Vloga svojcev pri rehabilitaciji oseb s pridobljeno možgansko poškodbo : diplomsko delo

Kristovič, Klara (author), Tomšič, Marija (mentor)

Uvod: Možgani so najbolj kompleksen organ v človeškem telesu. Gre za občutljiv organ, ki ga v primeru nesreče lahko poškodujemo, lahko pa tudi oboli in preneha normalno delovati. Na poškodbo glave ni vnaprej pripravljena nobena družina, po njej pa se vsi družinski člani nenadoma morajo soočiti še s problemi, ki so posledica poškodbe možganov pri njihovem bližnjem sorodniku. V procesu dolgotrajne rehabilitacije in pri ponovnem vključevanju osebe v skupnost ima ključno vlogo družina, zato jo vključujejo že v zgodnjem obdobju rehabilitacije. Namen: Namen diplomskega dela je ugotoviti, kako svojci pripomorejo k rehabilitaciji oseb s pridobljeno možgansko poškodbo. Poleg tega želimo ugotoviti, kakšne podpore so deležni svojci pri rehabilitaciji oseb s pridobljeno možgansko poškodboin s kakšnimiovirami se soočajo. Metode dela: Izvedli smo sistematičen pregled literature, ki temelji na protokolu in opisuje utemeljitev, hipotezo ter načrtovanje metode pregleda. Iskanje literature je potekalo po elektronskih bazah, in sicer Scince Direkt, DiKUL, Google Scholar. Omejitveni kriteriji za iskanje v bazah so bili: obdobje objave od 2004 do 2019, dostopnost celotnega besedila, objava v angleščini. Iskanje je potekalo od januarja 2019 do marca 2019 ter od maja 2019 do julija 2019. V pregled literature smo vključili 6 člankov. Potek dela smo prikazali s pomočjo PRISMA diagrama. Rezultati: Ključni izsledki študij so pokazali, da je sodelovanje svojcev pomembno za proces okrevanja in rehabilitacije poškodovanca. Prikazani pomembni dokazi izboljšanja rehabilitacije ob družinski podpori tako na kognitivnem kot motoričnem področju. Pomoč potrebujejo tudi svojci, ki so poročalio večji stopnji stresa v vsakdanjem življenju zaradi večjega števila vsakodnevnih opravil, številnih skrbi, pomanjkanja časa zase. Razprava in zaključek: Spopadanje s pridobljeno možgansko poškodbo je za družino izziv. Ugotovili smo, da je pomanjkanje podpore in odnosa temeljna ovira pri skupinskih participacijah poškodovane osebe ter da sta za poškodovanca najbolj značilna spodbujevalca motivacija in podpora družine, prijateljev ter skupnosti. Za terapevte in zdravstvene delavce je delo s svojci velikokrat zelo stresno in psihično utrujajoče. Svojci lahko hkrati delujejo kot podpora in kot ovira.

• Language: Slovenian
• Keywords: delovna terapija, nezgodna možganska poškodba, družina
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2019
• PID: 20.500.12556/RUL-112977
• COBISS.SI-ID: 5736299
• Publication date in RUL: 27.11.2019

KRISTOVIČ, Klara, 2019, Vloga svojcev pri rehabilitaciji oseb s pridobljeno možgansko poškodbo : diplomsko delo [online]. Bachelor’s thesis. [Accessed 11 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=112977

Secondary language

• Language: English
• Title: Relatives role with rehabilitation after aquired brain injury : diploma work

Abstract

Introduction: The brain is the most complex organ in the human body. It is a delicate organ, and it can be damaged in accidents or it can become ill and stop functioning normally. No family is ever prepared in advance for a head injury, they just suddenly have to deal with problems come as a consequence of a head injury. The family has a key role throughout the process of long-term rehabilitation and the reintegration of the person into the community; therefore, it is included in the early post-injury rehabilitation. Purpose: The purpose of this diploma is to find out how relative help rehabilitate people with acquired brain injury. Moreover, we want to find out what kind of support and obstacles relatives experience in rehabilitation of people with acquired brain injuries. Methods: We used a systematic review of the protocol-based literature that describes the rationale, hypothesis, and design of the review method. The literature search was conducted via electronic databases: Science Direkt, DiKUL, and Google Scholar. The criteria for searching the databases were, “publication period 2004 to 2019”, “accessible full text”, “published in English”. The search was conducted from January 2019 to March 2019 and from May 2019 to July 2019. In the literature review we included six articles. The workflow and data selection are presented by using the PRISMA diagram, key findings of the studies are also included in the literature review. Results: The key findings of the study have shown us that it is good for the family to cooperate in the process of recovery in rehabilitation. In the study are presented significant evidence on advancement of rehabilitation with family support on cognitive and motoric region. It is also the family who needs help. The relatives have expressed greater levels of stress in their daily lives due to more daily chores, many worries, lack of time for themselves, and new family roles. Discussion and conclusion: Dealing with acquired brain injury is a challenge for the family. Relatives often expect the impossible, so working with them is often very stressful and psychologically tiring. We found out that a lack of support and attitude was a fundamental obstacle to a person’s participation in a group, and that the most characteristic promoter was the motivation and support of the family, friends, and the community. A parent can at the same time act as a support and as an obstacle.

• Keywords: occupational therapy, acquired brain injury, family