Psihološki odgovor na rehabilitaciju nakon ugradnje totalne endoproteze kuka te sportskih ozljeda

• Main Author: Šepl Plentaj, Anamaria
• Other Authors: Čivljak, Marta, Sambunjak, Dario
• Format: Master Thesis
• Language: Croatian
• Published: Hrvatsko katoličko sveučilište. Odjel za sestrinstvo. 2019
• Subjects: rehabilitacija; totalna endoproteza kuka; sportske ozljede; rehabilitation; total hip endoprosthesis; sports injuries; BIOMEDICINA I ZDRAVSTVO. Javno zdravstvo i zdravstvena zaštita; BIOMEDICINE AND HEALTHCARE. Public Health and Health Care; Bol; sami
• Online Access: https://repozitorij.unicath.hr/islandora/object/unicath:299; https://urn.nsk.hr/urn:nbn:hr:224:321439; https://repozitorij.unicath.hr/islandora/object/unicath:299/datastream/PDF

Totalna endoproteza kuka (u nastavku TEP) uklanja veliki funkcionalni i estetski invaliditet koji stvara degenerativna bolest kuka. Ugradnja TEP-a je jedna od najčešćih i najuspješnijih operacija. TEP kuka se najčešće operira u starijoj životnoj dobi (oko 60-ih godina i kasnije). Nakon operacije pacijenti moraju biti posebno educirani o načinu života nakon ugradnje TEP-a, gdje se u radu s pacijentima tijekom rehabilitacije u Specijalnoj bolnici za medicinsku rehabilitaciju Daruvarske toplice pokazalo da starija populacija uvelike surađuje sa zdravstvenim djelatnicima kako bi se što prije osposobila za život nakon ugradnje TEP-a. Sportske ozljede se najčešće događaju kod osoba koje se profesionalno ili aktivno bave sportom. Najčešća sportska ozljeda je ruptura prednjeg križnog ligamenta (u nastavku LCA) nakon koje je potreban i operativni zahvat. Sportske ozljede obuhvaćaju mlađu populaciju (do 40-te godine) koja teško prihvaća da nakon normalnog aktivnog života i svakodnevnog bavljenja sportom moraju ovisiti o raznim pomagalima, što uzrokuje gubitak motivacije i pojavu frustracije te utječe na sami ishod rehabilitacije. U SB za medicinsku rehabilitaciju Daruvarske toplice dolaze na rehabilitaciju obje skupine, i starija nakon ugradnje TEP-a, ali i mlađa nakon sportske ozljede LCA. Pristup pacijentu, edukacija pa i fizikalne terapije su različite, ali ishod rehabilitacije mora biti isti – uspješan. Stoga zdravstveno osoblje SB Daruvarske toplice individualno pristupa svakom pacijentu, stvara pozitivno ozračje i ohrabruje pacijente kako bi bili motivirani kroz cijeli proces rehabilitacije. Cilj istraživanja je ispitati postoji li razlika u toleranciji na bol te psihološkoj spremnosti na rehabilitaciju i suradnju kod starijih osoba nakon ugradnje TEP-a i mlađe populacije sa sportskim ozljedama LCA. U istraživanju je korišten strukturirani anketni upitnik koji je bio podijeljen pacijentima s ugradnjom TEP-a te pacijentima koji su na rehabilitaciji nakon sportskih ozljeda (ozljeda LCA, najčešća sportska ozljeda) u SB za medicinsku rehabilitaciju Daruvarske toplice. U istraživanju je sudjelovalo 200 ispitanika, 100 s TEP-om i 100 sa sportskim ozljedama LCA. Rezultati istraživanja su pokazali kako postoji statistički značajna razlika između skupina u varijablama o liječenju i rehabilitaciji i u usporedbama ispitanika prema ponuđenim tvrdnjama u kojima su mogli izraziti svoje mišljenje i stavove čime se potvrdila hipoteza rada da su osobe starije životne dobi psihološki spremnije na suradnju i više vjeruju u sebe i svoj oporavak tijekom rehabilitacije od osoba mlađe životne dobi. Taj podatak se može uvažiti i zbog zrelosti osoba starije životne dobi koje ozbiljnije pristupaju problemu od osoba mlađe životne dobi. Total hip endoprosthesis removes functional and aesthetic disability which is created by degenerative hip disease. Implantation of total hip endoprotheses is one of the most common and the most successful operations. Total hip endoprosthesis is usually done in older age (around 60 or older). After the operation patients have to be educated on how to live after the procedure. While working with patients in Special hospital for medical rehabilitation Daruvar spa, older patients have shown a great cooperation with the medical staff in order to recover from total hip endoprosthesis. Sports injuries are most common among professional athletes or active athletes. The most common sports injury is the rupture of anterior cruciate ligament after witch the surgical procedure is necessary. Sports injuries are more common among younger population (up to 40 years old) who have difficulties accepting that their normal active way of life and doing sports have to change and that they will depend on some medical aids. This effects on their motivation and they can become frustrated which effects on the whole rehabilitation. Both older and younger population come to Special hospital for medical rehabilitation Daruvar spa, older ones after total hip endoprosthesis and younger ones after sports injury, the rupture of anterior cruciate ligament. Medical approach to the patient, education and physiotherapy are different, but the outcome has to be the same, the successful one. Because of that medical staff of Daruvar spa approaches everyone individually, creates positive atmosphere and encourages the patients to stay motivated during the whole rehabilitation. The aim of this research is to find out if there is a difference in tolerance to pain and psychological readiness for a rehabilitation and cooperation between older patients with total hip endoprosthesis and younger ones with rupture of anterior cruciate ligament. In this research structured questionnaire was used among patients with total hip endoprosthesis and among patients who had some sports injury (rupture of anterior cruciate ligament was the most common one) at Special hospital for medical rehabilitation Daruvar spa. 200 respondents took part in this research, 100 respondents with total hip endoprosthesis and 100 respondents with sports injuries, the rupture of anterior cruciate ligament. Results of this research have shown that there is a statistically significant difference between two groups in variables that concern treatment and rehabilitation and in the comparison of respondents with offered statements in which they express their opinion and attitude. This confirmed the paper’s hypothesis which is that older people are psychologically more ready for cooperation, that they have more faith in themselves and in their recovery than the younger people. This data can be taken into account also because older people approach to problems more seriously than the younger people.