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1
Hill, Heather B. Public Health & Community Medicine Faculty of Medicine UNSW. "Long-term outcomes after severe, traumatic brain injury." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2004. http://handle.unsw.edu.au/1959.4/22812.
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Predominant theories regarding adjustment and adaptation from the 1960s to mid 1980 are examined. Medical literature relating to outcomes after traumatic brain injury is examined. The gloom in major texts is surprising. The lack of definition of the commonly used term ???long-term??? is discussed. The relative lack of research to guide advice about very long-term prognoses remains a major concern. There are a number of ways of defining reality. Some come from an observer???s view of a person???s life. Some come from the reports of a significant other in the life of the person with TBI. Others come from the words or writings of the person who sustained a serious TBI. Quantitative research excels at summarising data and reaching generalisations based on statistical projections. Qualitative research excels at telling the story from the person???s viewpoint, providing the rich descriptive detail that sets quantitative results into their human context. An opportunistic sample of people who suffered a very severe TBI in 1981 was traced and narratives of their experiences since their injury obtained, either written or converted to text from interview. The texts were analysed using a qualitative technique based on grounded theory. The results of the analysis, the fact that a variety of approaches were used by people to deal with their problems, possible reasons for negative prognoses, and the limitations of the study are highlighted. Possible reasons why negativity appears to pervade the thinking of some health professionals involved with people with TBI, and possible directions for the future in therapy and research are discussed.
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Schinkel, Marguerite Lucile. "Long term prisoners' accounts of their sentence." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/7782.
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This thesis examines how long-term prisoners make sense of their sentence: what they see as its purpose, whether they think it fair and how they integrate their sentence in their life story. Its findings are based on narrative interviews with six men at the start of their sentence, twelve men who were about to be released and nine men who were under supervision in the community. The men interviewed felt the prison largely failed in its purposes of reform, rehabilitation and deterrence, even though these outcomes were much desired, as almost all wanted to desist. Reformative efforts were seen as overly relying on cognitive behavioural courses in the prison, which, because they were compulsory for progression within the prison, were attended by many who were not motivated to engage with them. Furthermore, the men felt that they were treated as an aggregate rather than as individuals with individual needs and that this meant the necessary supports upon release were often not put in place. Meaningful communication about the relationship between the offence and the sentence was largely lacking. Any moral communication in the courtroom was hampered by the emotional demands on the men at the sentencing stage, their wish to manipulate the outcome in their own favour and their perception that court actors, too, manipulated processes, thereby lessening the moral standing of the court. However, despite the common perception of sentences failing to achieve any desired outcome and other complaints - about the inconsistency of sentencing, the standing of the court to judge and miscarriages of justice - almost all the men nevertheless positioned their sentence as fair (enough) in their narrative. While some referred to normative reasons to explain the legitimacy of their sentence, for others their acceptance was determined by their need to cope with the lived reality of imprisonment. This led to a strategy of ‘getting your head down’, which included accepting the ‘justice’ of one’s sentence, but also limiting thoughts of the outside world and minimising contact with family. Others positioned their prison sentence as transformative in order to be able to construct a progressive narrative and make sense of a desired future of desistance. However, the men on license after release generally struggled to maintain a projected upward trajectory and only felt able to desist by isolating themselves, thereby avoiding further trouble. The thesis concludes that long-term prison sentences could be rendered more meaningful through greater individual input and a dialogue about questions of purpose and meaning, possibly initiated by community criminal justice social workers. In order to promote desistance, it is important that those who are released have better chances to secure an alternative identity for themselves so that they can move into a new stage of their lives, rather than withdrawing from the world in order to desist.
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Pike, Victoria. "Factors associated with quality of life in long-term rehabilitation." Thesis, Bangor University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367359.
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Clemens, Camille Willette 1963. "Variables associated with alcoholics' long term treatment success." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276617.
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This study investigated demographic and personality variables, that counselors used in the selection of alcoholics for long term treatment and compared the completion rate for this group against completion rates reported in past studies, in order to determine if certain personality variables are associated with completion. The MMPI, Survey of Drinking Patterns and Effects, and a demographic questionnaire was administered to 355 lower class and "skid row" inpatient alcoholics from a North Tucson alcoholism treatment center. Results showed that counselors selection judgements approximated the characteristics of alcoholics who had completed long term treatment programs in past studies. Completion rates for this group studied were found to be moderately high compared to past studies. It was concluded that certain biographical and psychological variables can be used as selection criteria for determining alcoholics long term treatment completion. Implications for these findings are discussed.
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Kwok, Leung-ming, and 郭亮明. "Managing long term prisoners in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31978551.
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Kotrappa, Neel. "The Efficacy of Long-Term Kinesio Tape on Grip Strength in a Healthy Population." Scholarship @ Claremont, 2014. http://scholarship.claremont.edu/cmc_theses/976.
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Kinesio® Tape was invented in 1973, and since has been used in various clinical and therapy settings to prevent and heal a multitude of physical conditions. Kinesio® Tape is a 100% cotton-based elastic tape that when applied to the skin pulls the skin upwards and creates more space by lifting the fascia and soft tissue, thus increasing blood flow and decreasing edema. The tape was also purported to facilitate the strengthening of weakened muscles through neuromuscular facilitation. The objective behind this study was to determine the long-term effects of applied forearm Kinesio® Tape on maximal grip strength when paired with an exercise program. The study took place at the CMS Athletic Training Center, and was designed to be a matched-pairs, single group, repeated measures experiment. Thirty- two healthy members of the Claremont College community voluntarily participated in this study. There was 16 male and 16 female participants (average age: 21.46 ± 1.76 years; average height 174.92 ± 9.40 cm; average body weight 69.17 ± 9.20 kg). The maximal grip strength of both the dominant and non-dominant hands was measured using a JAMAR Hydraulic Hand Dynamometer. Each of the 32 subjects also participated in an exercise program for two weeks and provided a grip strength measurement at the end of each week. Maximal grip strength values were assessed using a standard paired-samples t-test. Results revealed a significant difference in grip strength in the dominant arm (exercise with Kinesio® Tape) compared to the non-dominant arm (exercise only). When combined with a relatively low to medium level exercise program, Kinesio® Tape significantly increased grip strength when compared to an exercise program alone in a healthy population.
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Stock, Kathryn M. "REHABILITATION STAFF PERCEPTIONS OF END-OF-LIFE CARE IN LONG-TERM CARE FACILITIES." Miami University / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=miami1186690824.
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Vittatoe, Danielle S. "Determining Patient Activation Levels among Patients who are Receiving Rehabilitation Services in a Rehabilitation or Long-Term Care Facility." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/251.
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Research shows that one of the major contributors for an extended stay in a long-term care facility is lack of knowledge regarding goals for rehabilitation after being discharged from an acute care facility. It is important to determine patients’ levels of engagement because individuals who are actively involved in discharge planning and rehabilitation goals are able to manage their ongoing care more effectively, which results in increased quality of life. The data was collected using a survey method and the instrument used was the Patient Activation Measure or PAM which is a highly accurate and reliable tool. The 22 question survey was used to determine the level of patient activation among patients who are currently receiving rehabilitation services at a rehabilitation or long-term care facility. Determining the level of engagement in patients receiving rehabilitation services will provide health care providers insight into the how willing patients are to be engaged in their own care. A total of 11 surveys were completed by patients varying age, gender, and length of stay. Each patient was currently receiving rehabilitation services at National Healthcare Corporation of Johnson City or John M. Reed Health and Rehabilitation Facility in Limestone.
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Morris, Paul Graham. "Long-term neuropsychological outcome following subarachnoid haemorrhage or traumatic brain injury." Thesis, University of Stirling, 2001. http://hdl.handle.net/1893/1877.
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Purpose: The principal aim of this project was to investigate the influence of clinical indices of injury severity and polymorphism of the apolipoprotein E gene upon the long-term physical, cognitive and emotional sequelae of traumatic brain injury and spontaneous subarachnoid haemorrhage. It was also intended to determine the extent to which changes occur in these sequelae beyond the initial six months post injury. Method: Sixty-two brain injury patients who had previously taken part in a neuropsychological assessment at six months post injury were traced and participated in a follow-up assessmens some 6-9 years subsequent to their injury. Separately, a group of 70 subarachnoid patients drawn from a consecutive series of neurosurgical admissions participated in a neuropsychological assessment at 14 months subsequent to their haemorrhage. In both studies, the assessment comprised a semi-structured interview and a battery of cognitive measures focusing principally upon memory and executive function tasks. A questionnaire including a range of standardised measures of anxiety, depression and quality of life was left with patients to be returned by post. Results: The ApoE e4 allele did not appear to influence recovery amongst these brain injury survivors, though there are suggestions that it may have an influence upon subgroups of patients. Amongst traumatic brain injury survivors, post-traumatic amnesia was a better predictor of functional or emotional outcome than consciousness based measures. However, consciousness based measures were more predictive of cognitive sequelae and low admission Glasgow Coma Scale was associated with continued improvement on information processing tasks. Other than on these tasks, there was little evidence of change between 6 months and 6-9 years post injury. Amongst the subarachnoid haemorrhage patients, Fisher Grade was found to be more predictive of subsequent Glasgow Outcome Scale and cognitive function than WFNS Grade or other clinical indices. Surviving aneurysmal patients had comparable levels of recovery to patients who had a negative angiogram. In both studies emotional sequelae, in particular anxiety-related difficulties, were found to be a principal factor in the functional outcome of some 40% of patients. Conclusions: Greater emphasis should be placed upon measures of post-traumatic amnesia as predictors of functional recovery in surviving patients. The use of an amnesia measure may also be warranted in studies of outcome following subarachnoid haemorrhage or other stroke. The ApoE e4 allele does not appear to have a strong influence upon functional recovery after brain injury across all patients, though it is possible that it interacts with other factors to influence recovery in subgroups. Greater emphasis should be placed upon the prevention and/or detection and treatment of mood disorders following brain injury. In the absence of intensive rehabilitative interventions, survivors of serious brain injury are more likely to deteriorate than to continue to recover beyond six months post injury.
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Bäckström, Ingegärd. "Att skilja agnarna från vetet : om arbetsrehabilitering av långvarigt sjukskrivna kvinnor och män." Doctoral thesis, Umeå universitet, Institutionen för socialt arbete, 1997. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-65881.
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The subject of the thesis is work-oriented rehabilitation of people on long-term sick-leave. The overall aim of my thesis is to: - analyse work-oriented rehabilitation as a gender theoretical phenomenon. - analyse how this phenomenon is expressed, maintained and changed on a societal, authority and individual level. The specific aims of the different reports were: I) to analyse the collaboration between the different authorities taking part in local rehabilitation groups, the results from these groups, as well as how the clients experienced the groups II) to analyse the situation of these clients some years after completed rehabilitation. III) to analyse gender related differences in rehabilitation. IV) to analyse factors in the rehabilitation process of importance for gender related differences in rehabilitation as well as the attitudes to gender constructions among clients and rehabilitation administrative staff. V) to give a broader context to the study of rehabilitation as gender theoretical, in which work rehabilitation as well as gender are constructed. Both quantitative and qualitative methods were used in the first and second study. Study number three and four used qualitative methods. The fifth study consisted of a literature review on womens work and gender related to illness. The studies of local rehabilitation groups (I, II) revealed that it was more common for male social services workers to formulate concrete decisions regarding work or training for male clients, which can be interpreted as long-term ill men are the first chosen to be helped. The results of the third investigation. Rehabilitation for men?y highlighted the gender related differences in long-term illness and rehabilitation. The rehabilitation staff seemed to adopt a gender-neutral or equality-based position in relation to themselves, their clients and the world around. In spite of that, women were sometimes considered more difficult to rehabilitate because of their responsibility for unpaid work and care in their homes. In the study, "Women's private burden the conceptions of the clients' and rehabilitation staff of the meaning of gender in relation to long-term illness and rehabilitation were divided into three groups. I chose to call the first group androgynous since the interviewees, only men held the position that gender was meaningless. In the second group the meaning of gender was related to the primary responsibility for paid and unpaid work and the division of labour was according to gender. The third group is represented by rehabilitation staff who held the position that gender had meaning on a structural level, in the labour market and in rehabilitation, and the system worked in such a way that women were unfairly treated. The shaping of social insurance is gender-neutral - there are neither men nor women but rather "the insured". But gender neutrality produces paradoxical results since it overlooks the fact that men and women do not live in an equal society. The lack of conformity between ideals and reality is found in, amongst other contexts, services provided for rehabilitation and long-term illness.<br>digitalisering@umu
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Arrowood, Tamara Marie. "Long-term follow-up of exercise rehabilitation outcomes in patients with chronic obstructive pulmonary disease." Electronic thesis, 2002. http://dspace.zsr.wfu.edu/jspui/handle/10339/223.
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Han, Grace Alice. "An examination of the long-term effects of authorized training programs on injured workers in the state of Oregon." PDXScholar, 1991. https://pdxscholar.library.pdx.edu/open_access_etds/4202.
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The worth of rehabilitation programs should be measured in terms of their lasting impact on long-term employment. Vocational rehabilitation programs nationally and internationally appear to be falling short of their goal of long-term gainful employment. Competitive employment options for the injured worker appear to have leveled out, the pool of unemployed disabled workers appears to be rising, litigation and adversarial relationships are beginning to dominate the rehabilitation process, and costs of vocational rehabilitation are escalating. Increasingly, interest has focused on the long-term influence of vocational rehabilitation, particularly on the costly training programs, and on the employment and economic potential of program recipients.
The present study focused on the current socioeconomic and employment status of those individuals who participated in Authorized Training Programs (ATPs) in 1985 and 1986. It was hypothesized that workers who successfully participated in authorized training programs would be able to maintain long-term gainful employment at or near their wage-at-injury in the field in which they had received ATP training.
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Lau, Wai-lee Cherry, and 劉慧莉. "Outcomes of COPD patients receiving long term oxygen therapy: a retrospective cohort study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B3197014X.
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Markofsky, Andreas. "Cardiorespiratory and metabolic effects of a long-term controlled home-ergometer rehabilitation program following heart transplantation." [S.l.] : [s.n.], 2003. http://deposit.ddb.de/cgi-bin/dokserv?idn=970414897.
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McWilliams, David Joseph. "The role of rehabilitation in improving short and long term outcomes for survivors of critical illness." Thesis, Manchester Metropolitan University, 2018. http://e-space.mmu.ac.uk/621024/.
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This thesis aims to evaluate the role of rehabilitation in improving outcomes for patients admitted to critical care. Patients admitted to critical care experience significant muscle weakness, which when present is associated with prolonged stays in both ICU and hospital and higher mortality levels. Although overall survival rates from critical illness are improving, survivors are often left with significant and ongoing physical, functional and psychological dysfunction. Preventing the physical consequences of critical illness and supporting recovery from intensive care therefore remains a high priority area for critical care practice and research. This thesis presents and critiques 11 peer reviewed publications and 2 national guidelines to demonstrate the role of rehabilitation in improving outcomes. The first 5 papers presented investigate the impact of a novel post ICU rehabilitation programme to improve long term outcomes. This begins with the initial feasibility testing of the programme and demonstrates development of the analysis into a more robust multi-centre trial. The impact of exercise based rehabilitation is evaluated with regards to physical, psychological and quality of life measures. The next 6 papers presented investigate the potential for early rehabilitation which commences in ICU to reduce the negative impact of critical illness and improve patient outcomes. Specifically they evaluate the impact of a structured approach to rehabilitation within critical care, identifying the key components required and potential barriers to implementation. The findings of the papers included in this thesis provide valuable insights to inform future research opportunities and challenges in order to continue to develop the evidence for critical illness rehabilitation and recovery.
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Cowden, Craig. "Assessment of the long-term response to rehabilitation of two wetlands in KwaZulu-Natal, South Africa." Thesis, Rhodes University, 2018. http://hdl.handle.net/10962/60606.
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Assessing the outputs and outcomes of wetland rehabilitation activities is recognised by the 'Working for Wetlands' programme in South Africa as important, but to date has been limited. An assessment of the ecological outcomes and the structural outputs of the Working for Wetlands rehabilitation implemented in the Killarney and Kruisfontein wetlands, KwaZulu-Natal, in 2005 was undertaken. The assessment of outcomes included an evaluation of the changes in terms of ecological integrity and the supply of ecosystem services, using WET-Health and WET- EcoServices assessment techniques respectively, and vegetation composition. Improvements in hydrological and geomorphic integrity were recorded in both wetlands, resulting in improved ecosystem services delivery. However, investigation of vegetation composition using the Wetland Index Value and Floristic Quality Assessment Index showed that, seven years after rehabilitation, KiNamey's vegetation composition had improved, but Kruisfontein's vegetation was still largely dominated by pioneer species and appeared to be stable, but in a severely transformed state. The response of these wetlands has shown that sites for rehabilitation should be screened before work begins, and wetlands requiring intensive management of vegetation recovery should be assessed in terms of the objectives and the anticipated benefits of the project. The assessment of the outputs included an evaluation of structural integrity, survival and cost- effectiveness. Limited issues, mostly relating to deviations from the designs during construction, were identified with regards to the structural outputs at each of the wetlands. However, the spreader canals at both Killarney and Kruisfontein wetlands were not functioning as intended and concentrated flows from the spreader canals were evident in both wetlands. The use of spreader canals should therefore be carefully planned and implemented for future wetland rehabilitation projects. Consideration of ZAR per hectare equivalent re-instated/secured provided a useful initial means of determining the cost-effectiveness of the wetland rehabilitation. However, additional factors need to be considered, such as, the nature of the rehabilitation activities, the type and size of the problem being addressed, rehabilitation of priority wetlands, limitations imposed by funders, and risks that need to be addressed by the rehabilitation strategy. Furthermore, the evaluation of the Killarney and Kruisfontein wetlands highlighted the need to revise the Water Research Commission's Wetland Management Series, especially those documents or guidelines relating to rehabilitation planning (WET-RehabPlan), interventions (WET-RehabMethods), and monitoring and evaluation (WET-RehabEvaluate).
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Aaro, Jonsson Catherine. "Long-term cognitive outcome of childhood traumatic brain injury." Doctoral thesis, Stockholm : Department of Psychology, Stockholm University, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-38530.
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Gerner, Ulla. "De sjukskrivna i rehabiliteringsprocessen : hinder och möjligheter." Doctoral thesis, Stockholm University, Department of Social Work, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-521.
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<p>The background to the thesis is the high rate for sickness absence in Sweden since the end of the 1990s. In an international perspective, the Swedish sickness absence appears exceptionally high. This can appear paradoxical bearing in mind the high standard of living and the high average length of life in Sweden, and there is much to indicate that complex causal correlations are involved.</p><p>The overall aim of the thesis is to study and analyse the return to work or transition to disability pension, for persons on long-term sick leave from their own perspective. The focus of the thesis is the individual in a social context.</p><p>The theoretical frame of reference is within medical sociology and is about sickness concepts and models and on medicalisation. The concept of work capacity is also taken up based on the concepts of disability and impairment.</p><p>The empirical material consists of four studies. Two of these are qualitative interview studies with women. One of them (I) is about Greek women who have been granted Swedish disability pension. The aim of this study is to find explanations why such a large number of Greek women have become disability pensioners in Sweden. The analysis indicated some important factors: the doctors, the family and the social insurance system. The women had unclear psychosomatic complaints, which had been medicalised. The other qualitative study (IV) concerned women who after sick leave and rehabilitation succeeded in returning to work. It was seen to be strong and stubborn women who had to struggle to get back to working life. They had also been well taken care of in rehabilitation.</p><p>The other two studies (II and III) are quantitative, prospective cohort studies with persons on sick leave with unspecified back and neck complaints. One main aim of one study (III) was to investigate the importance of motivation for rehabilitation and return to work. Two specially designed forms were used. It was seen, among other things that the forecasts of the person on sick leave on return to work coincided quite well with a follow-up two years later. One important result was that those who had undergone rehabilitation measures had returned to work to a much lesser extent than those who had not.</p><p>Overall, the results showed the importance of listening to the individual and taking their own assessments of obstacles and possibilities in the rehabilitation process into consideration. The results in study III indicated that rehabilitation had not been sufficiently effective and in many cases did not lead to a return to work.</p>
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You, Danhui. "Long-term results of user participation in housing rehabilitation, the Community Design Workshop in Pointe St. Charles." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ50695.pdf.
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You, Danhui 1971. "Long-term results of user participation in housing rehabilitation : the Community Design Workshop in Pointe St. Charles." Thesis, McGill University, 1998. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=21495.
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User participation has been regarded as an empowerment tool to help low-income people to improve housing at a low cost. It was implemented by the Community Design Workshop during the attempts at housing rehabilitation in Pointe St. Charles in the early 1970's. This thesis is focused on the long-term results of user participation employed by the CDW. Both the current physical conditions of the CDW's projects and the inhabitants' attitudes towards participation, one generation after its implementation, were studied. The research shows that the CDW's efforts involving users in housing rehabilitation not only resulted in improved housing conditions for the urban poor in the long run but had some positive impacts on the inhabitants as well. The success and failure of the CDW's work also provided empirical lessons for later participatory practice.
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Pinfold, Vanessa Anne. "Community connections : geographies of rehabilitation amongst people with long term and enduring mental health problems in Nottingham." Thesis, University of Nottingham, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324061.
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Müllersdorf, Maria. "Needs assessment in occupational therapy : studies of persons with long-term/recurrent pain /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-5086-5/.
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Penzlin, Ana Isabel, Kristian Barlinn, Ben Min-Woo Illigens, Kerstin Weidner, Martin Siepmann, and Timo Siepmann. "Effect of short-term heart rate variability biofeedback on long-term abstinence in alcohol dependent patients – a one-year follow-up." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-230932.
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Background:
A randomized controlled study (RCT) recently showed that short-term heart rate variability (HRV) biofeedback in addition to standard rehabilitation care for alcohol dependence can reduce craving, anxiety and improve cardiovascular autonomic function. In this one-year follow-up study we aimed to explore whether completion of 2-week HRV-Biofeedback training is associated with long-term abstinence. Furthermore, we sought to identify potential predictors of post-treatment abstinence.
Methods:
We conducted a survey on abstinence in patients with alcohol dependence 1 year after completion of an RCT comparing HRV-biofeedback in addition to inpatient rehabilitation treatment alone (controls). Abstinence rates were compared and analysed for association with demographic data as well as psychometric and autonomic cardiac assessment before and after completion of the biofeedback training using bivariate and multivariate regression analyses.
Results:
Out of 48 patients who participated in the RCT, 27 patients (9 females, ages 42.9 ± 8.6, mean ± SD) completed our one-year follow-up. When including in the analysis only patients who completed follow-up, the rate of abstinence tended to be higher in patients who underwent HRV-biofeedback 1 year earlier compared to those who received rehabilitative treatment alone (66.7% vs 50%, p = ns). This non-significant trend was also observed in the intention-to-treat analysis where patients who did not participate in the follow-up were assumed to have relapsed (46,7% biofeedback vs. 33.3% controls, p = ns). Neither cardiac autonomic function nor psychometric variables were associated with abstinence 1 year after HRV-biofeedback.
Conclusion:
Our follow-up study provide a first indication of possible increase in long-term abstinence after HRVbiofeedback for alcohol dependence in addition to rehabilitation.
Trial registration: The original randomized controlled trial was registered in the German Clinical Trials Register (DRKS00004618). This one-year follow-up survey has not been registered.
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Bayanzadeh, Seyed Akbar. "Psychiatric rehabilitation : a study of a deinstitutionalisation program for patients with long-term disabilities in a psychiatric hospital." Thesis, Keele University, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.304535.
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Edlund, Curt. "Långtidssjukskrivna och deras medaktörer : en studie om sjukskrivning och rehabilitering." Doctoral thesis, Umeå universitet, Epidemiologi och folkhälsovetenskap, 2001. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-7523.
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Aims: The starting point of this study was the experience of great problems with persons on long-term sick leave in the county of Västerbotten. In order to illuminate the situation we designed a study of the actors most involved who dealt with persons on long-term sick leave. These actors were the medical doctors; the employers: the social insurance officials; and members of the board of social insurance and persons reporting on the cases to the board. One aim was to describe and analyse the situation for persons on sick leave. Another aim was to describe and analyse the perception of the role the different actors played when dealing with persons on long-term sick leave. The third aim was to describe and analyse the different actors' views of each other, and of the co-operation around the persons on long-term sick leave. Method and material: Interviews with persons on sick leave, employers, social insurance officials and medical doctors. Questionnaires were sent to persons on sick leave, doctors and the members of the board of social insurance and those reporting on the cases. The interviews were audio- taped and transcribed word by word. Coding and analysis of collected data was done simultaneously by performing new interviews, using an adjusted form of grounded theory with the purpose of trying to find patterns and contexts. The aim was to describe the subjective experiences of how the actors look upon their situation and their way of coping with it. Results: The interviews with the employers showed great differences in attitudes and ways of treating employees, which also led to different models for dealing with work environment, sickness absence and rehabilitation. We divided the employers into five different "ideal types". Two of them could be described as "well-functioning" with regard to rehabilitation, and three of them as "less well-functioning". A high degree of flexibility characterises the successful employer, and he also takes good care of his personnel. The good employer also co-operates with other actors. The employers that are not well-functioning are not engaged in making adjustments, and have little confidence in their staff; the unions within their field are weak. Interviews with medical doctors revealed that they felt lonely, and that the demands were frustrating to them. They also had feelings of losing the locus of control. The doctors showed lack of knowledge of the labour market and the social insurance legislation, which made their work harder. They experienced that their lack of time made sickness periods longer. Among the results from the interviews with social insurance officials can be mentioned that they had good knowledge about laws, but sometimes it was difficult to use their knowledge and methods due to lack of flexibility. They experienced feelings of loneliness and had great difficulty in making decisions. Co-operation with partners often did not work out - the officials did not demand so much of their co-actors. The results of the questionnaire directed towards the members of the board of social insurance and those who reported on the cases did not show statistically significant differences between the three counties. The members of the board had almost the same proposals for decision as those who reported on the cases. There were no significant differences between men and women in decision-making. As a whole the members of the board seemed to be skilled in their knowledge of how to use the social insurance legislation. The results of the interviews with persons on sick leave showed that those persons had difficulties in asking for help and support. They felt such loyalty to their employers that they did not ask for adjustments of working places when needed. At the same time they were disappointed that the employers were not sufficiently involved in making it possible to come back to work again. More than half of the respondents had not received enough support from the employers, the medical doctors or the social insurance officials. Most of them felt frustrated, with little or no hope for the future. The results of the questionnaire to persons on long-term sick leave showed that women took a greater responsibility for their own rehabilitation, while the employers showed an earlier interest in sick male employees than in sick female employees. The employers were also keener to adjust the working places for men than for women. Despite those factors, women more often met their employers than men did, and they also had a more positive attitude to social insurance officials and doctors than men had. People with longer education took greater responsibility for their rehabilitation than those with shorter education. Compared to older people, younger persons were more optimistic about their future health and work, and also expressed that work was not so stressful.<br>digitalisering@umu
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Williamson, Andrew Frederick. "Evaluation of the long term benefits of rehabilitation strategies on physiological outcomes in patients with chronic obstructive pulmonary disease." Thesis, University of Sunderland, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.403118.
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Chan, Raymond. "A long-term evaluation of the impact of rehabilitation in home (RIO) program on health outcomes in older adults." Thesis, Queensland University of Technology, 2008. https://eprints.qut.edu.au/16623/1/Raymond_Chan_Thesis.pdf.
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Background:
Older adults experience health deconditioning during hospitalization. There are many facets of care impacting on older adults' health characteristics and their self confidence in managing their health. The aim of this follow-up study is to examine the long term effect of comprehensive discharge planning and nursing in-home follow-up for older adults (over 65 year old) incorporating physiotherapy exercise strategies on health characteristics. No published studies were located that had examined the impact of a comprehensive discharge program on the functional status and psychosocial among older frail adults at 12 months post-discharge.
Design and methodology:
Rehabilitation in Older People (RIO program) is a randomised controlled trial which evaluates the intervention of a comprehensive discharge program, exercise program incorporating nursing follow up. Participants of the RIO study were randomly allocated into usual care control group and an intervention group. The intervention group received a comprehensive training from an advanced practice gerontic nurse (APGN) and exercise strategies by physiotherapists. The APGN visited the participants in their home 48 hours post discharge, followed by telephone follow-up at 4, 8, 12 and 24 weeks. This study followed-up this cohort at 12 month via telephone interviews to evaluate their functional ability, quality of life, psychosocial characteristics and the levels of self-efficacy. The General Self-efficacy Scale (GSE) was used to measure their self-efficacy.
Results:
There is no difference between the demographic and health characteristics between the control and intervention group. There are significant difference in their functional ability, psychosocial health, measured by the tools mentioned above at 4 weeks (p < 0.05), 12 weeks (p < 0.05), and 24 weeks (p < 0.05), but not at 52 weeks. The possible reason could be due to lack of telephone follow up. Moreover, the levels of self-efficacy in this sample have been found to correlate with the functional ability and psychosocial at 12 months after discharge from an acute hospital.
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Chan, Raymond. "A long-term evaluation of the impact of rehabilitation in home (RIO) program on health outcomes in older adults." Queensland University of Technology, 2008. http://eprints.qut.edu.au/16623/.
Full textAbstract:
Background: Older adults experience health deconditioning during hospitalization. There are many facets of care impacting on older adults' health characteristics and their self confidence in managing their health. The aim of this follow-up study is to examine the long term effect of comprehensive discharge planning and nursing in-home follow-up for older adults (over 65 year old) incorporating physiotherapy exercise strategies on health characteristics. No published studies were located that had examined the impact of a comprehensive discharge program on the functional status and psychosocial among older frail adults at 12 months post-discharge. Design and methodology: Rehabilitation in Older People (RIO program) is a randomised controlled trial which evaluates the intervention of a comprehensive discharge program, exercise program incorporating nursing follow up. Participants of the RIO study were randomly allocated into usual care control group and an intervention group. The intervention group received a comprehensive training from an advanced practice gerontic nurse (APGN) and exercise strategies by physiotherapists. The APGN visited the participants in their home 48 hours post discharge, followed by telephone follow-up at 4, 8, 12 and 24 weeks. This study followed-up this cohort at 12 month via telephone interviews to evaluate their functional ability, quality of life, psychosocial characteristics and the levels of self-efficacy. The General Self-efficacy Scale (GSE) was used to measure their self-efficacy. Results: There is no difference between the demographic and health characteristics between the control and intervention group. There are significant difference in their functional ability, psychosocial health, measured by the tools mentioned above at 4 weeks (p < 0.05), 12 weeks (p < 0.05), and 24 weeks (p < 0.05), but not at 52 weeks. The possible reason could be due to lack of telephone follow up. Moreover, the levels of self-efficacy in this sample have been found to correlate with the functional ability and psychosocial at 12 months after discharge from an acute hospital.
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Lee-Donaldson, Karen. "Rehabilitation of accelerated long-term forgetting using external memory aids : an investigation of a diary and a wearable automatic camera." Thesis, University of Sheffield, 2011. http://etheses.whiterose.ac.uk/1746/.
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Ahlstrom, Linda. "Improving Work Ability and Return to Work among Women on Long-term Sick Leave." Doctoral thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-3703.
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The overall aim of this thesis was to gain new knowledge of factors and interventions that improve work ability and return to work (RTW) among women on long-term sick leave from human service organizations (HSOs). The specific aims of the studies were: to evaluate the associations between the self-rated Work Ability Index (WAI) and Work Ability Score (WAS), and the relationship with prospective sick leave, symptoms, and health (Paper I); to investigate whether intervention with myofeedback training or intensive muscular strength training could decrease pain and increase work ability among women with neck pain (Paper II); to examine the associations between workplace rehabilitation and the combination of supportive conditions at work with work ability and RTW over time (Paper III); and to explore experiences, views, and strategies in the rehabilitation process for RTW (Paper IV). This thesis is based on a prospective cohort study (n=324) and a randomized controlled study (RCT) (n=60, participants with neck pain). Both quantitative and qualitative methods were used. The data collection consisted of questionnaires, laboratory-observed data, register-based data, and interviews. The results showed a very strong association between WAI and WAS, and results predicted future sick leave degree, health-related quality of life, vitality, neck pain, self-rated general health, self-rated mental health, behavioral stress, and current stress (Paper I). In the RCT (Paper II), individuals in the myofeedback intervention group increased their vitality and work ability over time and individuals in the intensive musculoskeletal strength training group increased their WAI, WAS, and mental health over time. WAI, WAS, and RTW increased over time among individuals provided with workplace rehabilitation and supportive conditions at work (Paper III) such as a sense of feeling welcome back at work, influence at work, possibilities for development, degree of freedom at work, meaning of work, quality of leadership, social support, sense of community, and work satisfaction. Women described (Paper IV) how they were striving to work and how they had different views, strategies, and approaches in the rehabilitation process for RTW. They expressed a desire to work, their goals for work, and their wishes for work. In the rehabilitation process for RTW they described their interaction with stakeholders as either controlling the interaction or struggling in the interaction. They described strategies to cope with RTW in terms of yo-yo (fluctuating) working: yo-yo working as a strategy or yo-yo working as a consequence. This thesis identifies factors of importance in improving work ability and RTW among women on long-term sick leave from HSOs. For women with neck pain, the intervention study showed feasibility of the intervention and demonstrated improved work ability and decreased pain (Paper II). The intensive muscular strength training program, which is easy for the individual to learn and perform at home, was associated with increased work ability. The results regarding rehabilitation highlight the importance of integrating workplace rehabilitation with supportive conditions at work to increase work ability and improve RTW (Paper III). Women expressed that they were striving to work and that they wanted to work (Paper IV). These women were “going in and out” of work participation (yo-yo working) as a way to handle the rehabilitation process. For assessing the status and progress of work ability among women on long-term sick leave, the single-question WAS may be used as a compliment to the full WAI as a simple indicator (Paper I).<br><p>Akademisk avhandling som för avläggande av medicine doktorsexamen vid Sahlgrenska akademin, Göteborgs universitet, kommer att offentligen försvaras i hörsal Hamberger, Medicinaregatan 16 A, Göteborg, måndagen den 6 oktober 2014, klockan 09.00</p>
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Carey, Dena Carol, and Marianne Louise Grant. "Predictors of client completion for a long-term Christian-based residential addiction treatment program." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1887.
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Weigl, Martin. "Long-term outcome in patients with osteoarthritis of the hip or knee after comprehensive rehabilitation: A prospective 2 year follow-up study." Diss., lmu, 2002. http://nbn-resolving.de/urn:nbn:de:bvb:19-1402.
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Lövkvist, Christina, and Therese Höglind. "Chefer i rehabiliteringskedjan." Thesis, Kristianstad University, School of Health and Society, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-6712.
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<p>Vocational rehabilitation is an ongoing issue that directly or indirectly affects everyone at a workplace. In recent years, laws and rules have changed. The 1st July 2008 changes were made in the General Insurance Act (SFS 1962:381). These changes have meant that there is now a so-called rehabilitation chain. The rehabilitation chain contains time frames for when sick people will have their ability to work tested against their normal work or to other jobs. If a person is considered having enough capacity to be able to work he or she will lose their entitlement to sick pay.</p><p>The aim of our study is to investigate managers’ perceptions of the new rehabilitation chain, with a focus on vocational rehabilitation of long-term sick to get them back to work.</p><p>The method used was qualitative and data collection was done through nine semi-structured interviews. The results showed that the managers we interviewed believe that their primary responsibility in the rehabilitation work is to be the link between sick leave and workplace. The managers generally think that the introduction of the rehabilitation chain is a good thing. It has become clearer with what to do when an employee becomes ill and the timeframes provides a degree of security as the managers know when different things will happen. Our results also show that managers believe that cooperation with external actors such as social insurance has become easier since the rehabilitation chain was introduced. Some believe that the timeframes may be too tight and they are worried that the individual is forgotten in the process. The conclusion of our study was that there has been a need for a more active and transparent process of rehabilitation and this need has been met by the rehabilitation chain. Although the managers think that the rehabilitation work has become clearer, there is some disagreement in the way of working with sick leave. Some managers say for example that they are still doing so-called rehabilitation investigations, although it shifted responsibility from themselves to the Social Insurance Agency.</p>
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Barker, Fiona C. "Development of a theory-based, multi-level, low-intensity, low-cost intervention to improve long-term hearing aid use in adult auditory rehabilitation." Thesis, University of Surrey, 2016. http://epubs.surrey.ac.uk/810877/.
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Poorly managed hearing loss can lead to cognitive decline, depression and reduced quality of life. Using a hearing aid can help but evidence suggests up to 40% of people who are fitted with a hearing aid do not use it. While there are many reported reasons for non-use, research suggests that audiologist behaviour in the fitting consultation could play a key role in supporting hearing aid use. Following a systematic review of interventions to improve hearing aid use, this research used the steps of the Behaviour Change Wheel to identify four audiologist behaviours that might influence hearing aid use. An observational study and structured interviews with audiologists using the COM-B model as a framework identified potential determinants of the target behaviours. The COM-B model describes how capability (C), opportunity (O) and motivation (M) combine and influence behaviour (B). This analysis was used to select intervention functions and behaviour change techniques likely to affect behaviour change in this context. The intervention functions of education, training, persuasion, coercion, environmental restructuring, modelling and enablement were selected and combined to develop the I-PLAN; a complex intervention combining prompts, information and a behaviour plan for hearing aid use. This is the first study to use the COM-B model and Behaviour Change Wheel to develop a complex intervention in the context of audiology. Use of the COM-B model to analyse patient and professional behaviour has facilitated a consideration of implementation at the development stage of intervention design. The systematic, theory-based development of the I-PLAN intervention will facilitate a thorough evaluation of its feasibility and effectiveness over the next phases of this work.
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Leitch, David B. "Predictive patterns of institutional misconduct, pro-social behavior, and length of stay of incarcerated youth in a secure, long-term, juvenile rehabilitation facility." Kent State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1529614192152508.
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Joseph, Kambler Alexandra. "Att komma tillbaka : Kvinnors berättelser om vägen tillbaka till hälsa och arbete." Thesis, Mälardalen University, Department of Social Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-414.
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<p>Flera studier har pekat på viktiga faktorer för att hälsa och återgång till yrkeslivet ska vara möjliga men hur detta i praktiken ska ske och vilka rehabiliteringsåtgärder som är mest effektiva är otillräckligt belagt. Studien har genom intervjuer med sju kvinnor med stressrelaterade störningar granskat hur en tillfriskningsprocess kan upplevas och vad som upplevs som meningsfull hjälp i samband med den. Deras tillfriskning har inneburit en kamp och ett starkt personligt engagemang. Beslutsamhet och målinriktning var förutsättningar för att få ta del av rehabiliteringsåtgärder. Kvinnorna i studien har upplevt ett stort personligt ansvarstagande för sin tillfriskning men de har också betonat vikten av bekräftelse från en förstående omgivning. En stor besvikelse har uttryckts gentemot Försäkringskassan och i vissa fall arbetsgivare för bristande förståelse, stöd och hjälp. Genom bland annat kampandan har kvinnorna utvecklat sin självkännedom och sin livssituation.</p><br><p>Several studies have identified factors associated with the promotion of health and return to work. But knowledge is insufficient of how this is practically done and which rehabilitation methods are most effective. This study aimed to shed light on women’s experiences of their rehabilitation process and also experiences of meaningful support associated with the process. Interviews were done with seven women with stress-related disorders whose recovery involved great efforts and a great deal of personal responsibility. The respondents’ determination was a condition for receiving the needed rehabilitation measures. They also emphasized the importance of social support and an empathetic attitude from others. Respondents expressed disappointment with the way The Swedish Social Insurance Agency and employers have handled and treated them. Through the struggles women in this study have endured, they’ve achieved personal growth and the awareness needed to change their situation of life.</p>
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Johansson, Ulla. "Long-term outcome after brain injury with a focus on return to work, life satisfaction and participation." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-375.
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Yiu, Man-ching Phebe, and 姚文靜. "A study of the psychosocial aspects of long term hospitalization with reference to spinal injured patients: implication for social work practice." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1988. http://hub.hku.hk/bib/B31248329.
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Lundvik, Lina. "Arbetsåtergång och självskattad hälsa hos långtidssjukskrivna individer med tidsbegränsad sjukersättning." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-159937.
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Syfte: Syftet med denna studie var att kartlägga långtidssjukskrivnas hälsa före och efter avslutad intervention samt studera vilka faktorer som hindrat alternativt främjat återgång i arbete hos individer med tidsbegränsad sjukersättning. Metod: Studien baseras på data från EU-projektet ”SAMKLANG” som är en longitudinell interventionsstudie. Data har samlats in på 59 långtidssjukskrivna deltagare via enkäter både före projektstart och ett år efter och dels har data samlats in kvalitativt genom semistrukturerade intervjuer med 13 deltagare efter det att projektet avslutats. Intervjudeltagarna var indelade i två grupper (de som hade återgått i arbete/studier och de som fortfarande var sjukskrivna). Interventionen bygger på både behandling och samverkan mellan organisationer som är involverade i rehabilitering av personer som har ett år kvar av sin tid i sjukersättning. Resultatet från enkäterna analyserades fram via ANOVA upprepad mätning och data från intervjuerna analyserades via innehållsanalys. Resultat: Huvudresultaten från den kvantitativa delstudien visade att det inte fanns någon skillnad mellan de som efter ett år återgått i arbete/studier, arbetsträning alternativt de som fortfarande var sjukskrivna gällande kön, ålder eller utbildningsnivå. Den självskattade depressions- och ångestnivån minskade och självskattad hälsa och inre kontroll ökade signifikant över tid för den grupp som kommit ut i arbete efter projektet jämfört med de två andra grupperna. Den kvalitativa analysen av intervjuerna identifierade följande tema som stödjande faktorer för arbetsåtergång: att besitta egen drivkraft, ha en insikt om arbetets mervärde och att hitta en balans mellan krav- kontroll-stöd. Det tema som beskriver hur myndigheter kan hjälpa och stödja långtidssjukskrivna tillbaks i arbete är: trygghet med mer vårdkompetens och att synliggöra individuella behov. Slutsats: Att återgå i arbete för en tidigare långtidssjukskriven person kopplas till bättre självrapporterad hälsa med mindre depression och ångestbesvär, en starkare känsla av inre kontroll och en högre tilltro till egen förmåga jämfört med om personer fortfarande är sjukskrivna. Framgångsfaktorer för arbetsåtergång är balans mellan krav, kontroll och stöd för individen och en egen motivation att återgå i arbete. För att underlätta arbetsåtergång hos långtidssjukskrivna bör myndigheter och inblandade parter samverka med vård, erbjuda trygghet och synliggöra varje enskild individs behov av rehabilitering.<br>Aim: The aim of this study was to investigate long term sickness absentees’ health status before and after an intervention. Furthermore, to gain deeper understanding of factors related to promoting and preventing return to work for people with limited sick leave compensation. Method: The study is based on data from the EU-funded project ”SAMKLANG” which is a longitudinal intervention study. Data has been collected from 59 long term absentees though questionnaires conducted before and one year after the start of the project. Data has also been collected through semi structured interviews from 13 participants after the end of the project. They were divided into two groups (those who had returned to work/studies or had an internship and those who still were sickness absent). The intervention is based on treatment as well as cooperation between organizations involved in a rehabilitation process for people with one year of sick leave compensation remaining. The results from the surveys were analyzed with ANOVA for repeated measures and data from the interviews were analyzed using content analysis. Result: The main result from the quantitative part of this study showed no significant difference in return to work between those who had returned to work or studies, been on internships and those who still were sickness absent based on sex, age and education. The amount of self-rated depression and anxiety levels were reduced and the self-rated health and internal control were significant induced over time for the group who returned to work after the project compared to the other two groups. From the qualitative analyze of the interviews following theme was identified as supporting factors for returning to work: having own motivation, realized the positive in having a job and to have balance between demand-control-support. The theme that describes how the authority can help and support people with long term sickness absence back to work is: security with more competence in healthcare and make individual needs visible. Conclusion: Return to work for a former long term sickness absence is associated with better self-rated health with less depression and anxiety, a stronger feeling of internal control and a higher self-efficacy compared to if persons still were sickness absent. Factors for success in return to work is balance between demand-control-support for the individual and an own motivation to return to work. The authority can facilitate return to work among people with long term sickness absence by interact more with health-care services, offer security and make every individuals need for rehabilitation visible.
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Commerford, Ann. "The study of a long term sign language intervention programme for hearing caregivers of deaf children : the challenges and successes of community-based rehabilitation and evaluation." Master's thesis, University of Cape Town, 2003. http://hdl.handle.net/11427/8580.
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Bibliography: leaves 166-181.<br>The present study aimed to develop, implement and evaluate a long-term sign language intervention programme for the hearing caregivers of deaf children living within a socio-economically disadvantaged community. The programme was implemented by a deaf signing adult from the same community as the caregivers, and was undertaken within the naturalised contexts at a community-based level. It involved the instruction of more complex aspects of sign language, using storybooks, storytelling and natural conversation. information and knowledge regarding Deaf Culture and the Deaf community was also imparted to the caregivers. The evaluation of the programme involved the examination of the caregivers’ signed-communication development, using a Communication Signing Profile during multiple signed communication tasks. Furthermore, focus group interviews were undertaken to evaluate the caregivers’ perceptions and attitudes toward the programme, deafness and sign language, as well as to document the challenges and barriers involved in implementing intervention programmes. Findings that emerged indicate that although the expected improvement in the caregiver‘s signed communication was not observed, the programme was considered beneficial to the caregivers in providing easily accessible community-based rehabilitation, exposure to more complex aspects of sign language, contact with a deaf signing adult as well as providing a social support network amongst the caregivers. The programme sought to overcome and account for the challenges involved in implementing intervention and undertaking research within the community, by making the programme culturally and linguistically appropriate. However, poverty emerged as being highly influential in programme implementation and evaluation. Hence, there is a need for a greater insight into the larger complexities of the socio-economic status of a disadvantaged community, in implementing community-based rehabilitation. These findings are discussed in the light of previous research, as well as future research and clinical implications for the development of long-term intervention’ sign language programmes.
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Tauš, Miloslav. "Studie obnovy vybrané části vodovodní sítě." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2012. http://www.nusl.cz/ntk/nusl-225464.
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Within this thesis was carried out a reconnaissance of water distribution network of the city of Slavkov u Brna. The reconnaissance consists of: age analysis of piping materials; water losses evaluation; failure rate evaluation. Then was done a condition assessment of water supply network according to a chosen methodology. Using CARE-W LTP RSM software were projected a few technical-economic alternatives of rehabilitation of water network of the city of Slavkov u Brna. Then was prepared a project of rehabilitation of chosen section of water network. The work resulted in recommendations for the owner and operator of the water network of the city of Slavkov u Brna.
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Hos, Lukáš. "Dlouhodobé plány obnovy vodovodních sítí." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2019. http://www.nusl.cz/ntk/nusl-392214.
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This diploma thesis is about long-term rehabilitation planning of water distribution system. First part is about legislative demands on rehabilitation planning in Czech Republic and about methods used abroad to do long-term reahabilitation planning. Second part of thesis is about own created method based on TEA Water (application about condtition assessment of water supply infrastructure). This method is tested on fictional water network and on real water network of Babice nad Svitavou.
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Vähäkangas, P. (Pia). "Kuntoutumista edistävä hoitajan toiminta ja sen johtaminen pitkäaikaisessa laitoshoidossa." Doctoral thesis, University of Oulu, 2010. http://urn.fi/urn:isbn:9789514262319.
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Abstract The aim of the study was to investigate the amount and focus of rehabilitation nursing care practices and the association of these practices to quality outcomes. Additionally, the aim of the study was to describe the characteristics and leadership models of the functional level in long-term care units providing rehabilitation nursing care. The study consists of four articles. The data for the first three articles were derived from the National Institute for Health and Welfare Resident Assessment Instrument (RAI) database. The data for the first article (n = 5312) were collected using resident level data. The second article is based on unit level information (n = 256) and data from a questionnaire sent to the nursing leaders of the functional level (n = 189) in facilities which adopted RAI. For the third article the resident level data (n = 2037) were used from the study of Laine (2005). The statistical analyses were performed by SAS statistical software for Windows. The data were presented as mean scores and confidence intervals. Regression models were used to present the associations between variables. The qualitative data for the fourth article was collected by interviews with the nursing leaders at the functional level (n = 14). The data were analysed by content analysis. The results show that residents receiving rehabilitation nursing had more impaired cognitive and physical function. The amount of rehabilitation nursing practice was associated to the nurses' assessment of residents' rehabilitation potential. Daily provision of rehabilitation nursing activity was associated to better care quality. It decreased the prevalence of bedridden residents and residents with little or no activity. It increased the amount of nursing time spent on residents. The leadership of the rehabilitation units consisted of recognizing options, promoting guidelines, reminding nurses, upholding open communication, supporting the learning process and respecting. The characteristics of rehabilitation units involved characteristics of Magnet Hospitals. The measure of rehabilitation nursing that measured the amount of rehabilitation nursing activity was usable and distinctive. In this study, measurable information about the amount of rehabilitation nursing practice was acquired. Findings of this study are usable for evaluation of nursing care outcomes and for developing nursing management<br>Tiivistelmä Tutkimuksen tarkoituksena oli analysoida kuntoutumista edistävän hoitajan toiminnan määrää, kohdentumista ja sen yhteyttä hoidon laadun tuloksiin. Lisäksi tarkoituksena oli kuvata kuntoutumista edistävien osastojen tunnuspiirteitä ja lähijohtamisen menetelmiä pitkäaikaisessa laitoshoidossa. Tutkimus koostuu neljästä osajulkaisusta, josta kolmessa on käytetty valmiita tutkimusaineistoja. Ensimmäisen (n = 5312) osajulkaisun asiakastason aineisto on kerätty tekemällä poimintoja Terveyden ja hyvinvoinnin laitoksen Resident Assement Instrument (RAI) -tutkimustietokannasta. Toisessa osajulkaisussa tutkimustietokannasta on kerätty osastotason aineisto (n = 256) ja tehty poimintoja RAI-järjestelmää käyttävien osastonhoitajien toimintatietokyselystä (n = 189). Kolmannessa osajulkaisussa on hyödynnetty asiakastason aikamittaus- ja RAI-arviointiaineistoa (n = 2037), jota Laine (2005) käytti väitöskirjassaan. Analyyseissä on käytetty SAS-tilasto-ohjelmistoa. Aineisto on kuvattu keskiarvoin ja luottamusvälein. Muuttujien yhteyksiä on kuvattu käyttämällä regressiomalleja. Neljättä osajulkaisua varten on koottu laadullinen aineisto osastonhoitajien teemahaastatteluista (n = 14), joka on analysoitu sisällön analyysillä. Tulosten mukaan hoitajan kuntoutumista edistävä toiminta kohdistui niihin asiakkaisiin, joilla oli keskivaikeasti alentunut fyysinen toimintakyky ja kognitio. Hoitajan toiminta oli yhteydessä hoitajan uskoon asiakkaan kuntoutumisen mahdollisuudesta. Osastotason tarkastelussa päivittäinen kuntoutumista edistävä toiminta oli yhteydessä hoidon laadun tuloksiin, sillä se vähensi vuodepotilaiden määrää ja lisäsi asiakkaiden sosiaalista osallistumista. Se lisäsi myös asiakaskohtaista välitöntä hoitoaikaa. Lähijohtamisen menetelminä korostuivat mahdollisuuksien näkeminen, linjassa pitäminen, mieleen palauttaminen, avoin kommunikointi sekä hoitajien osaamisen tukeminen ja arvostaminen. Kuntoutumista edistävien osastojen tunnuspiirteinä korostuivat magneettisairaaloiden vetovoimatekijät. Tutkimuksessa kehitetty kuntoutumista edistävän hoitajan toiminnan määrän mittaamiseen tarkoitettu mittari osoittautui käyttökelpoiseksi ja erottelevaksi mittariksi. Tutkimuksessa saatu tieto on hyödynnettävissä kuntoutumista edistävän hoitajan toiminnan mittaamisessa kuten myös hoidon tulosten arvioinnissa. Tutkimustuloksista on hyötyä hoitotyön johtamisessa<br>Sammanfattning Syftet med undersökningen var att analysera mängden av rehabiliteringsfrämjande vårdinsatser, vem de riktades till och hur de relaterar till vårdkvalitet. Dessutom var avsikten att beskriva vad som kännetecknar rehabiliteringsfrämjande avdelningar och ledarskapsmodeller inom institutionsvården. Undersökningen består av fyra delpublikationer: i tre av dem användes existerande forskningsmaterial. Materialet på klientnivå (n = 5312) som användes i den första delpublikationen samlades in genom axplock ur forskningsdatabasen Resident Assessment Instrument (RAI) på Institutet för hälsa och välfärd (THL). Den andra delpublikationen består av material på avdelningsnivå (n = 256) och material ur en enkät om verksamhetsuppgifter (n = 189) riktad till de avdelningsskötare som använder RAI-systemet. Den tredje delpublikationen omfattar tidmätnings- och RAI-bedömningsmaterial (n = 2037) på klientnivå som Laine (2005) använde i sin doktorsavhandling. I analyserna har SAS-dataprogramvara använts. Materialet har beskrivits med medelvärden och konfidensintervaller. Variablernas förhållanden till varandra har illustrerats med regressionsmodeller. För den fjärde delpublikationen har ett kvalitativt material insamlats från temaintervjuer med avdelningsskötare (n = 14) och analyserats med innehållsanalys. Resultaten visar att vårdarens rehabiliteringsfrämjande vårdinsatser riktade sig på de klienter som hade medelsvårt nedsatt fysisk funktionsförmåga och kognition. Vårdinsatserna var sammankopplade med vårdarens uppfattning om klientens rehabiliteringsmöjligheter. I studien på avdelningsnivå relaterade den dagliga rehabiliteringsfrämjande vårdinsatsen till vårdkvalitet. Antalet sängliggande klienter minskade och det sociala deltagandet hos klienterna ökade, även den direkta vårdtiden per klient ökade. Bland de metoder som avdelningsskötarna använde för ledarskap framhävdes upptäckandet av möjligheter, linjehållning, påminnelser, öppen kommunikation samt stödandet och värdesättandet av vårdarnas kompetens. Särskilt kännetecknande för de rehabiliteringsfrämjande avdelningarna visade sig vara magnetsjukhusens dragningskraft. För att mäta mängden rehabiliteringsfrämjande vård som gavs, utvecklades en mätare, vilken visade sig vara användbar och urskiljande. De resultat som denna forskning gett kan tillämpas för att lyfta fram mätbarheten av rehabiliteringsfrämjande vårdinsatser såsom även till att utvärdera vårdresultaten. Forskningsresultaten kan också utnyttjas till att utveckla ledarskapet inom vårdarbetet
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Norling, Jack, and Jessica Unebrink. "Proaktiva och tidiga rehabiliteringsinsatser – En bortglömd möjlighet : En utvärderingsforskning av en rehabiliteringstjänst inom företagshälsovård." Thesis, Ersta Sköndal högskola, Institutionen för socialvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2376.
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Syftet med vår studie var att problematisera Susano AB:s tjänst Rehablinjen med hjälp av KASAM-teorins livsfrågeformulär som verktyg för att nå insikt om tjänsten hade potential för att i framtiden användas vid upprepad korttidsfrånvaro samt vid konflikter på arbetsplatsen. Syftet med tjänsten Rehablinjen ämnar identifiera bakomliggande faktorer till den upprepade korttidsfrånvaron eller konflikterna och på så sätt förebygga risk för långtidssjukskrivningar, vilket vi anser är en av dagens gedigna samhällsproblem. Studien hade två mätpunkter med fyra veckors mellanrum och genom dessa ämnade vi författare utläsa om Susano AB:s medarbetarenkät fångade upp de potentiella förändringarna som skett hos medarbetarna mellan mätpunkt ett och två, samt om minskningen eller ökningen av enkätens riskfaktorer låg i linje med den förändring som skett utifrån medarbetarens KASAM-värde. Vi ämnade även ta reda på medarbetarnas egen uppfattning om insatsens påverkan och om den upplevdes ha påverkat det fysiska och/eller psykiska välmåendet. Vi blev tilldelade en grupputredning av Susano AB som var för tiden av vår C-uppsats deras aktuella uppdragsgivare. Arbetsgruppen bestod av 15 anställda individer inom vård och omsorg i landstingsregi som alla var anställda på samma avdelning. Vi gjorde ett urval på tio av dessa varav vi senare fick ett bortfall på två medarbetare. Den slutliga undersökningsgruppen bestod av tre sjuksköterskor och fem skötare som haft en lång historia med konflikter och mobbing på sin arbetsplats. Forskningen består av en övergripande kvantitativ forskningsansats då studien har sin grund i två strukturerade enkäter – Susano AB:s medarbetarenkät och KASAM-enkäten – som vårt materialinsamlade inleddes med genom att medarbetarna fick besvara dem. Därefter följdes utfallet från Susano AB:s enkät upp med en kvalitativ och kompletterande intervju för att säkerställa att de riskfaktorer som enkäten visade på stämde väl överens med medarbetarens verklighet. Fyra veckor senare utfördes mätpunkt två som var upplagd på samma sätt för att uppmärksamma potentiella förändringar i medarbetarnas arbetssituation på avdelningen. Resultatet visade på att fem av studiens åtta medarbetare hade fått ett högre KASAM-värde vid mätpunkt två och att sju medarbetare hade fått ett minskat antal riskfaktorer fyra veckor efter tjänstens början och att en medarbetare hade samma antal riskfaktorer.
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Parker, S. "The impact of emotional support offered during rehabilitation on the long-term quality of life and satisfaction with living of individuals with spinal cord injury : an exploratory study of individuals re-employed in the South African National Defence Force." Thesis, Link to the online version, 2005. http://hdl.handle.net/10019/1152.
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Carson, Paula Penelopy. "Head injury survivorship: The family experience." Diss., The University of Arizona, 1992. http://hdl.handle.net/10150/185753.
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Health professionals as well as families are being confronted with long-term care and caregiver issues that accompany the increasing incidence of individuals surviving traumatic brain injury. A sample of parents and brain-injured offspring from 20 families served as informants. The purpose of this study was to identify a qualitatively generated theory describing the parent's experience following a brain-injured child's return to the home setting. An exploratory qualitative design using grounded theory methodology was used during data collection and analysis. All the brain-injured offspring had survived a moderate-to-severe traumatic brain injury; were living with at least one parent; and were ages 17 to 34. A three-phase theory, Investing in the Comeback, was generated using grounded theory methodology. The theory's three stages, centering on fostering independence and seeking stability, describe the work of the parent living with a brain-injured offspring. The first phase, Centering On, involves the parent's focusing attention and behavior primarily on the brain-injured offspring. During Fostering Independence, the second phase, the parent initiates and maintains efforts to promote the offspring's resumption of independent functioning. The final phase, Seeking Stability, consists of the parent working to establish a regime that maintains the brain-injured offspring's optimal performance, while minimizing the strain on other family members. Theoretical sampling guided the identification of categories, properties, conditions, and consequences of each phase. Four quantitative measures supplied descriptions of sample characteristics and included demographics, cognitive deficit ratings of the child by the parent and the investigator, and the parent's perception of the family's functioning.
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Lučunas, Albertas. "ILGALAIKĘ PRIKLAUSOMYBIŲ REABILITACINĘ PROGRAMĄ BAIGUSIŲ ASMENŲ GYVENIMO KOKYBĖS YPATUMAI." Bachelor's thesis, Lithuanian Academic Libraries Network (LABT), 2011. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20110103_163321-25622.
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Darbe nagrinėjama priklausomų nuo psichoaktyviųjų medžiagų asmenų gyvenimo kokybė: psichologinė gerovė (pozityvios gerovės pojūtis, savikontrolė, bendrasis sveikatingumas, gyvybingumas, nerimas, depresiška nuotaika), kasdienio gyvenimo fizinė sveikata, psichologinis kūno įvaizdis ir išvaizda, socialiniai ir asmeniniai santykiai, aplinka ir materialiniai ištekliai. Tyrimo tikslas - atlikti priklausomų nuo psichoaktyviųjų medžiagų asmenų, baigusių Lietuvos priklausomybės ligų reabilitacijos centrų ilgalaikes programas, gyvenimo kokybės analizę. Naudotos metodikos: Psichologinės gerovės klausimynas, Pasaulio sveikatos organizacijos Gyvenimo kokybės klausimynas (WHOQOL-BREF).
Tyrime dalyvavo 86 ilgalaikę PRP (priklausomybių reabilitacinę programą) baigę asmenys: 68 vyrai ir 17 moterų bei 1 nenurodęs savo lyties asmuo, kurių amžius yra nuo nuo 19 iki 51 metų.
Duomenų analizė parodė, kad PRP programą baigusių asmenų, palyginus su reabilitacijos bendruomenėje besigydančiais asmenimis, gyvenimo kokybė yra labiau pozityvi: a) jų geresnė psichologinė gerovė – jie jaučia mažiau nerimo, depresiškos nuotaikos; jaučia turintys daugiau savikontrolės, gyvybingumo; jų yra didesnis pozityvios gerovės pojūtis bei bendrasis sveikatingumas; b) jie savo gyvenimo kokybės visumą bei sveikatos būklę suvokia kaip geresnes; c) jie geriau vertina kasdieninio gyvenimo fizinę sveikatą, socialinius ir asmeninius santykius, aplinką ir materialinius išteklius. PRP programą baigusių asmenų gyvenimo kokybė... [toliau žr. visą tekstą]<br>The thesis analyses the quality of life of the people with addictive disorders. The quality of life includes their psychological well-being (positive sensation of well-being, self-control, general health, viability, anxiety, and depressed mood), everyday physical health, psychological body image and appearance, social and personal relationships, physical environment and financial resources. The goal of this study was to perform the analysis of the quality of life of the people who have finished long-term addiction rehabilitation programmes in Lithuanian therapeutic communities. The following instruments were used: Psychological General Well-being Schedule, WHO Quality of Life Questionnaire (WHOQOL-BREF).
86 residents of therapeutic communities who have finished a long term ARP (the Addiction Rehabilitation Programme), i.e. 68 men and 17 women and 1 person of an unidentified gender with age ranging from 19 to 51 participated in this study.
The data analysis showed that the quality of life of the people who have finished the ARP programme compared to the patients in the same rehabilitation is more positive: a) their psychological well-being is better - they feel less anxiety, depressed mood; they feel more self-control, vitality; they have a greater sensation of positive well-being and general health; b) they perceive their whole quality of life and health status as better; c) they have a better assessment of their everyday physical health, social and personal relationships... [to full text]
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Briney, Glenna Denise. "Long term effects of day treatment programs for adults with severe and persistent mental illness: Effectiveness measured in rates of recidivism." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2731.
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The purpose of this study was to compare and measure the long term effectiveness of the rehabilitative day treatment program at San Bernardino County's Department of Mental Health. This current study was completed in 2005 and is a follow up study tracking the long term effectiveness of the program.
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Juvonen-Posti, P. (Pirjo). "Work-related rehabilitation for strengthening working careers:a multiperspective and mixed methods study of its mechanisms." Doctoral thesis, Oulun yliopisto, 2018. http://urn.fi/urn:isbn:9789526219271.
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Abstract Coping at work and job retention have been on the list of priorities of European countries for some decades. Vocational rehabilitation is a key measure for preventing work disability, but its possibilities have remained unused in many respects. Moreover, rehabilitation tasks are defined differently depending on the perspective taken. The purpose of this thesis is to determine the possibilities that arise from defining work-related rehabilitation tasks in a way that combines different perspectives and interests. The research questions are: 1) What were the impacts on working career and psychosocial factors of an intervention for long-term unemployed people with disabilities? 2) What kind of processes and mechanisms promoted the working careers and other outcomes of the employed people during the interventions? 3) What forms of collaboration took place between the rehabilitees and different stakeholders, and to what extent did the rehabilitees have opportunities to choose and act during the process? The empirical data for the study were collected from two vocational rehabilitation research projects. The research design was a multiple case study from multiple perspectives combined with mixed methods. The materials were collected through surveys, individual and group interviews, documents, and register follow-up. We found the contextual mechanism through which the outcomes of the work-related rehabilitation emerged. The process was promoted or hindered by actions taken by all stakeholders. The promoting or hindering mechanisms were born through the actions taken by the supervisor in particular, the occupational health service and rehabilitation service provider, and the individual’s life situation factors. Similar factors promoted and hindered the re-employment and staying or returning to work outcomes. Enhancing the rehabilitees’ own agency is also important, regardless of how weak it is at the beginning. I also present a new way of assigning rehabilitation tasks, which structures the complexity of the field of work-related rehabilitation and helps manage it. Work-related rehabilitation is a combination of societal and individual actions. The results of this study will help all actors involved in rehabilitation to improve the outcomes of work-related rehabilitation by developing opportunities for the rehabilitees’ own agency and collaboration<br>Tiivistelmä Työurien jatkaminen on keskeinen eurooppalaisten yhteiskuntien selviämisen haaste. Kuntoutus on riittämättömästi hyödynnetty resurssi työurien pidentämiseksi. Lisäksi kuntoutuksen tehtävät määrittyvät eri näkökulmista eri tavalla. Tutkimuksen tavoitteena on tarkastella, miten työikäisten kuntoutuksen tehtävää voitaisiin määritellä eri toimijoiden intressejä ja päämääriä yhdistäen. Tutkimuskysymyksiä oli kolme: 1) Mitkä olivat monimuotoisen ammatillisen kuntoutuksen vaikutukset pitkäaikaistyöttömien työuraan ja muihin psykososiaalisiin tekijöihin? 2) Millaiset prosessit ja mekanismit edistivät työuria työllisten monimuotoisen ammatillisen kuntoutuksen interventiossa? 3) Minkälaisia yhteistyömuotoja työhön kytkeytyvässä kuntoutuksessa kuntoutujan ja eri toimijoiden välillä toteutui, ja missä määrin kuntoutujat pystyivät vaikuttamaan omiin valinta- ja toimintamahdollisuuksiinsa prosessin aikana? Aineisto koostui kahden ammatillisen kuntoutuksen kehittämishankkeen arviointitutkimusaineistoista. Tutkimusasetelma oli monitapaustutkimus, joka oli toteutettu moninäkökulmaisena mixed method –tutkimuksena. Aineistot oli koottu kyselyiden, yksilö- ja ryhmähaastatteluiden, dokumenttien ja rekisteriseurannan avulla. Aineistojen analyysejä oli tehty aineistokokonaisuuksittain analysoiden kvantitatiiviset ja kvalitatiiviset aineistot erikseen sekä yhdistämällä aineistoja tapaustutkimuksen keinoin. Tutkimuksessa löytyi mekanismi, jonka kautta kuntoutuksen tulokset syntyivät tai jäivät syntymättä. Edistävät ja estävät mekanismit liittyivät erityisesti esimiehen, työterveyshuollon ja kuntoutuksen palvelutuottajan toimintaan ja kuntoutujan elämäntilanteeseen. Samanlaiset tekijät edistivät ja estivät työttömillä ja työllisillä kuntoutumista. Lisäksi työhön kytkeytyvässä kuntoutuksessa kuntoutujan oman toimijuuden tukeminen on tärkeää, vaikka se alkuvaiheessa olisi vähäinen. Tutkimuksessa kuvataan työikäisten kuntoutuksen tehtävät uuden mallin avulla. Tämä jäsentää ammatillisen kuntoutuksen kentän kompleksisuutta ja auttaa hallitsemaan sitä. Työhön kytkeytyvä kuntoutus muodostuu yhteiskuntaan ja yksilöön kohdistuvista toimista, joilla mahdollistetaan työelämään paluu ja osallistuminen. Tulosten avulla kuntoutuksen toteuttajat, tutkijat ja viranomaiset voivat parantaa kuntoutuksen työuravaikutuksia kehittämällä kuntoutujan osallistumismahdollisuuksia ja yhteistoimintaa
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Khan, Adil. "Deep learning for predictive simulation of gait and post-treatment functional benefit in neurological diseases." Electronic Thesis or Diss., université Paris-Saclay, 2024. http://www.theses.fr/2024UPAST107.
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Les affections neurologiques se manifestent souvent par des troubles de la marche, fréquemment liés à la spasticité. Injections de toxine botulique de type A (BTX-A)traitent généralement les problèmes de démarche liés à la spasticité. Il reste crucial d'obtenir des résultats thérapeutiques optimaux avec un rapport bénéfice-risque favorable. Les améliorations cinématiques obtenues par ce traitement sont parfois très efficaces, mais elles restent pour l'instant difficilement prévisibles. L'objectif de cette thèse est d'utiliser des techniques d'apprentissage profond (DL) pour simuler l'impact du traitement BTX-A sur les paramètres de marche. Le simulateur vise à afficher le résultat de marche le plus probable, améliorant ainsi le processus de prise de décision lors du traitement par BTX-A. La base de données comprenait 43 adultes diagnostiqués avec diverses maladies, notamment la CP, la SEP, le TBI, la LME et l'accident vasculaire cérébral. Chaque participant avait subi au moins une analyse clinique de la marche (CGA) avant et après avoir reçu le traitement. Le laboratoire UGCEAM a obtenu et traité les données cinématiques de la marche. Diverses techniques de régression ont été utilisées, notamment LSTM, BiLSTM, le mécanisme d'attention, l'apprentissage d'ensemble et l'apprentissage multitâche (MTL). Les méthodes évaluées et leur efficacité ont été comparées entre elles et à des approches alternatives documentées dans la littérature. Cette étude est la première à simuler quantitativement l'impact du traitement au BTX-A sur la démarche d'adultes atteints de diverses maladies. Il explore un large éventail de combinaisons de traitements et différents modèles de démarche<br>Neurological conditions often manifest as gait disorders, frequently linked to spasticity. Botulinum Toxin Type A (BTX-A) injectionscommonly treat spasticity-related gait issues. Achieving optimal treatment outcomes with a favourable benefit-risk ratio remains crucial. Kinematic improvements obtained by this treatment are sometimes very efficient, but at this moment they remain difficultly predictable. The aim of this thesis is to employ deep learning (DL) techniques to simulate the impact of BTX-A treatment on gait parameters. The simulator aims to display the most probable gait result, enhancing the process of decision-making in BTX-A treatment. The database consisted of 43 adults diagnosed with various diseases, including CP, MS, TBI, SCI, and stroke. Each participant had undergone at least one clinical gait analysis (CGA) both before and after receiving treatment.The UGCEAM laboratory obtained and processed kinematic gait data. Various regression techniques were employed, including LSTM, BiLSTM, attention mechanism, ensemble learning, and Multi-task learning (MTL). The evaluated methods and their efficacy were compared both amongst themselves and to alternative approaches documented in the literature. This study is the first to quantitatively simulate the impact of BTX-A treatment on the gait of adults with various diseases. It explores a wide range of treatment combinations and different gait patterns