Acta biomedica scientifica Acta biomedica scientifica Acta biomedica scientifica 2541-9420 2587-9596 12538 10.12737/20592 Клиническая медицина Clinical Medicine Клиническая медицина NEED OF THE PEOPLE DISABLED AS A RESULT OF DEPRESSIVE DISORDERS FOR REHABILITATION ПОТРЕБНОСТЬ ИНВАЛИДОВ ВСЛЕДСТВИЕ ДЕПРЕССИВНОГО РАССТРОЙСТВА В РЕАБИЛИТАЦИИ Петрунько Ольга Вячеславовна Petrunko Olga Vyacheslavna petrounko@mail.ru

кандидат медицинских наук;

candidate of medical sciences;

 Иркутской государственной медицинской академии последипломного образования Иркутск Россия Irkutsk State Medical Academy of Postgraduate Education Irkutsk Russian Federation 29 04 2016 29 04 2016 1 2 16 19 https://zh-szf.ru/en/nauka/article/12538/view

Проведен анализ установленной в индивидуальных программах реабилитации потребности инвалидов вследствие депрессивного расстройства в реабилитационных мероприятиях. Нуждаемость в медицинской реабилитации была выявлена у 100 % инвалидов, в профессиональной – у 65,6 %, в социальной – у 23,5 %. Потребность в занятиях адаптивной физкультурой и спортом не была определена. Эффективность реабилитации оказалась низкой. Требуется комплексная реабилитация инвалидов, включающая, наряду с медицинской, также профессиональную, социально-психологическую, социокультурную реабилитацию и физкультурно-оздоровительные мероприятия.

disorders was analyzed by a continuous method. 24 (20,2 %) of them were recognized as disabled for the first time, 95 (79,8 %) – were recognized as repeatedly disabled; 80,7 % were of working age, but only 10 persons of them (10,4 %) worked. The need for medical rehabilitation was revealed in 100 % of people with disabilities, for professional rehabilitation – in 65,6 %, for social rehabilitation – in 23,5%, for adaptive physical training – in 0,8 %. Full rehabilitation in re-examination was achieved only in 1,3 % of cases, partial rehabilitation – in 1,3 %, employment – in 1 case. Weighting of disability was occurred in 5,2 %. In order to improve the efficiency of complex rehabilitation of disabled people it should include socio-psychological, socio-cultural rehabilitation and adaptive physical education in addition to medical and professional rehabilitation.

 депрессивные расстройства инвалидность реабилитация depressive disorders disability rehabilitation

Всемирная организация здравоохранения. Всемирный доклад об инвалидности. - URL: http://www.who.int/disabilities/world_report/2011/summary_ru.pdf?ua=1 (дата обращения: 14.02.2016). World Health Organization (2011). World report on disability [Vsemirnyj doklad ob invalidnosti]. Availiable at: http://www.who.int/disabilities/world_report/2011/summary_ru.pdf?ua=1 (accessed 14 February 2016). Об утверждении порядка разработки и реализации индивидуальной программы реабилитации или абилитации инвалида, индивидуальной программы реабилитации или абилитации ребенка-инвалида, выдаваемых федеральными государственными учреждениями медико-социальной экспертизы, и их форм: Приказ Министерства труда и социальной защиты Российской Федерации от 31.07.2015 г. № 528н. - URL: http://www.invalidnost.com/forum/3-2882-1 (дата обращения: 14.02.2016). On the approval of the order of development and implementation of individual programs of rehabilitation or habilitation of a disabled person, an individual pro issued by federal government institutions of medical and social expertise, and their forms: Order N 528n of the Ministry of Labor and Social Protection of the Russian Federation d.d. 07.31.2015 [Ob utverzhdenii poryadka razrabotki i realizatsii individual’noy programmy reabilitatsii ili abilitatsii invalida, individual’noy programmy reabilitatsii ili abilitatsii rebenka-invalida, vydavaemykh federal’nymi gosudarstvennymi uchrezhdeniyami mediko-sotsial’noy ekspertizy, i ikh form: Prikaz Ministerstva truda i sotsial’noy zashchity Rossiyskoy Federatsii ot 31.07.2015 g. № 528n]. Availiable at: http://www.invalidnost.com/forum/3-2882-1 (accessed 14 February 2016). О ратификации Конвенции о правах инвалидов: Федеральный закон РФ от 03.05.2012 г. № 46 ФЗ. - URL: http://www.rg.ru/2012/05/05/invalidi-dok.html (дата обращения: 14.02.2016). On the ratification of the Convention on the Rights of Persons with Disabilities: Federal Law of the Russian Federation d.d. 03.05.2012 N 46 [O ratifikatsii Konventsii o pravakh invalidov: Federal’nyy zakon RF ot 03.05.2012 g. № 46 FZ]. Availiable at: http://www.rg.ru/2012/05/05/invalidi-dok.html (accessed 14 February 2016). О социальной защите инвалидов в Российской Федерации: Федеральный закон РФ от 20.07.1995 г. № 181 ФЗ. - URL:http://www.kszn.ru/Zakony_v_otnoshenii_invalidov/p2_articleid/19 (дата обращения: 14.02.2016). On social protection of disabled persons in the Russian Federation: Federal Law of the Russian Federation d.d. 20.07.1995 N 181 [O sotsial’noy zashchite invalidov v Rossiyskoy Federatsii: Federal’nyy zakon RF ot 20.07.1995 g. № 181 FZ]. Availiable at: http://www.kszn.ru/Zakony_v_otnoshenii_invalidov/p2_articleid/19 (accessed 14 February 2016). Петрунько О.В., Клименко О.Г. Инвалидность вследствие аффективных нарушений в Иркутской области по обращаемости в бюро медико-социальной экспертизы // Бюл. ВСНЦ СО РАМН. - 2013. - № 2, Ч. 1. - С. 107-110. Petrunko OV, Klimenko OG (2013). Disability as a result of affective disorders in the Irkutsk Region by the appealability to the bureau of medical and social expertise [Invalidnost’ vsledstvie affektivnykh narusheniy v Irkutskoy oblasti po obrashchaemosti v byuro mediko-sotsial’noy ekspertizy]. Byul. VSNTs SO RAMN, 2 (1), 107-110. Barbour K, Edenfield T, Blumenthal J (2007). Exercise as a treatment for depression and other psychiatric disorders: a review. J. Cardiopulmonary Rehabilitation and Prevention, (27), 359-367. Barbour K, Edenfield T, Blumenthal J (2007). Exercise as a treatment for depression and other psychiatric disorders: a review. J. Cardiopulmonary Rehabilitation and Prevention, (27), 359-367. Bromet E, Andrade LH, Hwang I et al. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, (9), 90. Bromet E, Andrade LH, Hwang I et al. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, (9), 90. Dawson A, Tylee A (2001). Depression: social and economic time bomb, 191. Dawson A, Tylee A (2001). Depression: social and economic time bomb, 191. Ferrari AJ, Charlson FJ, Norman RE et al. (2013). Burden of depressive disorders by country, sex, age, and year: Findings from the Global Burden of Disease Study 2010. PLoS Med, 10 (11), e1001547. Ferrari AJ, Charlson FJ, Norman RE et al. (2013). Burden of depressive disorders by country, sex, age, and year: Findings from the Global Burden of Disease Study 2010. PLoS Med, 10 (11), e1001547. Knapen J, Vancampfort D (2013). Evidence for exercise therapy in the treatment of depression and anxiety. Int. J. Psychosoc. Rehabil., 17 (2), 75-87. Knapen J, Vancampfort D (2013). Evidence for exercise therapy in the treatment of depression and anxiety. Int. J. Psychosoc. Rehabil., 17 (2), 75-87. Ormel J, von Korff M, van den Brink W et al. (1993). Depression, anxiety, and social disability show synchrony of change in primary care patients. Am. J. Public. Health, 83 (3), 385-390. Ormel J, von Korff M, van den Brink W et al. (1993). Depression, anxiety, and social disability show synchrony of change in primary care patients. Am. J. Public. Health, 83 (3), 385-390. Rethorst C, Wipfli B, Landers D. (2009). The antidepressive effects of exercise: A meta-analysis of randomized trials. Sports Medicine, (39), 491-511. Rethorst C, Wipfli B, Landers D. (2009). The antidepressive effects of exercise: A meta-analysis of randomized trials. Sports Medicine, (39), 491-511. Spijker J, Graaf R, Bijl RV et al. (2004). Functional disability and depression in the general population. Results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Acta Psychiatr. Scand., 110 (3), 208-214. Spijker J, Graaf R, Bijl RV et al. (2004). Functional disability and depression in the general population. Results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Acta Psychiatr. Scand., 110 (3), 208-214. Ustün TB, Ayuso-Mateos JL, Chatterji S et al. (2004). Global burden of depressive disorders in the year 2000. Br. J. Psychiatry, (184), 386-392. Ustün TB, Ayuso-Mateos JL, Chatterji S et al. (2004). Global burden of depressive disorders in the year 2000. Br. J. Psychiatry, (184), 386-392. Verboom CE, Sentse M, Sijtsema JJ et al. (2011). Explaining heterogeneity in disability with major depressive disorder: Effects of personal and environmental characteristics. J. Affect Disord., (132), 71-81. Verboom CE, Sentse M, Sijtsema JJ et al. (2011). Explaining heterogeneity in disability with major depressive disorder: Effects of personal and environmental characteristics. J. Affect Disord., (132), 71-81.