Ways to improve the medical and social rehabilitation of combat veterans at the present stage, taking into account the ICF

Introduction. Today, taking into account the current international situation, the rehabilitation of combat veterans is becoming particularly relevant. Moreover, the state plays a significant role in solving this problem in relation to this category of persons. The purpose of the study: to study the structure of disorders of body functions, taking into account the ICF, in combat veterans who underwent rehabilitation in a specialized institution GBU RO «GVV» in 2022 and determine their need for various types of rehabilitation. Materials and methods. We studied the structure of disorders of the central and peripheral nervous system in 168 combat veterans who underwent rehabilitation in the hospital of GBU RO «GVV» in 2022 and determined their need for various rehabilitation measures using the statistical method and the method of comparative analysis. Results. It has been established that in combat veterans with impaired functions of the central and peripheral nervous system, such limitations of body functions as decreased memory function, impaired sleep function, emotions, impaired intellectual functions, etc., requiring special rehabilitation measures, are quite widespread. The relevance of the work of the multidisciplinary team of the medical organization and its role in establishing a rehabilitation diagnosis in accordance with the ICF is noted. Conclusion. There is a high need for medical rehabilitation measures among combat veterans, which requires an integrated approach with the participation of a wide range of specialists. The international classification of functioning makes it possible to more fully diagnose the characteristics of the functioning of each combat veteran, determine his life limitations, followed by the development of an individual medical rehabilitation plan, which allows to achieve a greater effect from the rehabilitation measures carried out. Recommended rehabilitation measures for the third stage in outpatient clinics may not always be carried out in full for a number of objective reasons, depending on the place of residence of a combat veteran. 

1. Memetov S.S., Sharkunov N. P., Kim V. V. Ways to improve medical and social assistance to participants and veterans of military operations // Bulletin of the All-Russian Society of specialists in medical and social expertise, rehabilitation and rehabilitation industry. 2018. No. 4. P. 79–83.

2. Petrova V.N., Achkasov E. E., Puzin S. N., Zakharchenko Yu.I., Memetova A. S., Makarenko A. S., Deeva Yu. A. Actual issues of psychological rehabilitation of combat veterans at the present stage // Bulletin of the All-Russian Society of specialists in medical and social expertise, rehabilitation and rehabilitation industry. 2021. No. 3. P. 16–22.

3. Petrova V.N., Achkasov E. E., Puzin S. N., Makarenko A. S., Memetova A. S., Polikarpov R. V., Kim V. V., Shin Yu. E. Issues of complex medical and social rehabilitation of participants in hostilities // Bulletin of the All-Russian society of specialists in medical and social expertise, rehabilitation and rehabilitation industry. 2022. No. 1. P. 45–51.

4. Sereda A.N., Achkasov E. E., Memetova A. S., Kim V. V. Topical issues of medical rehabilitation at the municipal level of patients with the consequences of severe traumatic brain injury // Problems of social hygiene, healthcare and the history of medicine. 2022. Vol. 30. No. 5. P. 820–824.

5. Petrova V.N., Achkasov E. E., Polikarpov R. V., Memetova A. S., Kim V. V., Makarenko A. S. Clinical and functional features of combat veterans undergoing medical rehabilitation in the neurological department of a specialized medical organization and their need for medical rehabilitation // In the collection: Sports and sports medicine. Materials of the III International Scientific and Practical Conference. Tchaikovsky, 2022. P. 209–218.

6. World Health Assembly on May 22, 2001 (WHA score 54.21).

7. Fadin N.I., Temirov R. A. Restoration of human and physiological capital in people with disabilities of working age on the basis of the ICF methodology // Socio-labor research. 2023;52(3):165–181.

8. Grishin D.V., Memetova A. S., Kim Yu.E., Sharkunov A. N. Problematic issues of rehabilitation of adults with the consequences of severe traumatic brain injury at the outpatient stage // In the collection: Innovative approaches in solving scientific problems. Collection of works based on the materials of the XII International Competition of scientific research papers. Ufa, 2023. P. 101–110.

9. Gazalieva Sh.M., Alikhanov K. A., Abugalieva T. O., Omarkulov B. K. The role of the ICF in compiling an individual profile of functioning and evaluating the effectiveness of rehabilitation measures // Medicine and Ecology. 2019. No. 1. P. 109–114.

10. Order of the Ministry of Health of the Russian Federation dated July 31, 2020 No. 788n “On approval of the Procedure for organizing medical rehabilitation of adults”.

11. Wenzel T., Morfeld M. ICF guidelines for medical rehabilitation in Germany: analysis and practical implementation // Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitschutz. 2017. Vol. 60. No. 4. P. 386–393.

12. Finger M.E., Glassel A., Earhart P., Gradinger F., Klipstein A., Rivier G., Schreer M., Wenk C., Gmunder H. P., Stucky G., Escorpiso R. Identification of relevant ICF categories in occupational rehabilitation: a cross-sectional study evaluating a clinical perspective // Journal of Occupational Rehabilitation. 2011. Vol. 21. No. 2. P. 156–166.