{"?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-I79PCVJF/6720b601-105e-4aa3-8184-3056bd473394/PDF","dcterms:extent":"285 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-I79PCVJF/98fa0e11-ad55-4ba3-a4fb-b71ef5327b99/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-I79PCVJF","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":["Bizovičar, Nataša","Goljar Kregar, Nika","Košir, Brigita"],"dc:format":[{"@xml:lang":"sl","#text":"letnik:22"},{"@xml:lang":"sl","#text":"str. 63-69"},{"@xml:lang":"sl","#text":"številka:supl. 1"}],"dc:identifier":["COBISSID_HOST:153254147","ISSN:2232-545X","URN:URN:NBN:SI:doc-I79PCVJF"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut Republike Slovenije - Soča"},"dc:subject":[{"@xml:lang":"sl","#text":"možganska kap"},{"@xml:lang":"sl","#text":"nefarmakološki ukrepi"},{"@xml:lang":"sl","#text":"nehotno uhajanje urina"},{"@xml:lang":"en","#text":"nonpharmacological interventions"},{"@xml:lang":"sl","#text":"rehabilitation"},{"@xml:lang":"sl","#text":"Stroke"},{"@xml:lang":"sl","#text":"Urinary Bladder, Neurogenic"},{"@xml:lang":"en","#text":"urinary incontinence"},{"@xml:lang":"en","#text":"urinary retention"},{"@xml:lang":"sl","#text":"zastajanje urina"}],"dcterms:temporal":{"@rdf:resource":"2008-2025"},"dc:title":{"@xml:lang":"sl","#text":"Nefarmakološki ukrepi za zdravljenje nevrogenega mehurja pri pacientih po možganski kapi| Nonpharmacological management of neurogenic bladder in patients after stroke|"},"dc:description":[{"@xml:lang":"sl","#text":"Voiding dysfunctions are common after stroke, and associated with poorer functional outcome in rehabilitation programs and lower quality of life. Indwelling urinary catheters are commonly used in patients after stroke due to immobility, impaired consciousness or bladder dysfunction (e. g., retention). They should be inserted only for appropriate indications and left in place only as long as needed, because of increased risk of urinary tract infection and poorer outcome after stroke. Behavioural therapies (e. g., dietary modification, pelvic floor muscle training, bladder training, measures to assist toileting) are non-invasive, with little risk of side effects. Their aim is to minimise or abolish urinary symptoms and re-establish normal voiding intervals and continence by changing the patient’s voiding habits and by teaching skills for preventing urine loss. Experts agree that such therapies should be offered as first-line therapy for treating overactive bladder and urgency urinary incontinence whenever possible. Additional multicentre research is required to enhance our understanding of the comparative efficacy of nonpharmacological interventions for voiding dysfunction treatment in stroke patients"},{"@xml:lang":"sl","#text":"Motnje uriniranja so pogoste po možganski kapi in so povezane s slabšim funkcijskim izidom v rehabilitacijskih programih ter s slabšo kakovostjo življenja. Stalne urinske katetre se pogosto uporablja pri pacientih po možganski kapi zaradi nepremičnosti, motenj zavesti ali motenega delovanja mehurja (npr. zastajanje). Vstaviti jih je potrebno pri ustreznih indikacijah in jih pustiti le toliko časa, kolikor je to potrebno, saj povečajo tveganje za okužbe sečil in slabši izid po možganski kapi. Vedenjske terapije (npr. sprememba prehrane, vadba za krepitev mišic medeničnega dna, trening mehurja, ukrepi za pomoč pri opravljanju toalete) so neinvazivne, z majhnim tveganjem za neželene učinke. Njihov namen je čim bolj zmanjšati ali odpraviti simptome motenj uriniranja, ponovno vzpostaviti ustrezne intervale med uriniranji in kontinenco, s spremembo navad za odvajanje urina ter z učenjem veščin za preprečevanje uhajanja urina. Glede na smernice je tovrstne metode treba ponuditi kot terapevtske ukrepe prve izbire pri zdravljenju čezmerno aktivnega sečnega mehurja in urgentnega nehotnega uhajanja urina, kadarkoli je to mogoče. Potrebne bodo dodatne multicentrične raziskave za izboljšanje razumevanja učinkovitosti nefarmakoloških ukrepov za zdravljenje motenj uriniranja pri pacientih po možganski kapi"}],"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-I79PCVJF","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-I79PCVJF"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-I79PCVJF/6720b601-105e-4aa3-8184-3056bd473394/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-I79PCVJF/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-I79PCVJF"}}}}