{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-67SNMMP0/9035b842-96ef-46a9-a75d-4d04deae49cd/HTML","dcterms:extent":"37 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-67SNMMP0/a909f91c-8efa-4bef-8d3b-1946ca64dee5/PDF","dcterms:extent":"126 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-67SNMMP0/6b64f0c5-4d34-40f0-a722-cdbc410b29e9/TEXT","dcterms:extent":"32 KB"}],"edm:TimeSpan":{"@rdf:about":"2008-2025","edm:begin":{"@xml:lang":"en","#text":"2008"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-67SNMMP0","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-FQ9JBKO1"},{"@xml:lang":"sl","#text":"Rehabilitacija (Ljubljana)"}],"dcterms:issued":"2011","dc:creator":["Jamnik, Helena","Klopčič Spevak, Milica"],"dc:format":[{"@xml:lang":"sl","#text":"številka:1"},{"@xml:lang":"sl","#text":"letnik:10"},{"@xml:lang":"sl","#text":"str. 51-58"}],"dc:identifier":["COBISSID:1169513","ISSN:1580-9315","URN:URN:NBN:SI:doc-67SNMMP0"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut Slovenije - Soča"},"dc:subject":[{"@xml:lang":"sl","#text":"bolečina"},{"@xml:lang":"sl","#text":"dejavniki tveganja"},{"@xml:lang":"en","#text":"diagnostika"},{"@xml:lang":"sl","#text":"fibromialgija"},{"@xml:lang":"sl","#text":"kronična bolečina"},{"@xml:lang":"sl","#text":"kvaliteta življenja"},{"@xml:lang":"sl","#text":"patofiziologija"}],"dcterms:temporal":{"@rdf:resource":"2008-2025"},"dc:title":{"@xml:lang":"sl","#text":"Sindrom kronične razširjene bolečine in sindrom fibromialgije| Chronic widespread pain and fibromyalgia| pregled literature in predstavitev naših izkušenj| review of the literature and our experience|"},"dc:description":[{"@xml:lang":"sl","#text":"Objectives: Chronic widespread pain (CWP) is a common chronic nonmalignant pain syndrome with prevalence of 10 %. Often no particular tissue or nervous system damage and inflammation is found as a cause of pain. Fibromialgia syndrome is a special form of chronic widespread pain, defined by the American College of Rheumatology (ACR). The recent developments in understanding of the mechanisms underlying CWP are reviewed. In our study, we analyzed the referrals of patients with CWP to the tertiary health care and evaluated the health-related quality of life of CWP patients in tertiary care settings using the SF-36 questionnaire. Methods: Patients with CWP identified by pain diagram were included in the study. The reasons for referral were analyzed. The patients were divided into 2 subgroups, those reaching ACR criteria for fibromyalgia and those not. Patients filled in the SF-36 questionnaire. The results of subgroups were compared and the results of the whole group were compared with the normative for the American nonhospital population, as well as with patients with chronic back pain and rheumatoid arthritis. Results: The patients were referred correctly in 46% of cases. Health-related quality of life was negatively affected in both subgroups of patients, even more so in the fibromyalgia subgroup. Conclusion: CWP patients in tertiary care settings have lower quality of life compared to CWP patients in general population and also compared to patients with chronic low back pain and rheumatoid arthritis. CWP is an important health problem with impact on all dimensions of life, regardless of the ACR criteria for fibromyalgia being reached or not"},{"@xml:lang":"sl","#text":"Uvod: Sindrom kronične razširjene bolečine (SKRB) je pogosta pojavna oblika kronične bolečine, ki ni rakavega izvora, z 10 % prevalenco. Uvrščamo jo predvsem v kategorijo funkcionalnih bolečinskih sindromov. Za te vrste bolečinskih sindromov velja, da z uveljavljenimi in v klinični praksi izvedljivimi diagnostičnimi postopki pogosto ne najdemo jasnih znakov okvar tkiva ali živčevja ter znakov vnetja. Sindrom fibromialgije (SF) je po kriterijih American College of Rheumatology (ACR) posebej opredeljena oblika kronične razširjene bolečine. V prispevku predstavljamo novejša spoznanja o možnih patofizioloških mehanizmih nastanka SKRB in o dejavnikih tveganja za razvoj sindroma. V raziskavi smo želeli z vprašalnikom SF-36 oceniti posebnosti in kakovost življenja bolnikov s SKRB, ki jih obravnavamo na terciarni ravni in analizirati napotne diagnoze zdravnikov splošne medicine in drugih zdravnikov specialistov. Metode: V raziskavo smo na osnovi risbe bolečine vključili osebe z opredeljenim SKRB in preverili razloge za napotitev le-teh na rehabilitacijsko obravnavo. Po ugotovitvah pri telesnem pregledu smo jih razporedili v podskupini z izpolnjenimi ali neizpolnjenimi kriteriji za SF. Preiskovanci so izpolnili v slovenščino prevedeni vprašalnik SF-36. Podskupini smo primerjali glede na rezultate, ki so jih dosegli na podlestvicah vprašalnika SF-36. Rezultate smo primerjali z normativi za ameriško splošno populacijo, ki ni hospitalizirana, z rezultati podobne tuje raziskave na ravni splošne populacije ter z rezultati raziskav o kakovosti življenja skupin bolnikov z revmatoidnim artritisom in s kronično bolečino. Rezultati: Zdravniki so ob napotitvi na višjo raven obravnave le pri 46 % napotenih oseb ustrezno predstavili težave pri kronični razširjeni bolečini. Rezultati raziskave so pokazali zelo nizko stopnjo kakovosti življenja pri obeh podskupinah bolnikov s SKRB. Dosežki podskupine, ki izpolnjuje kriterije za SF, so še nekoliko slabši. Zaključek: Bolniki s SKRB, obravnavani na terciarni ravni, so v primerjavi z bolniki s SKRB v splošni populaciji bolj prizadeti in je z zdravjem povezana kakovost njihovega življenja v celoti precej nižja v primerjavi s skupinami bolnikov z revmatoidnim artritisom in s kronično bolečino v križu. Sindrom kronične razširjene bolečine je huda zdravstvena težava, ki vpliva na vsa področja življenja osebe s SKRB, četudi niso izpolnjeni kriteriji ACR za sindrom fibromialgije, objavljeni leta 1991"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-67SNMMP0","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-67SNMMP0"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-67SNMMP0/a909f91c-8efa-4bef-8d3b-1946ca64dee5/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut RS – Soča"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-67SNMMP0/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-67SNMMP0"}}}}