Dynamics of the Level of Functioning of Patients After Laparoscopic Cholecystectomy in the Long-term Rehabilitation Period

Abstract

Aim: to determine the dynamics of the level of functioning of patients after laparoscopic cholecystectomy in the long-term rehabilitation period. Materials and Methods: 79 patients after laparoscopic cholecystectomy were included, double-blind survey on the presence of impairments in functioning, activity and participation using the ICF. Statistical methods: measurement of the median value (Me), upper and lower quartiles (25%; 75%). The Mann-Whitney U-test was used to compare independent samples; the Wilcoxon T-test was used for dependent samples. Results: under the influence of rehabilitation, positive dynamics in the state of the gastrointestinal tract and the gait activity of patients of group A were revealed after the implementation using a biomedical approach. The rehabilitation method of group B was based on the assessment of the patient’s functioning using the ICF and the organization of problem-oriented and aimed at achieving long- and short-term tasks with a patient-centered approach. to achieve improved functioning of gastrointestinal functions, general endurance, aerobic capacity, muscle strength and improved activities. Conclusions: the dynamics of the level of functioning and activity of patients after laparoscopic cholecystectomy in the long-term rehabilitation period was better in the group that used a biopsychosocial approach with the use of ICF.

Характеристика Осіб Із Хронічним Калькульозним Холециститом На Гострому Етапі Реабілітації Як Передумова Створення Індивідуальних Реабілітаційних Програм Після Холецистектомії

“…Реабілітаційні заходи будуть сприяти позитивним змінам у станіособи, його якості життя. Реабілітаційний прогноз звісно буде залежати від наявних ускладнень оперативного втручання, чи стану хворого, віку, наявних супутніх захворювань, рухової та побутової активності особистісних факторів [7].…”