Avtor/Urednik		Podbregar, Primož; Grabljevec, Klemen; Kuret, Zala; Majdič, Neža; Casale, Roberto
Naslov		Obravnava bolečine v fizikalni in rehabilitacijski medicini v Sloveniji
Prevedeni naslov		Approach to pain management in physical and rehabilitation medicine in Slovenia
Tip		članek
Vol. in št.		Letnik 20, št. 2
Leto izdaje		2021
Obseg		str. 52-59
ISSN		1580-9315 - Rehabilitacija
Jezik		slv
Abstrakt		Izhodišča: Namen raziskave je bil določiti obseg in karakteristike problematike obravnave bolečine v rehabilitacijski medicini. Zanimalo nas je zaznavanje bremena zmanjšanih zmožnosti zaradi bolečine pri specialistih FRM, njihovo ocenjevanje bolečine, upoštevanje smernic ter navade pri uporabi farmakoloških, fizikalnih in minimalno invazivnih terapij; zanimala nas je tudi samoocena lastnih kompetenc za obravnavo bolečine ter ocena potrebe po dodatnem izpopolnjevanju za obravnavo bolečine. Metode: V sodelovanju s Strokovno interesno skupino za bolečino pri Evropskem združenju za FRM smo sestavili vprašalnik, ki smo ga prevedli in prilagodili za področje Slovenije. S pomočjo platforme za spletne ankete smo ga preko elektronske pošte posredovali članom Slovenskega združenja za fizikalno in rehabilitacijsko medicino. Rezultati: Vprašalnik je izpolnilo 28 specialistov FRM. Vseh 28 vprašanih je bilo mnenja, da bolečina vpliva na izid rehabilitacijske obravnave. Pri tem so delež ocenili z mediano 60 %. Mediana ocenjene pogostosti sledenja smernicam je bila 80 % primerov. Najpogosteje uporabljeni farmakološki terapiji za zdravljenje bolečine sta nesteroidni antirevmatiki in paracetamol; vsi vprašani uporabljajo fizikalne modalitete, minimalno invazivne tehnike pa 57 % vprašanih. Večina (86 %) je podala bodisi odgovor, da ima »nekaj kompetenc«, bodisi »dobre kompetence«, nihče pa odgovora »nimam kompetenc«. Le 14 % jih je menilo, da imajo zelo dobre kompetence. Zaključek: Članek po našem vedenju predstavlja prvi poskus opredelitve razsežnosti problematike bolečine v rehabilitacijskem okolju na ravni Republike Slovenije. Rezultati bodo lahko osnova za nadaljnje raziskave na tem področju ter potencial za oblikovanje ukrepov za izboljšanje razumevanja, odkrivanja in obvladovanja te naraščajoče problematike.Background: The purpose of our research was to determine the extent and characteristics of pain in rehabilitation medicine. We were interested in determining how the burden of reduced abilities due to pain is perceived by PRM specialists, their pain assessment, following of different guidelines and the use of pharmacological, physical and minimally invasive therapies as well as self-assessment of own pain management competencies and how they assess the need for additional training for pain management. Methods: In cooperation with the Special Interest Scientific Committee for Pain and Disability within European Society for PRM, we compiled a questionnaire, which we translated and adapted for Slovenia. Through an online survey platform, we emailed the questionnaire to the members of the Slovenian Society for Physical and Rehabilitation Medicine. Results: Twenty-eight FRM specialists completed the survey. All 28 respondents agreed that pain affects the outcome of rehabilitation. Impact of pain on rehabilitation outcome was estimated with a median of 60 %. At least one of available guidelines is followed by the respondents with a median of 80 % of their cases. The most frequently used pharmacological therapies for the treatment of pain are NSAIDs and paracetamol, all respondents use physical modalities, and minimally invasive techniques are used by 57 % of the respondents. The majority (86 %) gave either the answer that they have "some competencies" or "good competencies", while no one answered "I have no competencies", and only 14 % think that they have »very good competencies«. Conclusion: To our knowledge this is the first attempt to define the extent of pain management problems and its impact in the rehabilitation setting in Slovenia. The results will be used for further research in this area and to design measures for better understanding, detection and management of pain in rehabilitation medicine.
Deskriptorji		Pain Physical and Rehabilitation Medicine rehabilitation
Proste vsebinske oznake		rehabilitacija bolečina specialist fizikalne in rehabilitacijske medicine obvladovanje bolečine samoocena rehabilitation pain specialist in physical and rehabilitation medicine pain management self-assessment