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46. Merilni sistem za vrednotenje živčno-mišičnih funkcij trupa : tehnični razvoj in študija primeraNejc Šarabon, Matej Voglar, Andrej Panjan, Borut Fonda, 2013, original scientific article Abstract: Bolečina v križu (BVK) je najpogostejši zdravstveni problem gibalnega aparata današnje populacije. Pri osebah z BVK je opaziti številne spremembe v živčno-mišičnih funkcijah trupa. Kljub temu da je etiologija BVK zelo kompleksna in pogosto tudi psihosomatsko pogojena, je za uspešno preventivo/rehabilitacijo potrebno razumevanje biomehanskih značilnosti, ki sepogosto pojavljajo pri osebah z BVK. Objektivno vrednotenje gibalnih funkcijtrupa omogoča prepoznavo sprememb, ki so lahko vzrok in/ali posledica BVK. Kljub številnim študijam, ki dokazujejo spremembe v različnih gibalnih funkcijah trupa, je objektivno vrednotenje teh pogosto le v raziskovalnih študijah, ne pa v klinični praksi. Namen tega članka je predstaviti tehnične lastnosti celostnega integriranega merilnega sistema za veljavno in objektivno vrednotenje živčno-mišičnih funkcij trupa, ki je bil razvit v sklopu aplikativnega raziskovalnega projekta, ki predstavlja vzoren primer sodelovanja med univerzo in gospodarstvom. Dodatno je empirično in grafično predstavljena študija primera ene celotne meritve na mladi zdravi osebi. Na koncu članka so predlagane praktične rešitve za zdravstvene in vadbene ustanove pri obravnavi bolnikov z BVK.
Keywords: bolečina v križu, diagnostika, meritve, inovativnost, gibalna terapija
Published in RUP: 21.12.2015; Views: 3769; Downloads: 34
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49. The presence of anxiety and depression in the adult population of family practice patients with chronic diseasesZalika Klemenc-Ketiš, Janko Kersnik, Erika Tratnik, 2009, original scientific article Abstract: Background: The prevalence of multimorbidity in family practice is rising and psychiatric comorbidity presents a risk factor for premature mortality. Objective: The aim of this study was to determine the prevalence of anxiety and depression in the adult population of family practice patients with chronic somatic diseases, aged between 18 and 64 years old. Methods: We performed a cross sectional study in 500 consecutive patients from twelve family practices. Zung's self-assessment inventories for anxiety and depression were used to determine the presence of psychiatric comorbidity. The main outcome measures were depression and anxiety scores in patients with various comorbidities. Results: The response rate was 90.4 %. 8.4 % of family practice visitors suffered from anxiety symptoms and 15.2 % from depressive symptoms. At least one chronic disease was present in 40.7 % of the patients. Significantly higher rates of depression and anxiety were found among patientswith chronic somatic disease (p=0.001, P<0.001, respectively; ?2 test)or chronic pain (p<0.001, p<0.001, respectively; ?2 test). Significantly more patients with rheumatic diseases had depression in comparison to those without them (p=0.018; ?2 test). Significantly more patients with migraine or rheumatic diseases had anxiety in comparison to those without them (p=0.010, p=0.030, respectively; ?2 test). Chronic pain was present in significantly more patients with a particular chronic disease in comparison to the patients without it (p<0.050; ?2 test). Conclusions: Family doctors should actively search and treat psychiatric comorbidity also in the population of patients with chronic somatic diseases, aged between 18 and 64 years old.
Keywords: družinske medicina, anksioznost, depresija, kronična bolezen, bolečina
Published in RUP: 15.10.2013; Views: 3544; Downloads: 48
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