Rehabilitacija po amputaciji zgornjega uda : diplomsko delo

Žunko, Nastja (author), Marušič, Vita (mentor)

Uvod: Rehabilitacija oseb po amputaciji udov je sestavljena iz aktivnosti za čim večjo osamosvojitev pri opravljanju dnevnih aktivnosti. Sem sodijo testiranje pripomočkov za večjo samostojnost v domačem okolju, testiranje in izdelava ustrezne proteze za manjkajoči ud ter učenje namestitve in uporabe proteze pri izvajanju vsakodnevnih aktivnosti. Namen: Namen pregleda znanstvenih virov je bil ugotoviti, kakšni so izsledki raziskav glede obravnave oseb po amputaciji zgornjih udov. Metode dela: Uporabili smo deskriptivno metodo, in sicer pregled domače ter tuje strokovne in znanstvene literature. Literaturo smo iskali s pomočjo spletnih bibliografskih baz ter s pomočjo revij in zbornikov tako v fizični kot s pomočjo bibliografskih baz. Rezultati: Rehabilitacija oseb po amputaciji zgornjega uda se mora začeti že pred samo amputacijo, če je le-ta načrtovana oziroma takoj po njej, če ni načrtovana, ter nato nadaljevati do popolne reintegracije v družbo. Cilj rehabilitacije oseb po amputaciji udov je približati se psihofizičnemu in socialnemu stanju pred amputacijo, kar je odvisno od sodelovanja osebe, vzroka in višine amputacije uda ter spremljajočih bolezenskih stanj. S protezami se še vedno ne da povrniti vseh funkcij človeške roke, vendar jo lahko le - ta le delno nadomesti. Razprava in zaključek: Pri rehabilitaciji oseb po amputaciji zgornjega uda je poudarek na timski obravnavi. Delovni terapevt je pomemben član tima in sodeluje z osebo v vseh fazah rehabilitacije. V prvi fazi pozornost posveča psihoterapevtski podpori - lajšanju bolečine in negi krna. V nadaljevanju soodloča o izbiri proteze za uporabnika, učenju in treningu nameščanja in uporabe le-te v vsakodnevnih aktivnostih. Tehnologija izdelave protez se nenehno izboljšuje, toda roke kot organa izraza in zaznave v bližnji prihodnosti ne bo nadomestila.

• Language: Slovenian
• Keywords: zgornji ud, amputacija, rehabilitacija, delovna terapija
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2019
• PID: 20.500.12556/RUL-111790
• COBISS.SI-ID: 5709163
• Publication date in RUL: 13.10.2019

ŽUNKO, Nastja, 2019, Rehabilitacija po amputaciji zgornjega uda : diplomsko delo [online]. Bachelor’s thesis. [Accessed 11 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=111790

Secondary language

• Language: English
• Title: Rehabilitation after upper limb amputation : diploma work

Abstract

Introduction: Rehabilitation after upper limb amputation consists of activities to maximize amputees’ independence in performing activities of daily living. This includes testing devices for greater independence in home environment, testing and fabrication of suitable prosthesis for the missing limb, learning how to attach and use the prosthesis as a limb replacement. Purpose: The aim of scientific sources overview was to determine what are the research findings on treatment of patients following upper limb amputation. Methods: We used the descriptive method, reviewing domestic and foreign professional and scientific literature. The literature was obtained from online bibliographic databases, and from journals and proceedings both in print and online editions. Results: Rehabilitation after upper limb amputation should begin before the amputation itself, if the amputation is planned, or immediately after, if it is not planned, and then continues until complete reintegration into society. The goal of rehabilitation after limb amputation is to achieve similar psychophysical and social conditions prior to the amputation, which depends on the patient’s collaboration, cause and level of limb amputation, and accompanying medical conditions. Prostheses still cannot restore all functions of a human hand. Discussion and conclusion: Rehabilitation after upper limb amputation focuses on team treatment approach. Occupational therapist is an important member of the team and interacts with the recipient during all stages of rehabilitation. The first stage focuses on psychotherapeutic support, pain relief and stump care. Later in the process, they co-decide on prosthesis for the amputee, training attaching and using it in activities of daily living. The technology of prostheses manufacturing is constantly improving, but it will not replace the hand as an organ of expression and perception in the near future.

• Keywords: upper limb, amputation, rehabilitation, occupational therapy