Social Adaptation Of Patients Research Articles

SOCIAL ADAPTATION AND QUALITY OF LIFE OF PATIENTS WITH EPILEPSY

The study aims to examine the quality of life and social adaptation of patients with idiopathic epilepsy was performed on 120 patients with idiopathic epilepsy among patients Neurology clinic and regional hospital in Shymkent. In the study revealed that regardless of the form of idiopathic epilepsy, gender, age of the patients - 63 (52.5%) people live in rural areas (districts, villages) region, and 57 (47.5%) patients in the city. But the presence of higher and specialized secondary education in patients with idiopathic epilepsy who were living in the city were observed in the majority of cases than among patients living in rural areas. The average duration of disease was 15,3 ± 9,2 years. Age of onset of the disease up to 5 years was in 22 (18.34%) patients, and 10 years - in 36 (30%) patients, to 15 years was found in 44 (36.66%) patients, 18 (15%) patients - after 15 years. The peak onset of the disease epilepsy manifested to 15 years in most cases, 36.66% of patients. Analysis of the questionnaire QOL of patients with IE showed the dependence of the QOL level of education, employment, at work, learning activities, disability, cognitive function - the level of intelligence of their position in society. IE patients rated their quality of life as poor, who indicated that they were not high rehabilitation potential, probably associated with little effective therapy AE inadequate or prohibitively expensive medicines. It is noted that the QOL of patients with IE influenced by demographic and clinical variables (gender, age of patients, forms of epilepsy, type, frequency of seizures, place of residence, education), and the degree of cognitive impairment.

ECONOMIC LOSSES DUE TO ACUTE CERVICAL SPINE AND SPINAL CORD INJURY IN THE REPUBLIC OF BASHKORTOSTAN

Objective. To analyze economic losses due to acute cervical spine and spinal cord injury in the Republic of Bashkortostan. Material and Methods. Statistical data on complications after cervical spine injury were analyzed with reference to the Methodology for Estimating Economic Losses due to Mortality, Morbidity and Disability of Population. Calculation was performed for working age people involved in economics. Results. Economic losses due to cervical spine injury reach 13.5 million roubles per one victim. Conclusion. To reduce mortality and disability of victims, the need is to develop and implement an effective system for prevention of road accidents as the main cause of spinal cord injury and to introduce a point of external cervical spine fixation in the algorithm of the first aid to the accident victims regarding them as potentially having cervical spine injury. Preoperative period in patients with acute cervical spinal cord injury may be reduced through creation of interregional centres with adequate equipment and qualified staff (neurosurgeons, anesthesiologists and reanimatologists). An earlier social adaptation of patients with acute cervical spinal cord injury requires strict adherence to the principle of care continuity: hospital - rehabilitation centre – health resort – outpatient clinic.

THE MAIN DIRECTIONS IN THE COMPLEX REHABILITATION OF CHILDREN WITH CLEFT LIP AND PALATE

Complex treatment of children with cleft lip and palate is complicated and multi-step. Treatment is conducted by high-skilled specialists. The organization and execution of this complex are possible only at the large specialized center. Coordinator of this work is the maxillofacial surgeon. The performance of rehabilitation circuits includes preoperative orthodontic and orthopedic treatment, operative intervention (reconstructive and plastic surgery), orthodontic and orthopedic treatment after operation. Post-operative conservative treatment prevents the development of secondary deformities of the nose and upper lip. Professional psychological help and long supervision promote the achievement of good social adaptation of patients with congenital cleft lip and palate, improvement of their health.

PROBLEMS OF MEDICAL AND SOCIAL ADAPTATION OF PATIENTS SUFFERING FROM SOCIALLY-SIGNIFICANT DISEASES SERVING TIME IN AND RELEASED FROM PLACES OF IMPRISONMENT

The article deals with the priorities of the work on the organization of medical and social adaptation of patients suffering from socially-significant diseases who serve time in or are released from the places of imprisonment.

CONDITION OF THE MUSCULOSKELETAL SYSTEM IN PATIENTSWITH ACROMEGALY.

Despite the relatively low incidence of acromegaly (60-70 cases per I million inhabitants), this disease has a special place among the heterogeneous group of diseases that lead to the defeat of the locomotor apparatus. The slow growth of the clinical manifestations of acromegaly and as a consequence, late diagnosis, the cause of early disability and premature death of patients. In order to improve the quality of life and social adaptation of patients to date is an obvious need to identify groups of patients with acromegaly, requiring additional therapy for osteoporosis and osteoarthritis. We performed the search in bibliographic bases MEDLINE and Cochrane Collaboration from 2000 on 2009. Key words were the following: acromegaly, acromegaly and arthropathy, osteoporosis and acromegaly, the bone mineral density and acromegaly, fractures and acromegaly. In this article the data about role of risk factors for the defeat ofosteoarticular apparatus, the dynamics of the articular syndrome and the state of bone tissue in acromegaly.

Therapeutic effectiveness disorders of depressive spectrum depending on medical intreventions during prehospital period

Open clinical comparative assessment of therapy effectiveness of depressive spectrum disorders was carried out. We compared patients who began treatment in special psychiatric department and those who underwent different consultations, investigations and took medication in primary care before hospitalization. This investigation showed high effectiveness of therapy, reduction of depressive symptoms, improving of psychological state and increasing level of social adaptation in patients who didn’t contact with primary care settings.

Some peculiarities of the social adaptation in patients with discectomia in distant period

With purpose of studying of social adaptation in patients with pain syndrome recurrence in the discectomia distant period were 215 patients investigated. Study methods included neurological examination, magnetic resonance tomography, rentgenography, ultrasonography, Osverstry query. Reasons of pain syndrome recurrence were revealed. It was ascertain, that the pain syndrome recurrence is accompanied by social desadaptation. Participation of social specialists in adaptation process is recommended.

P03-152 Quality of life and gender related mechanisms of social adaptation in patients with schizophrenia

Aims:To investigate the quality of life of schizophrenic patients, the influence of gender on their social adjustment and to compare male and female attitude to the quality of life.Method:Clinical and statistical, instruments for assessing Quality of Life (QOL). 200 patients (150 women and 50 men) were evaluated. We have compared clinical picture, socio-demographic factors, parameters of social adaptation and subjective attitude to the QOL in male and female schizophrenic patients.Results:The research has indicated sex related differences in the compared parameters. Male patients more frequently revealed personality disorders-like symptoms, they had poor social functioning and even social desadaptation, they were prone to aggression, substance abuse. Nevertherless they displayed subjective satisfaction with their QOL. Female patients more often revealed hypochondriacal symptoms but positive variant of social adaptation. at the same time women subjectively were not satisfied with their QOL.The study has revealed that gender related mechanisms of social adaptation in women were presented by high compliance. Comparative analysis of males and females of the study exposed that gender related mechanisms of social adaptation with the inclusion of attitudes and behavioural patterns connected with regard of health and compliance are universal irrespective of clinical and social factors.Conclusion:There are considerable gender differences in the subjective perception of QOL among patients with schizophrenia. the study indicate better social adaptation of females based on specific gender mechanisms. Results will contribute to improve treatment and rehabilitation.

Social adaptation of patients with chronic skin diseases

A Social Adaptation Self-Evaluation Scale (SAAS) was applied to follow-up the social adaptation of 61 patients with skin diseases, 32 males and 29 females aged between 21 and 68 years occasionally examined in the outpatient consulting room of the Clinic of Dermatovenereology at the Medical University of Varna. The results vary within the limits of slight to moderate aberrations mainly when assessing the outer appearance, interrelations, contacts and expressions in the society as well as concerning the satisfaction with the work process. The familial relationships which compensate to a certain extent the other disturbances prove to be most harmonious. Scripta Scientifica Medica 2008;40(1):85-87

Facteurs prédictifs de l’adaptation sociale des patients souffrant de schizophrénie

The past century saw multiple psychopharmacological advances in the treatment of schizophrenia. However, the social adaptation of patients is still quite poor. The authors therefore think it is necessary to develop specific therapies to limit the social handicap due to schizophrenia. In this aim, it is essential to obtain better knowledge of the predictive factors of social adaptation in schizophrenia. Indeed, if some of these factors cannot be changed, some respond to therapies which have been developed recently, such as psychosocial rehabilitation.

TREATMENT AND REHABILITATION OF MENIERE''S DISEASE PATIENTS

Meniere's disease is related to heavy proximal states which lead to significant inability to work, loss of a profession and quality of life. It has been defined that prompt diagnostics of the disease, complex conservative and operative treatment with early integration of medical rehabilitation into Мeniere's disease therapy promote reduction of inability to work, rapid relief of symptoms, social adaptation of patients in families and society, and improvement of quality of life.

School for training of children and adolescents suffering from diabetes mellitus: The first experience and prospects

Around the world, the problem of maintaining sustained compensation for diabetes on an outpatient basis is currently receiving much attention. Given the current therapeutic possibilities, we can say with confidence that the introduction of a patient education system in clinical diabetology is a real way to increase the effectiveness of medical and preventive care. Due to the importance of this problem, the introduction of a properly organized system of training patients and their families in self-control methods, which leads to the achievement of stable compensation for the disease, a decrease in the frequency of acute complications, reducing the time of hospitalization, and better social adaptation of patients.