Короткий опис (реферат):
The study was aimed to evaluate the effectiveness of IRP implementation in patients
of a specialized clinic providing long-term care to neurological and neurosurgical patients.
Material and methods. The study was conducted in 2020-2021. on the basis of the MC
"Expert Health" (Odessa, Ukraine). 83 patients undergoing neurorehabilitation program were
examined. The correspondence of the fulfillment of key rehabilitation tasks in terms of time
and quality was assessed. Additionally, the level of motivation and compliance of the patient
was assessed using the MOT-Q questionnaires (for patients with previous TBI (n = 13),
SRMS (for patients with stroke (n = 54) and with SRQ-E (for patients with other types of
neurological pathology (n = 16). The overall level of compliance was assessed using the
General Rehabilitation Adherence Scale (GRAS). The level of safety was assessed according
to the following criteria: the presence of FAST certificates for personnel, a system for
monitoring vital functions, equipment and consumables for the provision of emergency care.
Statistical processing was carried out by methods of variance and correlation analysis, using
the MedCalc 1.3 software.
Results. There were not recorded any significant violations of safety principles in the
provision of rehabilitation assistance in the certification of personnel according to FAST. The frequency of detecting cases of improper implementation of IRP did not exceed 6.0% (5 cases
out of 83 analyzed). When assessing the relationship between the effectiveness of IRP and the
level of compliance, a strong positive correlation was found - r = 0.78
Conclusion. 1.Provision of rehab services for neurological patients in the long term
requires coordination of the actions of specialists at the intra-, inter-, and transdisciplinary
levels. 2. A necessary condition for the functioning of a multidisciplinary team in the
provision of rehabilitation care is certification of staff in the BLS systems - for allied health
specialists and ACLS for physicians. 3. The effectiveness of IRP depends on the patient's
compliance level (r = 0.78). 4. For the continuity of the rehabilitation process, it is necessary
to involve relatives and facilitate their training in the basics of "home" rehabilitation.
