Conceptual approach to the development of the problem of rehabilitation commitment of the individual in the conditions of a disabling disease
Abstract
This article considers a conceptual approach to the development of the problem of rehabilitation commitment of the individual, including the justification of its relevance, methodological foundations for the construction of the concept, with the introduction of principles, structural and functional model. This model systematically generalizes the multicomponent structure, functions, properties and mechanisms of formation of rehabilitation commitment of the individual. The model has a predictive and diagnostic property that is of practical importance for the purposes of medical and social expertise and the effective implementation of the rehabilitation process of patients and the disabled during which it is necessary to take into account the specifics of personal mechanisms affecting the formation of the patient's rehabilitation commitment, timely identify personal risks of maladaptation for their subsequent correction.
About the Authors
E. V. Morozova
Federal Bureau of Medical and Social Expertise
Russian Federation
Russian Federation
Elena Valerievna Morozova – Ph.D. Psychol. Sci.; Head of the scientific and methodological center for comprehensive rehabilitation – Deputy Head of the Federal center for scientific, methodic and methodological support for the development of the System of сomprehensive rehabilitation and habilitation of disabled persons and children with disabilities
Ivan Susanin str., 3, Moscow, 127486
S. S. Aleksanin
Nikiforov Russian Center оf Emergency and Radiation Medicine, EMERCOM of Russia
Russian Federation
Russian Federation
Sergei Sergeevich Aleksanin – Dr Med. Sci., Prof., honored doctor of Russia Federation, Director
Academica Lebedeva Str., 4/2, St. Petersburg, 194044
References
1. Dymochka M.A. Spravochnik po primeneniyu klassifikacij i kriteriev pri provedenii mediko-socialnoj ekspertizy s uchetom mezhdunarodnoj klassifikacii funkcionirovaniya ogranichenij zhiznedeyatelnosti i zdorovya [Handbook on the application of classifications and criteria in medical and social examination, taking into account the international classification of the functioning of restrictions on life and health]. Moskva. 2012. 346 р. (In Russ.)
2. Dymochka M.A., Krasnovskaya E.S., Verigina N.B. Pokazateli invalidnosti u vzroslogo naseleniya Rossijskoj Federacii za period 2017–2019 gg. (informacionnoanaliticheskij material) [Disability indicators in the adult population of the Russian Federation for the period 2017–2019 (information and analytical material)]. Medikosocialnye problemy invalidnosti [Medical and social problems of disability]. 2020. N 2. Рр. 7–26. (In Russ.)
3. Elfimova E.V., Elfimov M.A. Lichnost i bolezn: «vnutrennyaya kartina bolezni», kachestvo zhizni i priverzhennost [Personality and illness: «internal picture of the disease», quality of life and commitment]. Zamestitel glavnogo vracha [Deputy Chief Physician]. 2009. N 11. Рр. 18–25. (In Russ.)
4. Zinchenko V.P., Munipov V.M. Osnovy ergonomiki. Uchebnoe posobie dlya universitetov po specialnosti «Psikhologiya» [Fundamentals of ergonomics. A textbook for universities specializing in psychology]. Moskva. 1979. 344 р. (In Russ.)
5. Kuvshinova N.Yu. Problema priverzhennosti terapii v razlichnyh oblastyah mediciny [The problem of adherence to therapy in various fields of medicine]. Izvestiya Samarskogo nauchnogo centra Rossijskoj akademii nauk [Izvestia Samara Scientific Center of the Russian Academy of Sciences]. 2015. Vol. 17, N 5 (3). Рр. 1014– 1020. (In Russ.)
6. Mezhdunarodnaya klassifikaciya funkcionirovaniya, ogranichenij zhiznedeyatelnosti i zdorovya [International classification of functioning, limitations of life and health]. Ed. : G.D. Shostka, M.V. Korobova, A.V. Shabrova. Sankt-Peterburg. 2003. 342 р. (In Russ.)
7. Morozova E.V. Novye diagnosticheskie podhody k ocenke reabilitacionnoj priverzhennosti lichnosti [New diagnostic approaches to assessing the rehabilitation commitment of the personality]. Mediko-socialnye problemy invalidnosti [Medical and social problems of disability]. 2020. N 1. Рр. 61–73. (In Russ.)
8. Morozova E.V., Zhukova E.V. Ponyatie «Reabilitacionnyj potencial» v normativno-pravovyh dokumentah i nauchno-metodicheskoj literature [The concept of «Rehabilitation potential» in regulatory documents and scientific and methodological literature]. Mediko-socialnye problemy invalidnosti [Medical and social problems of disability]. 2020. N 3. Рр. 59–64. (In Russ.)
9. Morozova E.V., Bonkalo T.I., Bonkalo S.V., Shmeleva S.V. Osobennosti reabilitacionnoj aktivnosti bolnyh vedushhih invalidiziruyushhih patologij [Features of rehabilitation activity of patients with leading disabling pathologies]. Problemy socialnoj gigieny, zdravoohraneniya i istorii mediciny [Problems of social hygiene, health care and the history of medicine]. 2020. N 52. Рр. 1101–1107. (In Russ.)
10. Morozova E.V. Strukturno-funkcionalnaya model reabilitacionnoj aktivnosti i reabilitacionnoj priverzhennosti lichnosti k reabilitacionnomu processu [Structural-functional model of rehabilitation activity and individual rehabilitation commitment to the rehabilitation process]. Mediko-socialnye problemy invalidnosti [Medical and social problems of disability]. 2021. N 3. Рр. 66–74. (In Russ.)
11. Klassifikaciyah i kriteriyah, ispolzuemyh pri osushhestvlenii medikosocialnoj ekspertizy grazhdan federalnymi gosudarstvennymi uchrezhdeniyami mediko-socialnoj ekspertizy [On classifications and criteria used in the implementation of medical and social expertise of citizens by federal state institutions of medical and social expertise]. Prikaz Mintruda Rossii ot 27.04.2019 № 585n (red. 08.12.2020) http://www.consultant.ru (In Russ.)
12. Ob osnovah ohrany zdorovya grazhdan v Rossijskoj Federacii [On the basics of protecting the health of citizens in the Russian Federation]. Federalnyj zakon ot 21.11.2011 № 323-FZ. http://www.consultant.ru (In Russ.)
13. Socialnoj zashhite invalidov v Rossijskoj Federacii [Social protection of persons with disabilities in the Russian Federation]. Federalnyj zakon ot 24.11.1995 № 181-FZ (red. 08.12.2020). http://www.consultant.ru (15.09.2021). (In Russ.)
14. Ob utverzhdenii poryadka razrabotki i realizacii individualnoj programmy reabilitacii ili abilitacii invalida, individualnoj programmy reabilitacii i abilitacii rebenka-invalida, vydavaemyh federalnymi gosudarstvennymi uchrezhdeniyami mediko-socialnoj ekspertizy i ih form [On approval of the procedure for the development and implementation of an individual rehabilitation or habilitation program for a disabled person, an individual rehabilitation and habilitation program for a disabled child issued by federal state institutions of medical and social expertise and their forms]. Prikaz Ministerstva truda i socialnoj zashhity rossijskoj federacii ot 13.06.2017 № 486n. http://www.consultant.ru (In Russ.)
15. Ob utverzhdenii gosudarstvennoj programmy Rossijskoj Federacii «Dostupnaya sreda» na 2011–2025 gg. (Podprogramma 2. «Sovershenstvovanie sistemy kompleksnoj reabilitacii i abilitacii invalidov») [On approval of the state program of the Russian Federation «Accessible Environment» for 2011–2025 (Subprogramme 2. «Improvement of the system of comprehensive rehabilitation and habilitation of persons with disabilities»)]. Postanovlenie Pravitelstva Rossijskoj Federacii ot 29.03.2019 № 363. http://www.consultant.ru (In Russ.)
16. Osadchih A.I., Puzin S.N., Lavrova D.I. [et al.] Osnovy mediko-socialnoj ekspertizy [Fundamentals of medical and social expertise]. Moskva. 2005. Рр. 277– 353. (In Russ.)
Review
For citations:
Morozova E.V., Aleksanin S.S. Conceptual approach to the development of the problem of rehabilitation commitment of the individual in the conditions of a disabling disease. Bulletin of psychotherapy. 2021;1(80):128-144. (In Russ.)
Views:
55
Email this article 