Rehabilitation最新文献

{"title":"Unterstützung von Menschen mit psychischen Erkrankungen im\u0000 SGB II","authors":"","doi":"10.1055/a-2041-4125","DOIUrl":"https://doi.org/10.1055/a-2041-4125","url":null,"abstract":"","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43916691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of the SARS-CoV-2 Pandemic on the Utilization of Cancer Rehabilitation: a Difference-in-Differences Analysis].","authors":"David Fauser,&nbsp;Hannes Banaschak,&nbsp;Pia Zollmann,&nbsp;Marco Streibelt,&nbsp;Matthias Bethge","doi":"10.1055/a-1936-4083","DOIUrl":"https://doi.org/10.1055/a-1936-4083","url":null,"abstract":"<p><strong>Purpose: </strong>Restricted access to rehabilitative care due to the SARS-CoV-2 pandemic may affect the participation of cancer survivors and risks progression of the underlying disease. The aim of our analyses was to examined the extent to which cancer rehabilitations in Germany decreased due to the SARS-CoV-2 pandemic.</p><p><strong>Methods: </strong>Data were retrieved from the German Pension Insurance which is the main provider for medical rehabilitation in Germany. We used monthly cross-sectional data on the utilization of cancer rehabilitation (Ca-rehab-services according to section 15 for working-aged people or section 31 social security code VI for pensioners) in 2019 and 2020. We used a difference-in-differences model to determine the reduction in rehabilitation utilization attributable to the pandemic and reported incidence rate ratios (IRR).</p><p><strong>Results: </strong>We included 146,924 cancer rehabilitations in 2019 and 113,117 cancer rehabilitations in 2020. Compared to the previous year, the nationwide decline in cancer rehabilitations was greatest in April 2020 (63.2%). Utilization of cancer rehabilitation was reduced by 11.5% for benefits according to section 15 social security code VI (IRR=0.885; 95% CI: 0.864 to 0.906) and by 26.5% for benefits according to section 31 (IRR=0.735; 95% CI: 0.717 to 0.754) due to the pandemic. For pensioners the decline in utilization was more pronounced in Western Germany than in Eastern Germany and greater for non-post-acute rehabilitations than for post-acute rehabilitations.</p><p><strong>Conclusion: </strong>The analyses show a pandemic-related decline in cancer rehabilitations, especially in cancer rehabilitation services for pensioners. Failure to seek medical rehabilitation, through which physical and psychological recovery and relief from disease and treatment side effects can be achieved, will have a lasting impact on the participation for many cancer survivors. Repeated monitoring of work ability and health of chronically ill people could generate necessary data to clarify why people in need of rehabilitation have avoided seeking medical rehabilitation and how they can be supported.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"62 2","pages":"104-112"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9291752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Systematic Reviews on the Effectiveness of Multidisciplinary Rehabilitation].","authors":"Annett Salzwedel,&nbsp;Bernhard Rauch","doi":"10.1055/a-1746-4895","DOIUrl":"https://doi.org/10.1055/a-1746-4895","url":null,"abstract":"<p><p>Systematic reviews and meta-analyses of clinical trials are considered to represent the highest level of scientific evidence in clinical medicine provided internationally accepted guidelines and checklists are followed.In systematic reviews and meta-analyses all clinical studies focussing a specific predefined clinical question are collected and evaluated. The results of systematic reviews strongly depend on the study protocol, including the exact definition of the population of interest, the therapeutic intervention under consideration and, last not least, the time period of observation. Moreover, evaluating multidisciplinary rehabilitation, its specifications with regard to therapeutic content, intensity and duration, supervision and general framework must be considered for correctly estimating determinants that control therapeutic success or failure.The range of potential risks of bias arising during planning, realization and publication of clinical studies is considerable and needs to be carefully estimated with regard to each single study included in meta-analysis.Taking together, the incremental scientific value of systematic reviews and meta-analyses cannot be taken for granted, but strongly depends on the methodological quality of the clinical studies being included as well as on the systematic process of the meta-analysis and the critical interpretation of the results.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"62 2","pages":"113-124"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9294952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vierter Teilhabeverfahrensbericht der BAR","authors":"","doi":"10.1055/a-2041-3967","DOIUrl":"https://doi.org/10.1055/a-2041-3967","url":null,"abstract":"Die Bundesarbeitsgemeinschaft für Rehabilitation (BAR) hat Ende 2022 den\u0000 vierten Teilhabeverfahrensbericht (THVB) veröffentlicht. Dem Bericht ist\u0000 u. a. zu entnehmen, dass auch im Jahr 2021 fast 2,8 Mio. Anträge auf\u0000 Rehabilitationsleistungen gestellt wurden; im Vergleich zum Vorjahr bleibt das\u0000 Antragsvolumen somit auf konstantem Niveau. 83% der entschiedenen\u0000 Anträge wurden vollständig oder teilweise bewilligt. Bis zur\u0000 Entscheidung über einen Antrag dauerte es im Durchschnitt 22 Tage. Die\u0000 Hälfte der Widersprüche wurde zugunsten der Leistungsberechtigten\u0000 entschieden.","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48958386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unterstützung der Rückkehr an den Arbeitsplatz nach\u0000 stationärer psychiatrischer Behandlung","authors":"","doi":"10.1055/a-2041-4140","DOIUrl":"https://doi.org/10.1055/a-2041-4140","url":null,"abstract":"Eine in der Zeitschrift European Psychiatry erschienene clusterrandomisierte Studie\u0000 hat eine einfache Intervention für stationär behandelte Patientinnen\u0000 und Patienten mit psychischen Erkrankungen geprüft, um die Rückkehr\u0000 an den Arbeitsplatz zu unterstützen. Das Angebot wurde von\u0000 Sozialarbeiterinnen und Sozialarbeitern umgesetzt und unterstützte\u0000 insbesondere die konkrete Planung der beruflichen Wiedereingliederung. Insgesamt\u0000 wurden fünf Sitzungen im Verlauf der stationären Behandlung und drei\u0000 in den nachfolgenden sechs Monaten durchgeführt. Bei Bedarf wurde der\u0000 Arbeitgeber einbezogen. Die Kontrollgruppe erhielt die sonst übliche\u0000 Behandlung. In die Studie wurden 268 Personen mit überwiegend affektiven\u0000 Störungen eingeschlossen. Die durchschnittliche Erkrankungsdauer betrug 10\u0000 Jahre. Zum Zeitpunkt der Entlassung waren die Interventionsgruppe und die\u0000 Kontrollgruppe hinsichtlich der Behandlungsdauer, Erkrankungsschwere oder der\u0000 subjektiv empfundenen Bereitschaft zur Rückkehr an den Arbeitsplatz\u0000 vergleichbar.","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46059830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stellungnahme zum Post-COVID-Syndrom","authors":"","doi":"10.1055/a-2041-4437","DOIUrl":"https://doi.org/10.1055/a-2041-4437","url":null,"abstract":"Die Bundesärztekammer hat eine wissenschaftliche Stellungnahme zum\u0000 Post-COVID-Syndrom veröffentlicht. Für die Stellungnahme hat der\u0000 wissenschaftliche Beirat die bislang zur Verfügung stehenden Daten\u0000 systematisch gesichtet und zusammengefasst. Die Weltgesundheitsorganisation spricht\u0000 vom Post-COVID-Syndrom, wenn bei Personen mit einer SARS-CoV-2-Infektion drei Monate\u0000 nach Beginn der Erkrankung Symptome wie Fatigue, Kurzatmigkeit und kognitive\u0000 Störungen von mindestens zweimonatiger Dauer auftreten. Diese Symptome\u0000 können nach der anfänglichen Genesung neu auftreten oder\u0000 fortbestehen.","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46551165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liebe Leserinnen und Leser.","authors":"Bernhard Greitemann","doi":"10.1055/a-2022-1324","DOIUrl":"https://doi.org/10.1055/a-2022-1324","url":null,"abstract":"","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"62 2","pages":"61"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9294950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menschen mit Behinderungen im Homeoffice","authors":"","doi":"10.1055/a-2041-4097","DOIUrl":"https://doi.org/10.1055/a-2041-4097","url":null,"abstract":"","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45703278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bericht des BMAS zum Bundesteilhabegesetz","authors":"","doi":"10.1055/a-2041-3908","DOIUrl":"https://doi.org/10.1055/a-2041-3908","url":null,"abstract":"Das Bundesministerium für Arbeit und Soziales (BMAS) informiert in einem Ende\u0000 Dezember 2022 vorgelegten Bericht (Bundestagsdrucksache 20/5150)\u0000 über die Umsetzung des Bundesteilhabegesetzes (BTHG). In dem\u0000 „Bericht zum Stand und zu den Ergebnissen der Maßnahmen nach Artikel\u0000 25 Absatz 2 bis 4 des Bundesteilhabegesetzes“ werden die Ausgangslage, die\u0000 Untersuchungsergebnisse und die Verlängerung von vier\u0000 Begleitmaßnahmen zum BTHG behandelt: Umsetzungsbegleitung BTHG,\u0000 Wirkungsprognose, Evaluation modellhafte Erprobung und Finanzuntersuchung. Die\u0000 umfangreichen Einzelberichte zu den Maßnahmen sind als Anlagen im Dokument\u0000 enthalten.","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42571247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Patienten mit komorbiden somatischen und psychischen Erkrankungen haben ähnliche Fähigkeitsbeeinträchtigen wie Patienten mit psychischen Erkrankungen].","authors":"Beate Muschalla,&nbsp;Michael Jöbges","doi":"10.1055/a-1839-5048","DOIUrl":"https://doi.org/10.1055/a-1839-5048","url":null,"abstract":"<p><strong>Objectives: </strong>In patients with somatic illness and additional mental disorder, not only motor or sensory functions may be impaired, but also psychological capacities. These become more and more important for work ability in our modern working world. There are presently no data about the type and distribution of psychological capacity impairments in patients with comorbid somatic and mental disorders. These data are however important for estimation of diagnostic and therapy requirements.</p><p><strong>Methods: </strong>402 orthopedic, cardiological, and neurological patients with additional mental disorders were investigated with a structured clinical assessment for mental disorders (MINI) and psychological capacity impairments (Mini-ICF-APP).</p><p><strong>Results: </strong>In all three somatic indications at least half of the comorbid patients had any clinically relevant psychological capacity impairment. Neurological patients (67%) and orthopedic patients (72%) were more often affected than cardiological patients (50.5%). Orthopedic patients are slightly more impaired in self-care; neurological and orthopedic patients are more impaired in mobility; and cardiological patients are less impaired in assertiveness.</p><p><strong>Conclusion: </strong>In comparison of all three somatic patient groups with mental disorders the number of psychological capacity impairments is similar. In contrast to patients with mental disorders only (i. e. those without somatic comorbidity), the psychological impairment quality in comorbid patients may be influenced by the somatic illness. The data from this study are important in order to estimate diagnostic and therapeutic needs, such as capacity training or compensation of psychological capacity impairments.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"62 2","pages":"86-93"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/e4/10-1055-a-1839-5048.PMC10089765.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9284972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}