Российская медицинская академия непрерывного профессионального образования Минздрава России, Москва, Россия
Diseases of the blood and hematopoietic organs are one of the urgent medical and social problems. The eff ectiveness of the rehabilitation measures carried out depends on their compliance with functional disorders and the degree of disability associated with them. Aim. To study the dysfunction of the disabled person’s body and, based on them, to assess the limitation of vital activity and the degree of their severity. Material and methods. The study was generated in xlsx format and uploaded to the environment for statistical data analysis (https: www.r.project.org) using methods: documentary, data copying (184 units). Data processing and analysis were performed using scripts. For continuous normally distributed variables, the average value, the standard deviation, were calculated when comparing two groups of studies — the t–criterion, when comparing several groups — the ANOVA. Medians, 1st and 3rd quartiles were calculated for continuous abnormally distributed variables, and when comparing groups, the Kruskall- Wallis criterion was used. Absolute and relative frequencies were calculated for categorical variables, and when checking the conjugacy tables of 2x2 sizes, the Chi-square criterion or the Fisher criterion was used. Spearman’s rank correlation index was calculated for each pair of categorical variables. The signifi cance level when testing statistical hypotheses was assumed to be 0.05. Results. It was found that in patients with blood and hematopoietic organs diseases, the greatest proportion in the structure of impaired functions were violations of the functions of the blood system and immunity, cardiovascular system, neuromuscular, skeletal and movement- related (statodynamic) and total functions, the severity of which, as a rule, was moderate. In the structure of restrictions of vital activity, the following restrictions of vital activity were determined: self-service abilities of the 1st degree, self-locomotion of the 1st degree and work activity of the 1st degree. Conclusion. Expert- rehabilitation diagnostics based on samples of diff erent numbers and nosology among persons who have passed examination at the ITU bureau, allows us to form an idea of the amount of rehabilitation measures required for them, including in the conditions of assessment according to the requirements of the International Classifi cation of Disorders, Disability and Social Insuffi ciency. The expert- statistical assessment of this contingent of disabled people allows us to predict the volume of examinations, to assume a prognosis for the course of diseases and to plan the volume of medical and rehabilitation care.
disability, impaired functions, physical dysfunction, blood diseases, age group
1. Bronnikov V. A. Sklyannaya K. A. Kompleksnaya reabilitaciya s pozicii Mezhdunarodnoy klassifikacii funkcionirovaniya, ogranicheniy zhiznedeyatel'nosti i zdorov'ya. Materialy NPK «Dostupnaya sreda. Aspekty vtorogo plana». Novokuzneck. 2015: 6-7.
2. Vladimirova O. N., Afonina K. P., Ponomarenko G. N. Organizaciya sistemy kompleksnoy reabilitacii v Rossiyskoy Federacii na osnove izucheniya potrebnostey invalidov. Medicina v Kuzbasse. 2018; (4): 20-27.
3. Vladimirova O. N., Shoshmin A. V., Mal'kova S. V. Nacional'nye standarty v kompleksnoy reabilitacii i abilitacii invalidov. Vestnik Vserossiyskogo obschestva specialistov po mediko-social'noy reabilitacii i reabilitacionnoy industrii. 2019; (4): 18-29.
4. Ponomarenko G. N. Nauchnaya platforma sovremennoy reabilitacii. Reabilitaciya. 2017; (3): 16-19.
5. Cieza A., Causey K., Kamenov K., Hanson S. W., Chatterji S., Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020; 396(10267): 2006-2017. https://doi.org/10.1016/S0140-6736(20)32340-0
6. Ginis K. A.M., van der Ploeg H. P., Foster C., Lai B., McBride C.B., Ng K., Pratt M. I., Shirazipour C. H., Smith B., Vásquez P. M., Heath G. W. Participation of people living with disabilities in physical activity: a global perspective. Lancet. 2021; 398(10298): 443-455. https://doi.org/10.1016/S0140-6736(21)01164-8
7. Puzin S. N., Memetov S. S., Shurgaya M. A. Invalidnost' v XXI veke. Sostoyanie problemy mediko- social'noy reabilitacii i abilitacii invalidov v sovremennoy Rossii. Mediko-social'naya ekspertiza i reabilitaciya. 2018; 21(1-2): 10-17.
8. Puzin S. N., Shurgaya M. A., Memetov S. S. Sovershenstvovanie mediko-social'noy pomoschi licam pozhilogo vozrasta. Vestnik Vserossiyskogo obschestva specialistov po mediko-social'noy ekspertize, reabilitacii i reabilitacionnoy industrii. 2018; (1): 25-28.
9. Iksanov H. V., Bykovskaya T. Yu., Muhamatdinov R. R. Mezhdunarodnaya klassifikaciya funkcionirovaniya, ogranicheniy zhiznedeyatel'nosti i zdorov'ya. Prioritetnaya osnova razrabotki i realizacii reabilitacionnyh meropriyatiy. Vestnik vserossiyskogo obschestva specialistov po mediko-social'noy ekspertize, reabilitacii i reabilitacionnoy industrii. 2018; (1): 15-24.
10. Stucki G., Bickenbach J. Functioning: the third health indicator in the health system and the key indicator for rehabilitation. European Journal Physical and Rehabilitation Medicine. 2017; (53): 134-138. https://doi.org/10.23736/S1973-9087.17.04565-8
11. Dmitriev V. N., Andreeva N. A., Urusova M. A. Zabolevaemost' vzroslogo naseleniya Rossiyskoy Federacii po klassam bolezney v dinamike za 2010-2018 gg. Mediko-social'nye problemy invalidnosti. 2020; (2): 27-32.
12. Medik V. A., Osipov A. M. Obschestvennoe zdorov'e i zdravoohranenie: mediko-sociologicheskiy analiz. IC RIOR. INFRA-M. 2012: 358 s.
13. Starodubov V. I. Sostoyanie zdorov'ya naseleniya i perspektivy razvitiya zdravoohraneniya v Rossii. Innovacionnoe razvitie zdravoohraneniya. 2013: 125-142.
14. Sheshunova R. A. Rasprostranennost' bolezney krovi sredi vzroslogo naseleniya i organizaciya gematologicheskoy pomoschi. Aspirantskiy Vestnik Povolzh'ya. 2017; 17(1-2): 204-209.
15. Ivanova G. E. Medicinskaya reabilitaciya v Rossii. Perspektivy razvitiya. Consilium Medicum. 2016; (13): 9-13.
16. Grund S., Gordon A. L., van Balen R. European consensus on core principles and future priorities for geriatric rehabilitation: consensus statement. European Geriatric Medicine. 2020: 233-238. https://doi.org/10.1007/s41999-019-00274-1
17. Kostanjsek N. Use of The International Classifi cation of Fuctioning, Disability and Health (ICF) as a conceptual framework and common language for disability statistics and health information systems. BMS Public Health. 2016; 11(4): 3 p.
18. World Health Organization. The need to scale up rehabilitation. In rehabilitation 2030: a call for action. Available at: http://who.int/ageing/global-strategy/en/ World Health Organization: Geneva. Switzerland. 2017.
