Rehabilitation Measures Planning based on the Analysis of Functional Impairments and Disabilities due to Chronic Kidney Disease: a Retrospective Study

INTRODUCTION. Quality of functional impairments analysis and the degree of disability associated with chronic kidney disease is a keyfactor of the effectiveness of the rehabilitation measures organization for persons with disabilities with the above pathology.AIM. To assess the degree of physical dy...

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Main Authors: Zhanna M. Kalacheva, Natalia S. Zapariy, Denis D. Bolotov, Magomed A. Omarov, Konstantin A. Sarkisov
Format: Article
Language:English
Published: Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology 2023-08-01
Series:Вестник восстановительной медицины
Subjects:
Online Access:http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/dissertatsionnaya-orbita/2022-21-planirovanie-reabilitacionnyh-meropriyatii-na-osnove-analiza-funkcionalnyh-narushenii-i-ogranichenii-zhiznedeyatelnosti-invalid.html
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author Zhanna M. Kalacheva
Natalia S. Zapariy
Denis D. Bolotov
Magomed A. Omarov
Konstantin A. Sarkisov
author_facet Zhanna M. Kalacheva
Natalia S. Zapariy
Denis D. Bolotov
Magomed A. Omarov
Konstantin A. Sarkisov
author_sort Zhanna M. Kalacheva
collection DOAJ
description INTRODUCTION. Quality of functional impairments analysis and the degree of disability associated with chronic kidney disease is a keyfactor of the effectiveness of the rehabilitation measures organization for persons with disabilities with the above pathology.AIM. To assess the degree of physical dysfunction of the disabled persons due to the chronic kidney disease on the basis of the clinicaland functional disorders to determine the need for rehabilitation measures.MATERIAL AND METHODS. The study was generated in the form of the Excel spreadsheet using the following methods: documentary,excerpting data in the volume of 265 units. For quantitative variables, statistical indicators were used: mean and median. To comparetwo independent groups, the reliability index was used, the X2 statistic and Spearman’s rank correlation coefficient were performed. Thesignificance level for testing statistical hypotheses was assumed to be 0.05. Processing and analysis was performed in the R environment(environment for statistical data analysis. http://www-r-project.org).RESULTS AND DISCUSSION. In these patients, the largest proportion in the structure of physical dysfunctions were limitations toself-care, first-degree movement, labor activity and second-degree self-care, and third-degree labor activity. Analysis of the degreeof severity of disability depending on the stage of the disease, which determines the structure of social insufficiency and reducedquality of life, can be accepted as a basis for planning rehabilitation measures. At the same time, due to the predominance of generalsymptomatology, analysis of clinical signs of chronic kidney disease, taking into account the stage of the disease, can be recognizedonly as an auxiliary mechanism.CONLUSION. Expert-rehabilitation diagnostics among persons who have undergone primary and repeated examination allows us toget an idea of the rehabilitation measures amount required for them, taking into account the stage of the process in certain subgroups.When forming an individual rehabilitation program, the use of ICF is indispensable.
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spelling doaj.art-c2c53a32cf04441dbc0e823958566c862023-07-17T14:57:32ZengMinistry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and BalneologyВестник восстановительной медицины2078-19622713-26252023-08-01214115125https://doi.org/10.38025/2078-1962-2022-21-4-115-125Rehabilitation Measures Planning based on the Analysis of Functional Impairments and Disabilities due to Chronic Kidney Disease: a Retrospective StudyZhanna M. Kalacheva0https://orcid.org/0000-0003-4830-900XNatalia S. Zapariy1https://orcid.org/0000-0002-7687-763XDenis D. Bolotov2https://orcid.org/0000-0003-1320-0960Magomed A. Omarov3https://orcid.org/0000-0003-3624-7542Konstantin A. Sarkisov4https://orcid.org/0000-0002-0510-7435Main Medical and Social Expertise Bureau for Moscow, Moscow, Russian FederationFederal Bureau of Medical and Social Expertise, Moscow, Russian FederationFederal Bureau of Medical and Social Expertise, Moscow, Russian Federation;Russian Medical Academy of Continuous Professional Education, Moscow, Russian FederationMain Medical and Social Expertise Bureau for Moscow, Moscow, Russian FederationRussian Medical Academy of Continuous Professional Education, Moscow, Russian FederationINTRODUCTION. Quality of functional impairments analysis and the degree of disability associated with chronic kidney disease is a keyfactor of the effectiveness of the rehabilitation measures organization for persons with disabilities with the above pathology.AIM. To assess the degree of physical dysfunction of the disabled persons due to the chronic kidney disease on the basis of the clinicaland functional disorders to determine the need for rehabilitation measures.MATERIAL AND METHODS. The study was generated in the form of the Excel spreadsheet using the following methods: documentary,excerpting data in the volume of 265 units. For quantitative variables, statistical indicators were used: mean and median. To comparetwo independent groups, the reliability index was used, the X2 statistic and Spearman’s rank correlation coefficient were performed. Thesignificance level for testing statistical hypotheses was assumed to be 0.05. Processing and analysis was performed in the R environment(environment for statistical data analysis. http://www-r-project.org).RESULTS AND DISCUSSION. In these patients, the largest proportion in the structure of physical dysfunctions were limitations toself-care, first-degree movement, labor activity and second-degree self-care, and third-degree labor activity. Analysis of the degreeof severity of disability depending on the stage of the disease, which determines the structure of social insufficiency and reducedquality of life, can be accepted as a basis for planning rehabilitation measures. At the same time, due to the predominance of generalsymptomatology, analysis of clinical signs of chronic kidney disease, taking into account the stage of the disease, can be recognizedonly as an auxiliary mechanism.CONLUSION. Expert-rehabilitation diagnostics among persons who have undergone primary and repeated examination allows us toget an idea of the rehabilitation measures amount required for them, taking into account the stage of the process in certain subgroups.When forming an individual rehabilitation program, the use of ICF is indispensable.http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/dissertatsionnaya-orbita/2022-21-planirovanie-reabilitacionnyh-meropriyatii-na-osnove-analiza-funkcionalnyh-narushenii-i-ogranichenii-zhiznedeyatelnosti-invalid.htmldisabled personsimpaired functionsphysical dysfunctiondisabilitieschronic kidney diseasesstatistical data analysis
spellingShingle Zhanna M. Kalacheva
Natalia S. Zapariy
Denis D. Bolotov
Magomed A. Omarov
Konstantin A. Sarkisov
Rehabilitation Measures Planning based on the Analysis of Functional Impairments and Disabilities due to Chronic Kidney Disease: a Retrospective Study
Вестник восстановительной медицины
disabled persons
impaired functions
physical dysfunction
disabilities
chronic kidney diseases
statistical data analysis
title Rehabilitation Measures Planning based on the Analysis of Functional Impairments and Disabilities due to Chronic Kidney Disease: a Retrospective Study
title_full Rehabilitation Measures Planning based on the Analysis of Functional Impairments and Disabilities due to Chronic Kidney Disease: a Retrospective Study
title_fullStr Rehabilitation Measures Planning based on the Analysis of Functional Impairments and Disabilities due to Chronic Kidney Disease: a Retrospective Study
title_full_unstemmed Rehabilitation Measures Planning based on the Analysis of Functional Impairments and Disabilities due to Chronic Kidney Disease: a Retrospective Study
title_short Rehabilitation Measures Planning based on the Analysis of Functional Impairments and Disabilities due to Chronic Kidney Disease: a Retrospective Study
title_sort rehabilitation measures planning based on the analysis of functional impairments and disabilities due to chronic kidney disease a retrospective study
topic disabled persons
impaired functions
physical dysfunction
disabilities
chronic kidney diseases
statistical data analysis
url http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/dissertatsionnaya-orbita/2022-21-planirovanie-reabilitacionnyh-meropriyatii-na-osnove-analiza-funkcionalnyh-narushenii-i-ogranichenii-zhiznedeyatelnosti-invalid.html
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