Author/Editor		Fatur-Videtič, Andrejka
Title		Pomen celostne funkcijske ocene za vrnitev na delo
Translated title		The contribution of complete functional state to return to work
Type		članek
Source		Sanitas et labor
Vol. and No.		Letnik 2, št. 1
Publication year		2001
Volume		str. 201-20
Language		slo
Abstract		Professional textbooks dedicate little attention to patients' abilities, which could be important for evaluation of fitness for work. The instructions used by doctors when deciding about the return to work of their patient are mostly determined through diagnoses or ailments. In this application research the Activity profile was studied as a possible tool in a more functional model for the identification of the patient's needs and expectations, also for the purpose of the return to work. It is based on the ICIDH and built as a questionnaire for the doctor's administration and self-assessment. 33 characteristics were selected to evaluate the activities of five domains psychic functioning, communication, movement (locomotion), daily activities, situation environment factors were used to evaluate activities by. For the scoring the four-point severity scale was used. Scoring took place on the basis of actual performance of the patient. The sum of all scores of the Activity profile was defined as Complete functional state. Its contribution for return to work was studied in combination with age, years spent at work and position at work, education, duration of illness, number of all diagnoses, sickness leave. The results show that the doctor and the patients detected diminished activities of all five domains but above all the locomotion activities. The doctor on the average assessed the results of impairments as less serious in all domains. Foremost (dis)abilities expressed through the Complete functional state would contribute to the doctor's decision about patient's return to work while the patients themselves would decide about it primarily from the point of years spent at work: The presented results support the idea that the ICIDH could be the framework for developing a common tool for screening, goal setting and evaluation planning for the need of patient's return of work.
Summary		Strokovna literatura namenja malo pozornosti prepoznavanju bolnikovih sposobnosti, ki bi bile pomembne za ocenjevanje dela(ne)zmožnosti. Priporočila za odločanje zdravnika pretežno oblikujejo podatki, povezani z rezultati diagnostičnih postopkov in zdravljenja. Tudi ta priporočila za vse okvare zdravja niso enako dobro dogovorjena, ni dogovora, v kolikšni meri upoštevati tudi nemedicinske dejavnike, pogosto se mora ocenjevalec dela(ne)zmožnosti sam odločati, kako bo opredelil preostalo funkcijsko zmogljivost osebe in s katerimi standardi jo bo presojal. V aplikativni raziskavi je bil proučevan Profil aktivnosti kot pripomoček za zdravnikovo in bolnikovo celovito oceno funkcijskih sposobnosti in skupaj z nemedicinskimi dejavniki njegov vpliv na odločanje o vrnitvi na delo. Izbrali smo 33 karakteristik (aktivnosti), skladnih z MKOPOv za 5 področij delovanja: psihično, sporazumevanje, gibanje, dnevne aktivnosti, glede na dejavnike okolja. Oblikovali smo ga kot vprašalnik s štiristopenjsko ocenjevalno lestvico, prirejeno za zdravnikovo oceno in samooceno bolnika. Seštevek vseh ocen smo opredelili kot celostno funkcijsko stanje. Njegov prispevek k vrnitvi na delo smo proučevali skupaj s starostjo, izobrazbo, delovno dobo in pozicijo na delovnem mestu, s trajanjem zdravstvenih težav, številom diagnoz in dolžino bolniškega staleža. Rezultati kažejo, da so zdravnik in bolniki ocenili prizadetost vseh aktivnosti, najbolj izrazito za področje gibanja stopnjo prizadetosti je ocenil zdravnik za vse aktivnosti v povprečju manj resno kot bolniki. K zdravnikovi odločitvi o vrnitvi na delo je prispevalo največ celostno funkcijsko stanje, k bolnikovi pa predvsem dolžina delovne dobe. Rezultati raziskave kažejo, da bi model MKOPOv lahko bil izhodišče za oblikovanje usklajene metodologije pri že zgodnjem prepoznavanju posledic, ki jih imajo trajne okvare zdravja, in načrtovanju njiliovega ocenjevanja za potrebe odločanja o vrnitvi na delo.
Descriptors		DISABILITY EVALUATION WORK CAPACITY EVALUATION MUSCULOSKELETAL DISEASES