All articles by Dzhioeva I. A.
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2023 № 6 The use of natural and climatic factors of North Ossetia in the treatment and rehabilitation chronic respiratory pathology.
The effectiveness of treatment of patients with chronic respiratory pathology largely depends on an integrated approach that includes successive stages, including climate therapy in combination with natural factors.
T h e p u r p o s e of the study: to analyze the activities of the republican center for pulmonological care and to show the importance of using the natural and climatic features of North Ossetia in the treatment and rehabilitation of patients with chronic respiratory pathology.
R e s e a r c h m e t h o d s : statistical, expert assessments, direct observation. The statistical reporting materials of the Republican Center for Pulmonological care for 2018–2022 were analyzed.
R e s u l t s . The expediency of organizing local specialized medical rehabilitation organizations and their relevance in the republic is shown.
The activity of the pulmonological center became especially relevant in the post-ovarian period, when the need for rehabilitation measures for people who have had a coronavirus infection COVID‑19 has significantly increased. At the end of 2021, the flow of patients to the pulmonology center increased significantly compared to 2020. The growing trend in the number of patients treated with chronic respiratory pathology was noticeably manifested in 2022. Beds for the treatment of chronic obstructive pulmonary disease have been the most in demand for all years. In relation to 2020, the number of people treated in 2022 increased by 44.8%. Despite the fact that bronchial asthma occupies the second place in the structure of hospitalization for pulmonological beds, a more noticeable increase in patients is registered with chronic bronchitis (by 30%) and bronchiectatic disease (by 23.8%). The number of people treated with asthma and asthmatic status increased by 18.3% in 2022. More than 70% of the treated patients were persons over the working age. Taking into account the specifics of respiratory pathology, the expediency of organizing local specialized medical and rehabilitation medical organizations located in climatic conditions familiar to patients that do not require acclimatization is important. The organization of local pulmonological centers in the region is of particular importance for carrying out medical and rehabilitation measures for people with impaired respiratory system function after suffering from COVID‑19 coronavirus infection. The identified trends should be taken into account when planning the volume
of specialized medical care in the republic. -
2023 № 9 Assessment of the quality of life of women of different age groups according to the level of physical and functional state after surgical treatment of breast cancer.
Purpose of the study: to assess the quality of life in terms of the level of physical and functional condition in women of different age groups who underwent radical surgery for breast cancer.
Materials and methods. A survey was conducted using the international questionnaire FACT-G and the FACT-B module among women who underwent radical surgery for breast cancer (I–II stages). The study included women (186 people) who underwent a full course of treatment in a hospital, including chemotherapy and radiation therapy. The respondents were divided into age groups. The share of urban residents was 69,0%, rural – 31,0%. Statistical processing of the obtained data was carried out on a personal computer using the STATISTIKA.
Results. The study of the quality of life of patients after surgical treatment for breast cancer on a scale of physical well-being revealed features in different age groups. Significant differences were noted on physical scales. With increasing age, there is a significant deterioration in the general physical status and its components. The most pronounced symptoms of negative physical well-being are typical for the age group of 41–50 years. With age (61–70 years and older), symptoms such as weakness began to appear (in 58,3% of respondents).
More than 90% of women in this age group indicated that, due to their physical condition, it is difficult for them to help their family. With increasing age, the functional state of the organism of the respondents is characterized by a pronounced negative attitude towards life’s pleasures. The symmetrical distribution of positive and negative answers among middle-aged respondents indicates the functional instability of women. There were no significant differences in the physical and functional state of respondents from urban and rural residents.
Conclusion. The complex of medical, social and psychological problems that lead to a deterioration in the quality of life of women who have undergone surgical treatment for breast cancer requires a comprehensive medical and social approach to the rehabilitation of this contingent, involving the participation of various specialists from medical organizations, as well as society and, of course, the family.
Conclusions. It is necessary to monitor the quality of life of women who have undergone radical surgical treatment, not only at the stage of early rehabilitation, but also in subsequent years of life, as well as to dynamically monitor the progress and effectiveness of dispensary observation and rehabilitation of this contingent.