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EFFICIENCY OF MEDICAL REHABILITATION IN ARTERIAL HYPERTENSION AS A PART OF THE SPA RESORT TREATMENT

https://doi.org/10.38109/2225-1685-2018-1-20-27

Abstract

Medical rehabilitation (MR) has become one of the important tasks of treatment in patients with arterial hypertension (AH).

The aim - assessment of the effectiveness of spa resort MR in patients with AH under spa resort treatment (SRT) in view of the provisions of the "International Classification of Functioning, Disability and Health" (ICF).

Materials and methods. The study included 103 AH patients treated with SRT at Yalta resort. Selection of patients for the study was carried out with informed consent of patients and duration of treatment of at least 18 days. Methods of investigation and treatment were applied in accordance with the features of the functional state of the patient, the individual indications and the standards of SRT at AH. Psychological research and evaluation of quality of life (by the tests of Reeder, Beck, Spielberger-Hanin, SF-36) were additionally conducted. The analysis of the results was carried out by methods of variation statistics.

Results and its discussion. Spa resort MR in patients with AH is characterized by high efficiency. Reliable positive trends were set for a number of domains: the sensation of pain and dizziness (b280 and b2401), heart function (b410), blood pressure (b420), tolerance to physical exercises (b455) and the sensations associated with the functioning of the cardiovascular and respiratory systems (b4601).

Conclusions. Statistically significant (p<0,05) reduction of six domain’s value by the end of the course of treatment indicates positive rehabilitation potential of SRT in patients with AH.

About the Authors

A. S. Ivashchenko
State budgetary institution of public health of the Republic of Crimea "Academic Scientific Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov"
Russian Federation

Director, Honored Doctor of the Republic of Crimea, MD

298603, Russian Federation, Republic of Crimea, Yalta, Muchin St, 10/3,

phone/fax (3654) 23-51-91



V. I. Mizin
State budgetary institution of public health of the Republic of Crimea "Academic Scientific Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov"
Russian Federation

Vice Director, MD, DSc, docent

298603, Russian Federation, Republic of Crimea, Yalta, Muchin St, 10/3,

phone/fax (3654) 23-51-9



N. A. Severin
State budgetary institution of public health of the Republic of Crimea "Academic Scientific Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov"
Russian Federation

Chief, Department of Cardiology, MD, PhD

298603, Russian Federation, Republic of Crimea, Yalta, Muchin St, 10/3,

phone/fax (3654) 23-51-91



N. A. Prokopenko
State budgetary institution of public health of the Republic of Crimea "Academic Scientific Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov"
Russian Federation

Researcher, Department of Cardiology, MD

298603, Russian Federation, Republic of Crimea, Yalta, Muchin St, 10/3,

phone/fax (3654) 23-51-91



References

1. Ponomarenko G.N. International Classification of Functioning, Disability and Health – a tool of scientific assessment of the effectiveness of medical rehabilitation. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul'tury. 2013; 90 (2):57-62 [in Russian]

2. WHO. International Classification of Functioning, Disability and Health. 2001. - 342 p. - ISBN 92-4-454-542-X [in Russian]

3. ICF CHECKLIST Version 2.1a, Clinician Form for International Classification of Functioning, Disability and Health. - Geneva: WHO, September 2003. 15 p.

4. Mizin VI, Severin NA, Dudchenko LS at al. Methodology for assessing the rehabilitation potential and efficiency of medical rehabilitation of patients with pathology of cardiorespiratory system in accordance with the "International Classification of Functioning, Disability and Health". // Trudy GBUZ RK «Akademicheskiy NII fizicheskikh metodov lechenia, meditsinskoy klimatologii i reabilitatsii imeni I.M. Sechenova». Yalta. 2016; 27: 1-22. [in Russian]

5. Ivashchenko A.S., Iezhov V.V., Severin N.A., Prokopenko N.A. The effectiveness of medical rehabilitation in coronary heart disease as a part of the spa resort treatment. Eurasian Heart Journal. 2017; 2: 28-32. [in Russian]


Review

For citations:


Ivashchenko A.S., Mizin V.I., Severin N.A., Prokopenko N.A. EFFICIENCY OF MEDICAL REHABILITATION IN ARTERIAL HYPERTENSION AS A PART OF THE SPA RESORT TREATMENT. Eurasian heart journal. 2018;(1):20-27. https://doi.org/10.38109/2225-1685-2018-1-20-27

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ISSN 2225-1685 (Print)
ISSN 2305-0748 (Online)