Telerehabilitācija un tās saturs: darbības jomu noteikšanas pārskats
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Date
2021
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pētāmā problēma: Telerehabilitācija ir veids, kā plašākai sabiedrības daļai padarīt pieejamu uz pierādījumiem balstītu rehabilitāciju, taču nav veikta telerehabilitācijā pielietojamo intervenču, veselības stāvokļu un problēmu, uz kurām šīs intervences ir vērstas, uzskaite.
Darba mērķis: identificēt telerehabilitācijā pielietotās intervences un noskaidrot, uz kādām saslimšanām un funkcionēšanas traucējumiem tās iedarbojas.
Metodes: Lai sasniegtu darba mērķi, tika veikts darbības jomu noteikšanas pārskats. Literatūrā tika identificētas telerehabilitācijā pielietotās intervences un analizēti to pierādījuma līmeņi. Intervences tika saistītas ar ICHI klasifikāciju. Tika analizēti veselības stāvokļi, uz kuriem ir vērstas identificētās intervences, atbilstoši SSK-10 klasifikācijai. Veselības problēmas, uz kurām šīs intervences ir vērstas, tika analizētas, izmantojot SFK klasifikāciju.
Rezultāti: Darbības jomu noteikšanas pārskatā identificētas 210 unikālas intervences no 46 ICHI nodaļām. 3 intervencēm ir 2. pētījumu pierādījumu līmenis, bet visām pārējām 1. 208 no intervencēm varēja sasaistīt ar ICHI klasifikāciju. Biežākās saslimšanas pēc SSK-10 klasifikācijas bija – insults, Parkinsona slimība, multiplā skleroze un HOPS. Biežākās veselības problēmas pēc SFK – diētas un fiziskās sagatavotības pārvaldīšana, emocionālās funkcijas, slodzes tolerances funkcijas un sāpju sajūta.
Rezultātu analīze: Analizējot rezultātos iegūtās intervences, veselības stāvokļus un problēmas, iezīmējas, ka telerehabilitācijā tiek izmantots plašs intervenču klāsts, kurš ir mērķtiecīgi pielietots. Katra intervence tiek attiecināta uz atbilstošu veselības stāvokli un problēmu.
Secinājumi: Ir identificētas telerehabilitācijas pakalpojumā pielietotas intervences, kurām ir augsts pētījumu pierādījumu līmenis. 208 no 210 intervencēm tika sasaistītas ar ICHI. Intervences - multiprofesionālas komandas sapulce un aptauja par tūsku kājās klasifikācijā nav nosegtas. Atbilstoši SSK-10 tika identificēti veselības stāvokļi no 15 nodaļām. Visbiežāk sastopamie veselības stāvokļi, uz kuriem ir vērstas intervences, bija asinsrites, nervu sistēmas un elpošanas sistēmas slimības. Atbilstoši SFK, tika identificētas veselības problēmas no visiem SFK domēniem, iekļaujot problēmas no 23 nodaļām. Visbiežāk sastopamās veselības problēmas ir “b152 Emocionālās funkcijas”; “d5701 Diētas un fiziskās sagatavotības pārvaldīšana”, “b455 Slodzes tolerances funkcijas” un “b280 Sāpju sajūta”.
Research problem: Telerehabilitation is a way of making evidence-based rehabilitation available to the general public. There has not been made account of the health interventions, health conditions and problems targeted by telerehabilitation. Aim of the study: To identify the health interventions used in telerehabilitation and to find out what diseases and health problems they affect. Methods: This is the scoping review. Available literature were screened to find the health interventions used in the telerehabilitation and their levels of evidence were analyzed. The interventions were classified accordingly to ICHI. The health conditions targeted by the identified interventions were analyzed according to the ICD-10 classification. The health problems targeted by these interventions were analyzed using the ICF classification. Results: 210 unique interventions from 46 ICHI classification units has been identified. 3 of the interventions has the 2nd level of evidence. All of the other identified interventions has the 1st level of evidence. 208 interventions has been linked to the ICHI classification. The most common diseases according to ICD-10 classification were – stroke, Parkinson’s disease, multiple sclerosis and COPD. The most common health problems according to ICF classification were – managing diet and fitness, emotional functions, exercise tolerance functions and sensation of pain. Discussion: Wide range of interventions are used in the telerehabilitation. Those interventions has been used purposefully and are related to the appropriate health condition and problem. Conclusion: In this work high level of research evidence interventions, used in telerehabilitation services, have been identified. 208 of the 210 interventions were linked to ICHI. Multiprofessional team meeting and survey on leg edema are not covered by ICHI. According to ICD-10, health conditions were identified from 15 chapters. The most common health conditions targeted by the interventions were circulatory, nervous and respiratory system diseases. There has been identified health problems from all ICF domains and 23 ICF chapters. The most common health problems are “b152 Emotional functions”; “d5701 Managing diet and fitness”, “b455 Exercise tolerance functions” and “b280 Sensation of pain”.
Research problem: Telerehabilitation is a way of making evidence-based rehabilitation available to the general public. There has not been made account of the health interventions, health conditions and problems targeted by telerehabilitation. Aim of the study: To identify the health interventions used in telerehabilitation and to find out what diseases and health problems they affect. Methods: This is the scoping review. Available literature were screened to find the health interventions used in the telerehabilitation and their levels of evidence were analyzed. The interventions were classified accordingly to ICHI. The health conditions targeted by the identified interventions were analyzed according to the ICD-10 classification. The health problems targeted by these interventions were analyzed using the ICF classification. Results: 210 unique interventions from 46 ICHI classification units has been identified. 3 of the interventions has the 2nd level of evidence. All of the other identified interventions has the 1st level of evidence. 208 interventions has been linked to the ICHI classification. The most common diseases according to ICD-10 classification were – stroke, Parkinson’s disease, multiple sclerosis and COPD. The most common health problems according to ICF classification were – managing diet and fitness, emotional functions, exercise tolerance functions and sensation of pain. Discussion: Wide range of interventions are used in the telerehabilitation. Those interventions has been used purposefully and are related to the appropriate health condition and problem. Conclusion: In this work high level of research evidence interventions, used in telerehabilitation services, have been identified. 208 of the 210 interventions were linked to ICHI. Multiprofessional team meeting and survey on leg edema are not covered by ICHI. According to ICD-10, health conditions were identified from 15 chapters. The most common health conditions targeted by the interventions were circulatory, nervous and respiratory system diseases. There has been identified health problems from all ICF domains and 23 ICF chapters. The most common health problems are “b152 Emotional functions”; “d5701 Managing diet and fitness”, “b455 Exercise tolerance functions” and “b280 Sensation of pain”.
Description
Rehabilitācija
Rehabilitation
Veselības aprūpe
Health Care
Rehabilitation
Veselības aprūpe
Health Care
Keywords
telerehabilitācija; intervences; terapijas metodes; rehabilitācija; ICHI, telerehabilitation; intervention; therapy methode; rehabilitation; ICHI