AU : Nauman A
TI : The persisting importance of rehabilitation of TB patients.
SO : SCAND J RES DIS 1967, 65, 171-182.
DT : Per
AB :

The decrease in the death-rates and morbidity noted in Poland and throughout the world now makes it practicable to apply, on a wider scale, the complex rehabilitation procedures which involve medical, social and vocational aspects. Nevertheless, TB continues to cause numerous individual difficulties (example, unemployment, insufficient wages, instability of marriage), attributable to incomplete stabilisation and the diminished efficiency of patients and convalescents. The task of rehabilitation is the removal or diminution of such difficulties. The distribution of patients according to rehabilitation requirements in Poland is illustrated and described.

The correct evaluation of the action against TB can be effected when the outlook of the patient is considered from many aspects based on follow-up examinations. To create an objective evaluation of the follow-up examinations, a list of the most essential parameters with 3 point values, very good, sufficient and insufficient, with 5, 3 and 0 points respectively, was compiled. Several evaluative criteria were listed under the six main parameters: 1) The clinical state, 2) state of physical efficiency, 3) employment, 4) regaining the possibility to earn, 5) regaining psychical balance, 6) regaining independence. Summation of the point values indicated the final evaluation of the medical and social results for each patient. Cases where the parameters were used for evaluation are described. The unsuccessful results of treatment and rehabilitation procedures are revealed through three other case histories. The positive measures indicated that 71.5% of the patients undergoing rehabilitation in the Rehabilitation Center in Otwock, Poland, successfully regained ability to work in a new profession. The evaluation was found effective in analysing patients’ present state and for future prognosis.