An Impact of Physical Therapy on the Life Quality of the Patients With Comorbid States

Abstract

The data on indicators of psychological and physical components of health as the life of persons with comorbid states, who have taken the course of rehabilitation using the means of physical therapy, are given. Generally accepted method for calculating the components of the MOS SF-36 application form was applied in the research. It has been established that regardless of the type of chronic comorbid diseases or states, the physical component of health (PCS) is higher compared to the psychological component of health (MCS) in the integral indicator of quality of life. An individually compiled program of physical therapy, as a basic component of rehabilitation, has been positively reflected on the quality of life by increasing the psychological health indicator by 20.9%.
 An objective is the analysis of the dynamics of the components of the life quality in the process of 14-day program of physical therapy in patients with comorbid states.
 Materials and methods. 34 students of Lesia Ukrainka Volyn National University with various combinations of chronic diseases and states were researched. They have taken a 14-day rehabilitation course on the basis of the Western Rehabilitation and Sports Center of the National Committee of Sports of Disabled Persons of Ukraine during a rehabilitation meeting of persons with disabilities. The quality of life was evaluated by the method of two-time anonymous interviews using Medical Outome Study Short Form-36 (MOS SF-36). The statistical data processing was carried out using the MedStat program.
 The results. During the initial interview it was found out that among the components of physical and psychological aspects of health, the RP indicators were reflected most negatively on the life quality which characterize the activities conditioned by the physical state, operation at work, at home, and the VT indicator, which reflects vital activity as well. Focused 14-day rehabilitation program contributed to improve their values more than a third part of previous one. The PF indicator, that certifies the physical activity of the person, refers to the components that increase the general indicator of life quality of the students with comorbid states. The SF indicator refers to these components as well. It certifies the social activities of the above mentioned persons. Analyzing the dynamics of all indicators of life quality in the process of rehabilitation meeting, it follows that the range of changes varies from 4.2% to 41.7%.
 Regarding correlation links between the indicators of life quality, there were identified three direct links of moderate force at the beginning of the research: between PF and RE (R = 0.66); between GH and RE (R = 0.53) indicators; between VT and MH indicators (R = 0.62). After the rehabilitation program using physical therapy, a significant negative link between the values of BP and PF (R = -0.64) has been formed. Positive correlation of moderate force appeared between the GH and RP indicators (R = 0.53); between the MH and RP indicator (R = 0.59), GH (R = 0.58), VT (R = 0.63).
 Conclusions. The comorbid state is negatively reflected on the quality of life, on the perception of capabilities and restrictions. The two-week rehabilitation course using physical therapy means allowed participants of the research to change the perception of their state, capabilities and restrictions in everyday life.