Avtor/Urednik		Rotar, Eli
Naslov		Sposobnost prepoznavanja težav in okrevanje
Prevedeni naslov		Ability to identify problems and recovery
Tip		članek
Vir		1664105
Leto izdaje		2012
Jezik		slv
Abstrakt		Izhodišča: Namen študije je bil ugotoviti, ali lahko s standardiziranim delovno terapevtskim testom Assessment of Awareness of Ability (A3), ki se uporablja v povezavi s testom Assessment of Motor and Process Skills (AMPS), ocenimo stopnjo zavedanja težav pri nevroloških bolnikih. Metode: V študijo je bilo vključenih 12 pacientov, od tega 4 po nezgodni možganski poškodbi, 3 z multiplo sklerozo, 3 s Parkinsonovo boleznijo in 2 po vnetnih možganskih procesih. S testom AMPS je delovni terapevt ugotavljal kvaliteto izvedbe dveh izbranih aktivnosti vsakodnevnega življenja, v nadaljevanju pa je pacient na podlagi vprašalnika A3 opisal, kje je imel težave. Ocene AMPS-a in A3 se primerjajo in tako dobimo stopnjo neskladja, ki obenem pomeni tudi stopnjo zavedanja pacientovih omejitev. Rezultati: Največ težav s prepoznavanjem svojih omejitev imajo pacienti z nižjo presečno vrednostjo na področju procesnih spretnosti, kar je pogosto značilno prav za paciente z nezgodno možgansko poškodbo. V tej skupini smo največkrat zasledili velika neskladja med oceno terapevta (ocena 1) in njihovim doživljanjem izvedbe aktivnosti. Zaključki: Kljub majhnemu številu pacientov, ki so bili vključeni v študijo, smo dobili določene informacije in sicer, da se pacienti z različnimi patologijami različno zavedajo svojih omejitev, da je zavedanje slabše pri tistih, ki imajo več težav na področju procesnih spretnosti. A3 se je izkazal kot uporaben delovno terapevtski instrument, saj nam dobljene informacije pomagajo načrtovati terapevtske programe.Background: The purpose of the study was to find out if Assessment of Awareness of Ability (A3), which was standardized on client-centred measure and was used in conjunction to Assessment of Motor and Process Skills (AMPS), could be used in assessing the level of awareness with neurological patients. Methods: The study included 12 patients, 4 of them after traumatic brain injury, 3 with multiple sclerosis, 3 with Parkinson's disease and 2 after inflammatory brain disorder. With the AMPS we measure a person`s quality of performance of activities of daily living (ADL) tasks. Based on a questionnaire A3 patients described where they had problems. By comparing the results we gained the level of awareness of their limitations. Results: Results showed that the patients with traumatic brain injuries and with lower score on process skills have more difficulties in recognizing their limitations. In this group large discrepancies between the therapist's assessment (score 1) and patients' assessments of their performance was observed. Conclusion: Despite small number of patients who participated in the study, we got some useful information, such as: there were differences in self-awareness of their abilities in different pathologies and awareness was lower with those who had more problems in process skills. A3 had proved to be useful therapeutic tool in occupational therapy intervention. However, acquired information is important for choosing, planning and implementing appropriate intervention strategies.
Deskriptorji		Occupational therapy
Proste vsebinske oznake		brain damage self-awareness Assessment of Awareness of Ability test delovna terapija možganske okvare samozavedanje