Авторы

  • Suxrob Boisov
    Toshkent tibbiyot akademiyasi

DOI:

https://doi.org/10.71337/inlibrary.uz.zdit.65585

Аннотация

Toshkent shahrida reabilitatsiyaning uy bosqichida tashkil etish va muroja’atlarni tahlil qilish.


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TOSHKENT SHAHRIDA REABILITATSIYANING UY BOSQICHIDA TASHKIL

ETISH VA MUROJA’ATLARNI TAHLIL QILISH

Boisov Suxrob Komiljanovich

Toshkent tibbiyot akademiyasi

https://doi.org/10.5281/zenodo.14836716

Tadqiqot maqsadi:

Toshkent shahrida reabilitatsiyaning uy bosqichida tashkil etish va

muroja’atlarni tahlil qilish.

Tadqiqot materiallari va usullari:

2023-2024 yillar oraligʻida “Reabilitalogiya” markazi

aʻzolari Toshkent shahrida 125 nafar bemorga reabilitatsiya yordamini koʻrsatishdi. Bemorlar
orasida xavf omillari, shikoyatlari, oʻrtacha yoshi, gender nisbatlarini aniqlashtirish maqsadida
maxsus soʻrovnomalar tayyorlandi va tahlil qilindi.

Olingan natijalar:

bemorlarning orasida kasallanish asosan 51-60 yosh oraligʻida

koʻproq aniqlangan va 53,6% ni, 70 nafari ayollar (56%) va 58 tasi ( 44%) erkaklar boʻlgan.
Kasalliklar bo’yicha tahlilimizdan bemorlar orasida eng katta qism ishemik insult 68% ni, eng
kam Geyno Barri 6% ekan. Bemorlarimiz kasalliklarini asosan gipodinamiya va giperlipidemiya
bilan bog’lashadi. Chunki bunday holatda qon quyilish holatlari koʻp uchraydi. Eng kam
sababchi deb Covid-19 ni belgilashgan. Simptomlari bo’yicha eng katta foiz bir yoki ikki
tomonlama gemiparez va gemipligiya bo'lib 100%, bu ham insultning eng ko'p uchraydigan
asoratlaridan biridir.

Xulosa.

Demak xulosa oʻrnida shuni aytish mumkinki, Toshkent shahrida 2023-2024

yillar oraligʻida 125 nafar bemor reabilitatsiyaga ehtiyoj sezgan, ammo bu kasallanish
koʻrsatkichi oldida juda kam foizni tashkil qiladi. Kam qilingan muroja’at bu kasallar orasida
reabilitatsiya tushunchasining yoʻqligi yoki uning toki funksiyalar tiklanishigacha va ularning
mustahkamlanishigacha olib borilishi kerakligi haqida yetarlicha ma’lumot berilmaganligiga
ishora boʻladi. Natijada bu nogironlik foizining ortishiga va davlatning iqtisodiy zarariga sabab
boʻlishiga olib keladi.

References:

1.

Dam M, Tonin P, Casson S, et al. The impact of long-term rehabilitation therapy on patients

with hemiplegia after stroke. Stroke. 1993;24:1186–91. doi: 10.1161/01.str.24.8.1186. [ DOI ]
[ PubMed ] [ Google Scholar ]
2.

Dharmasaroja P. Baseline characteristics of patients with acute ischemic stroke in a

suburban area of Thailand. J Stroke Cerebrovasc Dis. 2008;17:82–5. doi:
10.1016/j.jstrokecerebrovasdis.2007.11.005. [ DOI ] [ PubMed ] [ Google Scholar ]
3.

Dodakian L, McKenzie AL, Le V, et al. A home telerehabilitation program for stroke

patients. Neurorehabil Neural Repair 2017;31:923–33. 10.1177/1545968317733818 [ DOI ] [
Free PMC Article ] [ PubMed ] [ Google Scholar ]
4.

Duncan P, Richards L, Wallace D, et al. A randomized controlled pilot study of a home

exercise program for individuals with mild to moderate stroke. Stroke. 1998;29:2055–60. doi:
10.1161/01.str.29.10.2055. [ DOI ] [ PubMed ] [ Google Scholar ]
5.

Duncan PW, Jorgensen HS, Wade DT. Outcomes of acute stroke research: a systematic

review and some recommendations for improving practice. Stroke. 2000;31:1429–38. doi:
10.1161/01.str.31.6.1429. [ DOI ] [ PubMed ] [ Google Scholar ]


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64

6.

Feys HM, De Weerdt WJ, Selz BE, et al. The effect of therapeutic intervention for the

hemiplegic upper limb in the acute phase after stroke. A simple blind randomized controlled
multicenter trial. Stroke. 1998;29:785–92. doi: 10.1161/01.str.29.4.785. [ DOI ] [ PubMed ] [
Google Scholar ]
7.

Langhorne P, Baylan S, Early Supported Discharge Trialists. Early supported discharge

services for people with acute stroke. Cochrane Database Syst Rev 2017;7:CD000443.
10.1002/14651858.CD000443.pub4 [ DOI ] [ Free PMC Article ] [ PubMed ] [ Google Scholar ]
8.

Page SJ, Levine P, Sisto SA, et al. Mental practice combined with physical practice for upper

extremity motor deficit in subacute stroke. Phys Ther. 2001;81:1455–62. doi:
10.1093/ptj/81.8.1455. [ DOI ] [ PubMed ] [ Google Scholar ]
9.

Siemonsma P, Döpp C, Alpay L, et al. Factors influencing the implementation of home

rehabilitation after stroke: a systematic review. Disabil Rehabil. 2014;36:2019–30. doi:
10.3109/09638288.2014.885091. [ DOI ] [ PubMed ] [ Google Scholar ]
10.

Stephens S, Kenny RA, Rowan E, et al. Neuropsychological characteristics of mild vascular

cognitive impairment and dementia after stroke. Int J Geriatr Psychiatry. 2004;19:1053–7. doi:
10.1002/gps.1209. [ DOI ] [ PubMed ] [ Google Scholar ]
11.

Studenski S, Duncan PW, Perera S, et al. Daily functioning and quality of life in a

randomized controlled trial of therapeutic exercise for survivors of subacute stroke. Stroke.
2005;36:1764–70. doi: 10.1161/01.STR.0000174192.87887.70. [ DOI ] [ PubMed ] [ Google
Scholar ]
12.

Teng J, Mayo NE, Latimer E, et al. Costs and consequences for caregivers of early

supported

discharge

of

stroke

patients.

Stroke.

2003;34:528–36.

doi:

10.1161/01.STR.0000049767.14156.2C. [ DOI ] [ PubMed ] [ Google Scholar ]
13.

Veerbeek JM, Kwakkel G, van Wegen EEH, et al. Early prediction of functional outcomes

after

stroke:

a

systematic

review.

Stroke.

2011;42:1482–8.

doi:

10.1161/STROKEAHA.110.604090. [ DOI ] [ PubMed ] [ Google Scholar ]
14.

Young J. Is it better to treat stroke in the community? Br Med J. 1994;309:1356–8. doi:

10.1136/bmj.309.6965.1356. [ DOI ] [ Free PMC Article ] [ PubMed ] [ Google Scholar ]

Библиографические ссылки

Dam M, Tonin P, Casson S, et al. The impact of long-term rehabilitation therapy on patients with hemiplegia after stroke. Stroke. 1993;24:1186–91. doi: 10.1161/01.str.24.8.1186. [ DOI ] [ PubMed ] [ Google Scholar ]

Dharmasaroja P. Baseline characteristics of patients with acute ischemic stroke in a suburban area of Thailand. J Stroke Cerebrovasc Dis. 2008;17:82–5. doi: 10.1016/j.jstrokecerebrovasdis.2007.11.005. [ DOI ] [ PubMed ] [ Google Scholar ]

Dodakian L, McKenzie AL, Le V, et al. A home telerehabilitation program for stroke patients. Neurorehabil Neural Repair 2017;31:923–33. 10.1177/1545968317733818 [ DOI ] [ Free PMC Article ] [ PubMed ] [ Google Scholar ]

Duncan P, Richards L, Wallace D, et al. A randomized controlled pilot study of a home exercise program for individuals with mild to moderate stroke. Stroke. 1998;29:2055–60. doi: 10.1161/01.str.29.10.2055. [ DOI ] [ PubMed ] [ Google Scholar ]

Duncan PW, Jorgensen HS, Wade DT. Outcomes of acute stroke research: a systematic review and some recommendations for improving practice. Stroke. 2000;31:1429–38. doi: 10.1161/01.str.31.6.1429. [ DOI ] [ PubMed ] [ Google Scholar ]

Feys HM, De Weerdt WJ, Selz BE, et al. The effect of therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke. A simple blind randomized controlled multicenter trial. Stroke. 1998;29:785–92. doi: 10.1161/01.str.29.4.785. [ DOI ] [ PubMed ] [ Google Scholar ]

Langhorne P, Baylan S, Early Supported Discharge Trialists. Early supported discharge services for people with acute stroke. Cochrane Database Syst Rev 2017;7:CD000443. 10.1002/14651858.CD000443.pub4 [ DOI ] [ Free PMC Article ] [ PubMed ] [ Google Scholar ]

Page SJ, Levine P, Sisto SA, et al. Mental practice combined with physical practice for upper extremity motor deficit in subacute stroke. Phys Ther. 2001;81:1455–62. doi: 10.1093/ptj/81.8.1455. [ DOI ] [ PubMed ] [ Google Scholar ]

Siemonsma P, Döpp C, Alpay L, et al. Factors influencing the implementation of home rehabilitation after stroke: a systematic review. Disabil Rehabil. 2014;36:2019–30. doi: 10.3109/09638288.2014.885091. [ DOI ] [ PubMed ] [ Google Scholar ]

Stephens S, Kenny RA, Rowan E, et al. Neuropsychological characteristics of mild vascular cognitive impairment and dementia after stroke. Int J Geriatr Psychiatry. 2004;19:1053–7. doi: 10.1002/gps.1209. [ DOI ] [ PubMed ] [ Google Scholar ]

Studenski S, Duncan PW, Perera S, et al. Daily functioning and quality of life in a randomized controlled trial of therapeutic exercise for survivors of subacute stroke. Stroke. 2005;36:1764–70. doi: 10.1161/01.STR.0000174192.87887.70. [ DOI ] [ PubMed ] [ Google Scholar ]

Teng J, Mayo NE, Latimer E, et al. Costs and consequences for caregivers of early supported discharge of stroke patients. Stroke. 2003;34:528–36. doi: 10.1161/01.STR.0000049767.14156.2C. [ DOI ] [ PubMed ] [ Google Scholar ]

Veerbeek JM, Kwakkel G, van Wegen EEH, et al. Early prediction of functional outcomes after stroke: a systematic review. Stroke. 2011;42:1482–8. doi: 10.1161/STROKEAHA.110.604090. [ DOI ] [ PubMed ] [ Google Scholar ]

Young J. Is it better to treat stroke in the community? Br Med J. 1994;309:1356–8. doi: 10.1136/bmj.309.6965.1356. [ DOI ] [ Free PMC Article ] [ PubMed ] [ Google Scholar ]