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master's thesis
USPOREDBA ISHODA RANE REHABILITACIJE BOLESNIKA NAKON UGRADNJE TOTALNIH ENDOPROTEZA KUKA I KOLJENA
2018. urn:nbn:hr:171:725267
Dželalija, Ivan
University of Split
School of Medicine
Physical and rehabilitation medicine

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Dželalija, I. (2018). USPOREDBA ISHODA RANE REHABILITACIJE BOLESNIKA NAKON UGRADNJE TOTALNIH ENDOPROTEZA KUKA I KOLJENA (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:725267

Dželalija, Ivan. "USPOREDBA ISHODA RANE REHABILITACIJE BOLESNIKA NAKON UGRADNJE TOTALNIH ENDOPROTEZA KUKA I KOLJENA." Master's thesis, University of Split, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:171:725267

Dželalija, Ivan. "USPOREDBA ISHODA RANE REHABILITACIJE BOLESNIKA NAKON UGRADNJE TOTALNIH ENDOPROTEZA KUKA I KOLJENA." Master's thesis, University of Split, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:171:725267

Dželalija, I. (2018). 'USPOREDBA ISHODA RANE REHABILITACIJE BOLESNIKA NAKON UGRADNJE TOTALNIH ENDOPROTEZA KUKA I KOLJENA', Master's thesis, University of Split, School of Medicine, accessed 02 June 2023, https://urn.nsk.hr/urn:nbn:hr:171:725267

Dželalija I. USPOREDBA ISHODA RANE REHABILITACIJE BOLESNIKA NAKON UGRADNJE TOTALNIH ENDOPROTEZA KUKA I KOLJENA [Master's thesis]. Split: University of Split, School of Medicine; 2018 [cited 2023 June 02] Available at: https://urn.nsk.hr/urn:nbn:hr:171:725267

I. Dželalija, "USPOREDBA ISHODA RANE REHABILITACIJE BOLESNIKA NAKON UGRADNJE TOTALNIH ENDOPROTEZA KUKA I KOLJENA", Master's thesis, University of Split, School of Medicine, Split, 2018. Available at: https://urn.nsk.hr/urn:nbn:hr:171:725267

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Metadata
TitleUSPOREDBA ISHODA RANE REHABILITACIJE BOLESNIKA NAKON UGRADNJE TOTALNIH ENDOPROTEZA KUKA I KOLJENA
Title (english)COMPARISON OF EARLY REHABILITATION SUCCESS FOLLOWING TOTAL HIP AND KNEE REPLACEMENT
AuthorIvan Dželalija
MentorTonko Vlak (mentor)
Committee memberZenon Pogorelić (predsjednik povjerenstva)
Committee memberIris Jerončić Tomić (član povjerenstva)
Committee memberRenata Pecotić (član povjerenstva)
GranterUniversity of Split
School of Medicine
(Physical and rehabilitation medicine)
Split
Defense date and country2018, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Physical Medicine and Rehabilitation
Abstract
Cilj istraživanja: Utvrditi uspješnost rane rehabilitacije bolesnika nakon ugradnje totalnih endoproteza kuka odnosno koljena te detekcija razlika u uspjehu rehabilitacije u te dvije skupine usporedbom Barthel indeksa i pojavnosti komplikacija. Ispitanici i metode: U istraživanje je uključeno 230 bolesnika s ugrađenom totalnom endoprotezom kuka te 141 bolesnik s ugrađenom totalnom endoprotezom koljena. Prikupljeni su podatci o ukupnom Barthel indeksu na početku i kraju rehabilitacije te ocjene deset pojedinačnih kategorija Barthel indeksa: samostalnosti kod osobne higijene, kupanja, prehrane, korištenja toaleta, korištenja stepenica, odijevanja, kontrole stolice, kontrole mokrenja, transfera od sjedalice do kreveta te pokretljivosti. Uz to bilježena je i pojavnost komplikacija za vrijeme ranog postoperativnog razdoblja kao i tokom rehabilitacije. Za ocjenu uspjeha rehabilitacije nakon ugradnje totalne endoproteze kuka i koljena analizirane su vrijednosti Barthel indeksa na početku i na kraju rehabilitacije. Te dvije skupine bolesnika uspoređene su na osnovu razlika Barthel indeksa s početka i kraja rehabilitacije i promjena svake od deset pojedinačnih kategorija Barthel indeksa. Rezultati: Utvrđena je statistički značajna promjena Barthel indeksa nakon provedene rehabilitacije u skupini bolesnika s ugrađenim TEP-om kuka (p<0,0001), kao i skupini bolesnika s ugrađenim TEP-om koljena (p<0,0001). Usporedbom promjena ukupnog Barthel indeksa nije utvrđena statistički značajna razlika između te dvije skupine bolesnika (p=0,14). Statistički značajna razlika, usporedbom promjena u kategorijama Barthel indeksa, između skupina nađena je kod promjena ocjena u samostalnosti kod hranjenja bolesnika (p=0,015) i korištenja toaleta (p=0,029), a porast je bio veći u skupini s TEP-om kuka u odnosu na skupinu s TEP-om koljena. Zaključci: Provođenje rane rehabilitacije učinkovito je u poboljšanju funkcionalnih sposobnosti bolesnika nakon ugradnje totalne endoproteze kuka i koljena. Na osnovi promjena u ukupnom Barthel indeksu nema razlike između uspjeha rane rehabilitacije bolesnika nakon ugradnje totalne endoproteze kuka odnosno koljena, a moguće je da postoje razlike u stjecanju veće samostalnosti bolesnika kod hranjenja i korištenja toaleta između tih skupina bolesnika. Ipak, potrebna su daljnja istraživanja s više mjera ishoda pored Barthel indeksa koja bi utvrdila razlike u uspjehu rehabilitacije u skupinama bolesnika nakon ugradnje totalnih endoproteza kuka odnosno koljena.
Abstract (english)
Objectives: To determine the success of early rehabilitation following total knee and hip replacement. Also, to examine difference between early rehabilitation success in these two groups of patients by comparison of Barthel index scores and rate of complications. Patients and methods: This research included 230 patients with total hip replacement and 141 patients with total knee replacement. Following informations were collected: total Barthel index score as well as scores of ten Barthel index subcategories (feeding, bathing, grooming, dressing, bowels, bladder, toilet use, transfers – chair to bed, mobility on level surface and stairs) and occurance of complications in postoperative or rehabilitation period. Total Barthel index scores were used to analyze the success of early rehabilitation following total hip and knee replacement. Afterwards, differences between starting and endpoint total Barthel index scores (and differences between starting and endpoint scores of Barhel index subcategories) were used to compare the success of early rehabilitation in these two groups of patients. Results: Increase in total Barthel index score after early rehabilitation was statistically significant (p<0,0001) in both groups of patients. Differences between starting and endpoint total Bartthel index scores did not differ in-between groups (p=0,14). In following subcategories of Barthel index differences between starting and endpoint scores significantly differed between two groups: independence while feeding (p=0,015) and using toilet (p=0,029). Both subcategories increased more significantly in group of patients with total hip replacement. Conclusion: Early rehabilitation of patients after total knee and hip replacement is efficient and improves functional independence. Analysis based on differences between starting and endpoint total Barthel index scores showed no difference between success of early rehabilitation in one group compared to other. It is possible that independence level achieving, in feeding and toilet use, differs between groups of patients with total knee and hip replacement during early rehabilitation. Further researches, with more outcome variables beside Barthel index scores, are needed to investigate differences between early rehabilitation success following total knee and hip replacement.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:725267
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2018-07-24 07:18:23