Occupational therapy treatment of people with spinal cord injury in a home environment

Uvod: Okvara hrbtenjače spreminja življenje in povzroča hude senzorične, motorične in druge nevrološke okvare, kar privede do omejitev izvedbe aktivnosti. Pri osebah z okvaro hrbtenjače je ključnega pomena vključevanje delovne terapije v njihovo domače okolje, ker omogoča najbolj učinkovito učenje izvedbe vsakodnevnih aktivnosti. Namen: Želeli smo ugotoviti učinkovitost delovno terapevtske obravnave pri osebah z okvaro hrbtenjače v domačem okolju in ali se to izkazuje v višjem zadovoljstvu z življenjem. Metode dela: Uporabili smo študijo primera. V študijo primera smo vključili štiri osebe z okvaro hrbtenjače, člane Zveze paraplegikov Slovenije, v starosti od 36 do 70 let. Ocenili smo njihovo zadovoljstvo z življenjem in izvedbo izbranih pomembnih aktivnosti. Obravnave smo vrednotili s kanadskim testom izvedbe okupacije, analizo aktivnosti po spretnostih in vprašalnikom o zadovoljstvu z življenjem, LiSat-11. Rezultati: Izidi delovno terapevtskih obravnav izkazujejo višjo oceno zadovoljstva in učinkovitosti izvedbe aktivnosti, zmanjšanje odstopanj pri spretnostih in višjo stopnjo zadovoljstva z življenjem pri vseh udeležencih. Razprava in zaključek: Delovno terapevtske obravnave pri osebah z okvaro hrbtenjače v domačem okolju so se izkazale za učinkovite. Delovno terapijo na domu bomo promovirali članom Zveze paraplegikov Slovenije.Introduction: Spinal cord injury has a significant impact on life and causes severe sensory, motor and other deficits which limit the execution of activities. It is vital to incorporate the occupational therapy of patients with spinal cord damage into their own home environment, because this approach maximizes the efficiency of learning the performance of daily activities. Purpose: To establish the efficiency of occupational therapy of patients with spinal cord injury in a home setting. We explain the rationale behind this approach and show that it improves the efficiency and patient satisfaction with the performance of daily activities, which consequently improves the quality of life. Methods: We used a case study. We included four members of the Slovenian Paraplegic Association, aged between 36 and 70 years. We evaluated their life satisfaction and the execution of a few select activities, according to the Canadian Occupational Performance Measure and the activity analysis, as well as using a Life Satisfaction Questionnaire, LiSat-11. Results: The outcome of occupational therapy shows a higher satisfaction and efficiency in performing activities, a reduction in skill discrepancies and a higher life satisfaction in all users. Discussion, conclusion: The occupational therapy of patients in a home setting has been shown to be an effective method. We will promote this approach among the members of the Slovene Paraplegic Association