AMBULATORY-POLYCLINICAL LEVEL OF MEDICAL AND SOCIAL REHABILITATION OF INVALIDS DUE TO HYPERTENSIVE DISEASE
The article presents an analysis of the peculiarities of structural and functional impairments and disability in patients with hypertension, as well as an assessment of the effectiveness of medical and social rehabilitation at the outpatient level of public health. The basis of the study was GBUZ «Consultative and diagnostic center No. 6 of the Moscow Department of Health», Branch No. 2, City Polyclinic No. 155. The sample group of the study included 271 people with disabilities due to GB, among whom there were 70 VPI (25.8% of the total), and 201 - PPI (74.2%). The study included an age group of 55 years and older. The organ damage caused by GB was expressed in structural and functional changes in the main organs (heart, brain, retina, blood vessels, kidneys). All patients had a high and very high overall risk of cardiovascular events (fatal and non-fatal). Older age, severity and duration of concomitant pathology had a significant impact on the prognosis. The main disability in this contingent of persons with disabilities was the restriction of self-service of 2 and 3 degrees in 84 people. - (30.9%), movement 2 and 3 degrees in 77 people. (28.4%) and labor activity, taking into account the possible activity by age, among 162 people. (59.8%). The results of the study indicate the low efficiency of medical and social rehabilitation of this group of people with disabilities.