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多组分教育康复方法在脑卒中患者康复中的应用

Multicomponent Educational-Rehabilitation Approach in Rehabilitation of Patients After Stroke.

作者信息

Glinac Alma, Sinanović Osman, Sinanović Selma

机构信息

University Clinical Center Tuzla, Ulica prof. dr. Ibre Pašića, Tuzla, Bosnia and Herzegovina; Facullty of Education and Rehabilitation, University of Tuzla, Univerzitetska 1, Tuzla, Bosnia and Herzegovina.

Medical Faculty, Univeristy of Tuzla, Univerzitetska 1, Tuzla, Bosnia and Herzegovina; Sarajevo School of Medcine, University of Sarajevo Scool of Science and Technology, Ilidža, Sarajevo, Bosnia and Herzegovina.

出版信息

Eurasian J Med. 2022 Oct;54(3):292-298. doi: 10.5152/eurasianjmed.2022.20330.

Abstract

Rehabilitation must be based on the individual needs and specific goals of the person and must be adapted to his abilities. According to the recommendation of the World Stroke Organization, the team involved in conducting rehabilitation should be multidisciplinary. One of the treatments that are applied within the multidisciplinary approach to a neurological patient is educational-rehabilitation treatment, which is multicomponent in nature. Before starting educational-rehabilitation treatment, an educational-rehabilitation clinical assessment is necessary, which aims to detect difficulties caused by impairment; identify potentials and constraints in these areas; determine the specifics, course, and forecasts of difficulties; formulate clear treatment recommendations; form a watch list that will be available to all team members in the process of diagnosis, treatment, education, and to evaluate the effectiveness of treatment; and continuously monitor the ability and adaptive behavior of the person. Educational-rehabilitation clinical treatment includes treatment of cognitive abilities, treatment of motor skills, relaxation, treatment of adaptive skills, as well as informing the person about the disease and counseling. This review focuses on some aspects of rehabilitation such as treatment of cognitive and motor disorders, treatment of adaptive skills, relaxation issues, and informing and counseling patients from the perspective of an educational rehabilitator with practical experiences in this area of rehabilitation.

摘要

康复必须基于个人需求和个人的特定目标,并且必须适应其能力。根据世界卒中组织的建议,参与康复实施的团队应是多学科的。在对神经科患者进行多学科治疗方法中应用的一种治疗方法是教育康复治疗,其本质上是多成分的。在开始教育康复治疗之前,进行教育康复临床评估是必要的,其目的是检测由损伤引起的困难;识别这些领域的潜力和限制;确定困难的具体情况、过程和预测;制定明确的治疗建议;形成一份观察清单,供所有团队成员在诊断、治疗、教育过程中使用,并评估治疗效果;以及持续监测个人的能力和适应性行为。教育康复临床治疗包括认知能力治疗、运动技能治疗、放松、适应性技能治疗,以及向患者告知疾病情况和提供咨询。本综述从在该康复领域具有实践经验的教育康复师的角度,重点关注康复的一些方面,如认知和运动障碍的治疗、适应性技能的治疗、放松问题以及对患者的告知和咨询。

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