Rehabilitacija osoba s moždanim udarom

master's thesis

• Title (english): Stroke rehabilitation
• Author: Luka Slivar
• Mentor: Nadica Laktašić Žerjavić (mentor)
• Committee member: Porin Perić (predsjednik povjerenstva)
• Committee member: Jasenka Markeljević (član povjerenstva)
• Committee member: Nadica Laktašić Žerjavić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Physical Medicine and General Rehabilitation); Zagreb
• Defense date and country: 2022-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Physical Medicine and Rehabilitation

Abstract

Moždani udar, iako nastupa naglo, u svojoj biti je kronično stanje. Morbiditet i
mortalitet od moždanog udara i dalje su vrlo visoki, a onima koji su preživjeli moždani
udar, u pravilu, potrebna je akutna bolnička skrb, koja se zatim nastavlja kroz
subakutnu rehabilitaciju i u konačnici reintegraciju u zajednicu. Rehabilitacija se
provodi timskim interdisciplinarnim pristupom. Usprkos uloženim naporima, još uvijek
postoji mnogo nezadovoljenih potreba preživjelih koji su doživjeli moždani udar,
počevši od dostupnosti akutne bolničke skrbi, potom dostupnosti i organizacije
subakutne rehabilitacije te u konačnici od mogućnosti reintegracije u zajednicu.
Rehabilitacija bi trebala započeti tijekom akutne bolničke skrbi unutar prvih 24 do 48
sati kroz ranu mobilizaciju bolesnika. U subakutnoj fazi ishod rehabilitacije izravno
ovisi o broju sati dnevno provedenih u rehabilitacijskom programu. Za uspješan ishod
rehabilitacije važno je individualno procijeniti oštećenje i funkciju pomoću specifičnih
mjernih instrumenata, postaviti individualizirane ciljeve i sukladno tome izraditi plan
rehabilitacije te pratiti učinkovitost rehabilitacijskog programa. Primarni cilj
rehabilitacije je uspostavljanje samostalnosti u obavljanju aktivnosti svakodnevnog
života. U radu su pregledno prikazani tijek rehabilitacije nakon moždanog udara,
primarna i sekundarna oštećenja tjelesnih funkcija i struktura nakon moždanog
udara, kao i ograničenja aktivnosti koja iz njih proizlaze, te osnovni principi njihove
rehabilitacije.

Abstract (english)

A stroke occurs abruptly, but it is in its essence a chronic condition. The stroke
morbidity and mortality are still very high, and those surviving the stroke,in
general,require acute hospital care, which then continues through subacute
rehabilitation and ultimately reintegration into the community. Rehabilitation is carried
out through a team interdisciplinary approach. Despite the efforts, there are still a lot
of unmet needs of survivors who have suffered a stroke, starting with the availability
of acute hospital care and subsequently by the availability and organisation of
subacute rehabilitation and ultimately by the possibility of reintegration into the
community. Rehabilitation should start during acute hospital care within the first 24 to
48 hours through early patient mobilisation. In the subacute phase, the outcome of
rehabilitation directly depends on the number of hours per day spent in the
rehabilitation program. For a successful outcome of rehabilitation, it is important to
individually assess the damage and function using specific measuring instruments,
and set individualised goals, and design a rehabilitation plan accordingly, and
monitor the efficiency of rehabilitation program. The primary objective of rehabilitation
is to establish independence in carrying out the activities of daily life. In the article the
course of stroke rehabilitation, the primary and secondary damage to physical
functions and structures after stroke, as well as the resulting limitations of activities,
and principles of their rehabilitation are given.

• Keywords: Međunarodna klasifikacija funkcioniranja; onesposobljenosti i zdravlja; Moždani udar; Rehabilitacija osoba s moždanim udarom
• Keywords (english): International Classification of Functioning; Disability and Health; Stroke; Stroke Rehabilitation
• Language: croatian
• URN:NBN: urn:nbn:hr:105:936638
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-02-15 12:40:46