Dynamics of disability indices and professional rehabilitation of diabetes patients
Introduction: The article presents results of the study about dynamics of disability indicators due to diabetes mellitus and their peculiarities in Dnipropetrovsk region and in Ukraine and presents recommendations for the professional rehabilitation of such patients and persons with disabilities. Ma...
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Wolters Kluwer Medknow Publications
2020-01-01
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Online Access: | http://www.actamedicainternational.com/article.asp?issn=2349-0578;year=2020;volume=7;issue=2;spage=162;epage=165;aulast=Borysova |
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doaj-3394e4a911f04a6a9322bec0bea909182021-01-08T02:48:47ZengWolters Kluwer Medknow PublicationsActa Medica International2349-05782349-08962020-01-017216216510.4103/ami.ami_51_20Dynamics of disability indices and professional rehabilitation of diabetes patientsInna S BorysovaVitaliy M BerezovskyIntroduction: The article presents results of the study about dynamics of disability indicators due to diabetes mellitus and their peculiarities in Dnipropetrovsk region and in Ukraine and presents recommendations for the professional rehabilitation of such patients and persons with disabilities. Material and Methods: We conducted a retrospective analysis of the dynamics of DM disability according to the data of the Municipal Institution “Regional Clinical Center of Medical and Social Expertise of Dnipropetrovsk Regional Council” and in Ukraine for the period 2016–2019. We analyzed medico-social cases and referrals for medical and social expertise of patients who were examined by doctors of regional specialized medical and social commissions evaluating patients' disability. Results: It was determined that the most common reasons for referral of patients with medical expertise were: insufficient glycemic control with the formation of chronic foot ulcers, which led to disorders of the feet musculoskeletal functions - 37.6%; lower limb amputation at different levels - 21.8%; impaired vision - 40.6%. Indicators of disability due to diabetes in Dnipropetrovsk region was stable in 2014-2019, but raised the average level of disability in Ukraine and ranges from 1.5 - 1.7 per 10 thousand population in 2014 vs 1.4-1.5 per 10 thousand in 2019. Persons with 3rd group disability made the largest part among persons with primary disability due to diabetes in 2014-2019: specific gravity ranged from 57.0% in 2018 to 70.5% in 2014. The unfavorable tendency of disability indicators is characterized by an increase of persons who were initially recognized as having disability due to DM with 1st group disability by 2 times from 6.6% - in 2014 to 12.9 - in 2018. Conclusion: This can be explained by the increased number of DM complications and their severity. The indicator of total rehabilitation among of persons who were initially recognized as having disability due to DM in Dnipropetrovsk region in 2014-2019 does not exceed 3%.http://www.actamedicainternational.com/article.asp?issn=2349-0578;year=2020;volume=7;issue=2;spage=162;epage=165;aulast=Borysovadisabilitydiabetes mellitusglycemic controlchronic foot ulcers |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Inna S Borysova Vitaliy M Berezovsky |
spellingShingle |
Inna S Borysova Vitaliy M Berezovsky Dynamics of disability indices and professional rehabilitation of diabetes patients Acta Medica International disability diabetes mellitus glycemic control chronic foot ulcers |
author_facet |
Inna S Borysova Vitaliy M Berezovsky |
author_sort |
Inna S Borysova |
title |
Dynamics of disability indices and professional rehabilitation of diabetes patients |
title_short |
Dynamics of disability indices and professional rehabilitation of diabetes patients |
title_full |
Dynamics of disability indices and professional rehabilitation of diabetes patients |
title_fullStr |
Dynamics of disability indices and professional rehabilitation of diabetes patients |
title_full_unstemmed |
Dynamics of disability indices and professional rehabilitation of diabetes patients |
title_sort |
dynamics of disability indices and professional rehabilitation of diabetes patients |
publisher |
Wolters Kluwer Medknow Publications |
series |
Acta Medica International |
issn |
2349-0578 2349-0896 |
publishDate |
2020-01-01 |
description |
Introduction: The article presents results of the study about dynamics of disability indicators due to diabetes mellitus and their peculiarities in Dnipropetrovsk region and in Ukraine and presents recommendations for the professional rehabilitation of such patients and persons with disabilities. Material and Methods: We conducted a retrospective analysis of the dynamics of DM disability according to the data of the Municipal Institution “Regional Clinical Center of Medical and Social Expertise of Dnipropetrovsk Regional Council” and in Ukraine for the period 2016–2019. We analyzed medico-social cases and referrals for medical and social expertise of patients who were examined by doctors of regional specialized medical and social commissions evaluating patients' disability. Results: It was determined that the most common reasons for referral of patients with medical expertise were: insufficient glycemic control with the formation of chronic foot ulcers, which led to disorders of the feet musculoskeletal functions - 37.6%; lower limb amputation at different levels - 21.8%; impaired vision - 40.6%. Indicators of disability due to diabetes in Dnipropetrovsk region was stable in 2014-2019, but raised the average level of disability in Ukraine and ranges from 1.5 - 1.7 per 10 thousand population in 2014 vs 1.4-1.5 per 10 thousand in 2019. Persons with 3rd group disability made the largest part among persons with primary disability due to diabetes in 2014-2019: specific gravity ranged from 57.0% in 2018 to 70.5% in 2014. The unfavorable tendency of disability indicators is characterized by an increase of persons who were initially recognized as having disability due to DM with 1st group disability by 2 times from 6.6% - in 2014 to 12.9 - in 2018. Conclusion: This can be explained by the increased number of DM complications and their severity. The indicator of total rehabilitation among of persons who were initially recognized as having disability due to DM in Dnipropetrovsk region in 2014-2019 does not exceed 3%. |
topic |
disability diabetes mellitus glycemic control chronic foot ulcers |
url |
http://www.actamedicainternational.com/article.asp?issn=2349-0578;year=2020;volume=7;issue=2;spage=162;epage=165;aulast=Borysova |
work_keys_str_mv |
AT innasborysova dynamicsofdisabilityindicesandprofessionalrehabilitationofdiabetespatients AT vitaliymberezovsky dynamicsofdisabilityindicesandprofessionalrehabilitationofdiabetespatients |
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1724345696329400320 |