GERIATRIK BEMORLARNI AMBULATOR AMALIYOTDA KOMPLEKS REABILITATSIYA QILISH MODELINI JORIY ETISH ALGORITMI
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geriatrik reabilitatsiya, multidisiplinar yondashuv, biopsixososial model, ambulator amaliyot, funksional mustaqillik, gender xususiyatlari##article.abstract##
Zamonaviy demografik tendensiyalar aholining qarigan qismining ortib borayotganini koʼrsatmoqda, bu esa ularning funksional mustaqilligini saqlash uchun reabilitatsiya strategiyalarini takomillashtirishni talab etadi. Oʼzbekistonda 60 yoshdan katta aholining ulushi 9,1% ni tashkil qiladi, 2050 yilga kelib bu koʼrsatkich 20% ga yetishi prognoz qilinmoqda, bu yesa sogʼliqni saqlash tizimiga boʼlgan yuklamani oshiradi. Qariyalar orasida eng koʼp uchraydigan kasalliklar yurak-qon tomir, endokrin va nevrologik buzilishlardir, bu esa reabilitatsiyada multidisiplinar yondashuvni talab etadi. Mazkur maqolada biopsixososial omillar va gender xususiyatlarini hisobga olgan holda geriatrik bemorlarni kompleks reabilitatsiya qilish modeli taqdim etilgan. Taklif etilgan algoritm reabilitatsiyani ambulator amaliyotga integratsiya qilish orqali nogironlik darajasini kamaytirish, hayot sifatini yaxshilash va tibbiy yordam samaradorligini oshirishga qaratilgan.Библиографические ссылки
World Health Organization. Global report on ageing and health. Geneva: WHO; 2015.
Goskomstat Republic of Uzbekistan. Population by age groups as of January 1, 2024. Tashkent: Goskomstat; 2024. (in Russ)
Ellis G, Whitehead MA, O'Neill D, Langhorne P, Robinson D. Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. BMJ. 2011;343:d6553.
Cameron ID, Kurrle SE. The interface between acute hospital care and geriatric rehabilitation. BMC Health Serv Res. 2013;13:294.
Landi F, Calvani R, Tosato M, Martone AM, Ortolani E, Savera G, et al. Sarcopenia: An overview on current definitions, diagnosis and treatment. Curr Protein Pept Sci. 2018;19(7):633–638.
National Institute on Aging. Cognitive Health and Older Adults. Bethesda, MD: NIA; 2023. Available from: https://www.nia.nih.gov/health/cognitive-health-and-older-adults
Ministry of Health of the Republic of Uzbekistan. National Clinical Guidelines on Geriatric Rehabilitation. Tashkent; 2024. (in Uzb)
Stuck AE, Egger M, Hammer A, Minder CE, Beck JC. Home visits to prevent nursing home admission and functional decline in elderly people: systematic review and meta-regression analysis. JAMA. 2002;287(8):1022–1028.
American Geriatrics Society Expert Panel. Patient-centered care for older adults with multiple chronic conditions: a stepwise approach from the American Geriatrics Society. J Am Geriatr Soc. 2012;60(10):1957–1968.
Gitlin LN, Hodgson N. Caregivers as therapeutic agents in dementia care: the evidence base for interventions supporting their role. In: Family caregiving in the new normal. Academic Press; 2015. p. 305–353.
Ekerstad N, Swahn E, Janzon M, Alfredsson J, Länne T, Lindenberger M, et al. Frailty is independently associated with increased hospital readmissions in older adults: a prospective cohort study. Eur J Intern Med. 2019;63:74–81.
Volkert D, Beck AM, Cederholm T, Cereda E, Cruz-Jentoft A, Goisser S, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr. 2019;38(1):10–47.
Hubbard RE, Woodhouse KW. Frailty, inflammation and the elderly. Biogerontology. 2010;11(5):635–641.
World Health Organization. Rehabilitation 2030: A Call for Action. Geneva: WHO; 2017. Available from: https://www.who.int/publications/i/item/WHO-HIS-SDS-2017.1
Hesse S, Werner C. Poststroke rehabilitation: comparative effectiveness of two interventions to improve walking. Stroke. 2003;34(4):1021–1026.
Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695–699.
Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61–65.
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–148.
Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992;30(6):473–483.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39(4):412–423.
Young J, Forster A, Green J, Pattern D, Vale L. A systematic review of the effect of early multidisciplinary discharge planning for older people with acute hospital admission. Age Ageing. 2007;36(2):107–113.
Kaye J, Mattek N, Dodge H, et al. Unobtrusive measurement of daily computer use to detect mild cognitive impairment. Alzheimer’s Dement. 2014;10(1):10–17.
Cimperman M, Makovec Brenčič M, Trkman P, Stanonik M. Older adults’ perceptions of home telehealth services. Telemed J E Health. 2013;19(10):786–790.
European Commission on Aging. Strategic Development of Rehabilitation Programs for the Elderly. Brussels: EC; 2022.
World Health Organization. Global strategy and action plan on ageing and health. Geneva: WHO; 2017.
Раза, Мухаммад, Жасур Ризаев, and Азиза Джурабекова. "ОРГАНИЗАЦИОННО-АДАПТАЦИОННЫЕ СТРАТЕГИИ УЛУЧШЕНИЯ СОЦИАЛЬНО-ПСИХОЛОГИЧЕСКОЙ ИНТЕГРАЦИИ ЗАРУБЕЖНЫХ УЧАЩИХСЯ МЕДИЦИНСКИХ ВУЗОВ." Наука и инновация 3.15 (2025): 37-39.
Гайбуллаев Э. А., Ризаев Ж. А. ПРИМЕНЕНИЕ ПЕРСОНИФИЦИРОВАННОГО ПОДХОДА К ДИАГНОСТИКЕ И ЛЕЧЕНИЮ АГРЕССИВНОГО ПАРОДОНТИТА //Журнал гуманитарных и естественных наук. – 2025. – №. 18. – С. 214-217.
Ризаев, Ж. А., Зайниев, С. С., Улмасов, Ф. Г., & Кутлумуратов, А. Б. (2024). ЗДРАВООХРАНЕНИЕ И ПЕРСПЕКТИВЫ РАЗВИТИЯ МЕДИЦИНСКОЙ НАУКИ И ВРАЧЕБНОГО ОБРАЗОВАНИЯ В УЗБЕКИСТАНЕ. Medical Journal of Uzbekistan, (4), 412-420.
