Avtor/Urednik     Košorok, V
Naslov     Rehabilitacija po hudi poškodbi glave - ocenjevanje funkcionalnega izida po mednarodni klasifikaciji okvar, prizadetosti in oviranosti
Tip     monografija
Kraj izdaje     Ljubljana
Založnik     Medicinska fakulteta
Leto izdaje     1994
Obseg     str. 79
Jezik     slo
Abstrakt     Changes in the overall functional state of 30 severe head injured patients have been evaluated. Assessing the outcomes 3, 6, 12 and 24 month after injury, four different assessment scales have been used (International Classification of Impairments, Disabilities and Handicaps - ICIDH, Disability Rating Scale - DRS, Functional Independence measure - FIM, and Glasgow Outcome Scale - GOS) for monitoring sequential changes in the degree of functional disability. In the assessment procedure patients were interviewed and examined as to their functional state. Thirty-six months or more after injury, patients were asked to answer the questionnaire. It was constructed according to the classes in the ICIDH for describing the subjective perception of the problems caused by disability. A comparison of the answers of the patients and the assessment results was made. The extent of improvement and the residual deficits 2 and 3 years after severe head injury are reported. Only 2 patients of 30 reached the level of a good recovery, while the rest remained mildly to moderately disabled. Residual motor disturbances were mild, while the psycho-social disability remained severe and mostly permanent. The impact of these consequences of the injury is deeply devastating not only for the patient but also for his family and the society itself (physical, mental, behavioural and personality changes-disturbances with consequent unemployment and social dependence, their profound impact on the well-being and quality of life of the patient and his relatives, financial burder for the family and the society well). Studying correlationships between variables which determine the functional state of patients at different stages of recovery, we found a significant correlation between psychological and social variables (p less th. 0.001). World-wide experiences in this domain, as well as the results of this study, undoubtedly support the role and importance of neurorehabilitation.(trunc.)
Deskriptorji     GLASGOW COMA SCALE
HEAD INJURIES
TRAUMA SEVERITY INDICES
DISABILITY EVALUATION
QUESTIONNAIRES