Retrospective study of inpatient patient records of the Center for comprehensive rehabilitation of disabled people "Butovo"
- Authors: Zaytseva T.N.1, Gerasimenko M.Y.1,2, Prityko D.A.3, Kozyreva V.O.1
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Affiliations:
- Russian Medical Academy of Continuous Professional Education
- Pirogov Russian National Research Medical University
- Center for Comprehensive Rehabilitation of the Disabled "Butovo"
- Issue: Vol 21, No 4 (2022)
- Pages: 263-272
- Section: Original studies
- URL: https://journals.rcsi.science/1681-3456/article/view/131074
- DOI: https://doi.org/10.17816/rjpbr115137
- ID: 131074
Cite item
Abstract
BACKGROUND: The problem of medical rehabilitation/habilitation of patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays is extremely relevant. The article analyzes the comprehensive care for this category of patients on the basis of the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo".
AIM: analysis of the volume and methodology of prescribing physical factors in the provision of medical and social services to patients at the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo".
MATERIALS AND METHODS: In 2021, based on archival data for 2019–2020 an assessment was made of the conduct of socio-medical rehabilitation at the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo". The observation unit is represented by stationary patient charts.
RESULTS: The study revealed a sufficient volume and correct methodology for prescribing physical factors to patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays. At the same time, the absence of an adequate goal of rehabilitation/habilitation was noted. The goals that were set for patients were often unrealizable, non-specific, not defined in time, or not related to the needs of the patient himself.
CONCLUSION: A unified comprehensive approach is needed to assess the condition, identify needs and implement rehabilitation measures for patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays. It has been determined that in this category of patients it is advisable to apply the International Classification of Functioning, which will allow one to concentrate on the necessary areas of diagnostics, select the necessary diagnostic tools, identify and link functional disorders and disability to each other, determine the areas of intervention of different specialists, unite specialists into one team with overall goal of rehabilitation/habilitation.
Full Text
##article.viewOnOriginalSite##About the authors
Tatiana N. Zaytseva
Russian Medical Academy of Continuous Professional Education
Author for correspondence.
Email: zaytn@mail.ru
ORCID iD: 0000-0001-7123-1568
SPIN-code: 9416-4428
MD, Cand. Sci. (Med.)
Russian Federation, MoscowMarina Yu. Gerasimenko
Russian Medical Academy of Continuous Professional Education; Pirogov Russian National Research Medical University
Email: mgerasimenko@list.ru
ORCID iD: 0000-0002-1741-7246
SPIN-code: 7625-6452
MD, Dr. Sci. (Med.), Professor
Russian Federation, Moscow; MoscowDenis A. Prityko
Center for Comprehensive Rehabilitation of the Disabled "Butovo"
Email: denis.05@mail.ru
ORCID iD: 0000-0003-4167-9956
SPIN-code: 9894-3144
MD, Cand. Sci. (Med.)
Russian Federation, MoscowValeriya O. Kozyreva
Russian Medical Academy of Continuous Professional Education
Email: kvo03@yandex.ru
ORCID iD: 0000-0002-1103-704X
SPIN-code: 6936-0576
Russian Federation, Moscow
References
- Toncheva KS, Gerashchenko EF, Neuymina GI. Evaluation of the effectiveness of the rehabilitation sanatorium-and-spa program for children with psychoneurological diseases. Nauchnoye obozreniye. Meditsinskiye nauki. 2020;(4):44–48. (In Russ).
- Malkova SV, Vladimirova ON, Shoshmin AV, Lorer VV. Organization of medical and social assistance to children with autism spectrum disorder in the Russian Federation. Medical and Social Expert Evaluation and Rehabilitation. 2021;24(1):31−38. (In Russ). doi: 10.17816/MSER52812
- Samusenko AG, Zapariy NS. The main trends in the formation of general disability among persons older than working age due to diseases of the nervous system in Moscow. Zdorov'ye naseleniya i sreda obitaniya. 2020;(1):4–8. (In Russ). doi: 10.35627/2219-5238/2020-322-1-4-8
- Paykov AYu, Zapariy NS, Bolotov DD. Nosological spectrum of primary disability among people aged 18–44 in the Rostov region for 2015–2019. Kurortnaya meditsina. 2021;(3):134–140. (In Russ). doi: 10.51871/2304-0343_2021_3_134
- Puzin SN, Memetov SS, Shurgaya MA, et al. Aspects of rehabilitation and habilitation of disabled people at the present stage. Medical and Social Expert Evaluation and Rehabilitation. 2016;19(1):4–7. (In Russ). doi: 10.18821/1560-9537-2016-19-1-4-7
- Ivanova GY, Mel'nikova YV, Shamalov NA, et al. The use of the ICF and rating scales in medical rehabilitation. Vestnik vosstanovitel'noy meditsiny. 2018;(3):14–20. (In Russ).
- Iksanov HV, Bykovskaya TYu, Mukhamatdinov RR, et al. International classification of functioning, disability and health -- priority basis for the development and implementation of rehabilitation measures. Vestnik Vserossiyskogo obshchestva spetsialistov po mediko-sotsial'noy ekspertize, reabilitatsii i reabilitatsionnoy industrii. 2018;(1):15–24. (In Russ).
- Shoshmin AV, Ponomarenko GN. International classification of functioning, disability and health in rehabilitation. Ed. by A.N. Razumov. Saint Petersburg; 2020. 232 p. (In Russ).
- Shoshmin AV, Lorer VV, Mal'kova SV. Separate aspects of the implementation of the basic set of ICF for autism spectrum disorders in the practice of rehabilitation and habilitation. Fizicheskaya i reabilitatsionnaya meditsina. 2020;2(4):51–58. (In Russ). doi: 10.26211/2658-4522-2020-2-4-51-58
- Zolotareva AA, Lorer VV. Comprehensive assessment of the health of a child with cerebral palsy based on the ICF. Meditsinskaya psikhologiya v Rossii. 2020;12(4):6. (In Russ). doi: 10.24412/2219-8245-2020-4-6
- Zampella CJ, Wang LA, Haley M, et al. Motor skill differences in autism spectrum disorder: A clinically focused review. Curr Psychiatry Rep. 2021;23(10):64. doi: 10.1007/s11920-021-01280-6
- Nizhel'skoy VA, Zaytseva TN, Gerasimenko MYu. Psychoemotional motivation for the development of a motor act (pilot study. Russian journal of the physial therapy, balneotherapy and rehabilitation. 2021;20(2):89–98. (In Russ). doi: 10.17816/1681-3456-2021-20-2-1
- Zaytseva TN, Gerasimenko MYu. Studying the relevance of the problem of autism spectrum disorders for the clinical activities of physicians of various specialties planning to work in the field of physical and rehabilitation medicine. Russian journal of the physial therapy, balneotherapy and rehabilitation. 2021;20(3):229–236. (In Russ). doi: 10.17816/1681-3456-2021-20-229-236
- Zaitseva TN, Nizhelskоy VA, Gerasimenko MYu, Saito M. Expressive movement: an interdisciplinary view. Russian journal of the physial therapy, balneotherapy and rehabilitation. 2020;19(6):395–399. (In Russ). doi: 10.17816/1681-3456-2020-19-6-8