Российская медицинская академия непрерывного профессионального образования Минздрава России, Москва, Россия
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.
disabled persons, impaired functions, physical dysfunction, disabilities, chronic kidney diseases, statistical data analysis
1. Marques L.P.J., Flores J.T., de Oliveira Barros O. Junior, Rodrigues G.B., de Medeiros Mourão C., Moreira R.M.P. Epidemiological and clinical aspects of urinary tract infection in community - dwelling elderly women. The Brazilian Journal of Infectious Diseases. 2020; 16(5): 436-41. https://doi.org/10.1016/j.bjid.2012.06.025
2. Khalaf F.K., Dube P., Mohammed C.J., Kennedy D.J. Getting to the heart and soul of chronic kidney disease. Journal of the American Heart Association. 2020; 9(15): e017427. https://doi.org/10.1161/JAHA.120.017427
3. Pecly I.M.D., Azevedo R.B., Muxfeldt E.S., Botelho B.G., Albuquerque G.G., Diniz P.H.P., Silva R., Rodrigues C.I.S. COVID-19 and chronic kidney disease: a comprehensive review. Brazilian Journal of Nephrology. 2021; 43(3): 383-399. https://doi.org/10.1590/2175-8239-JBN-2020-0203
4. Burgos-Calderón R., Depine S.A., Aroca-Martínez G. Population kidney health. A new paradigm for chronic kidney disease management. International Journal of Environmental Research and Public Health. 2021; 18(13): 6786. https://doi.org/10.3390/ijerph18136786
5. Smirnov A.V., Dobronravov V.A., Kayukov I.G. Epidemiologiya i social'no-ekonomicheskie aspekty hronicheskoy bolezni pochek. Nefrologiya. 2006; 10(1): 7-13.
6. Shutov A.M. Hronicheskaya bolezn' pochek - global'naya problema XXI veka. Klinicheskaya medicina. 2014; (5): 5-10.
7. Hill N.R., Fatoba S.T., Oke J.L. et al. Global prevalence of chronic kidney disease - a systematic rewiew and meta-analysis. PLoS ONE. 2016; 11(7): e0158765. https://doi.org/10.1371/journal.pone.0158765
8. Glybochko P.V., Alyaev Yu.G. Rossiyskaya urologiya v XXI veke. Urologiya. 2015; (5): 4-9.
9. Kotenko O.N. Hronicheskaya bolezn' pochek. Moskovskaya medicina. 2018; 22(1): 21-23.
10. Nikitin I.G., Reznik E.V., Zayvaya M.V., Ettinger O.A. Hronicheskaya bolezn' pochek. Moskva. RNIMU im. N.I. Pirogova Minzdrava Rossii. 2019: 136 s.
11. Kitchlu A., Reid J., Jeyakumar N., Dixon S.N., Munoz A.M., Silver S.A., Booth C.M., Chan C.T.M., Garg A.X., Amir E., Kim S.J., Wald R. Cancer risk and mortality in patients with kidney disease: A population-based cohort study. American Journal of Kidney Diseases. 2022. https://doi.org/10.1053/j.ajkd.2022.02.020
12. Agarwal P., Garg V., Karagaiah P., Szepietowski J.C., Grabbe S., Goldust M. Chronic kidney disease - associated pruritus. Toxins. 2021; 13(8): 527 p. https://doi.org/10.3390/toxins13080527
13. Ammirati A.L. Chronic kidney disease. Revista da Associacao Medica Brasileira. 2020; 66(1). https://doi.org/10.1590/1806-9282.66.S1.3
14. Lim Y.J., Sidor N.A., Tonial N.C., Che A., Urquhart B.L. Uremic toxins in the progression of chronic kidney disease and cardiovascular disease: mechanisms and therapeutic targets. Toxins. 2021; 13(2): 142 p. https://doi.org/10.3390/toxins13020142
15. Wong S.P.Y., Boyapati S., Engelberg R.A., Thorsteinsdottir B., Taylor J.S., O’Hare A.M. Experiences of US nephrologists in the delivery of conservative care to patients with advanced kidney disease: a national qualitative. American Journal of Kidney Diseases. 2020; 75(2): 167-176. https://doi.org/10.1053/j.ajkd.2019.07.006
16. Xu H., Matsushita K., Su G. et al. Estimated glomerular filtration rate and the risk of cancer. Clinical Journal of the American Society of Nephrology. 2019; 14(4): 530-539. https://doi.org/10.2215/CJN.10820918
17. Vladimirova O.N., Bashkireva A.S., Korobov M.V., Lomonosova O.V. Invalidnost' kak mediko-social'nyy indikator sostoyaniya zdorov'ya i postareniya naseleniya v Rossiyskoy Federacii. Uspehi gerontologii. 2017; 30(3): 398-402.
18. Rudov I.V., Memetov S.S. Mediko-social'nye osobennosti kontingenta invalidov vsledstvie bolezney pochek po materialam Rostovskoy oblasti. Mediko-social'naya ekspertiza i reabilitaciya. 2004; (4): 13-16.
19. Ivanova G.E., Mel'nikova E.V., Shamalov N.A., Bodrova R.A., Shmonin A.A., Suvorov A.Yu., Nyrkov G.V., Tulupov D.O. Ispol'zovanie MKF i ocenochnyh shkal v medicinskoy reabilitacii. Vestnik vosstanovitel'noy mediciny. 2018; 85 (3): 14-20.
20. Ivanova G.E., Mel'nikova E.V., Shmonin A.A. Primenenie mezhdunarodnoy klassifikacii funkcionirovaniya v processe medicinskoy reabilitacii. Vestnik vosstanovitel'noy mediciny. 2018; 88(6): 2-77.
