| | SLO | ENG | Cookies and privacy

Bigger font | Smaller font
First page > Show document

Show document Help

Title:Vpliv psihofizioloških dejavnikov na učinkovitost tehnike MAVITI pri osebah z bolečino fantomskega (spodnjega) uda po amputaciji : magistrsko delo
Authors:ID Pirc, Petra (Author)
ID Mulej Bratec, Satja (Mentor) More about this mentor... New window
ID Žvelc, Maša (Mentor) More about this mentor... New window
Files:.pdf MAG_Pirc_Petra_2022.pdf (1,67 MB)
MD5: 1B122EE9BB92F723CCB041C3E381393A
PID: 20.500.12556/dkum/e71c4a0e-bf22-4e39-8ef4-d968415a4bd6
 
Language:Slovenian
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:FF - Faculty of Arts
Abstract:Zaznavanje bolečine v predelu amputiranega uda imenujemo bolečina fantomskega uda. Za zdravljenje fantomske bolečine je v uporabi preplet farmakoloških in nefarmakoloških pristopov, saj dolgoročni učinki metod zdravljenja niso pojasnjeni. V literaturi zasledimo, da obstaja tudi psihološka razlaga za njen nastanek. Na fantomsko bolečino prav tako vplivajo psihofiziološki dejavniki, kot so stres, anksioznost, depresivnost in močna čustva. Manj pa je poznan vpliv psihofizioloških dejavnikov na terapije za zdravljenje bolečine. V magistrskem delu preučujemo, kako psihofiziološki dejavniki moderirajo učinek izbrane metode MAVITI na zmanjšanje fantomske bolečine pri pacientih z amputacijo spodnjega uda. Specifično nas zanima, kako stopnja stresa, anksioznosti in depresivne simptomatike, pacientovo pričakovanje o izidu zdravljenja, interoceptivno zavedanje in variabilnost srčnega utripa pred terapijo vplivajo na učinek MAVITI na zmanjšanje fantomske bolečine. Dodatno smo eksplorirali ali razlika v stresu, anksioznosti in depresivni simptomatiki po terapiji moderira učinek MAVITI na zmanjšanje fantomske bolečine. Učinek psihofizioloških dejavnikov smo preverjali v dveh skupinah v okviru dvotedenske intervencije. Skupina deset pacientov je poleg običajne konvencionalne terapije izvajala še dodatno tehniko MAVITI za zmanjšanje fantomske bolečine dva tedna. Kontrolna skupina deset pacientov pa je bila izpostavljena le običajni konvencionalni terapiji. V pričujoči raziskavi smo uporabili pet merskih pripomočkov, štiri psihološke vprašalnike in napravo Savvy za merjenje EKG. Rezultati kažejo, da obravnavani psihofiziološki dejavniki ne moderirajo odnosa med MAVITI in zmanjšanjem bolečine fantomskega uda. Dodatna terapija MAVITI se je izkazala za pomemben napovednik razlike v fantomski bolečini po terapiji z MAVITI neodvisno od stopnje razlike v anksioznosti, stresu in depresivni simptomatiki. Ker pa je preučevani vzorec premajhen za zanesljiva spoznanja, hkrati pa to področje še ni bilo raziskano, lahko le sklepamo, ali je rezultat posledica problematičnega vzorca ali tehnike, ali pa preučevani psihofiziološki dejavniki resnično nimajo vpliva na vpliv MAVITI na zmanjšanje bolečine. Ugotovitve študije tako nakazujejo na potrebo po nadaljnjem raziskovanju psihofizioloških dejavnikov v odnosu do izbrane terapije za zdravljenje fantomske bolečine in v odnosu do bolečine pri pacientih po amputaciji. Ponujajo pa tudi razmislek o morebitnem nadaljnjem raziskovanju vloge psihofizioloških dejavnikov pri uporabi nove metode MAVITI za zdravljenje fantomske bolečine.
Keywords:fantomska bolečina, psihofiziološki dejavniki, zdravljenje, terapija MAVITI
Place of publishing:Maribor
Place of performance:Maribor
Publisher:[P. Pirc]
Year of publishing:2022
Number of pages:1 spletni vir (1 datoteka PDF (X, 99 str.))
PID:20.500.12556/DKUM-81767 New window
UDC:615.851:616-089.873(043.2)
COBISS.SI-ID:117472003 New window
Publication date in DKUM:05.08.2022
Views:932
Downloads:93
Metadata:XML DC-XML DC-RDF
Categories:FF
:
Copy citation
  
Average score:(0 votes)
Your score:Voting is allowed only for logged in users.
Share:Bookmark and Share



Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:27.05.2022

Secondary language

Language:English
Title:The impact of psychophysiological factors on the effectiveness of the MAVITI method in patients with phantom (lower) limb pain after amputation
Abstract:Experiencing pain in the amputated area is known as phantom limb pain. There are insufficient evidence for treatment of phantom pain. Thereby, several methods are still in use to treat phantom pain, from pharmachological to non-pharmachological approaches, because the long-term effects are unknown. According to the literature, phantom pain is also impacted by several psychophysiological factors. Emotions, stress, anxiety and depression can impact and modify experience of phantom pain. However, the effect of psychophysiological factors on therapy for phantom limb pain is less known. In this master's thesis, we study how psychophysiological factors moderate the effect of the MAVITI method on the phantom pain reduction in patients with lower limb amputation. We are specifically interested in how the level of stress, anxiety and depression symptoms, patient’s expectation of a treatment outcome, interoceptive awareness, and heart rate variability prior to therapy moderate the impact of MAVITI on phantom pain reduction. We further explored the impact of differences in stress, anxiety, and depression after therapy on the impact of MAVITI method on phantom pain reduction. The effectiveness of psychophysiological factors is examined in two groups within two week intervention. One group of 10 participants was practising MAVITI technique in addition to the usual conventional therapy. The other group of 10 participants was exposed only to the usual conventional therapy. We used five measuring accessories, four psychological questionnaires, and device Savvy to measure ECG. Based on the results, observed psychophysiological factors do not moderate the impact of MAVITI method on phantom limb pain reduction. We see that adding MAVITI to the casual therapy has shown to be an important introductory factor of group differences in level of phantom pain after therapy, regardless of the level of difference in anxiety, stress and symptoms of depression after therapy. Most graphs point on a certain effect, which might exist, but cannot be indicated. However, since this area has not yet been explored, we can only anticipate that the results are hipothetically consequence of a problematic sample size or technique, or that the studied psychophysiological factors do not modify the impact of MAVITI method on phantom pain reduction. Nevertheless, findings of the conducted study emphasize the need for further research on psychophysiological factors in patients after amputation in relation to the treatment therapy for phantom limb pain and in relation to the pain itself. Thereby, future researches could also examine closely the role of psychophysiological factors in the use of MAVITI method for treating of phantom limb pain.
Keywords:phantom limb pain, psychophysiological factors, treatment, MAVITI method


Comments

Leave comment

You must log in to leave a comment.

Comments (0)
0 - 0 / 0
 
There are no comments!

Back
Logos of partners University of Maribor University of Ljubljana University of Primorska University of Nova Gorica