Integracija kognitivne rehabilitacije v celostno oskrbo bolnikov z multiplo sklerozo: teoretične osnove, klinična praksa in prihodnje usmeritve
DOI:
https://doi.org/10.32015/JIBM.2025.17.1.6Ključne besede:
kognitivna rehabilitacija, multipla skleroza, nevropsihologija, kognitivna rezerva, interdisciplinarna oskrbaPovzetek
Kognitivne motnje so pogost in pomemben vidik multiple skleroze (MS), pogosto prisoten že v zgodnjih fazah bolezni. Kljub razširjenosti te motnje pogosto ostajajo spregledane in nezadostno obravnavane v klinični praksi. Ta članek obravnava sodobne pristope kognitivne rehabilitacije pri MS, s poudarkom na integraciji nevropsihološkega znanja, individualiziranem pristopu k obravnavi ter vlogi interdisciplinarnih timov. Na podlagi pregleda literature predstavi glavne značilnosti kognitivnih sprememb, pristope k ocenjevanju in strategije intervencij, vključno z računalniško podprtimi programi, metakognitivnimi tehnikami in ekološko usmerjenimi metodami. Članek zagovarja sistematično vključevanje kognitivne rehabilitacije v vsakodnevno klinično prakso ter izpostavlja potrebo po večji dostopnosti, standardiziranih postopkih in razvoju na podlagi raziskav v prihodnosti.
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