{"?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-BJWX4009/2aac0878-285b-47ff-9266-559b0f9de1cb/PDF","dcterms:extent":"439 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-BJWX4009/00ea4e43-f7c6-4ba4-b627-02735d141ad7/TEXT","dcterms:extent":"0 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-BJWX4009","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-FQ9JBKO1"},{"@xml:lang":"sl","#text":"Rehabilitacija (Ljubljana)"}],"dcterms:issued":"2023","dc:creator":"Moharić, Metka","dc:format":[{"@xml:lang":"sl","#text":"letnik:22"},{"@xml:lang":"sl","#text":"str. 56-62"},{"@xml:lang":"sl","#text":"številka:supl. 1"}],"dc:identifier":["COBISSID_HOST:153241859","ISSN:2232-545X","URN:URN:NBN:SI:doc-BJWX4009"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut Republike Slovenije - Soča"},"dc:subject":[{"@xml:lang":"en","#text":"incontinence"},{"@xml:lang":"sl","#text":"nehotno uhajanje seča"},{"@xml:lang":"en","#text":"neurogenic bladder"},{"@xml:lang":"en","#text":"neurological impairment"},{"@xml:lang":"sl","#text":"nevrogeni mehur"},{"@xml:lang":"sl","#text":"nevrološke okvare"},{"@xml:lang":"en","#text":"postvoid residual"},{"@xml:lang":"sl","#text":"rehabilitation"},{"@xml:lang":"en","#text":"treatment"},{"@xml:lang":"sl","#text":"Urologic Diseases"},{"@xml:lang":"sl","#text":"zaostajanje po uriniranju"},{"@xml:lang":"sl","#text":"zdravljenje"}],"dcterms:temporal":{"@rdf:resource":"2008-2025"},"dc:title":{"@xml:lang":"sl","#text":"Nevrogena motnja delovanja sečil| Neurogenic urinary tract disorder|"},"dc:description":[{"@xml:lang":"sl","#text":"Lower urinary tract dysfunction is a common sequel of neurological disease resulting in symptoms that significantly impact quality of life. The site of the neurological lesion and its nature influence the pattern of dysfunction. The risk for developing upper urinary tract damage and renal failure is considerably lower in patients with slowly progressive non-traumatic neurological disorders, compared to those with spinal cord injury or spina bifida. This acknowledged difference in morbidity is considered when developing appropriate patient-management algorithms. The preliminary evaluation consists of history taking and bladder diary, and may be supplemented by tests such as uroflowmetry, post-void residual measurement, renal ultrasound, (video)urodynamics, neurophysiology and urethrocystoscopy, depending on the clinical indications. Incomplete bladder emptying is most often managed by intermittent catheterisation, and storage dysfunction is managed by antimuscarinic medications. Intra-detrusor injections of botulinum toxin A have greatly facilitated the management of neurogenic detrusor overactivity. Neuromodulation offers promise for managing both storage and voiding dysfunction. In selected patients, reconstructive urological surgery may become necessary. An individualised, patient-tailored approach is required for the management of lower urinary tract dysfunction in this special population"},{"@xml:lang":"sl","#text":"Izhodišča: Prehranski obravnavi se znotraj rehabilitacije v zadnjih letih posveča vedno več pozornosti. Paciente prehransko in presnovno ogroža veliko različnih dejavnikov, med katerimi so najpogostejši dolgotrajna neaktivnost, slab apetit, povečane energijsko hranilne potrebe ob vključevanju v terapije, občasno tudi motnje požiranja in pridružena kronična sistemska obolenja. Z optimalno prehransko podporo lahko pacientu omogočimo hitrejši napredek in celjenje ter zmanjšamo pojavnost zapletov. Metode: V empirično prospektivno raziskavo, ki je potekala v sklopu projekta NutritionDay, je bilo vključenih 57 pacientov, ki so bili 10. novembra 2022 hospitalizirani na enem od bolnišničnih oddelkov Univerzitetnega rehabilitacijskega inštituta Soča (URI Soča). V analizo smo vključili podatke, pridobljene s pomočjo prehranske anamneze in statusa, presejalnega orodja NRS-2002 in meritve telesne sestave. Rezultati: Glede na merila GLIM je bilo 51 (90 %) vključenih pacientov podhranjenih, od tega 22 (39 %) hudo podhranjenih. Merila za sarkopenijo je doseglo 22 (39 %) pacientov. V skupini pacientov, ki so del telesne mase izgubili v zadnjih šestih mesecih, je bila povprečna izguba 15 % (SD 7 %). V skupini pacientov, ki so telesno maso začeli izgubljati več kot 6 mesecev pred sprejemom, pa je bila povprečna izguba 23 % (SD 9 %). Pri analizi parametrov telesne sestave je bila pri 11 pacientih (20 %) povišana celokupna telesna voda, pri 20 (35 %) je bil znižan indeks nemaščobne mase (FFMI). Le dva pacienta sta imela fazni kot nad petim populacijskim percentilom (glede na starost in spol). Zaključek: Rezultati raziskave kažejo, da je delež prehransko ogroženih in podhranjenih pacientov v rehabilitacijskem okolju visok, zato je aktivno iskanje teh pacientov nujno. Cilji za prihodnost so usmerjeni predvsem v osveščanje specialistov fizikalne in rehabilitacijske medicine o pomenu in prepoznavanju motenj prehranjenosti ter vključevanje dietetikov na primarno in sekundarno raven zdravstvene oskrbe"}],"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-BJWX4009","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-BJWX4009"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-BJWX4009/2aac0878-285b-47ff-9266-559b0f9de1cb/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-BJWX4009/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-BJWX4009"}}}}