277 KB0 KB200820252021Čeru, BojanKidrič, UrškaKmetič, LejlaŠtefančič Smisl, Tatjanaletnik:20str. 132-136številka:supl. 1ISSN:1580-9315COBISSID_HOST:65857027URN:URN:NBN:SI:doc-6YJJNDDOslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)COVID-19epidemicepidemijaokvara hrbtenjačeorganizacija delaorganizationpsihološki učinkipsychological effectsrehabilitacijarehabilitationSpinal Cord Injuriesterapevtski postopkitherapeutic proceduresRehabilitacija oseb z okvaro hrbtenjače v času pandemije COVID-19| Rehabilitation of persons with spinal cord injury during COVID-19 pandemic|The COVID-19 pandemic affected the organization of work at the Department for Rehabilitation after Spinal Cord Injury of the University Rehabilitation Institute in Ljubljana. Adjustment was required in all areas of rehabilitation treatment, as well as finding new solutions and changed cooperation within the team. We adjusted to the changes on a daily basis, networking and cooperation within expert groups of different professions was essential. Together, we tried to provide an optimal rehabilitation in the given circumstances. Simultaneously with the declaration of the epidemics, home care was reduced and largely stopped, as well as the education of relatives in the ward, weekend trips to the home environment and team field work; admissions to institutionalised care were also stopped, making patient discharge more difficult. Due to the need for rehabilitation treatment after acute spinal cord injury, admissions from acute hospitals were continuing. Appropriate protective equipment was used during the rehabilitation treatment. It was necessary to ensure the prescribed distance between persons, which meant fewer patients in the therapy room and more individual program in the ward. Protective equipment also represented an obstacle in communication and contact with the patient, and wearing masks also affected the patients% endurance in therapeutic programs. Psychologically, spinal cord injury is a very stressful event, and any additional stressful situation such as COVID-19 increases the level of stress experienced and the experience of helplessness, and affects the patient's moodPandemija COVID-19 je vplivala na organizacijo dela na oddelku za rehabilitacijo oseb z okvaro hrbtenjače. Zahtevala je prilagajanje na vseh področjih rehabilitacijske obravnave, iskanje novih rešitev in spremenjeno sodelovanje znotraj tima. Vsakodnevno smo se prilagajali spremembam, kar je vplivalo na prilagajanje urnika obravnav, pri tem je bilo bistvenega pomena povezovanje in sodelovanje znotraj strokovnih skupin različnih strok. S skupnimi močmi smo poskušali zagotoviti najboljše pogoje za rehabilitacijo oseb z okvaro hrbtenjače v prilagojenih razmerah. Hkrati z razglasitvijo epidemije se je zmanjšala in v veliki meri tudi ustavila pomoč na domu, izobraževanje svojcev na oddelku, odhodi preko vikenda v domače okolje, timsko terensko delo ter sprejemi v institucionalizirano varstvo, zaradi česar so bili odpusti pacientov oteženi. Zaradi potrebe po rehabilitacijski obravnavi po akutni okvari hrbtenjače pa so sprejemi iz akutnih bolnišnic potekali ves čas glede na razpoložljive prostorske možnosti. V času rehabilitacijske obravnave smo uporabljali ustrezno zaščitno opremo, potrebno je bilo zagotoviti predpisano razdaljo med osebami, kar je pomenilo manj pacientov v terapevtskem prostoru in več individualnega programa. Zaščitna oprema in maske predstavljajo oviro v komunikaciji in stiku z bolnikom; pri pacientih nošnja maske vpliva tudi na njihovo vzdržljivost v terapevtskih programih. Psihološko je poškodba hrbtenjače stresni dogodek, vsaka dodatna stresna situacija, kot je COVID-19, pa poveča stopnjo doživetega stresa in doživljanje nemoči ter vpliva na razpoloženjeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča