Rehabilitation in Nephrology: History, Current State, Prospects

Abstract

Rehabilitation assistance at healthcare institutions is a comprehensive package of measures designed to enhance the functional abilities of individuals who experience or may potentially experience limitations in their daily functioning within their surrounding environment. Nephrology is a branch of medical science that studies the etiology and pathogenesis of kidney damage, develops and improves diagnostic methods, treatments, and prevention strategies for congenital and acquired primary and secondary kidney damage at all stages of development. Pediatric urological disorders remain a signifi cant concern due to their high prevalence among children. Chronic kidney disease (CKD) is a particularly worrisome complication, as it is characterized by a relapsing nature and the potential for severe complications. The current system of healthcare is regarded as a costly branch of medical services, with expenditures on therapeutic and rehabilitative care (inpatient and outpatient stages) constituting a signifi cant proportion of the overall costs.The article presents the results of an analysis and a summary of the recommendations set forth in international and Ukrainian medicaltechnologicaldocuments based on evidence- based medicine with regard to rehabilitation care in pediatric nephrology. The methodology for establishing a clinical and rehabilitation patient pathway, comprising an individual rehabilitation patient plan, is presented. This pathway considers the most common urinary diseases among children at the hospital district level. The scientifi c research was conducted within the scientifi c focus of the Department of Pediatrics, Neonatology and Perinatal Medicine of Bukovinian State Medical University and the research project entitled «Chronobiological and Adaptive Aspects and Features ofAutonomic Regulation in Pathological Conditions in Children of Diff erent Age Groups.» The registration number is 0122U002245, and the project will run from January 1, 2022, to December 31, 2026.