska dela, delovna terapija, trajajoča bolečina, kognitivno-vedenjska terapija, čuječnost, psihološka fleksibilnost
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [P. Vidmar]
• Year: 2022
• Number of pages: 20 str., [3] str. pril.
• PID: 20.500.12556/RUL-137307
• UDC: 615.851
• COBISS.SI-ID: 111374339
• Publication date in RUL: 10.06.2022

VIDMAR, Petra, 2022, Uporaba načel terapije sprejemanja in predanosti v delovnoterapevtski obravnavi oseb s kronično bolečino : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : P. Vidmar. [Accessed 3 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=137307

Secondary language

• Language: English
• Title: Application of the principles of acceptance and commitment therapy treatment of persons with chronic pain : diploma work

Abstract

Introduction: Chronic pain is the most common pain that can cause problems in all areas of human activity. One of the therapeutic approaches to reducing and managing the impact of chronic pain is the therapy of acceptance and devotion, which through alertness, acceptance, commitment and behavioral activation contributes to greater psychological flexibility, which through diversion of thought, behavior, attention affects chronic pain management. Occupational therapists are members of an interdisciplinary team for the treatment of people with chronic pain, so it is important that they understand and follow the principles of the cognitive-behavioral reference framework in the implementation of treatment. Purpose: The purpose of thesis, we wanted to review in more detail the literature on how occupational therapists include the principles of acceptance and commitment therapy in the treatment of people with chronic pain. Methods: We conducted a systematic review of the literature published since 2010. The analysis included articles that we searched for using online bibliographic databases written in Slovene or English. Results: The thematic analysis of selected articles highlighted the topics of vigilant performance of activities and the connection between occupational therapy and psychological flexibility. It was found that the vigilant, t. i. targeted and deliberate focusing can enable better implementation and involvement in activities. It also affects change and response to behavior during implementation. However, occupational therapy treatment of people with chronic pain can contribute to psychological flexibility, especially by supporting contact with the present moment, recognizing and respecting values, deepening committed activity, and cognitive diffusion and acceptance. Discussion and conclusion: A review of the limited literature has shown that occupational therapists incorporate the principles of acceptance and commitment therapy into treating people with chronic pain by using a mindfulness approach and addressing some elements of psychological flexibility through enabling participation in activities. In addition to enabling the placement of formal mindfulness training in everyday life as an important strategy for managing the effects of pain and stress, the role of occupational therapist is especially important in encouraging informal exercise while performing daily activities with purposeful awareness and recognition of thoughts, feelings and responses.

• Keywords: diploma theses, occupational therapy, ongoing pain, cognitive-behavioral therapy, alertness, psychological flexibility