Avtor/Urednik     Bolle, Nika; Kuret, Zala
Naslov     Epidemija COVID-19 kot priložnost za uvedbo klinično utemeljenih sprememb pri obravnavi oseb s kronično nerakavo bolečino
Prevedeni naslov     COVID-19 epidemic as an opportunity to introduce clinically justified changes to treating persons with chronic nonmalignant pain
Tip     članek
Vir     65166083
Vol. in št.     Letnik 20, št. supl. 1
Leto izdaje     2021
Obseg     str. 94-102
Jezik     slv
Abstrakt     Izhodišča: Epidemija COVID-19 je leta 2020 v Sloveniji onemogočila dostop do celostne obravnave kronične nerakave bolečine, ki je ob predolgih čakalnih vrstah že tako težko dostopna. Da bi obravnavo znova omogočili, in to enakemu številu bolnikov kot pred epidemijo, smo v Ambulanti za kronično nerakavo bolečino URI - Soča uvedli hibridni model interdisciplinarnega rehabilitacijskega programa, ki delno poteka v prostorih URI - Soča in delno na daljavo, telerehabilitacijsko. Zanimalo nas je, ali so bolniki s takšnim načinom dela zadovoljni. Metode: V retrospektivni študiji smo primerjali rezultate vprašalnika o zadovoljstvu z interdisciplinarnim rehabilitacijskim programom pri 363 bolnikih. Zanimalo nas je, v kolikšni meri so s programom zadovoljni bolniki, ki so program obiskovali v času, ko je ves čas potekal v URI - Soča, in v kolikšni meri bolniki, ki so ga obiskovali v času, ko je potekal delno na URI - Soča, delno na daljavo. Rezultati: Zadovoljstvo bolnikov z interdisciplinarnim programom pred in med epidemijo COVID-19 je visoko pri obeh skupinah bolnikov, vendar med epidemijo statistično značilno nižje pri bolnikih, ki obiskujejo manj intenzivno različico programa. Ti bolniki imajo manj terapevtskega stika v živo kot drugi bolniki, so starejši, manj izobraženi in manj prilagojeni na tehnologijo, ki se uporablja pri telerehabilitaciji. Z razporeditvijo rehabilitacijskih aktivnosti pa so v času epidemije statistično značilno bolj zadovoljni bolniki v intenzivnejši različici programa. Zaključki: Bolniki s kronično nerakavo bolečino so glede na rezultate sprejeli hibridni model rehabilitacije in so z njim zadovoljni. V bodoče bomo stremeli k temu, da model še izboljšujemo in prilagajamo različnim populacijam naših bolnikov.Background: In 2020, the COVID-19 epidemics in Slovenia abruptly prevented chronic nonmalignant pain patients from attending comprehensive treatment, which already has unacceptable waiting times. To enable treatment for the same number of patients as before the epidemics, our outpatient rehabilitation service introduced a hybrid model of the interdisciplinary rehabilitation programme, consisting of on-site and telerehabilitation treatment. Our aim was to assess chronic pain patients' satisfaction with this approach. Methods: The retrospective study on 363 patients compared the results of a questionnaire on patient satisfaction with the programme between the groups of patients who attended the pre-epidemics-era on-site programme and the epidemics-era hybrid (on-site and telerehabilitation) programme. Results: Patient satisfaction with the interdisciplinary programme was high before and during the COVID-19 epidemics. It was statistically significantly lower for patients who attended the less intense version of the programme, possibly due to receiving less on-site therapist care, their higher age, lower education and less technological knowledge, which can be a hurdle in telerehabilitation. Patients in the intense version of the programme, on the other hand, reported statistically significantly higher satisfaction with the timetable and activity arrangement. Conclusions: Chronic nonmalignant pain patients have accepted the hybrid model of rehabilitation and reported their high satisfaction with it. Our outpatient service will strive to improve the hybrid model further and adapt it for the needs of our various patient populations.
Deskriptorji     Rehabilitation
COVID-19
Proste vsebinske oznake     kronična nerakava bolečina
telerehabilitacija
interdisciplinarni rehabilitacijski program
epidemija
zadovoljstvo pacientov
rehabilitacija
chronic nonmalignant pain
telerehabilitation
interdisciplinary rehabilitation programme
epidemics
patient satisfaction
rehabilitation