Background: In a pilot study of telerehabilitation at home for patients after stroke, we wanted to develop a rehabilitation service that would enable the patients after discharge from inpatient rehabilitation to work out at home over a longer period under the supervision of a therapist. Methods: We developed a model of telerehabilitation service, established the technological infrastructure for its implementation via Internet and prepared 19 multimedia contents (videos) % 14 to show correct postures and transfers and 5 comprising a variety of exercises for stretching. Five stroke patients who completed the inpatient rehabilitation program at the University Rehabilitation Institute in Ljubljana were included in the study. An occupational therapist and a physiotherapist supervised the telerehabilitation for 3 months after patient%s discharge. They selected multimedia contents for each patient and weekly adapted them to his needs during videoconferencing. Results: During the telerehabilitation service, 14 different videos were selected for two patients, 13 for another patient, and 10 for two others. The therapists held 13 videoconferences with three patients and 12 with two. With all patients, there were some problems with the Internet connection. Especially in the beginning of telerehabilitation, all patients needed a support of their relatives or other persons. The most viewed videos were those with the exercises for stretching. Conclusions: Responses of patients and their assistants to telerehabilitation service were positive. Further development should particularly address the identification of appropriate contents of telerehabilitation, adapted to the heterogeneous needs of patients after stroke.
F.17 Transfer of existing technologies, know-how, methods and procedures into practice
COBISS.SI-ID: 2282857In 1996 the World Health Organization declared intimate partner violence (IPV) the most important public health problem. Meta-analyses in 2013 showed every third female globally had been a victim of violence. Experts find screening controversial; family medicine is the preferred environment for identifying victims of violence, but barriers on both sides prevent patients from discussing it with doctors. In July 2014, a qualitative study was performed through semi-structured interviews with ten family doctors of different ages and gender, working in rural or urban environments. Sound recordings of the interviews were transcribed, and the record verified. The data were interpreted using content analysis. A coding scheme was developed and later verified and analysed by two independent researchers. The text of the interviews was analysed according to the coding scheme. Two coding schemes were developed: one for screening, and the other for the active detection of IPV. The main themes emerging as barriers to screening were lack of time, staff turnover, inadequate finance, ignorance of a clear definition, poor commitment to screening, obligatory follow-up, risk of deterioration of the doctor-patient relationship, and insincerity on the part of the patient. Additionally, cultural aspects of violence, uncertainty/helplessness, fear, lack of competence and qualifications, autonomy/negative experience, and passive role/stigma/fear on the part of the patients were barriers to active detection. All the participating doctors had had previous experience with active detection of IPV and were aware of its importance. Due to several barriers to screening for violence they preferred active detection.
B.01 Organiser of a scientific meeting
COBISS.SI-ID: 3458789First slovene qualitative study among adolescents on mental health
D.04 Initiative to set up a new research area in Slovenia
COBISS.SI-ID: 287905792Background: Supervised rehabilitation treatment can significantly improve the functional recovery over a longer period of time in patients after stroke. Tele-rehabilitation technology allows the use of rehabilitation services in the patient's home environment. The purpose of our pilot study was to test the effectiveness of continuing exercise at home after discharge from inpatient rehabilitation by using a of tele-rehabilitation service. Methods: The study included 10 patients after the first stroke. Upon discharge from the inpatient rehabilitation the patients were randomized into the test group and the control group; there were five patients in each group. The test group received tele-rehabilitation treatment in the form of movies under the supervision of a therapist for 3 months after discharge. The control group received exercises in written form, which they performed without the supervision of a therapist in their home environment. The assessments (passive range of joint motion, muscle tone in the upper limb, pain and motor function) were performed at the time of discharge in the rehabilitation hospital and in the home environment after 3 months of training. Results: There was an improvement in function of the upper limb and general motor function, reduction of muscle tone in the elbow, wrist and finger flexors, and a decrease in pain in both groups after 3 months of training, but there were no statistically significant differences between the groups. Shoulder joint abduction passive range of motion was statistically significantly better in the test group after the training (p = 0,017). Conclusions: Tele-rehabilitation service proved to be an effective and useful method to improve motor skills and joint mobility and also to reduce pain and muscle tone for patients in the chronic period after stroke.
F.17 Transfer of existing technologies, know-how, methods and procedures into practice
COBISS.SI-ID: 2281833Under the EC and WHO legislation countries are tasked with setting up a system of interdisciplinary response to various risks to public health. Cooperation of many medical and other professionals working together in ports of entry is needed in order to communicable diseases control. International airports, ports and ground crossings represent points of entry togehter with primary health service. The algorithm of action predicts the response system and unified actions by all stackeholders.
B.03 Paper at an international scientific conference
COBISS.SI-ID: 3173548