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

Autor: Zhanna M. Kalacheva, Natalia S. Zapariy, Denis D. Bolotov, Magomed A. Omarov, Konstantin A. Sarkisov
Rok vydání: 2022
Předmět:
Zdroj: Bulletin of Rehabilitation Medicine. 21:115-125
ISSN: 2078-1962
Popis: INTRODUCTION. Quality of functional impairments analysis and the degree of disability associated with chronic kidney disease is a key factor 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 clinical and 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 compare two independent groups, the reliability index was used, the X2 statistic and Spearman’s rank correlation coefficient were performed. The significance 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 to self-care, first-degree movement, labor activity and second-degree self-care, and third-degree labor activity. Analysis of the degree of severity of disability depending on the stage of the disease, which determines the structure of social insufficiency and reduced quality of life, can be accepted as a basis for planning rehabilitation measures. At the same time, due to the predominance of general symptomatology, analysis of clinical signs of chronic kidney disease, taking into account the stage of the disease, can be recognized only as an auxiliary mechanism. CONLUSION. Expert-rehabilitation diagnostics among persons who have undergone primary and repeated examination allows us to get 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.
Databáze: OpenAIRE