master's thesis
Rehabilitacija bolesnika s amputacijom donjeg ekstremiteta

Linda Malnar (2016)
Sveučilište u Rijeci
Medicinski fakultet
Katedra za ortopediju i fizikalnu medicinu
Metadata
TitleRehabilitacija bolesnika s amputacijom donjeg ekstremiteta
AuthorLinda Malnar
Mentor(s)Tea Schnurrer-Luke-Vrbanić (thesis advisor)
Abstract
Amputacija je kirurško odstranjenje dijela ili cijeloga ekstremiteta. Utječe na funkcioniranje, aktivnost i samostalnost bolesnika. Rehabilitacija nakon amputacije donjeg ekstremiteta predstavlja kompleksni proces tijekom kojeg amputirani bolesnik prima profesionalnu pomoć i podršku. Ciljevi rehabilitacijskog procesa jesu postizanje samostalnosti bolesnika u izvršavanju svakodnevnih aktivnosti te povećanje kvalitete života. Rehabilitacija treba započeti odmah nakon donošenja odluke o amputaciji. Dijeli se u tri stadija. U preoperativnom stadiju procjenjuje se razina amputacije, osigurava se psihološka podrška za bolesnike te započinje funkcionalni rehabilitacijski program. Tijekom postoperativnog stadija provode se postupci zbrinjavanja rane i kontrole edema, farmakološkom terapijom otklanja se bol te se nastavlja funkcionalna rehabilitacija bolesnika. Treći je protetski stadij tijekom kojeg se bolesnik prilagođava na protezu koja zamjenjuje amputirani ud. Odabir odgovarajuće proteze jest individualan i ovisi o faktorima koji utječu na hod bolesnika. Postoje fizički faktori kao što su: duljina uda, snaga muskulature koljena i kuka, opseg kretnji i prisutnost kontraktura dok su protetski faktori: dizajn ležišta, suspenzije i protetskog stopala/koljena. Osim toga iznimno je važno podučiti bolesnika o važnosti vježbanja, pravilnog hoda i namještanja proteze. To nije proces koji traje kratko, potrebno je kontinuirano praćenje bolesnika kako bi se moglo pravovremeno intervenirati ukoliko postoje poteškoće u pojedinim stadijima rehabilitacije i pri korištenju proteza.
Keywordsamputation of lower limb rehabilitation prostheses.
Committee MembersIvana Marić (committee chairperson)
Miljenko Kovačević (committee member)
Gordan Gulan (committee member)
GranterSveučilište u Rijeci
Medicinski fakultet
Lower level organizational unitsKatedra za ortopediju i fizikalnu medicinu
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Physical Medicine and Rehabilitation
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeMedicine
Academic title abbreviationdr. med.
Genremaster's thesis
Language Croatian
Defense date2016-07-15
Parallel abstract (English)
Amputation is a surgical removal of a part or of an entire limb. It affects functioning, activity and independence of the patient. Rehabilitation after amputation of a lower limb is a complex process during which the amputated patient receives professional assistance and support. The aim of a rehabilitation process is to restore patient’s independence in the performance of daily activities and to improve their quality of life. Rehabilitation should start immediately after the decision on amputation has been made. It consists of three stages. In the preoperative stage, the level of amputation is estimated, patient is provided psychological support and the functional rehabilitation programme commences. The postoperative stage comprises wound care and oedema control, pharmacological pain therapy and continuation of functional rehabilitation. The third stage is the prosthetic one, aimed toward getting the patient adapted to the prosthesis. Selection of an appropriate prosthesis is an individual issue which depends on factors affecting patient’s ambulation. There are physical factors such as: the length of the limb, the knee and hip muscular strength, range of motion and contractures, while the prosthesis-related factors are the socket design, suspension and prosthetic foot/knee design. In addition, it is of exceptional importance for the patient to be instructed on the importance of exercise, correct ambulation and adjustment of the prosthesis. The process takes quite a time because it requires continuous monitoring of the patient in order to ensure timely intervention in case of difficulties arising in particular stages of the rehabilitation process and prostheses use.
Parallel keywords (Croatian)amputacija donjeg ekstremiteta rehabilitacija proteze
Resource typetext
Access conditionAccess restricted to students and staff of home institution
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:803860
CommitterBosa Licul