Avtor/Urednik		Grabljevec, Klemen
Naslov		Določanje ciljev v rehabilitaciji pacientov z možgansko poškodbo
Prevedeni naslov		Goal setting in rehabilitation of patients after traumatic brain injury
Tip		članek
Vir		In: Določanje ciljev rehabilitaciji : zbornik predavanj : proceedings Ljubljana : Univerzitetni rehabilitacijski inštitut Republike Slovenije - Soča : = University Rehabilitation Institute, Republic of Slovenia
Vol. in št.		Letnik 17, št. supl. 1
Leto izdaje		2018
Obseg		str. 71-78
Jezik		slv
Abstrakt		Izhodišča: Rehabilitacija pacientov z možgansko poškodbo je primarno usmerjena v doseganje dostojanstva in ustvarjalnega življenja oseb v obdobju po možganski poškodbi. Določanje ciljev v rehabilitaciji pacientov po možganski poškodbi ne štejemo kot administrativno dejavnost, ampak klinični ukrep. Zanima nas, kako določanje ciljev v rehabilitaciji po poškodbi glave poteka na primerljivih oddelkih v Evropski uniji. Zato smo izvedli mednarodno raziskavo z metodo spletne pošte med zdravniki - specialisti fizikalne in rehabilitacijske medicine, zaposlenimi na oddelkih, ki so v celoti ali delno namenjeni rehabilitaciji oseb z možgansko poškodbo. Metode: Z namenom preverjanja načina določanja ciljev rehabilitacije po možganski poškodbi smo po elektronski pošti naslovili vprašalnik desetim specialistom FRM, ki so zaposleni na 12 oddelkih za rehabilitacijo po možganski poškodbi znotraj Evropske unije; identičen vprašalnik je v imenu Oddelka za rehabilitacijo po možganskih poškodbah URI-Soča izpolnil tudi avtor tega prispevka. Rezultati: Raziskava ni pokazala velike variabilnosti v načinu izvajanja procesa določanja ciljev med različnimi evropskimi oddelki za rehabilitacijo po možganski poškodbi. Način določanja ciljev rehabilitacije pri bolnikih po možganski poškodbi na URI-Soča odstopa od načina dela večine oddelkov v raziskavi, in sicer v smislu, da je manj usmerjena v bolnika, cilji so zabeleženi v opisni obliki (ne s poimenovanjem po Mednarodni klasifikaciji funkcioniranja), doseganje ciljev je preverjeno redkeje, komunikacija s skrbniki o doseganju ciljev bolnika pa ni organizirana kot reden dogodek. Zaključek: Proces določanja ciljev rehabilitacije na področju obravnave bolnikov z možgansko poškodbo je v vseh oddelkih, vključenih v mednarodno multicentrično raziskavo, standarden in k pacientu usmerjen postopek, vendar na URI-Soča poteka le delno usmerjeno v pacienta in z manj sodelovanja in komunikacije s skrbniki kot v primerljivih rehabilitacijskih ustanovah.Background: Rehabilitation after traumatic brain injury is primarily aimed to achieve the dignity and productive way of life for the persons with brain injury. Goal setting in brain injury rehabilitation is not an administrative tool, but it is a clinical intervention. Our aim was to collect data about goal setting process among the comparable brain injury departments in European Union. Therefore we conducted internatonal e-survey among PRM specialists, working on departments predominantly serving for traumatic brain injury rehabilitation. Methods: With aim to collect data about goal setting process in traumatic brain injury rehabilitation, we dispetched a survey by e-mail among 10 PRM specialists, working on 12 different departments for brain injury rehabilitation in the European Union. The same survey was answered also by the author for the Department for brain injury rehabilitation at the University Rehabilitation Institute Ljubljana. Results: Results of our survey did not confirm a remarkable variability in the process of goal setting among different european brain injury rehabilitation departments. Nevertheless the goal setting process in rehabilitation after brain injury at University Rehabilitation Institute Ljubljana differs from process of the majority of other departments in the meaning of less patient oriented process, using only descriptive nomenklature for describing goals (not using ICF nomenklature), less frequent checking of goal achievement and lesser communication with relatives about goals. Conclusions: Goal setting process in rehabilitation after brain injury is standardized and patient oriented clinical intervention in all departments included in this multicentric survey, but runs less patient oriented, and with less communication among team members as well between team members and relatives.
Deskriptorji		Goals Rehabilitation
Proste vsebinske oznake		goals setting rehabilitation brain injuries multicentric survey določanje ciljev rehabilitacija možgabske poškodbe multicentrična raziskava