||The persisting importance of rehabilitation of TB patients.
||SCAND J RES DIS 1967, 65, 171-182.
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.
|KEYWORDS: REHABILITATION; POLAND.