Dynamics of quality of life in orthopedic patients during an outpatient physical therapy program
Quality of life indicators are key in assessing the effectiveness of physical therapy now, as they reflect the physical, psychological and social functioning of the individual. Objective: to determine the dynamics of quality of life in outpatients with disorders of orthopedic profile during a course of physical therapy, depending on the type of attitude to the disease. Research methods: quality of life assessment was conducted using the internationally standardized Health Status Survey. Patient grouping was performed using the International Classification of Functioning and the method of determining types of attitudes to the disease. The obtained results were processed by methods of mathematical statistics. The study involved 113 patients who underwent a course of physical therapy at FESCO Medical Center during 2013-2015. Results. The analysis revealed a number of features of the dynamics of quality of life depending on the localization of damage to the musculoskeletal system and the type of attitude to the disease. In particular, among lower-impaired patients group with irrational attitude to the disease had worse dynamics in the scales “physical functioning”, “role limitations due to physical health”, “pain”, “vitality”, “mental health” and "physical status". Because the dynamics in the groups with irrational attitude to the disease were statistically worse in a significant number of indicators, no comparison of the final indicators with the groups of patients with the rational attitude to the disease was observed. Conclusion. The existence of statistically significant differences in the dynamics of quality of life among patients with orthopedic profile during physical therapy at the outpatient stage was confirmed, depending on the type of attitude to the disease. The results obtained should be considered to improve the physical therapy system and increase its effectiveness. This is necessary first of all for patients with irrational attitude to the disease, as a significant number of the studied indicators were worse in these patients, and also had less pronounced dynamics compared to patients with rational psychotypes. This requires identifying the characteristics of managing such patients and improving management in the physical therapy system.
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