Avtor/Urednik		Bubnjar, Marija; Karapandža, Jurij; Kos, Nataša
Naslov		Vpliv zgodnje medicinske rehabilitacije na sposobnost gibanja starostnikov po zlomu proksimalnega dela stegnenice
Prevedeni naslov		Influence of early medical rehabilitation on mobility after hip fracture in elderly patients
Tip		članek
Vol. in št.		Letnik 17, št. 1
Leto izdaje		2018
Obseg		str. 19-24
ISSN		1580-9315 - Rehabilitacija
Jezik		slv
Abstrakt		Izhodišče: Zlom kolka je pogosta poškodba starostnikov. Namen našega dela je bil preveriti vpliv zgodnje medicinske rehabilitacije na sposobnost gibanja. Zanimalo nas je tudi, kako na napredek rehabilitacije vplivajo starost, predpoškodbeno funkcionalno stanje hoje, stopnja samostojnosti pri osnovnih dnevnih aktivnosti, kognitivno stanje, trajanje hospitalizacije, zapleti pri zdravljenju in kraj bivanja pred poškodbo. Metode: V prospektivno raziskavo smo vključili 50 poškodovancev, ki so bili hospitalizirani na Kliničnem oddelku za travmatologijo UKC Ljubljana. Z De Morton lestvico funkcionalne zmogljivosti (DEMMI) smo ocenjevali sposobnost gibanja, s testom risanja ure pa kognitivno stanje. Podatke o poškodovancih smo pridobili iz bolnišnične medicinske dokumentacije in vprašalnika. Rezultati: Povprečni napredek v oceni DEMMI je bil 17,4 točk. Pri poškodovancih, ki so živeli sami, je bilo povprečje razlike ocene DEMMI 22,8 točk. Pri poškodovancih, ki so bili samostojni pri hoji in osnovnih dnevnih aktivnostih, je povprečje razlike ocene DEMMI znašalo 23,2 točk oziroma 20,5 točk. Pri poškodovancih, starejših od 90 let, in poškodovancih s kognitivnim upadom je bilo povprečje razlike ocene DEMMI 5,8 točk oziroma 15,4 točk. Učinkovitost zgodnje medicinske rehabilitacije je bila odvisna tudi od trajanja hospitalizacije, in sicer je dosežek DEMMI za vsak dan hospitalizacije znašal 1,4 točke; odvisnosti od zapletov zdravljenja nismo potrdili. Zaključek: Zgodnja medicinska rehabilitacija starejših poškodovancev po zlomu kolka na Kliničnem oddelku za travmatologijo UKC Ljubljana je izboljšala njihovo sposobnost gibanja. Na izid vplivajo starost, kognitivno stanje, predpoškodbeno funkcijsko stanje in kraj bivanja pred poškodbo.Background: Hip fracture is a common injury in the elderly. We wanted to check the influence of early medical rehabilitation on mobility of such patients, and how much it depends on age, ability to walk and perform daily activities before the fracture, cognitive function, duration of hospital treatment, complications during treatment and social support. Methods: We included 50 injured people who had been hospitalised at the trauma department of the University Medical Centre (UMC) Ljubljana. We evaluated functional capacity with the De Morton Mobility Index (DEMMI) and cognitive function with the Clock drawing test. Other data were obtained from medical records and using a questionnaire. Results: The average progress in DEMMI score was 17.4 points. In the elderly who lived alone the average DEMMI progress was 22.8 points, in those who walked and performed basic everyday activities independently it was 23.2 points and 20.5 points, respectively. In those over 90 years old and with cognitive decline the average DEMMI progress was 5.8 points and 15.4 points, respectively. The success of early medical rehabilitation depended on the duration of hospitalisation: the average DEMMI score increase for every day of hospitalisation was 1.4 points; the effect of complications during the treatment has not been confirmed. Conclusion: Early medical rehabilitation after hip fracture in the elderly at the trauma department of the UMC Ljubljana improved their mobility. Age, cognitive status, daily activities, mobility and place of residence before the injury were associated with the rehabilitation outcome.
Deskriptorji		Hip Fractures Aged rehabilitation
Proste vsebinske oznake		early rehabilitation mobility elderly hip fracture De Morton Mobility Index DEMMI zgodnja rehabilitacija mobilnost starostniki zlom kolka De Morton lestvica funkcionalne zmogljivosti DEMMI