375 KB24 KB200820252018Novak, PrimožŠčavničar, Analetnik:17str. 93-98številka:supl. 1ISSN:1580-9315COBISSID_HOST:2468201URN:URN:NBN:SI:doc-CW1NL46XslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)določanje ciljevGoalsgoals settingizid rehabilitacijeperipheral nerve injuriespoškodbe perifernega živčevjaRehabilitationrehabilitation outcomeDoločanje ciljev pri rehabilitaciji pacientov z okvarami perifernega živčevja| Goal setting in peripheral nerve lesions patients rehabilitation|Background: Goal setting is one of the fundaments of rehabilitation. For successful outcome, patient's active participation is needed, also and as much as possible in the goal setting phase. Methods: 10 patients with acute peripheral nerve lesions were included in comprehensive inpatient rehabilitation at our department. They set their rehabilitation goals, using the SMART method. Their goals were compared with the goals set by rehabilitation team as well as with the outcome of primary rehabilitation. Results: All patient set their goals and defined them more detailly. In approximately 2/3 they at least tried to define a method for assessment of success. In the vast majority, they define their goals as achievable. Seven patients assessed the importance of their goals, in the vast majority they rated goals as very important. In 90% of cases, they defined the expected time for individual goal achievement. In seven patients their goals matched the rehabilitation team goals, in two patients matching was partial, in one case the patient's goals differed significantly from team goals. Half of the patients achieved their goals, four patients achieved part of them and one patient achieved none of the goals he set. Conclusion: Patients in our study in the vast majority set realistic goals, which mostly matched the rehabilitation team goals. Some patients achieved all, others (with the exception of one patient) at least part of their goals. At our department, more attention will be paid on patients' participation in the rehabilitation goal setting processIzhodišča: Določanje ciljev predstavlja enega od temeljev rehabilitacije. Za uspešnost rehabilitacije je potrebno aktivno sodelovanje pacienta, ki mora biti čim bolj vključen tudi pri načrtovanju ciljev. Metode: V raziskavo smo vključili 10 pacientov z akutnimi okvarami perifernega živčevja, ki so bili na našem oddelku vključeni v program celostne bolnišnične rehabilitacije. Izpolnili so vprašalnik, v katerem so svoje rehabilitacijske cilje opredelili po metodi SMART. Njihove odgovore smo primerjali s cilji rehabilitacijskega tima, postavljenimi ob začetku rehabilitacije in z objektivno oceno izida primarne rehabilitacije. Rezultati: Vsi pacienti so postavili cilje in jih tudi natančneje opredelili. V približno dveh tretjinah so vsaj poskusili opredeliti način merjenja uspešnosti. Svoje cilje so v veliki večini opredelili kot dosegljive, ena pacientka je dvomila v uspešnost rehabilitacije. Sedem pacientov je ocenilo pomembnost zastavljenih ciljev, v veliki večini so jih ocenili kot zelo pomembne. V 90 % so opredelili tudi časovni okvir za dosego posameznega cilja. Pri sedmih pacientih se njihovi cilji večinoma ujemajo s cilji rehabilitacijskega tima, v dveh primerih je ujemanje delno, v enem primeru pa so se cilji pacienta močno razlikovali od ciljev tima. Polovica pacientov je dosegla zastavljene cilje, štirje pacienti so jih dosegli delno, en pacient ni dosegel nobenega od zastavljenih ciljev. Zaključek: Pacienti v naši raziskavi so v veliki večini postavili realne cilje, ki so se večinoma ujemali s cilji rehabilitacijskega tima. Nekateri pacienti so dosegli vse, drugi (z izjemo enega) vsaj del ciljev. Na našem oddelku bomo v prihodnje več pozornosti posvetili vključevanju pacientov v proces postavljanja rehabilitacijskih ciljevTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča