Medicīniskās rehabilitācijas pakalpojuma novērtējums pieaugušām personām darbspējas vecumā psihiatrisko slimnīcu stacionāros
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pētījuma nosaukums: Medicīniskās rehabilitācijas pakalpojuma novērtējums pieaugušām personām darbspējas vecumā psihiatrisko slimnīcu stacionāros
Pētnieciskais jautājums: Vai ir atšķirības medicīniskās rehabilitācijas pakalpojuma nodrošināšanā pieaugušām personām darbspējas vecumā psihiatrisko slimnīcu stacionāros Latvijā un kādi ir veicinošie un kavējošie faktori, kas ietekmē šāda veida pakalpojumu Latvijā?
Darba mērķis: Salīdzināt un izvērtēt medicīniskās rehabilitācijas pakalpojumu pieaugušām personām darbaspējas vecumā psihiatrisko slimnīcu stacionāros Latvijā, izmantojot ICSO-R 2.0 novērtēšanas matricu.
Metodes: Gadījuma analīze jeb gadījuma pētījums; viena gadījuma analīze.
Rezultāti: Pētījuma tika iekļauti seši pakalpojuma sniedzēji un veiktas 10 daļēji strukturētas intervijas ar profesiju pārstāvjiem: ergoterapeits, fizioterapeits, garīgās veselības aprūpes māsa, mākslas terapeits specializācijā deju un kustību terapija, psihiatrs, psihologs, sociālais darbinieks, sociālais rehabilitētājs un veikta statistikas datu analīze par funkcionālo speciālistu skaita izmaiņām psihiatrisko slimnīcu stacionāros Latvijā no 2016. gada līdz 2020. gadam.
Tika konstatēts, ka speciālistu darba organizāciju un pakalpojuma sniegšanu ietekmē vadība, rehhabilitācijas komanda, vide, stigmatizācija un laika faktors. Savukārt kā kavējošie faktori pakalpojuma nodrošināšanā tika nosaukti: stigmatizācija, pakalpojuma vieta un pacientu funkcionālais stāvoklis, bet kā veicinošie: finansiālais faktors un garīgas veselības aktualitāte.
Funkcionālo speciālistu skaita izmaiņas demonstrē, ka dinamikā speciālistu skaits pieaug. Laika periodā 2016.-2020.g. divos pakalpojuma sniedzējos strādājuši vairāk kā četri funkcionālie speciālisti; četros pakalpojuma sniedzējos – trīs uz mazāk. Visplašāk pārstāvētās profesijas: ergoterapeits, fizioterapeits un mākslas terapeits (specializācija nav zināma).
Secinājumi: Latvijā sešos psihiatrisko slimnīcu stacionāros pieejami rehabilitācijas pakalpojumi. Speciālistu uzskati par darba organizāciju un pakalpojuma sniegšanu atšķiras, taču pētījuma laikā identificētas piecas kopīgas iezīmes. Rehabilitācijas pakalpojumu nodrošināšanu ietekmē gan veicinošie faktori, gan kavējošie faktori.
ANNOTATION Tittle: Evaluation of medical rehabilitation services for adults in working age in psychiatric hospitals Research question: Are there differences in the provision of medical rehabilitation services for adults in working age in psychiatric hospitals in Latvia and what are the facilitating and inhibiting factors affecting this type of service in Latvia? Aim of the study: To compare and evaluate medical rehabilitation services for adults of working age in inpatient psychiatric hospitals in Latvia, using the ICSO-R 2.0 Classification system. Methods: case study; analysis of a single unit Results: Six service providers were included in the study and 10 semi-structured interviews were carried out with members of the following professions: occupational therapist, physiotherapist, mental health nurse, art therapist specialising in dance and movement therapy, psychiatrist, psychologist, social worker, social rehabilitator. The statistical data regarding changes in the number of functional specialists in psychiatric hospitals in Latvia between 2016 and 2020 are analysed It was found that work organisation and service delivery are influenced by management, the rehabilitation team, the environment, stigma and time. Stigma, location and patients' functional status were identified as inhibiting factors, while financial factors and mental health relevance were identified as facilitating factors. The changes in the number of functional specialists show that the number of specialists are increasing dynamically. In the period 2016-2020, two providers had more than four functional specialists; four providers had three to fewer. The most widely represented professions are: occupational therapist, physiotherapist and art therapist (specialisation unknown). Conclusions: Rehabilitation services are available in six psychiatric hospitals in Latvia. The specialists' views on the organisation of work and service delivery vary, but the study identified five common features. Both facilitating factors and inhibiting factors influence the provision of rehabilitation services. Keywords: medical rehabilitation, psychiatry, adults in working age, inpatient, service evaluation, ICSO-R, ICSO-R 2.0
ANNOTATION Tittle: Evaluation of medical rehabilitation services for adults in working age in psychiatric hospitals Research question: Are there differences in the provision of medical rehabilitation services for adults in working age in psychiatric hospitals in Latvia and what are the facilitating and inhibiting factors affecting this type of service in Latvia? Aim of the study: To compare and evaluate medical rehabilitation services for adults of working age in inpatient psychiatric hospitals in Latvia, using the ICSO-R 2.0 Classification system. Methods: case study; analysis of a single unit Results: Six service providers were included in the study and 10 semi-structured interviews were carried out with members of the following professions: occupational therapist, physiotherapist, mental health nurse, art therapist specialising in dance and movement therapy, psychiatrist, psychologist, social worker, social rehabilitator. The statistical data regarding changes in the number of functional specialists in psychiatric hospitals in Latvia between 2016 and 2020 are analysed It was found that work organisation and service delivery are influenced by management, the rehabilitation team, the environment, stigma and time. Stigma, location and patients' functional status were identified as inhibiting factors, while financial factors and mental health relevance were identified as facilitating factors. The changes in the number of functional specialists show that the number of specialists are increasing dynamically. In the period 2016-2020, two providers had more than four functional specialists; four providers had three to fewer. The most widely represented professions are: occupational therapist, physiotherapist and art therapist (specialisation unknown). Conclusions: Rehabilitation services are available in six psychiatric hospitals in Latvia. The specialists' views on the organisation of work and service delivery vary, but the study identified five common features. Both facilitating factors and inhibiting factors influence the provision of rehabilitation services. Keywords: medical rehabilitation, psychiatry, adults in working age, inpatient, service evaluation, ICSO-R, ICSO-R 2.0
Description
Rehabilitācija
Rehabilitation
Veselības aprūpe
Health Care
Rehabilitation
Veselības aprūpe
Health Care
Keywords
Atslēgvārdi: medicīniskā rehabilitācija, psihiatrija, pieaugušie darbspējas vecumā, stacionārs, pakalpojuma novērtēšana, ICSO-R, ICSO-R 2.0, Keywords: medical rehabilitation, psychiatry, adults in working age, inpatient, service evaluation, ICSO-R, ICSO-R 2.0