DETERMINATION OF REHABILITATION POTENTIAL IN DISABLED ATO PARTICIPANTS
Objective: to study characteristics of rehabilitation potential (RP) in disabled participants of anti-terrorist operation (ATO). Object and methods of investigation. 250 ATO participants from central, northern and western regions of Ukraine were studied under inpatient treatment between 2015...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ukrainian Medical Stomatological Academy
2018-12-01
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| Series: | Вісник проблем біології і медицини |
| Subjects: | |
| Online Access: | https://vpbm.com.ua/upload/2018-4-2/73-min.pdf |
| Summary: | Objective: to study characteristics of rehabilitation potential (RP) in disabled participants of anti-terrorist
operation (ATO).
Object and methods of investigation. 250 ATO participants from central, northern and western regions of Ukraine
were studied under inpatient treatment between 2015 and 2017. All patients underwent comprehensive clinical
and expert examination according to the standards of medical care and unified clinical protocols of tertiary care and
rehabilitation in different pathologies. The following investigation methods were used: general scientific methods (analysis, synthesis, generalization, comparison); content analysis of medical records and medical expert cases of
patients; clinical methods; sociological methods (questionnaire, conversation); medical and biological methods;
methods of mathematical statistics. To be enrolled in the study, all patients gave their informed consent to participate.
Results. Priority factors in formation of rehabilitation potential level in disabled ATO participants were determined
on the basis of multivariate regression analysis. The most significant of them were found to be age (-4.52); dysfunction
severity of blood circulation (-5.21), static and dynamic dysfunction (-4.21), mental (-2.02), sensory (hearing and vision)
disorders (-1.21); limitation in daily living activities, namely: capability for work-related activity (-5.36), mobility (-4.21),
physical self-maintenance (-4.03), orientation (-3.11). Among major psychological criteria studied were cognitive
disorders and, consequently, register-syndrome due to exogenous organic disorders (-3.35). Such social factors as
provision of housing and financial status (+2.31 and +2.01, respectively) were of great value as well. Participation
in labor activity (+4.11) and rational employment (+3.50) dominated among work-related factors. Disabled ATO
participants required the following rehabilitation measures: medical rehabilitation (-4.51), psychological and
pedagogical rehabilitation (-3.14), work rehabilitation (-5.84), provision of technical means of rehabilitation (-4.21)
and medical products (-3.11).
Thus, correlation analysis and multiple regression analysis made it possible to specify the nature of existing
relationships in the mathematical model, namely, to determine the functional dependence of RP value (Y) on major
study factors (x1-48). Assessment of express model capability showed validity coefficient to be 0.851, the level of
significance being p<0.001. Express model proved to be of practical significance in determining RP factors, considering
the indices used in medical expert practice.
Conclusions. RP in disabled ATO participants is a complex indicator which combines biological, social, occupational,
clinical and functional, psychological, expert and rehabilitation factors. Objective early assessment of RP will lead to the
development of adequate integral programs for disabled ATO participants. |
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| ISSN: | 2077-4214 2523-4110 |