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Izvajanje okupacij oseb s Parkinsonovo boleznijo po globoki možganski stimulaciji : diplomsko delo
ID Levec, Nika (Author), ID Sicherl, Zorana (Mentor) More about this mentor... This link opens in a new window, ID Oven, Alenka (Reviewer)

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Abstract
Uvod: Parkinsonova bolezen je ena najpogostejših počasi napredujočih degenerativnih motenj gibanja, ki nastane zaradi pomanjkanja dopaminskih nevronov. Kaže se skozi različne motorične in nemotorične simptome, ki vplivajo na izvedbo okupacij in kakovost življenja obolelih oseb. Trenutno obstaja le simptomatsko zdravljenje Parkinsonove bolezni, med katere sodi tudi operativno zdravljenje z globoko možgansko stimulacijo. Namen: Namen diplomskega dela je bil pregledati literaturo na temo globoke možganske stimulacije in ugotoviti njene učinke na vsakodnevno delovanje oseb s Parkinsonovo boleznijo, kakovost izvajanja okupacij in kakovost njihovega življenja. Metode dela: Izveden je bil sistematični pregled literature. Na podlagi zastavljenih vključitvenih in izključitvenih kriterijev je bila literatura iskana v podatkovnih bazah Web of Science, CINAHL, Medline in OTseeker. Članki za končno analizo so bili izbrani glede na oceno relevantnosti in so bili deskriptivno in tematsko analizirani. Rezultati: V končno analizo je bilo vključenih 12 člankov, ki so dosegali različne nivoje relevantnosti ter vsebovali kvalitativne in kvantitativne metode ocenjevanja. Ugotovitve so bile strnjene v šest tem, ki opisujejo učinke globoke možganske stimulacije pri osebah s Parkinsonovo boleznijo na kakovost njihovega življenja, izvedbo okupacij, motorične in nemotorične simptome bolezni, potrebo po dopaminergičnih zdravilih ter kakšni so možni stranski učinki zdravljenja. Razprava in zaključek: Učinki globoke možganske stimulacije pri osebah s Parkinsonovo boleznijo so vidni v dolgoročnem izboljšanju kakovosti njihovega življenja, izvedbe okupacij ter nekaterih motoričnih in nemotoričnih simptomov bolezni. Izboljšanje motoričnih simptomov je bilo najbolj vidno v zmanjšanju tremorja, rigidnosti, bradikineze in motoričnih zapletov zaradi zdravil. Med nemotoričnimi simptomi je bilo izboljšanje opazno predvsem v zmanjšanju bolečine ter izboljšanju duševnega zdravja in kakovosti spanja. Z izboljšanjem motoričnih in nemotoričnih simptomov bolezni se je osebam s Parkinsonovo boleznijo izboljšala tudi kakovost izvedbe okupacij ter povečala vključenost v njim pomembne okupacijske vloge. Prav tako so po zdravljenju postali bolj samostojni v vsakodnevnem delovanju in se ponovno vključili v okupacije, ki so jih pred zdravljenjem morali zaradi bolezni opustiti. Zaradi izboljšanja kakovosti izvedbe okupacij se je zvišala tudi kakovost življenja oseb s Parkinsonovo boleznijo. Poleg pozitivnih učinkov so bili opaženi tudi negativni stranski učinki globoke možganske stimulacije.

Language:Slovenian
Keywords:diplomska dela, delovna terapija, degenerativne motnje gibanja, okupacijska izvedba, kakovost življenja, pregled literature
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[N. Levec]
Year:2024
Number of pages:35 str., [9] str. pril.
PID:20.500.12556/RUL-161395 This link opens in a new window
UDC:615.851
COBISS.SI-ID:207063299 This link opens in a new window
Publication date in RUL:11.09.2024
Views:189
Downloads:40
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Secondary language

Language:English
Title:Occupational engagement in patients with Parkinson's disease after deep brain stimulation : diploma work
Abstract:
Introduction: Parkinson's disease is one of the most common progressive degenerative movement disorders caused by a lack of dopamine neurons. The disease manifests itself through various motor and non-motor symptoms that affect the occupational performance and the quality of life of persons with Parkinson's disease. Currently, there is only symptomatic treatment for Parkinson's disease, including deep brain stimulation. Purpose: The purpose of the diploma work was to review the literature on deep brain stimulation and to determine its effects on everyday functioning of patients with Parkinson's disease, their occupational performance and quality of life. Methods: A literature review was conducted. Based on the inclusion and exclusion criteria, the literature was searched in the databases Web of Science, CINAHL, Medline and OTseeker. A combination of English keywords and Boolean operators AND and OR was used for the search. The studies for the final analysis were selected according to the assessment of relevance, based on my own criteria, and were descriptively and thematically analyzed. Results: Twelve articles were included in the final analysis. The analyzed articles reached different levels of relevance and contained qualitative and quantitative evaluation methods. The findings were summarized in six themes that describe the effects of deep brain stimulation in people with Parkinson's disease on their quality of life, ccupational performance, motor and non-motor symptoms of the disease, the need for dopaminergic medications and what are the possible side effects of the treatment. Discussion and conclusion: The effects of deep brain stimulation in people with Parkinson's disease are visible in the long-term improvement of their quality of life, occupational performance and some motor and non-motor symptoms of the disease. Improvement in motor symptoms was most evident in the reduction of tremor, rigidity, bradykinesia, and drug-induced motor complications. Among the non-motor symptoms, the improvement was mainly noticeable in the reduction of pain and the improvement of mental health and sleep quality. Due to the improvement of motor and non-motor symptoms of the disease, occupational performance and engagement also improved for people with Parkinson's disease. After the treatment they became more independent in their daily lives and re-engaged in the occupations that they had to give up due to the disease before the treatment. The level of quality of life of people with Parkinson's disease has also increased. In addition to positive effects, negative side effects of deep brain stimulation have also been observed.

Keywords:diploma theses, occupational therapy, degenerative movement disorders, occupational performance, quality of life, literature review

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