Tag Archives: disability

22 June 2024

According to various sources, today, about 2.4 billion people in the world suffer from diseases in which any type of rehabilitation measures are indicated. [1-3] According to forecasts, these figures will steadily increase due to the growth of chronic diseases, often associated with an increase in life expectancy of populations, an increase in disability rates and changes in other socio-demographic characteristics [46]. In 2017, WHO launched the Rehabilitation 2030 program, emphasizing the exceptional importance and prospects for the development of this area [7-10]. Rehabilitation sets as its main goal the maximum independence, independence and integration of a disabled person into society. Among the many aspects facing a multidisciplinary team of specialists, one of the most important is to improve the patient's quality of life [11-13]. According to the definition of the World Health Organization (WHO), this term It covers the physical, psychological, emotional and social health of a person based on his perception of his place in society [14-17]. Goal/ Aim To assess the quality of life of people with disabilities due to malignant neoplasms of the brain in Moscow. Materials and methods / Materials and methods As a result of a voluntary informed consent survey of 286 disabled respondents over the age of 18, data were obtained that made it possible to assess the quality of life of people with disabilities due to malignant neoplasms of the brain. The assessment of the quality of life of people with disabilities due to malignant neoplasms of the brain was carried out on the basis of the EQ-5D quality of life questionnaire, taking into account disability groups. The assessment was carried out according to 5 components: D1 — mobility or the ability to move; D2 — self—care; D3 — daily activities; D4 — pain / discomfort; D5 - anxiety/ depression, as well as on the EQ-VAS scale, where it is considered to be up to 75% minor disorders, up to 50% moderate disorders, up to 25% are significant violations and less than 25% are pronounced violations. Results / Results Assessment of mobility in movement: 25.1% of respondents (72 people) had no problems, 68.2% of respondents experienced some difficulties, and 6.7% of respondents "I am completely bedridden." In 100.0% of the disabled of group III, there were no problems. 111 disabled people (38.9%) did not have difficulties with self-care, of which 100.0% were disabled in group III and 63.4% were disabled in group II of the total number of inva the leads of these groups. 154 disabled people (53.9%) experienced some difficulties in self-care, of which 84.3% (113 people) were disabled in group I and 41 people (36.6%) were disabled in group II. 7.2% of respondents (21 people) are not capable of self-care, all disabled people of group I. 93 of the respondents (32.5%) had no problems with performing their daily duties, of which 49.1% (55 people) of the disabled of group II and 95% of the disabled of group III. 150 disabled people (52.6%) noted some difficulties with performing daily duties, 47.3% of them in group II disabled people, 70.9% in group I disabled people (Table 1). 14.8% of disabled respondents are unable to perform daily duties, 29.1% of them in group I disabled people and 3.6% of cases among disabled people of the II group. Table 1 Comparative characteristics of the answers to the problems of movement, self-service, and performing daily duties (abs. number, %) Categories / CategoriesVariants of respondents' (disabled) responses / Respondents’ (disabled) response options / Total Disability groups / Disability groups IIIIII abs. ch. / abs. numberabs. ch. / abs. numberabs. ch. / abs. numberabs. ch. / abs. number Total / Total286100,0134100,0112100,040100,0 Movement I don't have any problems with movement 72 25,1 — — 32 28,6 40 100,0 I have some difficulty moving 19568,211585,88071,4—— I am completely bedridden196,71914,2———— Self-service I don't have any problems with self-service 111 38,9 — — 71 63,4 40 100,0 I have some problems washing or dressing.15453,911384,34136,6—— I am completely unable to wash or dress on my own217,22115,7———— Doing my daily chores I have no problems doing my daily chores. 93 32,6 — — 55 49,1 38 95,5 I have some problems with doing my daily chores 15052,69570,95347,32— I am completely unable to perform my daily duties 4314,83929,143,6—— 12.7% of respondents (36 people) did not experience pain and discomfort, 67.2% (192 people) noted moderate pain and discomfort, of which 85 were disabled in group I (63.4%), and 92.0% (103 people) were disabled in group II. Severe pain or discomfort was noted by 58 disabled people (20.1%), of which 49 people were disabled in group I (36.6%), disabled people in group II — 8.0% (9 people). Anxiety or depression was not noted by 17.1% of respondents (49 people), of whom 67.5% were disabled Groups III, 16.1% of the disabled of group II and 33.0% of the disabled of group I. 156 (54.5%) respondents experienced moderate anxiety or depression, of which 77 people (57.5%) with disabilities of group I, 71 people (63.4%) with disabilities of group II and 20.0% with disabilities of group III (Table 2). 81 disabled respondents (28.4%) noted severe anxiety or depression, of which 53 were disabled in group I (39.5%), 23 were disabled in group II (20.5%) and 5 were disabled in group III (12.5%) (Table 2). Table 2 Characteristics of responses of respondents with disabilities of the I-II-III disability groups on problems of pain/discomfort, anxiety and depression (abs. number, %) / Categories / CategoriesVariants of respondents' (disabled) responses / Respondents’ (disabled) response options / Total Disability groups / Disability groups IIIIII abs. ch. / abs. numberabs. ch. / abs. numberabs. ch. / abs. numberabs. ch. / abs. number Total / Total286100,0134100,0112100,040100,0 Pain/Discomfort I don't feel pain or discomfort 36 12,7 — — — — 36 90,0 I am experiencing moderate pain or discomfort19267,28563,410392,0410,0 I am experiencing severe pain or discomfort 5820,14936,698,0—— Anxiety/Depression I do not experience anxiety and depression 49 17.1 4 3.0 18 16.1 27 67.5 I am experiencing moderate anxiety and depression 15654,57757,57163,4820,0 I am experiencing severe anxiety and depression 8128,45339,52320,5512,5 Table 3 shows the structure of the presence/absence of changes in the quality of life of people with disabilities due to cerebral palsy by individual components, taking into account the severity of disability, which implies that among the disabled In group III, there was a slight decrease in the quality of life for all components of the survey, a moderate decrease among the disabled of group II, and a pronounced decrease in all components of the quality of life assessment among the disabled of group I. Table 3 Characteristics of responses of respondents with disabilities of the I-II-III disability groups on problems of pain/discomfort, anxiety and depression (abs. number, %) No. / n Components / componentsevels / Levels 1 — norm / normal2 — moderate violations / moderate violations3 — severe violations / extreme violations total / TOTALIIIIIIIII / TOTALIIIIIIII / TOTALIIIIIIIIIIIIII abs. h. / % / number / s. h./ % / number / s. h. / % / number / s. h. / % / number / s. h. / % / number / s. h./ % / number / s. h./ % / number / s. h./ % / number / s. h. / % / number / s. h./ % / number / s. h. / % / number / s. h./ % / number / s. h./ % / number / % D 1 Mobility and the ability to move 72/ 25,1 — 32/ 28,6 40/ 100,0 195/ 68,2 115/ 85,8 80/ 71,4 — 19/ 6,7 19/ 14,2 — — D 2 The ability to take care of yourself 111/ 38,9 — 71/6 3,4 40/ 100,0 154/ 53,9 113/ 84,3 41/ 33,6 — 21/ 7,2 21/ 15,7 — — D 3 The opportunity to engage in social activities 93/ 32,6 — 55/ 49,1 38/ 95,0 150/ 52,6 95/ 70,9 53/ 47,3 2/ 5,0 43/ 14,8 39/ 29,1 4/ 3,6 — D 4 Feeling of pain and discomfort 36/ 12,7 — — 36/ 90,0 192/ 67,2 85/ 63,4 103/ 92,0 4/ 10,0 58/2 0,1 49/ 36,6 9/ 8,0 — D 5 Alarm or 49/ 4/ 18/ 27/ 156/ 77/ 71/ 8/ 81/ 53/ 23/ 5/ depression 17,13,016,167,554,557,563,420,028,439,520,512,5 Discussion The data obtained can be used in the development of measures to improve rehabilitation programs, taking into account the severity of impaired bodily functions of a disabled person and disability, which will contribute to improving the quality of life of a disabled person. Conclusions / Summary The conducted study on the assessment of the quality of life showed that among the disabled of group III there was a slight decrease in the quality of life, among the disabled of group II there was a moderate decrease and among the disabled of group I there was a marked decrease in the quality of life. The data obtained as a result of the sociological study should be taken into account when planning measures for the comprehensive rehabilitation of people with disabilities due to malignant neoplasms of the brain. It is necessary to take into account both the degree of severity of persistent functional disorders people with disabilities and disabilities, but also pay great attention to such types of rehabilitation as social, psychological and socio-cultural....

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