Esta tesis fue estructurada con el fin de crear una nueva experiencia vivencial que brinde una mejor calidad de vida a mujeres diagnosticadas con cáncer de mama. Por esta razon, se propone romper con el típico concepto de un Centro de Rehabilitación y aportar con el desarrollo de una nueva estrategia de gestion interna de manera que el sistema sea tan flexible como las necesidades de las pacientes en tiempo real. Otro de los propósitos de este proyecto es que pueda ser ejecutado con el apoyo de una ONG y así, de la mano de psicologos especialistas en transtornos por cáncer de mama, expertos en nutricion y rehabilitacion física unir idea junto a especialistas en paisajismo, infraestructura y diseño. De esta manera poder desarrollar un modelo operativo funcional que rehabilite tanto directa como indirectamente a las pacientes desde su ingreso al centro. Para este proyecto, en primer lugar, se realizó un estudio sobre los efectos y consecuencias del cáncer de mama, así como también los posibles tratamientos para el proceso de rehabilitación independientemente de cada diagnostico u estadio. Debido a que en el país no existe un Centro de Rehabilitación Física y Psicológica para Mujeres con Cáncer de Mama, se realizó el análisis de su arquitectura, experiencia y funcionalidad de las instituciones existentes con el mismo objetivo en países como España, Colombia y Argentina. De esta manera se obtuvo la información necesaria para ejecutar un sistema estructurado por cada especialidad propuesta en esta tesis, fusionando el diseño interior y arquitectura con en el rubro de la medicina. En segundo lugar, se analizó la ubicación y perimetros a la redonda de la vivienda elegida donde se desarrollará el proyecto para posteriormente hacer una intervención estructural y seguidamente el diseño de cada ambiente de manera que puedan satisfacer las necesidades de nuestro público objetivo. Finalmente se plantea las conclusiones en relación con los objetivos propuestos en el inicio del proyecto. / This thesis was structured in order to create a new experience that provides a better quality of life for women diagnosed with breast cancer. For this reason, it is proposed to break with the typical concept of a Rehabilitation Center and contribute to the development of a new internal management strategy so that the system is as flexible as the needs of patients in real time. Another purpose of this project is that it can be executed with the support of an NGO and by the hand of specialists in breast cancer disorders specialists, experts in nutrition and physical rehabilitation join idea together with specialists in landscaping, infrastructure and design. In this way to develop a functional operational model that rehabilitates both directly and indirectly the patients from their admission to the center. For this project, firstly, a study was carried out on the effects and consequences of breast cancer, as well as the possible treatments for the rehabilitation process regardless of each diagnosis or stage. Since there is no Physical and Psychological Rehabilitation Center for Women with Breast Cancer in the country, the analysis of their architecture, experience and functionality of existing institutions with the same objective was carried out in countries such as Spain, Colombia and Argentina. In this way, the necessary information was obtained to execute a structured system for each specialty proposed in this thesis, merging interior design and architecture with that of medicine. Secondly, the location and perimeters around the chosen house where the project will be developed were analyzed to subsequently carry out a structural intervention and then the design of each environment so that they can meet the needs of our target audience. Finally, the conclusions are presented in relation to the objectives proposed at the beginning of the project. / Tesis

Objectives: The aims of this study are to answer the following questions (1) How does the pain intensity of lumbar and cervical disc surgery patients change within a postoperative time frame of 5 years? (2) Which sociodemographic, medical, work-related, and psychological factors are associated with postoperative pain in lumbar and cervical disc surgery patients? Methods: The baseline survey (T0; n = 534) was conducted 3.6 days (SD 2.48) post-surgery in the form of face-to-face interviews. The follow-up interviews were conducted 3 months (T1; n = 486 patients), 9 months (T2; n = 457), 15 months (T3; n = 438), and 5 years (T4; n = 404) post-surgery. Pain intensity was measured on a numeric rating-scale (NRS 0–100). Estimated changes to and influences on postoperative pain by random effects were accounted by regression models. Results: Average pain decreased continuously over time in patients with lumbar herniated disc (Wald Chi² = 25.97, p<0.001). In patients with cervical herniated disc a reduction of pain was observed, albeit not significant (Chi² = 7.02, p = 0.135). Two predictors were associated with postoperative pain in lumbar and cervical disc surgery patients: the subjective prognosis of gainful employment (p<0.001) and depression (p<0.001). Conclusion: In the majority of disc surgery patients, a long-term reduction of pain was observed. Cervical surgery patients seemed to benefit less from surgery than the lumbar surgery patients. A negative subjective prognosis of gainful employment and stronger depressive symptoms were associated with postoperative pain. The findings may promote multimodal rehabilitation concepts including psychological and work-related support.

Objectives: The aims of this study are to answer the following questions (1) How does the pain intensity of lumbar and cervical disc surgery patients change within a postoperative time frame of 5 years? (2) Which sociodemographic, medical, work-related, and psychological factors are associated with postoperative pain in lumbar and cervical disc surgery patients? Methods: The baseline survey (T0; n = 534) was conducted 3.6 days (SD 2.48) post-surgery in the form of face-to-face interviews. The follow-up interviews were conducted 3 months (T1; n = 486 patients), 9 months (T2; n = 457), 15 months (T3; n = 438), and 5 years (T4; n = 404) post-surgery. Pain intensity was measured on a numeric rating-scale (NRS 0–100). Estimated changes to and influences on postoperative pain by random effects were accounted by regression models. Results: Average pain decreased continuously over time in patients with lumbar herniated disc (Wald Chi² = 25.97, p<0.001). In patients with cervical herniated disc a reduction of pain was observed, albeit not significant (Chi² = 7.02, p = 0.135). Two predictors were associated with postoperative pain in lumbar and cervical disc surgery patients: the subjective prognosis of gainful employment (p<0.001) and depression (p<0.001). Conclusion: In the majority of disc surgery patients, a long-term reduction of pain was observed. Cervical surgery patients seemed to benefit less from surgery than the lumbar surgery patients. A negative subjective prognosis of gainful employment and stronger depressive symptoms were associated with postoperative pain. The findings may promote multimodal rehabilitation concepts including psychological and work-related support.

Med denna socialpsykologiska studie ville vi få en ökad förståelse för vad socialt stöd upplevdesbetyda för rehabiliterande individers syn på sin psykiska ohälsa. De åtta intervjuernagenomfördes i anslutning till ett rehabiliteringsprojekt för personer med psykisk ohälsa i enav Sveriges kommuner. De intervjuade personerna var inskrivna i rehabiliteringsprojektet ochdeltog i dess aktiviteter. Resultatet visade att dialoger med personer som hade erfarenhet avliknande psykisk ohälsa och professionella hade störst inverkan på individernas syn på sinpsykiska ohälsa. I analysen använde vi Goffmans teori om stigma, Meads teori om rollövertagandeoch Bubers dialogteori. Enligt analysen bidrog personer med liknande psykisk ohälsaoch professionella till vad vi kallar frigörande dialoger, där respondenterna kunde bli förståddaoch accepterade såsom de var. Betydelsen dessa personer hade för individernas förståelseoch acceptans menar vi baserades på deras förståelse genom sitt igenkännande och sittarbete. Vi menar att denna nivå av förståelse inte kunde fås av personer utan dessa egenskaper,oavsett vem det var, om inte kunskapen skaffades. / With this social psychological study we wanted to gain an increased understanding of whatimportance the social support had for how rehabilitative individuals' look at their mental illness.The eight interviews were conducted in a rehabilitation project for people with mentalillness in one of Sweden's municipalities. The people we interviewed were enrolled in the rehabilitationproject and participated in its activities. The result showed that dialogue withpeople who had experience from similar mental illness and professionals had greatest impacton how the respondents' looked at their mental illness. In the analysis, we used Goffman’stheory of stigma, Mead’s theory of role taking and Buber’s theory of dialogue between individuals.According to our analysis, people with similar mental health and professionals contributedto what we call liberating dialogues in which respondents could be understood andaccepted as they were. We mean that the significance these people had for the individual'sunderstanding and acceptance was based on their understanding by their recognition andwork. We mean that this understanding could not be obtained by any person without suchproperties, no matter who it was, if the knowledge wasn’t acquired.

The object of the study was the motivation to rehabilitation in people with injuries of the musculoskeletal system. The subject of the study is the relationship of motivation for rehabilitation with external factors (family, work) and internal factors (self-efficacy, coping strategies, personal characteristics and values) in people with injuries of the musculoskeletal system Master's thesis consists of an introduction, two chapters, conclusion, bibliography (73 sources) and applications, including forms of applied techniques. The volume of the master's thesis 113 pages, which contains 4 figures and 13 tables. In conclusion, the results of the theoretical and empirical parts of the work, as well as the conclusions on the hypotheses put forward, the practical significance of the study and the possible prospects for further development of this problem are presented in a generalized form. / Объектом исследования являлась мотивация к реабилитации у людей с травмами опорно-двигательного аппарата. Предметом исследования - взаимосвязь мотивации к реабилитации с внешними факторами (наличие семьи, работы) и внутренними факторами (самоэффективностью, копинг-стратегиями, личностными характеристиками и ценностями) у людей с травмами опорно-двигательного аппарата. Магистерская диссертация состоит из введения, двух глав, заключения, списка литературы (73 источника) и приложений, включающих в себя бланки применявшихся методик. Объем магистерской диссертации 113 страниц, на которых размещены 4 рисунка и 13 таблиц. В заключении в обобщенном виде изложены результаты теоретической и эмпирической частей работы, а также выводы по выдвинутым гипотезам, обоснована практическая значимость исследования и описаны возможные перспективы дальнейшей разработки данной проблематики.