347 KB31 KB200820252020Burger, HelenaDebeljak, MojcaKrižnar, AgataMatjačić, Zlatkoštevilka:1letnik:19str. 81-89ISSN:1580-9315COBISSID_HOST:23132163URN:URN:NBN:SI:doc-2M0F73TPslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)amputacijaAmputationassistive devicesdelovna terapijahome visitLower Extremitylower limb lossmodifications of environmentobisk na domuOccupational Therapyprilagoditev okoljapripomočkirehabilitationspodnji udObiski na domu pri ljudeh po amputaciji spodnjega uda| Home visits to people with lower limb loss|Background: A person with lower limb loss (LLL) often reaches the goals set during rehabilitation, but afterwards at home he or she may become dependent again due to the barriers. These limitations can be eliminated by professional consulting at home. The main aim of our study was to assess the home environment, namely safety and independence at performing basic daily living activities, individual meaningful activities and limitations that individuals have while performing activities at home. Methods: An occupational therapist and an electrical engineer assessed barriers and facilitators that elderly people with LLL have at their homes using the Canadian Occupational Performance Measure and a semistuctured interview. They have advised them to use various assistive devices and modifications of the environment. Results: The visited elderly people with LLL have barriers in two to five places. Most of them have barriers at access to the entrance and wider environment, toilets and bathroom. We have advised them to use four to eight different assistive devices, modifications, services and/or to avoid some activities. The most frequent suggested device was a reacher/grabber to reach objects from the heights and from the ground. Conclusions: Despite the consulting during rehabilitation, the participants with lower limb loss still have many barriers at home, which influence their safety and independence in meaningful activitiesIzhodišča: Oseba po amputaciji med rehabilitacijo pogosto doseže zastavljene cilje, doma pa zaradi ovir zopet postane odvisna od pomoči drugih. Te težave bi lahko odpravilo strokovno svetovanje na domu. Glavni namen študije je bil oceniti domače okolje vključenih oseb po amputaciji spodnjega uda z vidika varnosti in samostojnosti za opravljanje osnovnih dnevnih in nekaterih drugih dejavnosti, ki so zanje pomembne, a imajo pri izvedbi težave. Metode: Diplomirana delovna terapevtka in univerzitetna diplomirana inženirka elektrotehnike sta s pomočjo Kanadskega testa izvajanja dejavnosti (angl. Canadian Occupational Performance Measure - COPM) in polstrukturiranega intervjuja ocenili ovire in olajševalce, ki jih imajo starejše osebe po amputaciji spodnjega uda doma ter jim svetovali ustrezne pripomočke in prilagoditve. Rezultati: Pri vključenih starejših osebah po amputaciji spodnjega uda smo ovire našli v dveh do petih prostorih, največ pri dostopu do vhoda in v širšem okolju ter v sanitarnih prostorih. Na podlagi ugotovljenega smo jim svetovali od štiri do osem različnih pripomočkov, prilagoditev, storitev in/ali omejitev, najpogosteje klešče za doseganje z višine in s tal. Zaključek: Kljub svetovanju v času rehabilitacije imajo vključene starejše osebe po amputaciji doma še vedno številne ovire, ki vplivajo na njihovo varno in samostojno opravljanje zanje pomembnih dejavnostiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča