Rehabilitation Die最新文献

{"title":"Auswirkungen des DRG-Systems auf Anschluss- und Rehabilitationsbehandlung in Sydney, New South Wales, Australien","authors":"F. Köhler","doi":"10.1055/s-2002-19957","DOIUrl":"https://doi.org/10.1055/s-2002-19957","url":null,"abstract":"","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131058771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lässt sich die Zugehörigkeit zur neurologischen Rehabilitation in den Phasen B, C und D durch FIM™-Werte bestimmen?","authors":"M. Nosper","doi":"10.1055/s-2002-19949","DOIUrl":"https://doi.org/10.1055/s-2002-19949","url":null,"abstract":"The classification of patients for phase B, C and D of neurological rehabilitation follows the suggestions of the Bundesarbeitsgemeinschaft fur Rehabilitation (BAR) based on defined clinical criteria and on neurological rehabilitation assessment. The focus of this study is to define the intervals of the complete FIM(tm)-index, intervals covered empirically as well as by evaluations of physicians, that permit utmost accuracy in assigning patients to phase B, C and D of neurological rehabilitation. Therefore, data records of 3686 patients from 4 neurological rehabilitation centres were evaluated. The patients' functional autonomy was classified by FIM(tm) on admission, in intervals of 14 days and at discharge, at the same time all patients in addition were assigned to phases B, C or D by the rehabilitation centre physicians. Statistical analysis of a total of 11,247 links of the phase classifications and FIM-indexes at 6 measurement points showed that correct correlation to phase B, C and D could be obtained on average in 79 to 89 % of the cases, based on the assumption that 18 - 36 points of the FIM-index assign to phase B, 37 - 90 points to phase C and 91 - 126 points to phase D. Discrimination between phases B and C could be obtained accurately in an average of 84 %, discrimination between phases C and D in an average of 89 %. Conformance of the FIM-intervals with TAR-based groups of care efforts compared to the evaluation by physicians indicate that the FIM(tm) represents the need for care with greater validity. If assignment to phases B, C and D would have been done on the basis of the FIM-index instead of evaluation by a physician, 8,9 % fewer patients would on admission have been classified for phase C but, instead, 4,5 % more patients for phase B and 4,4 % for phase D. In case of using the FIM-intervals for classification, 12,1 % more phase B patients could have changed to phases C or D. Of the phase C cases, 17,7 % could have been transferred to phase D before discharge. The number of phase D patients would have remained unchanged comparing admission and discharge. FIM-orientated classification for the phases of neurological rehabilitation offers considerable advantages: operationalized criteria, possibility of statistical evaluation, objectiveness, reliability, validity, reproducibility of the decisions, sensitivity to change, prognostic sensitivity, and suitability as an instrument for internal and external quality assurance.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"36 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114036719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Schnittstellenproblematik - Reha-Ökonomie","authors":"B. Birkner","doi":"10.1055/S-2002-19953","DOIUrl":"https://doi.org/10.1055/S-2002-19953","url":null,"abstract":"","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129671769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Onkologische Rehabilitation:Evaluation der Effektivität stationärer onkologischer Rehabilitationsmaßnahmen","authors":"J. Teichmann","doi":"10.1055/s-2002-19952","DOIUrl":"https://doi.org/10.1055/s-2002-19952","url":null,"abstract":"Hintergrund: Methodik: I Re S Ergebnisse: Schlussfolgerungen: Background: Methods: I Re S Results: Conclusions:","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"99 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114172507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phasenspezifische Hilfsmittelverordnungen in der neurologischen Rehabilitation","authors":"A. Bestmann, M. Lingnau, M. Staats, S. Hesse","doi":"10.1055/s-2001-18970","DOIUrl":"https://doi.org/10.1055/s-2001-18970","url":null,"abstract":"Zielsetzung: Methode Ergebnisse Schlussfolgerung Objective: Design: Results: Conclusion:","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114643037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitätsmanagement in Rehabilitationseinrichtungen in der Bundesrepublik Deutschland - Eine stratifizierte repräsentative Studie zum Stand der Umsetzung","authors":"H. Eckert","doi":"10.1055/s-2001-18971","DOIUrl":"https://doi.org/10.1055/s-2001-18971","url":null,"abstract":"Hintergrund: Fragestellung: Methodik: Ergebnisse: Diskussion: Schlussfolgerungen: Background: Objective: Methods: Results: Discussion: Conclusions:","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132784618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronische Pankreatitis: Gewichtsverlust und Leistungsschwäche - Erfahrungen aus einer spezialisierten Rehabilitationsklinik","authors":"U. Armbrecht","doi":"10.1055/s-2001-18966","DOIUrl":"https://doi.org/10.1055/s-2001-18966","url":null,"abstract":": There are various potential explanations for weight-loss and poor physical performance in patients with chronic pancreatitis: In severe chronic pancreatitis the decline in enzyme secretion is an important cause for the malassimilation syndrome frequently seen in these patients. Occasionally, difficulties may arise in establishing this decline and in quantifying the secretory capacity of the gland. Many patients limit their food intake because of the pain caused by eating. In untreated patients with diabetes, glucosuria may contribute to their malnutrition. Insufficient funds for food due to alcoholism and anorexia may also be of some significance. Concomitant gastrointestinal diseases and malabsorption following gastrointestinal surgery are frequently found in patients with chronic pancreatitis. Neurological complications and traumatic lesions after accidents - often in connection to the underlying alcoholism - are joined by physical inactivity and thus contribute to the development of muscular atrophy and decreased physical performance. Consequently, rehabilitation of patients with chronic pancreatitis is challenging: They not only need expert medical treatment of both the symptoms of chronic pancreatitis and the concomitant disorders. Therapy must also include dietary support, careful physical training, and - in cases caused by alcoholism - psycho-social support. So far, the multi-professional competence required for these purposes can only be expected in a specialized rehabilitation centre.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"8 Suppl 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128299925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aktiver Morbus Bechterew: Symptomatik, Einschränkung der Lebensqualität, Therapiebeurteilung und Therapieerwartung aus Sicht des Patienten","authors":"A. Falkenbach, B. Curda","doi":"10.1055/s-2001-17413","DOIUrl":"https://doi.org/10.1055/s-2001-17413","url":null,"abstract":"Es besteht Unsicherheit, wie im Falle des Morbus Bechterew die Aktivitat der Erkrankung zu definieren und zu messen ist. Therapeutische und rehabilitative Interventionen sollten sich jedoch immer nach der aktuellen Krankheitssituation richten. Ein anerkanntes Assessmentverfahren zur Erfassung der Krankheitsaktivitat erscheint also sehr wunschenswert. In der vorliegenden Studie soll allein die primare Beurteilung der aktiven Krankheitsphase durch den Patienten selbst erfasst werden. Was bedeutet fur den Patienten ein aktiver Morbus Bechterew? In einem standardisierten Interview wurden 100 Patienten mit Morbus Bechterew befragt, was aus ihrer eigenen Erfahrung ein aktiver Morbus Bechterew ist, was sie dann „am meisten stort”, welche Therapiemasnahmen dann sinnvoll sind und was sie von einer optimalen Behandlung in der aktiven Krankheitsphase erwarten. Fur die Patienten bedeutet ein aktiver Morbus Bechterew insbesondere Schmerzen (99 Nennungen), Bewegungseinschrankung (19), Muskelverspannung (10), nicht liegen konnen (6), Einengung im Brustbereich (5) und Atemnot (5). Die Mudigkeit wurde von 2 Patienten genannt. Den Patienten selbst „storen” in der aktiven Krankheitsphase dann in erster Linie die Schmerzen (77), die Bewegungseinschrankung (55), die sozialen (20) und beruflichen Folgen (18) sowie die Schlafstorungen (17) und die erschwerte Atmung (16). Medikamente (84) und Bewegung (42) wurden als sinnvolle Masnahmen wahrend eines aktiven Morbus Bechterew erachtet. Die grose Bedeutung von Schmerzen und Bewegungseinschrankung fur die Patienten ist nicht uberraschend. Auffallig ist die relativ haufige Nennung von Atembeschwerden, wahrend die Mudigkeit bei spontaner Beurteilung aus der Sicht des Patienten offensichtlich nur eine geringe Rolle spielt. Die Rheumatologie schenkte in den vergangenen Jahren somit moglicherweise den Atembeschwerden zu wenig und der Mudigkeit zu viel Aufmerksamkeit. In ankylosing spondylitis uncertainty prevails among rheumatologists on how to define and measure activity. In the present study the patient's view of activity was evaluated. What does active ankylosing spondylitis mean for the patient? In a standardized interview the patient was asked to describe, from his own experience, what active ankylosing spondylitis means, what bothers him most, what helps most, and what he expects from therapy. For the patient, active ankylosing spondylitis means pain (99 responses), mobility restriction (19), muscle tension (10), inability to stay supine (6), restriction in chest mobility (5) and dyspnea (5). Fatigue was mentioned by two patients. In active states patients are mainly bothered by pain (77), mobility restriction (55), consequences for social life (20) and work (18), disturbed sleep (17) and difficult breathing (16). Drugs (84) and physical activity (42) were judged the best treatments during active ankylosing spondylitis. It was no surprise that pain and mobility restriction were cited most often by the patients. Breathing ","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126063231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiperspektivische Einschätzungen zur Wahrscheinlichkeit der Wiedereingliederung von Patienten ins Erwerbsleben nach orthopädischer Rehabilitation - Ergebnisse und prognostische Relevanz","authors":"W. Bürger, S. Dietsche, M. Morfeld, U. Koch","doi":"10.1055/s-2001-15992","DOIUrl":"https://doi.org/10.1055/s-2001-15992","url":null,"abstract":": This article analyses various methods of predicting whether patients in orthopaedic rehabilitation will return to work. In this regard, items of patients, physicians in charge of rehabilitation and general practitioners have been collected and compared to working time lost due to illness. In total, 72 % of patients had successfully returned to work after one year. The patients whose reintegration could not be achieved could be identified best by asking if they believed that they would be in a position to work until the statutory retirement age (96 % identified) on the one hand and on the other hand by the physicians' estimate as to the degree the last gainful activity might be resumed (90 % identified). In this context, the criteria have to be laid down very restrictively in order to sufficiently filter out patients not likely to return to work. The patients likely to return to work are identified best by means of the following characteristics: lack of intention to retire early (96 % identified), planning to return to work directly after rehabilitation (88 % identified), and little working time lost due to illness prior to rehab (86 % identified). In general, a major percentage of patients not likely to return to work can be identified by these statements of patients and physicians. The statements of general practitioners are clearly less valuable for prediction and show only weak correlation with the respective statements of the physicians in charge of rehabilitation.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126388334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prädiktoren der beruflichen Wiedereingliederung nach stationärer kardiologischer Rehabilitation im Rahmen der Arbeiterrentenversicherung","authors":"H. Budde, M. Keck","doi":"10.1055/s-2001-15988","DOIUrl":"https://doi.org/10.1055/s-2001-15988","url":null,"abstract":": Vocational reintegration is one of the major goals of cardiac rehabilitation. 70 % of blue-collar workers under 50 years of age resume their job after in-patient cardiac rehabilitation. 10 % are hindered to do so by cardiac problems. Specific measures exist that may facilitate work resumption. As these measures should be started as soon as possible there is a need for predictors of return to work which can be obtained easily and at an early stage. Subjects of this prospective study were 650 patients (10 % female) under 50 years of age who participated in an in-patient cardiac rehabilitation programme under the workers' pension insurance scheme. At the beginning of programme participation, problems in work resumption as expected by the patient and by his physician were obtained, as well as depression and anxiety scores (HADS-D). Physicians' and patients' expectations concerning problems in resuming work turn out to be significant predictors of the vocational situation of the male patients six months following medical rehabilitation. The depression score obtained at the outset of the programme is the only predictor of return to work in female patients.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132744318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}