Author/Editor     Bras, Nina
Title     Ocena nevropsihološkega statusa in njen pomen v procesu kompleksne rehabilitacije
Translated title     Assessment of neuropsychological status and its importance in the process of complex rehabilitation
Type     članek
Vol. and No.     Letnik 12, št. 2
Publication year     2013
Volume     str. 39-47
ISSN     1580-9315 - Rehabilitacija
Language     slv
Abstract     Izhodišča: Presejalna ocena nevropsihološkega statusa je pomembna na številnih kliničnih področjih, vključno s poklicno rehabilitacijo. V Centru za poklicno rehabilitacijo Univerzitetnega rehabilitacijskega inštituta Republike Slovenije Soča (CPR URI Soča) smo zato začeli uporabljati testno baterijo RBANS (Repeatable Battery for the Assessment of Neuropsychological Status), ki vključuje oceno petih področij kognitivnega funkcioniranja: neposredno pomnjenje, vizualno prostorske in konstrukcijske sposobnosti, jezikovne sposobnosti, pozornost in odloženo spominsko reprodukcijo. Metode: V preliminarno študijo smo zajeli 36 rehabilitantov (skupina je bila uravnotežena po spolu), ki so bili v interdisciplinarni timski obravnavi v zdravstvenem programu v CPR URI Soča. Poleg dosežkov na RBANS-u smo analizirali tudi primarne medicinske diagnoze, pridružene psihične motnje in izide rehabilitacije oziroma zaključno mnenje celotnega tima s predlogom reševanja zaposlitvene problematike. Rezultati: Vsi testi RBANS so se pokazali kot testi srednje težavnostne stopnje, razen testov pozornosti, ki so bili za naše preizkušance najtežji, in testov, ki merijo vizualno prostorske in konstrukcijske sposobnosti, ki so se na našem vzorcu izkazali za lažje. Med primarnimi diagnozami so prevladovale nezgodne možganske poškodbe in bolezni živčevja. Pridružene psihične motnje so bile zelo različne in tudi njihovo število se je med rehabilitanti razlikovalo. Najpogosteje predlagani rehabilitacijski izidi so bili skrajšani delovni čas, polna upokojitev, podaljšanje bolniškega dopusta in vključitev v program poklicne rehabilitacije (pridobivanja dodatnih kvalifikacij v izobraževalnem sistemu za odrasle). Zaključki: Baterija RBANS se je pokazala kot uporabna za presejalne namene in individualno klinično uporabo na področju poklicne rehabilitacije. Za ugotavljanje njene prognostične vrednosti v smislu napovedovanja rehabilitacijskega izida bi bila potrebna nadaljnja raziskava.Background: Neuropsychological screening is important in many clinical fields, including vocational rehabilitation. We have started to use the RBANS (Repeatable Battery for the Assessment of Neuropsychological Status) at the University Rehabilitation Institute in Ljubljana for this purpose. The RBANS addresses five fields of abilities: immediate memory, visuospatial/constructional, language, attention, and delayed memory. Methods: Our preliminary study involved 36 participants who were included in interdisciplinary team treatment within the health care programme at the Centre for Vocational Rehabilitation of our Institute. In addition to the RBANS scores, primary diagnosis, associated psychopathology and rehabilitation outcomes were analysed. Results: The RBANS tests exhibited a medium difficulty level, except the tests of attention (which proved to be the most difficult for the participants) and the tests that measure visual spatial and constructional abilities (which proved to be less difficult for the participants). Among the primary diagnoses, traumatic brain injury and neurological diseases were the most prevalent. Associated psychopathology varied greatly and the number of mental disturbances also varied between the participants. The most commonly suggested rehabilitation outcomes were part-time employment, retirement, extended sick-leave and inclusion into our vocational rehabilitation programme (acquiring additional qualifications through adult education). Conclusions: The RBANS test battery proved to be useful for screening purposes and individual clinical use in vocational rehabilitation. Further research will be needed to establish its prognostic usefulness in terms of predicting the rehabilitation outcome.
Descriptors     Neuropsychological tests
Rehabilitation, Vocational
Keywords     screening
The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
nevropsihološki testi
poklicna rehabilitacija
presejalni postopki
testna baterija RBANS