Definition of quality of life in people with disabilities

(1)

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Ⱦɍ «ɍɤɪɚʀɧɫɶɤɢɣ ɞɟɪɠɚɜɧɢɣ ɇȾȱ ɦɟɞɢɤɨ-ɫɨɰɿɚɥɶɧɢɯ ɩɪɨɛɥɟɦ ɿɧɜɚɥɿɞɧɨɫɬɿ ɆɈɁ ɍɤɪɚʀɧɢ» (ɞɢɪɟɤɬɨɪ – ɩɪɨɮ.Ⱥ.ȼ.ȱɩɚɬɨɜ)

Ⱦɧɿɩɪɨɩɟɬɪɨɜɫɶɤ, 49000, ɍɤɪɚʀɧɚ

State Institution «Ukrainian State Institute of Medical and Social Problems of Disability of Health Ministry of Ukraine»

Dnipropetrovsk, 49000, Ukraine e-mail: Grial09@list.ru

Ʉɥɸɱɨɜɿ ɫɥɨɜɚ:ɿɧɜɚɥɿɞɧɿɫɬɶ,ɯɜɨɪɨɛɢ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ,ɹɤɿɫɬɶ ɠɢɬɬɹ Key words: disability, diseases of the nervous system, quality of life

Ɋɟɮɟɪɚɬ. Ɉɩɪɟɞɟɥɟɧɢɟ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ ɭ ɥɸɞɟɣ ɫ ɨɝɪɚɧɢɱɟɧɧɵɦɢ ɜɨɡɦɨɠɧɨɫɬɹɦɢ. Ʉɢɪɢɱɟɧɤɨ Ⱥ.Ƚ. ɋ

ɰɟɥɶɸ ɨɩɪɟɞɟɥɟɧɢɹ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ ɭ ɥɸɞɟɣ ɫ ɨɝɪɚɧɢɱɟɧɧɵɦɢ ɜɨɡɦɨɠɧɨɫɬɹɦɢ ɛɵɥɨ ɩɪɨɜɟɞɟɧɨ ɢɫɫɥɟɞɨɜɚɧɢɟ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɜɨɡɪɚɫɬɧɵɯ, ɝɟɧɞɟɪɧɵɯ ɢ ɮɭɧɤɰɢɨɧɚɥɶɧɵɯ ɨɝɪɚɧɢɱɟɧɢɣ ɫ ɩɨɦɨɳɶɸ ɨɩɪɨɫɧɢɤɚ SF-36. ɂɫ

-ɫɥɟɞɨɜɚɧɢɟ ɩɪɨɜɟɞɟɧɨ ɩɭɬɟɦ ɢɡɭɱɟɧɢɹ ɚɧɤɟɬɧɵɯ ɨɬɜɟɬɨɜ ɥɢɰ ɫ ɨɝɪɚɧɢɱɟɧɧɵɦɢ ɜɨɡɦɨɠɧɨɫɬɹɦɢ ɢ ɜɵɩɨɥɧɹɥɨɫɶ ɫ ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɫɨɩɨɫɬɚɜɥɟɧɢɹ ɩɨɥɭɱɟɧɧɵɯ ɞɚɧɧɵɯ ɫɬɚɧɞɚɪɬɧɵɯ ɮɨɪɦ ɩɟɪɜɢɱɧɨɣ ɞɨɤɭɦɟɧɬɚɰɢɢ.ȼɵɹɜɥɟɧɨ,

ɱɬɨ ɭ ɢɧɜɚɥɢɞɨɜ ɜɫɥɟɞɫɬɜɢɟ ɛɨɥɟɡɧɟɣ ɧɟɪɜɧɨɣ ɫɢɫɬɟɦɵ ɨɬɦɟɱɚɥɨɫɶ ɡɧɚɱɢɬɟɥɶɧɨɟ ɫɧɢɠɟɧɢɟ ɩɨɤɚɡɚɬɟɥɟɣ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ ɩɨ ɛɨɥɶɲɢɧɫɬɜɭ ɲɤɚɥ ɨɩɪɨɫɧɢɤɚ SF-36, ɤɨɬɨɪɵɣ ɹɜɥɹɟɬɫɹ ɧɚɞɟɠɧɵɦ, ɜɚɥɢɞɧɵɦ ɢ ɜɵ

-ɫɨɤɨɢɧɮɨɪɦɚɬɢɜɧɵɦ ɭɞɨɛɧɵɦ ɦɟɬɨɞɨɦ ɨɰɟɧɤɢ ɮɢɡɢɱɟɫɤɨɝɨ ɢ ɩɫɢɯɢɱɟɫɤɨɝɨ ɫɨɫɬɨɹɧɢɹ ɡɞɨɪɨɜɶɹ ɱɟɥɨɜɟɤɚ ɫ ɨɝɪɚɧɢɱɟɧɧɵɦɢ ɜɨɡɦɨɠɧɨɫɬɹɦɢ ɢ ɩɨɡɜɨɥɹɟɬ ɨɫɭɳɟɫɬɜɥɹɬɶ ɤɨɧɬɪɨɥɶ ɡɚ ɪɚɡɥɢɱɧɵɦɢ ɫɨɫɬɚɜɥɹɸɳɢɦɢ ɠɢɡɧɟ

-ɞɟɹɬɟɥɶɧɨɫɬɢ,ɢɦɟɹ ɩɪɨɝɧɨɫɬɢɱɟɫɤɨɟ ɡɧɚɱɟɧɢɟ ɨɬɧɨɫɢɬɟɥɶɧɨ ɷɮɮɟɤɬɢɜɧɨɫɬɢ ɪɟɚɛɢɥɢɬɚɰɢɢ,ɪɟɚɞɚɩɬɚɰɢɢ ɢ

ɪɟɫɨɰɢɚɥɢɡɚɰɢɢ.

Abstract. Definition of quality of life in people with disabilities. Kyrychenko A. G.In order to determine quality of life of people with disabilities according to age, gender and functional limitations using questionnaire SF-36 study was conducted. The study was conducted by examining questionnaire data and performed using the comparison of the data in the standard forms of primary documentation. It was revealed that in disabled caused by diseases of the nervous system a significant decrease of quality of life by the most scales of SF-36 questionnaire, was noted it is reliable, valid, and a highly convenient method of assessing physical and mental health of persons with disabilities and allows to control various components of life activity and has prognostic significance with respect to the effectiveness of rehabilitation, reintegration and resocialization.

Ɂɝɿɞɧɨ ɡ ɜɢɡɧɚɱɟɧɧɹɦ ȼɈɈɁ,ɹɤɿɫɬɶ ɠɢɬɬɹ – ɰɟ

ɫɩɪɢɣɧɹɬɬɹ ɥɸɞɢɧɨɸ ɫɜɨɝɨ ɩɨɥɨɠɟɧɧɹ ɭ ɠɢɬɬɿ ɜ ɤɨɧɬɟɤɫɬɿ ɤɭɥɶɬɭɪɚɥɶɧɢɯ ɬɚ ɰɿɧɧɿɫɧɢɯ ɨɪɿɽɧɬɚɰɿɣ

ɜɿɞɩɨɜɿɞɧɨ ɞɨ ʀʀ ɨɫɨɛɢɫɬɢɯ ɰɿɥɟɣ,ɨɱɿɤɭɜɚɧɶ,ɫɬɚɧ

-ɞɚɪɬɿɜ ɬɚ ɩɿɤɥɭɜɚɧɧɹ [1]. ȱɧɲɢɦɢ ɫɥɨɜɚɦɢ,ɹɤɿɫɬɶ

ɠɢɬɬɹ (əɀ) ɜɢɡɧɚɱɚɽɬɶɫɹ ɹɤ ɫɭɛ’ɽɤɬɢɜɧɚ ɡɚɞɨɜɨ

-ɥɟɧɿɫɬɶ ɥɸɞɢɧɢ ɫɜɨʀɦ ɮɿɡɢɱɧɢɦ,ɩɫɢɯɿɱɧɢɦ ɬɚ ɫɨ

-ɰɿɚɥɶɧɢɦ ɛɥɚɝɨɩɨɥɭɱɱɹɦ ɭ ɜɫɿɯ ɣɨɝɨ ɚɫɩɟɤɬɚɯ

ɫɭɫɩɿɥɶɧɨɝɨ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ [2, 3, 4].

ɋɬɚɧ ɡɞɨɪɨɜ’ɹ, ɜɿɞɩɨɜɿɞɧɨ ɞɨ ɪɟɤɨɦɟɧɞɚɰɿɣ

ȼɈɈɁ, ɩɪɢɣɧɹɬɨ ɨɰɿɧɸɜɚɬɢ ɡ ɩɨɡɢɰɿɣ ɧɟ ɬɿɥɶɤɢ

ɜɢɜɚɠɟɧɨɫɬɿ ɩɚɬɨɥɨɝɿɱɧɨɝɨ ɩɪɨɰɟɫɭ, ɚɥɟ ɣ ɡ ɬɨɱ

-ɤɢ ɡɨɪɭ ɜɩɥɢɜɭ ɯɜɨɪɨɛɢ ɧɚ ɫɚɦɨɨɛɫɥɭɝɨɜɭɜɚɧɧɹ,

ɩɨɛɭɬɨɜɭ ɬɚ ɫɨɰɿɚɥɶɧɭ ɚɤɬɢɜɧɿɫɬɶ ɩɚɰɿɽɧɬɚ. ɋɚɦɟ

ɩɨɧɹɬɬɹ «ɹɤɿɫɬɶ ɠɢɬɬɹ» ɡɚɜɠɞɢ ɦɚɽ ɧɚ ɭɜɚɡɿ

ɫɭɛ’ɽɤɬɢɜɧɿɫɬɶ ɫɩɪɢɣɧɹɬɬɹ ɿ ɯɚɪɚɤɬɟɪɢɡɭɽ ɡɚɞɨ

-ɜɨɥɟɧɿɫɬɶ ɥɸɞɢɧɢ ɪɿɜɧɟɦ ɫɜɨɝɨ ɞɨɛɪɨɛɭɬɭ, ɬɨɛɬɨ

ɫɬɭɩɿɧɶ ɤɨɦɮɨɪɬɧɨɫɬɿ ɹɤ ɜɫɟɪɟɞɢɧɿ ɫɟɛɟ, ɬɚɤ ɿ ɜ

ɪɚɦɤɚɯ ɫɭɫɩɿɥɶɫɬɜɚ [5, 9, 10].

ɇɟɡɚɞɨɜɿɥɶɧɢɣ ɪɿɜɟɧɶ əɀ ɩɚɰɿɽɧɬɿɜ ɧɚ ɯɜɨ

-ɪɨɛɢ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ ɩɨɜ’ɹɡɚɧɢɣ ɧɟ ɬɿɥɶɤɢ ɡ

ɤɥɿɧɿɱɧɢɦɢ ɩɪɨɹɜɚɦɢ ɯɜɨɪɨɛɢ, ɚɥɟ ɣ ɡ ɩɫɢɯɨ

-ɥɨɝɿɱɧɢɦ ɬɢɩɨɦ ɪɟɚɝɭɜɚɧɧɹ. ȼɢɧɢɤɧɟɧɧɹ ɨɛɦɟ

-ɠɟɧɧɹ ɠɢɬɬɽɞɿɹɥɶɧɨɫɬɿ ɽ ɞɪɚɦɚɬɢɱɧɢɦ ɞɥɹ ɯɜɨ

-ɪɨɝɨ ɱɟɪɟɡ ɪɨɡɜɢɬɨɤ ɫɨɰɿɚɥɶɧɨʀ ɞɟɡɚɞɚɩɬɚɰɿʀ ɬɚ ɨɫɨɛɢɫɬɿɫɧɨɝɨ ɞɢɫɬɪɟɫɭ ɭ ɫɩɿɜɜɿɞɧɨɲɟɧɧɿ ɡ

ɫɭɫɩɿɥɶɫɬɜɨɦ, ɹɤɟ ɧɟ ɡɨɜɫɿɦ ɩɪɚɜɢɥɶɧɨ ɨɛɦɟɠɭɽ

ʀɯɧɽ ɩɪɚɝɧɟɧɧɹ ɞɨ ɫɨɰɿɚɥɶɧɨʀ ɚɤɬɢɜɧɨɫɬɿ [6, 7].

Ʌɸɞɢɧɚ ɡ ɨɛɦɟɠɟɧɢɦɢ ɦɨɠɥɢɜɨɫɬɹɦɢ ɩɿɞɜɥɚɞɧɚ

ɫɨɰɿɚɥɶɧɿɣ ɞɢɫɤɪɢɦɿɧɚɰɿʀ, ɠɨɪɫɬɤɢɦ ɫɨɰɿɚɥɶɧɨ

-ɬɪɭɞɨɜɢɦ ɨɛɦɟɠɟɧɧɹɦ, ɹɤɿ ɩɪɨɬɢɫɬɨɹɬɶ ʀʀ ɦɨɠ

-ɥɢɜɨɫɬɹɦ ɿ ɨɛɦɟɠɭɸɬɶ ʀʀ ɫɨɰɿɚɥɶɧɭ ɚɤɬɢɜɧɿɫɬɶ.

ɋɤɪɢɧɿɧɝ ɬɚ ɦɨɧɿɬɨɪɢɧɝ ɨɰɿɧɤɢ əɀ ɡɚɥɟɠɧɨ ɜɿɞ ɫɬɭɩɟɧɹ ɨɛɦɟɠɟɧɶ ɠɢɬɬɽɞɿɹɥɶɧɨɫɬɿ ɽ ɨɞɧɢɦ ɡ ɩɪɿɨɪɢɬɟɬɧɢɯ ɧɚɩɪɹɦɤɿɜ ɞɥɹ ɭɫɩɿɲɧɨʀ ɪɟɚɞɚɩɬɚɰɿʀ

ɬɚ ɪɟɫɨɰɿɚɥɿɡɚɰɿʀ. ɇɟɨɛɯɿɞɧɨ ɜɿɞɦɿɬɢɬɢ, ɳɨ ɜ ɍɤ

-ɪɚʀɧɿ ɜɢɜɱɟɧɧɹ ɹɤɨɫɬɿ ɠɢɬɬɹ ɨɫɿɛ ɡ ɨɛɦɟɠɟɧɢɦɢ ɦɨɠɥɢɜɨɫɬɹɦɢ ɞɨɬɟɩɟɪ ɛɭɥɨ ɨɛɦɟɠɟɧɢɦ ɬɚ

ɩɪɚɤɬɢɱɧɨ ɧɟ ɩɪɨɜɨɞɢɥɨɫɹ [8]. Ⱥɤɬɭɚɥɶɧɿɫɬɶ ɞɨ

-ɫɥɿɞɠɟɧɧɹ ɡɭɦɨɜɢɥɢ ɫɤɥɚɞɧɿɫɬɶ ɿ ɝɨɫɬɪɨɬɚ ɩɪɨɛɥɟɦɢ ɿɧɜɚɥɿɞɚ ɹɤ ɨɫɨɛɢɫɬɨɫɬɿ ɜ ɫɭɱɚɫɧɨɦɭ

ɫɭɫɩɿɥɶɫɬɜɿ.

(2)

ɋɈɐȱȺɅɖɇȺ ɆȿȾɂɐɂɇȺ

ɡɚɥɟɠɧɨ ɜɿɞ ɜɿɤɨɜɢɯ,ɝɟɧɞɟɪɧɢɯ ɬɚ ɮɭɧɤɰɿɨɧɚɥɶɧɢɯ

ɨɛɦɟɠɟɧɶ ɡɚ ɞɨɩɨɦɨɝɨɸ ɨɩɢɬɭɜɚɥɶɧɢɤɚ SF-36.

ɆȺɌȿɊȱȺɅɂ ɌȺ ɆȿɌɈȾɂ ȾɈɋɅȱȾɀȿɇɖ

Ⱦɨɫɥɿɞɠɟɧɧɹ ɹɤɨɫɬɿ ɠɢɬɬɹ ɩɪɨɜɟɞɟɧɨ ɲɥɹɯɨɦ ɜɢɜɱɟɧɧɹ ɞɚɧɢɯ ɚɧɤɟɬɧɨɝɨ ɨɩɢɬɭɜɚɧɧɹ ɨɫɿɛ ɡ ɨɛɦɟɠɟɧɢɦɢ ɦɨɠɥɢɜɨɫɬɹɦɢ ɬɚ ɜɢɤɨɧɭɜɚɥɨɫɶ ɡ ɜɢɤɨɪɢɫɬɚɧɧɹɦ ɡɿɫɬɚɜɥɟɧɧɹ ɨɬɪɢɦɚɧɢɯ ɞɚɧɢɯ

ɫɬɚɧɞɚɪɬɧɢɯ ɮɨɪɦ ɩɟɪɜɢɧɧɨʀ ɞɨɤɭɦɟɧɬɚɰɿʀ (ɚɧ

-ɤɟɬɢ, ɨɩɢɬɭɜɚɥɶɧɢɤɢ, ɤɚɪɬɚ ɚɦɛɭɥɚɬɨɪɧɨɝɨ ɯɜɨ

-ɪɨɝɨ, ɦɟɞɢɤɨ-ɟɤɫɩɟɪɬɧɿ ɫɩɪɚɜɢ, ɿɫɬɨɪɿɹ ɯɜɨɪɨɛɢ,

ɜɢɫɧɨɜɤɢ ɩɫɢɯɨɥɨɝɚ ɬɚ ɿɧ.). Ɂɚɝɚɥɶɧɚ ɤɿɥɶɤɿɫɬɶ

ɰɶɨɝɨ ɤɨɧɬɢɧɝɟɧɬɭ ɫɤɥɚɥɚ 225 ɨɫɿɛ,ɫɟɪɟɞ ɧɢɯ 134

ɱɨɥɨɜɿɤɢ ɬɚ 91 ɠɿɧɤɚ. ȼɫɿ ɨɛɫɬɟɠɟɧɿ ɡɚ ɫɭɤɭɩ

-ɧɿɫɬɸ ɚɧɚɦɧɟɫɬɢɱɧɢɯ ɞɚɧɢɯ ɿ ɪɟɡɭɥɶɬɚɬɿɜ ɤɥɿ

-ɧɿɤɨ-ɿɧɫɬɪɭɦɟɧɬɚɥɶɧɨɝɨ ɞɨɫɥɿɞɠɟɧɧɹ ɡɚɥɟɠɧɨ ɜɿɞ

ɝɪɭɩɢ ɿɧɜɚɥɿɞɧɨɫɬɿ ɛɭɥɢ ɪɨɡɩɨɞɿɥɟɧɿ ɧɚ ɞɜɿ

ɩɿɞɝɪɭɩɢ: 71 ɨɫɨɛɚ ɡ ȱȱ ɝɪɭɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ ɬɚ

154ɨɫɨɛɢ ɡ ȱȱȱ ɝɪɭɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ.

Ɉɞɢɧɢɰɹ ɫɩɨɫɬɟɪɟɠɟɧɧɹ: ɨɫɨɛɚ ɜɿɤɨɦ ɜɿɞ 18

ɞɨ 55 ɪɨɤɿɜ (ɠɿɧɤɢ) ɬɚ 60 ɪɨɤɿɜ (ɱɨɥɨɜɿɤɢ),ɜɩɟɪ

-ɲɟ ɜɢɡɧɚɧɚ ɿɧɜɚɥɿɞɨɦ ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ

ɫɢɫɬɟɦɢ, ɹɤɚ ɡɧɚɯɨɞɢɥɚɫɹ ɭ ɤɥɿɧɿɰɿ Ⱦɍ «ɍɤ

-ɪɚʀɧɫɶɤɢɣ ɞɟɪɠɚɜɧɢɣ ɇȾȱ Ɇɋɉȱ ɆɈɁ ɍɤɪɚʀɧɢ».

Ⱦɨɫɥɿɞɠɟɧɧɹ əɀ ɫɤɥɚɞɚɥɨɫɹ ɡ ɬɚɤɢɯ ɟɬɚɩɿɜ:

ɜɢɡɧɚɱɟɧɧɹ ɜɢɛɿɪɤɨɜɨʀ ɫɭɤɭɩɧɨɫɬɿ, ɞɚɧɿ ɨɛɫɬɟ

-ɠɟɧɧɹ ɬɚ ɚɧɤɟɬɭɜɚɧɧɹ ɡɚ ɞɨɩɨɦɨɝɨɸ ɜɚɥɿɞɧɨɝɨ

ɚɞɚɩɬɨɜɚɧɨɝɨ ɨɩɢɬɭɜɚɥɶɧɢɤɚ SF-36. Ⱦɥɹ ɜɢɡɧɚ

-ɱɟɧɧɹ əɀ ɥɸɞɟɣ ɡ ɨɛɦɟɠɟɧɢɦɢ ɦɨɠɥɢɜɨɫɬɹɦɢ

ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ ɩɪɚɰɟɡɞɚɬ

-ɧɨɝɨ ɜɿɤɭ ɩɪɨɚɧɚɥɿɡɨɜɚɧɨ 225 ɚɧɤɟɬ ɡɚ ɲɤɚɥɨɸ

SF-36 [1].

Ɇɟɬɨɞɨɥɨɝɿɱɧɨɸ ɨɫɧɨɜɨɸ ɛɭɜ ɚɧɚɥɿɡ ɜɿɞɩɨ

-ɜɿɞɟɣ ɝɪɭɩ ɿɧɜɚɥɿɞɿɜ ɡɚɥɟɠɧɨ ɜɿɞ ɧɨɡɨɥɨɝɿɱɧɨʀ

ɮɨɪɦɢ ɡɚɯɜɨɪɸɜɚɧɧɹ.Ɉɫɧɨɜɧɿ ɩɨɤɚɡɧɢɤɢ,ɹɤɿ ɜɢ

-ɡɧɚɱɚɥɢ ɹɤɿɫɬɶ ɠɢɬɬɹ, ɛɭɥɢ ɪɨɡɪɚɯɨɜɚɧɿ ɡɚ ɞɨɩɨ

-ɦɨɝɨɸ ɫɩɟɰɿɚɥɶɧɨʀ ɦɚɬɟɦɚɬɢɱɧɨʀ ɩɪɨɝɪɚɦɢ.

ɊȿɁɍɅɖɌȺɌɂ ɌȺ Ȳɏ ɈȻȽɈȼɈɊȿɇɇə

Ɂɚɥɟɠɧɨ ɜɿɞ ɜɿɤɭ, ɜ ɨɫɿɛ 18–39 ɪɨɤɿɜ ɡ ȱȱ ɝɪɭ

-ɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ (n=24) ɩɨɪɿɜɧɹɧɨ ɡ ɿɧɜɚɥɿɞɚɦɢ

ɜɿɤɨɦ 40–60 ɪɨɤɿɜ (n=47) ɫɩɨɫɬɟɪɿɝɚɥɢɫɹ ɧɢɡɶɤɿ

ɩɨɤɚɡɧɢɤɢ əɀ,ɨɫɨɛɥɢɜɨ ɡɚ ɲɤɚɥɚɦɢ «Ɂɚɝɚɥɶɧɢɣ

ɫɬɚɧ ɡɞɨɪɨɜ’ɹ» – 23,05±2,4 ɛɚɥɚ, «ɀɢɬɬɽɜɚ ɚɤɬɢɜ

-ɧɿɫɬɶ» – 24,16±1,7 ɛɚɥɚ ɬɚ «Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭ

-ɜɚɧɧɹ,ɡɭɦɨɜɥɟɧɟ ɟɦɨɰɿɣɧɢɦ ɫɬɚɧɨɦ» – 25,34±1,9

ɛɚɥɚ.

ɉɪɢ ɜɢɡɧɚɱɟɧɧɿ ɮɿɡɢɱɧɨɝɨ ɬɚ ɩɫɢɯɨɥɨɝɿɱɧɨɝɨ

ɤɨɦɩɨɧɟɧɬɿɜ ɡɚɝɚɥɶɧɨɝɨ ɪɿɜɧɹ ɠɢɬɬɹ ɛɭɥɢ ɜɢɹɜ

-ɥɟɧɿ ɧɢɡɶɤɿ ɩɨɤɚɡɧɢɤɢ ɭ ɦɨɥɨɞɨɦɭ ɜɿɰɿ ȱȱ ɝɪɭɩɢ

ɿɧɜɚɥɿɞɧɨɫɬɿ – 28,7±1,12 ɬɚ 30,15±2,71 ɛɚɥɚ, ɩɨ

-ɪɿɜɧɹɧɨ ɡ ɩɨɤɚɡɧɢɤɚɦɢ ɿɧɜɚɥɿɞɿɜ ɜɿɤɨɦ ɜɿɞ 40 ɞɨ

60ɪɨɤɿɜ: 42,41±4,54 ɬɚ 36,21±3,22 ɛɚɥɚ, ɜɿɞɩɨ

-ɜɿɞɧɨ (ɬɚɛɥ. 1).

Ɍ ɚ ɛ ɥ ɢ ɰ ɹ 1

ɉɨɤɚɡɧɢɤɢ əɀ ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ ɡɚɥɟɠɧɨ ɜɿɞ ɜɿɤɭ (ɛɚɥɢ ɡɚ ɲɤɚɥɨɸ SF-36, M±m)

ȼɿɤɨɜɿ ɤɚɬɟɝɨɪɿʀ ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ

ɒɤɚɥɢ

18–39 ɪɨɤɿɜ 40–60 ɪɨɤɿɜ

1. Ɏɿɡɢɱɧɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɎɎ) 26,38±2,6 35,75±2,5

2. Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɊɎɎɋ), ɡɭɦɨɜɥɟɧɟ ɩɪɨɛɥɟɦɚɦɢ ɮɿɡɢɱɧɨɝɨ ɡɞɨɪɨɜ’ɹ 28,16±1,9 45±3,1 3. ȱɧɬɟɧɫɢɜɧɿɫɬɶ ɛɨɥɸ (ȱȻ) 27,72±2,1 45,75±1,7

4. Ɂɚɝɚɥɶɧɢɣ ɫɬɚɧ ɡɞɨɪɨɜ’ɹ (ɁɋɁ) 23,05±2,4 39,04±3,5 5. ɀɢɬɬɽɜɚ ɚɤɬɢɜɧɿɫɬɶ (ɀȺ) 24,16±1,7 30,47±2,8

6. ɋɨɰɿɚɥɶɧɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɋɎ) 36,16±2,8 47,71±3,4 7. Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ,ɡɭɦɨɜɥɟɧɟ ɟɦɨɰɿɣɧɢɦ ɫɬɚɧɨɦ (ɊɎȿɋ) 25,34±1,9 45,6±4,2

8. ɉɫɢɯɿɱɧɟ ɡɞɨɪɨɜ’ɹ (ɉɁ) 28,33±2,3 45,9±3,7

ɉ ɪ ɢ ɦ ɿ ɬ ɤ ɚ:ɞɨɫɬɨɜɿɪɧɿɫɬɶ ɪɿɡɧɢɰɶ ɦɿɠ ɜɿɤɨɜɢɦɢ ɝɪɭɩɚɦɢ (p<0,05).

Ɂɚ ɪɟɡɭɥɶɬɚɬɚɦɢ ɞɨɫɥɿɞɠɟɧɶ ɡɚɝɚɥɶɧɢɯ ɩɨɤɚɡ

-ɧɢɤɿɜ əɀ ɿɧɜɚɥɿɞɿɜ ȱȱȱ ɝɪɭɩɢ ɡɚɥɟɠɧɨ ɜɿɞ ɜɿɤɭ

ɜɢɹɜɢɥɨɫɶ, ɳɨ ɜ ɦɨɥɨɞɨɦɭ ɜɿɰɿ (n=69) ɜɿɞɦɿ

-ɱɚɥɢɫɶ ɜɢɫɨɤɿ ɩɨɤɚɡɧɢɤɢ ɡɚ ɲɤɚɥɚɦɢ «ɀɢɬɬɽɜɚ

ɚɤɬɢɜɧɿɫɬɶ» – 53,86±4,58; «ɋɨɰɿɚɥɶɧɟ ɮɭɧɤɰɿɨɧɭ

(3)

ɜɿɞɧɨɫɧɨ ɡɧɢɠɟɧɢɯ ɩɨɤɚɡɧɢɤɿɜ ɡɚɝɚɥɶɧɨɝɨ ɮɿɡɢɱ

-ɧɨɝɨ ɤɨɦɩɨɧɟɧɬɭ ɩɨɪɿɜɧɹɧɨ ɡ ɿɧɜɚɥɿɞɚɦɢ (n=95)

ɡɪɿɥɨɝɨ ɜɿɤɭ (ɜɿɞ 40 ɞɨ 60 ɪɨɤɿɜ) (ɬɚɛɥ. 2).

ɧɹ. ɉɪɨɜɟɞɟɧɢɣ ɤɨɪɟɥɹɰɿɣɧɢɣ ɚɧɚɥɿɡ ɩɨɤɚɡɧɢɤɿɜ

əɀ ɬɚ ɜɿɤɨɦ ɜ ɨɫɿɛ ɡ ȱȱȱ ɝɪɭɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ ɜɢɹɜɢɜ

ɩɨɡɢɬɢɜɧɢɣ ɡɜ'ɹɡɨɤ ɫɟɪɟɞɧɶɨʀ ɫɢɥɢ (r=+0,34, p<0,05).

ɉɨɤɚɡɧɢɤɢ əɀ ɿɧɜɚɥɿɞɿɜ ȱȱȱ ɝɪɭɩɢ ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ ɡɚɥɟɠɧɨ ɜɿɞ ɜɿɤɭ (ɛɚɥɢ ɡɚ ɲɤɚɥɨɸ SF-36, M±m)

ȼɿɤɨɜɿ ɤɚɬɟɝɨɪɿʀ ɿɧɜɚɥɿɞɿɜ ȱȱȱ ɝɪɭɩɢ ɩɿɞɝɪɭɩɢ ɒɤɚɥɢ

18–39 ɪɨɤɿɜ 40–60 ɪɨɤɿɜ

1. Ɏɿɡɢɱɧɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɎɎ) 41,31±3,17 39,73±2,71 2. Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɊɎɎɋ), ɡɭɦɨɜɥɟɧɟ ɩɪɨɛɥɟɦɚɦɢ ɮɿɡɢɱɧɨɝɨ ɡɞɨɪɨɜ’ɹ 34,31±2,89 39,47±2,86

3. ȱɧɬɟɧɫɢɜɧɿɫɬɶ ɛɨɥɸ (ȱȻ) 36,13±3,28 46,1±3,46

4. Ɂɚɝɚɥɶɧɢɣ ɫɬɚɧ ɡɞɨɪɨɜ’ɹ (ɁɋɁ) 39,31±4,01 39,04±3,51

5. ɀɢɬɬɽɜɚ ɚɤɬɢɜɧɿɫɬɶ (ɀȺ) 53,86±4,58 33,26±3,04

ɉ ɪ ɢ ɦ ɿ ɬ ɤ ɚ: ɞɨɫɬɨɜɿɪɧɿɫɬɶ ɪɿɡɧɢɰɶ ɦɿɠ ɜɿɤɨɜɢɦɢ ɝɪɭɩɚɦɢ (p<0,05).

ȱɧɬɟɪɩɪɟɬɭɸɱɢ ɪɟɡɭɥɶɬɚɬɢ,ɦɨɠɧɚ ɡɪɨɛɢɬɢ ɜɢ

-ɫɧɨɜɨɤ,ɳɨ ɨɫɨɛɢ ȱȱȱ ɝɪɭɩɢ ɿɧɜɚɥɿɞɧɨɫɬɿ ɦɨɥɨɞɨɝɨ

ɜɿɤɭ ɦɚɸɬɶ ɞɨɫɬɨɜɿɪɧɨ ɜɢɳɿ ɩɨɤɚɡɧɢɤɢ ɮɿɡɢɱɧɨɝɨ

ɬɚ ɩɫɢɯɨɥɨɝɿɱɧɨɝɨ ɤɨɦɩɨɧɟɧɬɿɜ ɩɨɪɿɜɧɹɧɨ ɡ ɿɧɜɚ

-ɥɿɞɚɦɢ ɡɪɿɥɨɝɨ ɜɿɤɭ – 63,57±5,31 ɬɚ 48,11±3,74

ɛɚɥɚ ɿ 46,65±5,22 ɬɚ 44,9±3,98 ɛɚɥɚ ɜɿɞɩɨɜɿɞɧɨ. ȼ

ɨɰɿɧɰɿ əɀ ɜɿɞɪɿɡɧɹɜɫɹ ɩɫɢɯɨɥɨɝɿɱɧɢɣ ɤɨɦɩɨɧɟɧɬ

ɭ ɦɨɥɨɞɨɦɭ ɜɿɰɿ ɩɨɪɿɜɧɹɧɨ ɡ ɨɫɨɛɚɦɢ ɫɬɚɪɲɟ 40

ɪɨɤɿɜ.

Ɂɚ ɝɟɧɞɟɪɧɢɦɢ ɨɫɨɛɥɢɜɨɫɬɹɦɢ ɚɧɚɥɿɡ ɩɨɤɚɡ

-ɧɢɤɿɜ əɀ ɩɨɤɚɡɚɜ, ɳɨ ɜ 50 ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ

ɱɨɥɨɜɿɱɨʀ ɫɬɚɬɿ ɩɨɪɿɜɧɹɧɨ ɡ ɠɿɧɤɚɦɢ ɜɢɹɜɥɟɧɨ ɧɚɣɛɿɥɶɲ ɧɢɡɶɤɿ ɡɧɚɱɟɧɧɹ ɩɨɤɚɡɧɢɤɿɜ ɡɚ ɲɤɚɥɚɦɢ ɎɎ – 31,4±1,74; ɊɎɎɋ – 29,2±2,03; ȱȻ – 18,7±1,17

ɬɚ ɁɋɁ – 24,4±2,21 ɛɚɥɿɜ, ɹɤɿ ɮɨɪɦɭɜɚɥɢ ɡɚɝɚɥɶ

-ɧɢɣ ɮɿɡɢɱ-ɧɢɣ ɤɨɦɩɨɧɟɧɬ – 34,83±2,05 ɛɚɥɚ.ɍ 21

ɨɫɨɛɢ ȱȱ ɝɪɭɩɢ ɠɿɧɨɱɨʀ ɫɬɚɬɿ ɩɨɪɿɜɧɹɧɨ ɡ ɱɨ

-ɥɨɜɿɤɚɦɢ ɛɭɥɢ ɜɢɳɟ ɩɨɤɚɡɧɢɤɢ ɡɚ ɲɤɚɥɚɦɢ

ɡɚɝɚɥɶɧɨɝɨ ɫɬɚɧɭ ɡɞɨɪɨɜ’ɹ (ɁɋɁ) – 35,4±3,05 ɛɚɥɚ,

ɫɨɰɿɚɥɶɧɨɝɨ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɀȺ) – 41,2±4,27

ɛɚɥɚ ɬɚ ɩɫɢɯɿɱɧɨɝɨ ɡɞɨɪɨɜ’ɹ (ɉɁ) – 46,1±3,92 ɛɚ

-ɥɚ (ɬɚɛɥ. 3).

ɇɢɡɶɤɿ ɩɨɤɚɡɧɢɤɢ ɮɿɡɢɱɧɨɝɨ ɬɚ ɩɫɢɯɿɱɧɨɝɨ

ɤɨɦɩɨɧɟɧɬɿɜ ɪɿɜɧɹ ɠɢɬɬɹ (30,15±2,16 ɬɚ 33,75±2,71

ɛɚɥɿɜ ɜɿɞɩɨɜɿɞɧɨ) ɭ ɱɨɥɨɜɿɤɿɜ ɡ ȱȱ ɝɪɭɩɨɸ ɿɧɜɚ

-ɥɿɞɧɨɫɬɿ ɫɜɿɞɱɢɥɢ ɩɪɨ ʀɯ ɧɟɡɚɞɨɜɨɥɟɧɿɫɬɶ ɠɢɬɬɹɦ

ɿ ɫɬɚɜɥɟɧɧɹɦ ɨɬɨɱɭɸɱɢɯ ɞɨ ɧɢɯ. Ɂɧɚɱɟɧɧɹ ɩɨ

-ɤɚɡɧɢɤɿɜ ɲɤɚɥ ɎɎ, ȱȻ ɬɚ ɀȺ ɭ 63 ɠɿɧɨɤ ɡ ȱȱȱ

ɝɪɭɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ ɛɭɥɢ ɧɚɣɜɢɳɢɦɢ ɿ ɫɬɚɧɨ

-ɜɢɥɢ ɜɿɞɩɨɜɿɞɧɨ 54,17±6,23; 54,8±5,47 ɬɚ

53,6±4,81 ɛɚɥɚ. ɉɪɢ ɰɶɨɦɭ ɡɧɚɱɟɧɧɹ ɩɨɤɚɡɧɢɤɿɜ

ɎɎ ɬɚ ɊɎɎɋ ɭ 90 ɱɨɥɨɜɿɤɿɜ, ɩɨɪɿɜɧɹɧɨ ɡ ɠɿɧ

-ɤɚɦɢ,ɛɭɥɨ ɦɟɧɲɟ ɜ 1,5 ɪɚɡɭ (ɪ <0,05 ) ɬɚ 1,3 ɪɚɡɭ

(ɪ <0,05) ɜɿɞɩɨɜɿɞɧɨ (ɬɚɛɥ. 4).

ɉɨɪɿɜɧɹɥɶɧɢɣ ɚɧɚɥɿɡ ɩɨɤɚɡɧɢɤɿɜ ɡɚ ɫɬɚɬɬɸ

ɩɨɤɚɡɚɜ,ɳɨ ɭ ɱɨɥɨɜɿɤɿɜ ɜɿɞɦɿɱɚɥɢɫɹ ɧɢɡɶɤɿ ɩɨɤɚ

-ɡɧɢɤɢ ɮɿɡɢɱɧɨɝɨ ɬɚ ɩɫɢɯɿɱɧɨɝɨ ɤɨɦɩɨɧɟɧɬɿɜ,ɤɪɿɦ

ɩɨɤɚɡɧɢɤɚ «ɉɁ»ɭ ɞɪɭɝɿɣ ɩɿɞɝɪɭɩɿ,ɹɤɢɣ ɛɭɜ ɜɢɳɟ

ɜ 1,3 ɪɚɡɭ, ɩɪɨɜɟɞɟɧɢɣ ɤɨɪɟɥɹɰɿɣɧɢɣ ɚɧɚɥɿɡ ɜɢɹ

-ɜɢɜ ɩɪɹɦɢɣ ɤɨɪɟɥɹɰɿɣɧɢɣ ɡɜ'ɹɡɨɤ ɦɿɠ ɝɟɧɞɟɪ

-ɧɢɦɢ ɨɫɨɛɥɢɜɨɫɬɹɦɢ ɿ əɀ (r=+0,38, ɪ <0,05). ɐɟ

ɫɜɿɞɱɢɥɨ ɩɪɨ ɧɟɡɚɞɨɜɨɥɟɧɿɫɬɶ ɱɨɥɨɜɿɤɿɜ ɪɿɡɧɢɦɢ ɫɮɟɪɚɦɢ ɫɨɰɿɚɥɶɧɨɝɨ ɠɢɬɬɹ ɬɚ ɩɪɨ ɩɨɪɭɲɟɧɧɹ

ɜɧɭɬɪɿɲɧɶɨɝɨ ɤɨɧɬɪɨɥɸ ɧɚɞ ɩɨɞɿɹɦɢ ɣ ɟɦɨɰɿɹɦɢ.

ɇɚɣɛɿɥɶɲɭ ɧɟɡɚɞɨɜɨɥɟɧɿɫɬɶ ɜɨɧɢ ɜɿɞɱɭɜɚɥɢ ɜ

ɫɮɟɪɚɯ ɜɢɛɨɪɭ ɪɨɛɨɬɢ,ɦɚɬɟɪɿɚɥɶɧɨɝɨ ɫɬɚɧɨɜɢɳɚ.

ɍ ɠɿɧɨɤ ɡ ȱȱȱ ɝɪɭɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ ɜɿɞɦɿɱɚɜɫɹ ɩɿɞɜɢɳɟɧɢɣ ɪɿɜɟɧɶ ɫɨɰɿɚɥɶɧɢɯ ɫɬɪɚɯɿɜ ɡɚ ɲɤɚɥɨɸ

«Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ, ɡɭɦɨɜɥɟɧɟ ɟɦɨɰɿɣɧɢɦ

(4)

ɋɈɐȱȺɅɖɇȺ ɆȿȾɂɐɂɇȺ

ɉɨɤɚɡɧɢɤɢ əɀ ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ ɡɚɥɟɠɧɨ ɜɿɞ ɝɟɧɞɟɪɧɢɯ ɨɫɨɛɥɢɜɨɫɬɟɣ (ɛɚɥɢ ɡɚ ɲɤɚɥɨɸ SF-36, M±m)

ȱɧɜɚɥɿɞɢ ȱȱ ɝɪɭɩɢ (n=71)

ɒɤɚɥɢ

ɱɨɥɨɜɿɤɢ (n=42) ɠɿɧɤɢ (n=29)

1. Ɏɿɡɢɱɧɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɎɎ) 31,4±1,74 37,8±2,35

2. Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɊɎɎɋ), ɡɭɦɨɜɥɟɧɟ ɩɪɨɛɥɟɦɚɦɢ ɮɿɡɢɱɧɨɝɨ ɡɞɨɪɨɜ’ɹ 29,2±2,03 36,4±3,22 3. ȱɧɬɟɧɫɢɜɧɿɫɬɶ ɛɨɥɸ (ȱȻ) 18,7±1,17 24,5±2,18

4. Ɂɚɝɚɥɶɧɢɣ ɫɬɚɧ ɡɞɨɪɨɜ’ɹ (ɁɋɁ) 24,4±2,21 35,4±3,05 5. ɀɢɬɬɽɜɚ ɚɤɬɢɜɧɿɫɬɶ (ɀȺ) 35,6±2,64 41,2±4,27

ɉ ɪ ɢ ɦ ɿ ɬ ɤ ɚ: ɞɨɫɬɨɜɿɪɧɿɫɬɶ ɪɿɡɧɢɰɶ ɦɿɠ ɫɬɚɬɟɜɢɦɢ ɝɪɭɩɚɦɢ (p<0,05).

ɉɪɢ ɩɪɨɜɟɞɟɧɧɿ ɤɨɪɟɥɹɰɿɣɧɨɝɨ ɚɧɚɥɿɡɭ ɦɿɠ ɜɿɤɨɜɢɦɢ ɬɚ ɝɟɧɞɟɪɧɢɦɢ ɜɿɞɦɿɧɧɨɫɬɹɦɢ ɭ ɰɿɽʀ

ɤɨɝɨɪɬɢ ɜɢɹɜɥɟɧɨ ɩɪɹɦɢɣ ɤɨɪɟɥɹɰɿɣɧɢɣ ɡɜ'ɹɡɨɤ

ɦɿɠ ɫɬɭɩɟɧɟɦ ɩɪɨɹɜɿɜ əɀ ɬɚ ɜɿɤɨɦ ɱɢ ɫɬɚɬɬɸ

ɥɸɞɢɧɢ ɡ ɨɛɦɟɠɟɧɢɦɢ ɦɨɠɥɢɜɨɫɬɹɦɢ, ɹɤɢɣ ɛɭɜ

ɫɟɪɟɞɧɶɨʀ ɫɢɥɢ (r=+0,36, p<0,05). ɉɨɪɿɜɧɹɥɶɧɢɣ

ɚɧɚɥɿɡ ɡɚɝɚɥɶɧɢɯ ɩɨɤɚɡɧɢɤɿɜ ɮɿɡɢɱɧɨɝɨ ɬɚ ɩɫɢ

-ɯɨɥɨɝɿɱɧɨɝɨ ɤɨɦɩɨɧɟɧɬɿɜ ɫɟɪɟɞ ɿɧɜɚɥɿɞɿɜ ɜɧɚ

-ɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ ɩɨɤɚɡɚɜ, ɳɨ ɜ

ɦɨɥɨɞɨɦɭ ɜɿɰɿ, ɱɨɥɨɜɿɱɨʀ ɫɬɚɬɿ ɡ ȱȱ ɝɪɭɩɨɸ ɿɧ

-ɜɚɥɿɞɧɨɫɬɿ ɯɚɪɚɤɬɟɪɧɿ ɧɟɡɚɞɨɜɨɥɟɧɿɫɬɶ ɜɥɚɫɧɢɦ

ɠɢɬɬɹɦ, ɧɢɡɶɤɢɣ ɫɬɭɩɿɧɶ ɨɰɿɧɤɢ ɡɚɞɨɜɨɥɟɧɧɹ

ɪɿɡɧɢɦɢ ɚɫɩɟɤɬɚɦɢ ɠɢɬɬɽɞɿɹɥɶɧɨɫɬɿ ɬɚ ɜɢɫɨɤɢɣ

ɫɬɭɩɿɧɶ ɞɟɡɚɞɚɩɬɚɰɿʀ, ɹɤɢɣ ɜɢɤɥɢɤɚɽ ɫɯɢɥɶɧɿɫɬɶ

ɚɛɨ ɪɨɡɜɢɬɨɤ ɫɭɫɩɿɥɶɧɨʀ ɬɚ ɨɫɨɛɢɫɬɿɫɧɨʀ ɫɚɦɨɬ

-ɧɨɫɬɿ ɿ ɛɭɜ ɡɭɦɨɜɥɟɧɢɣ ɧɚɹɜɧɿɫɬɸ ɨɛɦɟɠɟɧɶ

ɠɢɬɬɽɞɿɹɥɶɧɨɫɬɿ ɜɢɪɚɠɟɧɨɝɨ ɫɬɭɩɟɧɹ. Ʉɨɪɟɥɹɰɿɣ

-ɧɢɣ ɡɜ'ɹɡɨɤ ɦɿɠ ɫɬɭɩɟɧɟɦ ɩɪɨɹɜɿɜ ɨɛɦɟɠɟɧɶ

ɠɢɬɬɽɞɿɹɥɶɧɨɫɬɿ ɬɚ ɩɨɤɚɡɧɢɤɚɦɢ əɀ ɛɭɜ ɩɪɹɦɢɣ

ɩɨɡɢɬɢɜɧɢɣ ɿ ɫɬɚɧɨɜɢɜ r=+0,54, p<0,05. Ⱦɥɹ

ɠɿɧɨɤ ɡ ȱȱȱ ɝɪɭɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ, ɜɿɤɨɦ 40–55

ɪɨɤɿɜ ɩɨɤɚɡɧɢɤɢ əɀ ɛɭɥɢ ɜɢɳɟ ɫɟɪɟɞɧɿɯ.

ɉɨɤɚɡɧɢɤɢ əɀ ɿɧɜɚɥɿɞɿɜ ȱȱȱ ɝɪɭɩɢ ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ ɡɚɥɟɠɧɨ ɜɿɞ ɝɟɧɞɟɪɧɢɯ ɨɫɨɛɥɢɜɨɫɬɟɣ (ɛɚɥɢ ɡɚ ɲɤɚɥɨɸ SF-36, M±m)

ȱɧɜɚɥɿɞɢ ȱȱȱ ɝɪɭɩɢ (n=154)

ɒɤɚɥɢ

ɱɨɥɨɜɿɤɢ (n=96) ɠɿɧɤɢ (n=55)

1. Ɏɿɡɢɱɧɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɎɎ) 37,14±3,72 54,17±6,23 2. Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɊɎɎɋ), ɡɭɦɨɜɥɟɧɟ ɩɪɨɛɥɟɦɚɦɢ ɮɿɡɢɱɧɨɝɨ ɡɞɨɪɨɜ’ɹ 29,32±2,56 38,4±2,86

3. ȱɧɬɟɧɫɢɜɧɿɫɬɶ ɛɨɥɸ (ȱȻ) 35,47±2,34 54,8±5,47

4. Ɂɚɝɚɥɶɧɢɣ ɫɬɚɧ ɡɞɨɪɨɜ’ɹ (ɁɋɁ) 34,4±2,76 49,2±3,12 5. ɀɢɬɬɽɜɚ ɚɤɬɢɜɧɿɫɬɶ (ɀȺ) 45,6±3,99 53,6±4,81

(5)

ɬɚ 42,35±3,55 ɛɚɥɚ) ɬɚ ɩɫɢɯɨɥɨɝɿɱɧɨɝɨ (45,39±4,27

ɬɚ 52,63±4,68 ɛɚɥɚ) ɤɨɦɩɨɧɟɧɬɿɜ ɭ ɨɫɿɛ ɡ ȱȱ ɬɚ ȱȱȱ

ɝɪɭɩɚɦɢ ɿɧɜɚɥɿɞɧɨɫɬɿ ɜɿɞɩɨɜɿɞɧɨ, ɦɨɠɧɚ ɤɨɧɫɬɚ

-ɬɭɜɚɬɢ, ɳɨ ɨɬɪɢɦɚɧɨ ɞɨɫɬɨɜɿɪɧɭ ɪɿɡɧɢɰɸ ɦɿɠ

ɞɚɧɢɦɢ ɪɟɫɩɨɧɞɟɧɬɚɦɢ (p<0,05).

Ɏɿɡɢɱɧɿ ɧɚɜɚɧɬɚɠɟɧɧɹ, ɡ ɹɤɢɦɢ ɿɧɜɚɥɿɞɢ ȱȱ

ɝɪɭɩɢ (66,2 %) ɫɬɢɤɚɥɢɫɹ ɩɪɨɬɹɝɨɦ ɫɜɨɝɨ ɡɜɢɱɚɣ

-ɧɨɝɨ ɞɧɹ,ɦɚɥɢ ɡɧɚɱɧɟ ɨɛɦɟɠɟɧɧɹ ɩɪɢ ɜɢɤɨɧɚɧɧɿ

ɜɚɠɤɢɯ ɮɿɡɢɱɧɢɯ ɧɚɜɚɧɬɚɠɟɧɶ (ɛɿɝ, ɩɿɞɧɹɬɬɹ ɜɚ

-ɝɢ, ɡɚɧɹɬɬɹ ɫɢɥɨɜɢɦɢ ɜɢɞɚɦɢ ɫɩɨɪɬɭ ɬɚ ɿɧɲɟ)

ɩɨɪɿɜɧɹɧɨ ɡ ɨɫɨɛɚɦɢ ɡ ȱȱȱ ɝɪɭɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ, ɜ

ɹɤɿɣ ɜɿɞɦɿɱɚɥɢɫɹ ɩɨɦɿɪɧɿ ɨɛɦɟɠɟɧɧɹ, ɜɿɞɩɨɜɿɞɧɨ

42,35 ɛɚɥɚ (ɬɚɛɥ. 5).

Ⱥɧɚɥɿɡ ɞɚɧɢɯ ɲɤɚɥɢ «Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧ

-ɧɹ,ɡɭɦɨɜɥɟɧɟ ɮɿɡɢɱɧɢɦ ɫɬɚɧɨɦ», ɩɨɤɚɡɚɜ ɡɧɚɱɧɟ

ɭɬɪɭɞɧɟɧɧɹ ɭ ɜɢɤɨɧɚɧɧɿ ɪɨɛɨɬɢ ɱɢ ɿɧɲɨʀ ɩɨɜɫɹɤ

-ɝɪɭɩɨɸ. ɇɢɡɶɤɿ ɩɨɤɚɡɧɢɤɢ ɡɚ ɲɤɚɥɚɦɢ ɎɎ ɬɚ

ɊɎɎɋ ɜ ɨɛɨɯ ɝɪɭɩɚɯ ɫɜɿɞɱɢɥɢ ɩɪɨ ɬɟ,ɳɨ ɩɨɜɫɹɤ

-ɞɟɧɧɚ ɞɿɹɥɶɧɿɫɬɶ ɞɥɹ ɩɟɪɲɢɯ ɛɭɥɚ ɡɧɚɱɧɨ ɨɛɦɟ

-ɠɟɧɚ ɮɿɡɢɱɧɢɦ ɫɬɚɧɨɦ ɯɜɨɪɨɝɨ, ɚ ɞɥɹ ɞɪɭɝɢɯ –

ɩɨɦɿɪɧɨ. Ɏɿɡɢɱɧɚ ɚɤɬɢɜɧɿɫɬɶ ɿɧɜɚɥɿɞɿɜ ɨɛɨɯ ɝɪɭɩ

ɛɭɥɚ ɬɚɤɨɠ ɨɛɦɟɠɟɧɚ ɡɧɚɱɧɨ ɬɚ ɩɨɦɿɪɧɨ (ɜɿɞɩɨ

-ɜɿɞɧɨ ɝɪɭɩɚɦ ɿɧɜɚɥɿɞɧɨɫɬɿ) ɫɬɚɧɨɦ ʀɯ ɡɞɨɪɨɜ’ɹ ɜ

ɬɟɩɟɪɿɲɧɿɣ ɱɚɫ.

ɉɪɢ ɨɰɿɧɰɿ ɫɬɚɧɭ ɡɞɨɪɨɜ’ɹ ɯɜɨɪɢɯ ɡɚ ɲɤɚɥɨɸ

«Ɂɚɝɚɥɶɧɢɣ ɫɬɚɧ ɡɞɨɪɨɜ’ɹ» ɿɧɜɚɥɿɞɢ ȱȱ ɝɪɭɩɢ

ɨɰɿɧɢɥɢ ɣɨɝɨ ɹɤ ɩɨɝɚɧɟ ɱɢ ɩɨɫɟɪɟɞɧɽ ɭ 90,1 %

ɩɨɪɿɜɧɹɧɨ ɡ ɿɧɜɚɥɿɞɚɦɢ ȱȱȱ ɝɪɭɩɢ, ɞɟ 52 % ɨɰɿɧɢ

-ɥɢ ɫɜɨɽ ɡɞɨɪɨɜ'ɹ ɹɤ «ɩɨɫɟɪɟɞɧɽ», ɩɪɢ ɰɶɨɦɭ 34 %

ɨɩɢɬɚɧɢɯ ɜɿɞɡɧɚɱɢɥɢ, ɳɨ ɩɨɪɿɜɧɹɧɨ ɡ ɩɨɩɟɪɟɞɧɿɦ

ɪɨɤɨɦ ɦɚɣɠɟ ɬɚɤɟ ɫɚɦɟ, ɚ ɭ ɩɟɪɲɢɯ ɜɨɧɨ ɫɬɚɥɨ

ɧɚɛɚɝɚɬɨ ɝɿɪɲɟ – ɧɚ 2,6 %, ɞɟɳɨ ɝɿɪɲɟ – ɧɚ 8,9 %.

ɉɨɤɚɡɧɢɤɢ əɀ ɿɧɜɚɥɿɞɿɜ ɡɚɥɟɠɧɨ ɜɿɞ ɫɬɭɩɟɧɹ ɨɛɦɟɠɟɧɧɹ ɠɢɬɬɽɞɿɹɥɶɧɨɫɬɿ ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ (ɛɚɥɢ ɡɚ ɲɤɚɥɨɸ SF-36, M±m)

ȱɧɜɚɥɿɞɢ (n=225)

ɒɤɚɥɢ

ȱȱ ɝɪɭɩɚ (n=71) ȱȱȱ ɝɪɭɩɚ (n=154)

1. Ɏɿɡɢɱɧɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɎɎ) 31,4±2,23 42,53±3,17 2. Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɊɎɎɋ), ɡɭɦɨɜɥɟɧɟ ɮɿɡɢɱɧɢɦ ɫɬɚɧɨɦ 31,69±2,54 36,61±2,69

3. ȱɧɬɟɧɫɢɜɧɿɫɬɶ ɛɨɥɸ (ȱȻ) 41,67±4,34 49,87±4,21 4. Ɂɚɝɚɥɶɧɢɣ ɫɬɚɧ ɡɞɨɪɨɜ’ɹ (ɁɋɁ) 34,22±2,52 39,33±3,48 5. ɀɢɬɬɽɜɚ ɚɤɬɢɜɧɿɫɬɶ (ɀȺ) 28,89±2,67 50,94±4,87 6. ɋɨɰɿɚɥɶɧɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ (ɋɎ) 49,35±4,55 63,35±5,46 7. Ɋɨɥɶɨɜɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ,ɡɭɦɨɜɥɟɧɟ ɟɦɨɰɿɣɧɢɦ ɫɬɚɧɨɦ (ɊɎȿɋ) 49,26±4,19 45,29±4,34

8. ɉɫɢɯɿɱɧɟ ɡɞɨɪɨɜ’ɹ (ɉɁ) 41,29±4,02 52,02±4,71

ɉ ɪ ɢ ɦ ɿ ɬ ɤ ɚ: ɞɨɫɬɨɜɿɪɧɿɫɬɶ ɪɿɡɧɢɰɶ ɦɿɠ ɝɪɭɩɚɦɢ ɡɚ ɫɬɭɩɟɧɟɦ ɨɛɦɟɠɟɧɧɹ ɠɢɬɬɽɞɿɹɥɶɧɨɫɬɿ (p<0,05).

Ⱥɧɚɥɿɡ ɞɚɧɢɯ ɡɚ ɲɤɚɥɨɸ «ɀɢɬɬɽɜɚ ɚɤɬɢɜ

-ɧɿɫɬɶ»ɜɢɹɜɢɜ ɧɚɣɦɟɧɲ ɧɢɡɶɤɢɣ ɩɨɤɚɡɧɢɤ ɜ ɿɧɜɚ

-ɥɿɞɿɜ ȱȱ ɝɪɭɩɢ ɫɟɪɟɞ ɜɫɿɯ ɩɨɤɚɡɧɢɤɿɜ,ɹɤɿ ɫɜɿɞɱɢɥɢ

ɩɪɨ ɫɬɨɦɥɟɧɧɹ ɬɚ ɡɧɢɠɟɧɧɹ ɠɢɬɬɽɜɨʀ ɚɤɬɢɜɧɨɫɬɿ

ɜɧɚɫɥɿɞɨɤ ɡɚɯɜɨɪɸɜɚɧɧɹ, ɞɥɹ ɨɫɿɛ ɡ ȱȱȱ ɝɪɭɩɨɸ,

ɧɚɜɩɚɤɢ, ɰɟɣ ɩɨɤɚɡɧɢɤ ɞɨɫɹɝɚɜ ɫɟɪɟɞɧɶɨɝɨ ɪɿɜɧɹ

(50,94±4,87 ɛɚɥɚ). ȱɧɜɚɥɿɞɢ ȱȱ ɝɪɭɩɢ ɜɿɞɱɭɜɚɥɢ

ɫɟɛɟ ɡɧɟɫɢɥɟɧɢɦɢ ɩɨɪɿɜɧɹɧɨ ɡ ȱȱȱ ɩɪɚɤɬɢɱɧɨ ɜ 1,8

ɪɚɡɭ. ȼɢɹɜɥɟɧɚ ɞɨɫɬɨɜɿɪɧɚ ɪɿɡɧɢɰɹ ɩɨɤɚɡɧɢɤɿɜ

ɹɤɨɫɬɿ ɠɢɬɬɹ ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ (p<0,05), ɳɨ

ɩɿɞɬɜɟɪɞɠɭɽɬɶɫɹ ɛɿɥɶɲ ɝɥɢɛɨɤɢɦɢ ɡɦɿɧɚɦɢ ɨɫɨ

-ɛɢɫɬɨɫɬɿ ɯɜɨɪɨɝɨ, ɹɤɿ ɫɭɩɪɨɜɨɞɠɭɸɬɶɫɹ ɧɚɤɨɩɢ

-ɱɟɧɧɹɦ ɨɫɨɛɢɫɬɨʀ ɬɪɢɜɨɠɧɨɫɬɿ, ɳɨ ɦɨɠɟ ɩɪɢ

-ɡɜɟɫɬɢ ɞɨ ɜɢɧɢɤɧɟɧɧɹ ɞɟɩɪɟɫɢɜɧɨɝɨ ɫɬɚɧɭ ɧɟɜɪɨ

-ɬɢɱɧɨɝɨ ʉɟɧɟɡɭ ɬɚ ɡɧɢɠɟɧɧɹ ɪɟɚɛɿɥɿɬɚɰɿɣɧɨɝɨ

ɩɨɬɟɧɰɿɚɥɭ.

Ⱦɨɫɥɿɞɠɟɧɧɹ ɨɰɿɧɤɢ ɩɨɤɚɡɧɢɤɿɜ ɲɤɚɥɢ «ɋɨ

-ɰɿɚɥɶɧɟ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ» ɩɨɤɚɡɚɥɨ, ɳɨ ɿɧɜɚɥɿɞɢ

ȱȱ ɝɪɭɩɢ ɨɰɿɧɢɥɢ ɣɨɝɨ ɧɚ 49,35±4,55 ɛɚɥɚ ɭ ɫɮɟ

-ɪɚɯ ɫɨɰɿɚɥɶɧɨʀ ɚɤɬɢɜɧɨɫɬɿ ɬɚ ɫɩɿɥɤɭɜɚɧɧɹ, ɡ ȱȱȱ

ɝɪɭɩɨɸ – ɧɚ 63,35±5,46 ɛɚɥɚ. Ɂɧɚɱɧɨɝɨ ɧɟɝɚɬɢɜ

-ɧɨɝɨ ɜɩɥɢɜɭ ɫɬɚɧɭ ɡɞɨɪɨɜ’ɹ ɧɚ ɫɩɿɥɤɭɜɚɧɧɹ ɡ ɪɨ

-ɞɢɧɨɸ, ɞɪɭɡɹɦɢ, ɫɭɫɿɞɚɦɢ ɚɛɨ ɜ ɤɨɥɟɤɬɢɜɿ ɭ

ɞɨɫɥɿɞɠɭɜɚɧɢɯ ɧɟ ɛɭɥɨ ɜɢɹɜɥɟɧɨ. ɍ ɰɢɯ ɯɜɨɪɢɯ

ɪɿɜɟɧɶ ɫɨɰɿɚɥɶɧɢɯ ɤɨɧɬɚɤɬɿɜ, ɧɟɡɜɚɠɚɸɱɢ ɧɚ

ɜɿɞɧɨɫɧɨ ɡɧɢɠɟɧɿ ɩɨɤɚɡɧɢɤɢ ɎɎ ɬɚ ɁɋɁ, ɛɭɜ

ɜɿɞɧɨɫɧɨ ɡɛɟɪɟɠɟɧɢɦ ɿ ɜɿɞɦɿɱɚɜɫɹ ɜ ɦɟɠɚɯ ɫɟ

(6)

ɋɈɐȱȺɅɖɇȺ ɆȿȾɂɐɂɇȺ

Ɉɰɿɧɤɚ ɩɨɤɚɡɧɢɤɿɜ ɲɤɚɥɢ «Ɋɨɥɶɨɜɟ ɮɭɧɤ

-ɰɿɨɧɭɜɚɧɧɹ, ɡɭɦɨɜɥɟɧɟ ɟɦɨɰɿɣɧɢɦ ɫɬɚɧɨɦ» ɜ

ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ ɩɨɤɚɡɚɥɚ ɪɿɜɟɧɶ ɜɩɥɢɜɭ ɟɦɨ

-ɰɿɣɧɨɝɨ ɫɬɚɧɭ ɧɚ ɜɢɤɨɧɚɧɧɹ ɪɨɛɨɬɢ ɱɢ ɩɨɜɫɹɤ

-ɞɟɧɧɨʀ ɞɿɹɥɶɧɨɫɬɿ (ɜɤɥɸɱɚɸɱɢ ɜɟɥɢɤɿ ɜɢɬɪɚɬɢ

ɱɚɫɭ, ɡɦɟɧɲɟɧɧɹ ɨɛɫɹɝɭ ɪɨɛɨɬɢ, ɡɧɢɠɟɧɧɹ ʀʀ

ɹɤɨɫɬɿ ɬɚ ɿɧɲɟ), ɹɤɢɣ ɫɬɚɧɨɜɢɜ 49,26±4,19 ɛɚɥɚ,

ɳɨ ɦɨɠɧɚ ɿɧɬɟɪɩɪɟɬɭɜɚɬɢ,ɹɤ ɫɟɪɟɞɧɿɣ, ɜ ɨɫɿɛ ȱȱȱ

ɝɪɭɩɢ – 45,29±4,34 ɛɚɥɚ. ɉɨɪɿɜɧɹɧɨ ɡ ɜɿɞɩɨɜɿɞ

-ɧɢɦɢ ɩɚɪɚɦɟɬɪɚɦɢ ɰɟ ɫɜɿɞɱɢɥɨ ɩɪɨ ɬɟ, ɳɨ ɟɦɨ

-ɰɿɣɧɢɣ ɫɬɚɧ ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ ɡɚɥɟɠɚɜ ɜɿɞ ɫɬɭ

-ɩɟɧɹ ɩɪɨɹɜɿɜ ɧɟɜɪɨɥɨɝɿɱɧɢɯ ɫɢɧɞɪɨɦɿɜ ɬɚ ɡɚɝɚɥɶ

-ɧɨɝɨ ɫɬɚɧɭ ɡɞɨɪɨɜ’ɹ ɿ ɩɟɜɧɨɸ ɦɿɪɨɸ ɜɩɥɢɜɚɜ ɧɚ

ɫɩɿɥɤɭɜɚɧɧɹ ɡ ɪɨɞɢɧɨɸ, ɞɪɭɡɹɦɢ, ɫɭɫɿɞɚɦɢ ɚɛɨ

ɤɨɦɩɚɧɿɹɦɢ,ɨɫɨɛɥɢɜɨ ɜ 48 %. ȼ ɿɧɜɚɥɿɞɿɜ ȱȱȱ ɝɪɭ

-ɩɢ ɜɢɹɜɢɥɨɫɶ, ɳɨ ɰɟɣ ɩɨɤɚɡɧɢɤ ɭ 16,2 % ɞɟɳɨ

ɧɢɠɱɢɣ. ɇɟɡɚɞɨɜɨɥɟɧɢɦɢ ɭ ɫɩɿɥɤɭɜɚɧɧɿ ɡ ɨɬɨ

-ɱɭɸɱɢɦɢ ɛɭɥɢ 24 % ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ ɬɚ 36 % ȱȱȱ,

ɩɪɢ ɰɶɨɦɭ ɜɢɹɜɥɹɥɚɫɹ ɧɟɡɚɞɨɜɨɥɟɧɿɫɬɶ ɩɿɞɬɪɢɦ

-ɤɨɸ,ɹɤɭ ɨɬɪɢɦɭɜɚɥɢ ɜɿɞ ɞɪɭɡɿɜ.

ɉɪɢ ɜɢɜɱɟɧɧɿ ɩɨɤɚɡɧɢɤɿɜ ɲɤɚɥɢ «ɉɫɢɯɿɱɧɟ

ɡɞɨɪɨɜ’ɹ» ɜ ɿɧɜɚɥɿɞɿɜ ȱȱ ɬɚ ȱȱȱ ɝɪɭɩ ɡɚɝɚɥɶɧɢɣ

ɩɨɤɚɡɧɢɤ ɫɬɚɧɨɜɢɜ 41,29±4,02 ɬɚ 52,02±4,71 ɛɚɥɚ,

ɜɿɞɩɨɜɿɞɧɨ, ɳɨ ɫɜɿɞɱɢɥɨ ɩɪɨ ɜɿɞɫɭɬɧɿɫɬɶ

ɫɭɛ’ɽɤɬɢɜɧɢɯ ɩɪɨɹɜɿɜ ɡɧɚɱɧɨ ɜɢɪɚɠɟɧɨʀ ɞɟɩɪɟɫɿʀ

ɚɛɨ ɡɧɚɱɧɨɝɨ ɩɨɪɭɲɟɧɧɹ ɧɚɫɬɪɨɸ.

Ɍɚɤɢɦ ɱɢɧɨɦ,ɭ ɥɸɞɟɣ ɡ ɨɛɦɟɠɟɧɢɦɢ ɦɨɠɥɢ

-ɜɨɫɬɹɦɢ ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫɬɟɦɢ ȱȱ ɬɚ ȱȱȱ ɝɪɭɩ ɿɧɜɚɥɿɞɧɨɫɬɿ ɜ ɫɭɤɭɩɧɨɫɬɿ ɫɬɪɭɤɬɭɪɧɢɯ

ɱɢɧɧɢɤɿɜ ɡɞɨɪɨɜ'ɹ: ɮɿɡɢɱɧɨɝɨ (31,52±2,49 ɬɚ

42,35±3,55 ɛɚɥɚ) ɿ ɩɫɢɯɨɥɨɝɿɱɧɨɝɨ (45,39±4,27 ɬɚ 52,63±4,68 ɛɚɥɚ) ɜɢɹɜɥɟɧɨ ɪɿɜɟɧɶ ɹɤɨɫɬɿ ɠɢɬɬɹ

ɧɢɠɱɟ ɫɟɪɟɞɧɶɨɝɨ, ɳɨ ɫɜɿɞɱɢɥɨ ɩɪɨ ɧɢɡɶɤɢɣ

ɪɿɜɟɧɶ ɫɨɰɿɚɥɶɧɨʀ ɚɞɚɩɬɚɰɿʀ ɬɚ ɫɨɰɿɚɥɿɡɚɰɿʀ.

ȼɂɋɇɈȼɄɂ

1. Ⱦɨɜɟɞɟɧɨ, ɳɨ ɜ ɿɧɜɚɥɿɞɿɜ ȱȱ ɝɪɭɩɢ ɜɿɞɦɿ

-ɱɚɥɨɫɹ ɡɧɚɱɧɟ ɡɧɢɠɟɧɧɹ ɩɨɤɚɡɧɢɤɿɜ əɀ ɡɚ

ɛɿɥɶɲɿɫɬɸ ɲɤɚɥ ɨɩɢɬɭɜɚɥɶɧɢɤɚ SF-36, ɨɫɨɛɥɢɜɨ

ɩɨɤɚɡɧɢɤɿɜ ɪɨɥɶɨɜɨɝɨ ɮɭɧɤɰɿɨɧɭɜɚɧɧɹ, ɡɭɦɨɜɥɟ

-ɧɨɝɨ ɮɿɡɢɱɧɢɦ ɬɚ ɟɦɨɰɿɣɧɢɦ ɫɬɚɧɚɦɢ, ɹɤɿ ɩɪɚɤ

-ɬɢɱɧɨ ɜ ɞɜɚ ɪɚɡɢ ɛɭɥɢ ɧɢɠɱɟ ɜɿɞɩɨɜɿɞɧɢɯ ɩɨɤɚɡ

-ɧɢɤɿɜ ɭ ɨɫɿɛ ȱȱȱ ɝɪɭɩɢ.

2. ȼɢɡɧɚɱɟɧɨ,ɳɨ ɜ ɨɫɿɛ ɡ ɨɛɦɟɠɟɧɢɦɢ ɦɨɠɥɢ

-ɜɨɫɬɹɦɢ ɜɧɚɫɥɿɞɨɤ ɧɟɜɪɨɥɨɝɿɱɧɢɯ ɡɚɯɜɨɪɸɜɚɧɶ ɡ ȱȱ ɝɪɭɩɨɸ ɿɧɜɚɥɿɞɧɨɫɬɿ ɹɤɿɫɬɶ ɠɢɬɬɹ ɡɚ ɞɚɧɢɦɢ

ɨɩɢɬɭɜɚɥɶɧɢɤɚ SF-36 ɛɭɥɚ ɫɬɚɬɢɫɬɢɱɧɨ ɡɧɢɠɟɧɚ

ɛɿɥɶɲɨɸ ɦɿɪɨɸ, ɧɿɠ ɡ ȱȱȱ ɝɪɭɩɨɸ, ɫɨɰɿɚɥɶɧɨ

-ɩɫɢɯɨɥɨɝɿɱɧɚ ɨɰɿɧɤɚ ɡɚɝɚɥɶɧɨɝɨ ɡɞɨɪɨɜ’ɹ ɩɪɢ ȱȱȱ

ɝɪɭɩɿ ɿɧɜɚɥɿɞɧɨɫɬɿ ɛɭɥɚ ɜɢɳɟ ɫɟɪɟɞɧɶɨʀ, ɩɪɢ ȱȱ

ɝɪɭɩɿ – ɧɟɡɚɞɨɜɿɥɶɧɨɸ; ɧɚɣɛɿɥɶɲ ɡɧɚɱɭɳɢɣ

ɜɩɥɢɜ ɧɚ ɩɫɢɯɿɱɧɟ ɡɞɨɪɨɜ’ɹ ɱɢɧɢɥɢ ɧɟɝɚɬɢɜɧɿ

ɟɦɨɰɿɣɧɿ ɩɪɨɹɜɢ.

3. ȼɫɬɚɧɨɜɥɟɧɨ, ɳɨ ɦɟɧɲ ɚɞɚɩɬɨɜɚɧɢɦɢ ɛɭɥɢ

ɨɫɨɛɢ ɱɨɥɨɜɿɱɨʀ ɫɬɚɬɿ, ɩɪɟɞɫɬɚɜɧɢɤɢ ɜɿɤɨɜɨʀ

ɝɪɭɩɢ ɜɿɞ 40 ɞɨ 60 ɪɨɤɿɜ ɡ ɧɢɡɶɤɢɦ ɪɿɜɧɟɦ ɧɟɡɚ

-ɥɟɠɧɨɫɬɿ ɜɿɞ ɪɨɞɢɧɢ ɬɚ ɫɭɫɩɿɥɶɫɬɜɚ.ɀɿɧɤɢ ɜɿɞɱɭ

-ɜɚɥɢ ɫɨɰɿɚɥɶɧɭ ɩɿɞɬɪɢɦɤɭ ɬɚ ɡɚɣɦɚɥɢ ɚɤɬɢɜɧɭ

ɠɢɬɬɽɜɭ ɩɨɡɢɰɿɸ, ɚɥɟ ɦɚɥɢ ɧɢɠɱɭ ɫɚɦɨɨɰɿɧɤɭ ɣ

ɫɢɥɶɧɿ ɧɟɝɚɬɢɜɧɿ ɩɟɪɟɠɢɜɚɧɧɹ.

4. Ⱦɨɜɟɞɟɧɨ, ɳɨ ɨɩɢɬɭɜɚɥɶɧɢɤ ɹɤɨɫɬɿ ɠɢɬɬɹ

SF-36 ɽ ɧɚɞɿɣɧɢɦ, ɜɚɥɿɞɧɢɦ ɬɚ ɜɢɫɨɤɨɿɧɮɨɪɦɚ

-ɬɢɜɧɢɦ ɡɪɭɱɧɢɦ ɦɟɬɨɞɨɦ ɨɰɿɧɤɢ ɮɿɡɢɱɧɨɝɨ ɬɚ

ɩɫɢɯɿɱɧɨɝɨ ɫɬɚɧɭ ɡɞɨɪɨɜ’ɹ ɥɸɞɢɧɢ ɡ ɨɛɦɟɠɟɧɢɦɢ

ɦɨɠɥɢɜɨɫɬɹɦɢ ɜɧɚɫɥɿɞɨɤ ɯɜɨɪɨɛ ɧɟɪɜɨɜɨʀ ɫɢɫ

-ɬɟɦɢ ɿ ɞɨɡɜɨɥɹɽ ɡɞɿɣɫɧɸɜɚɬɢ ɤɨɧɬɪɨɥɶ ɡɚ ɪɿɡɧɨ

-ɦɚɧɿɬɧɢɦɢ ɫɤɥɚɞɨɜɢɦɢ ɠɢɬɬɽɞɿɹɥɶɧɨɫɬɿ ɬɚ ɦɚɽ ɩɪɨɝɧɨɫɬɢɱɧɟ ɡɧɚɱɟɧɧɹ ɜɿɞɧɨɫɧɨ ɟɮɟɤɬɢɜɧɨɫɬɿ

ɪɟɚɛɿɥɿɬɚɰɿʀ,ɪɟɚɞɚɩɬɚɰɿʀ ɬɚ ɪɟɫɨɰɿɚɥɿɡɚɰɿʀ.

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1. Ȼɟɥɨɜɚ Ⱥ.ɇ.ɒɤɚɥɵ,ɬɟɫɬɵ ɢ ɨɩɪɨɫɧɢɤɢ ɜ ɧɟɜ -ɪɨɥɨɝɢɢ ɢ ɧɟɣɪɨɯɢɪɭɪɝɢɢ. Ɋɭɤɨɜɨɞɫɬɜɨ ɞɥɹ ɜɪɚɱɟɣ / Ⱥ.ɇ.Ȼɟɥɨɜɚ. – Ɇ.:Ⱥɧɬɢɞɨɪ, 2004. – 440 ɫ.

2. Ƚɨɥɢɤ ȼ.Ⱥ.ɋɪɚɜɧɢɬɟɥɶɧɵɣ ɚɧɚɥɢɡ ɨɰɟɧɤɢ ɤɚ-ɱɟɫɬɜɚ ɠɢɡɧɢ ɛɨɥɶɧɵɯ ɪɚɫɫɟɹɧɧɵɦ ɫɤɥɟɪɨɡɨɦ ɢ ɯɪɨ-ɧɢɱɟɫɤɢɦɢ ɢɧɜɚɥɢɞɢɡɢɪɭɸɳɢɦɢ ɫɨɦɚɬɢɱɟɫɤɢɦɢ ɡɚɛɨ-ɥɟɜɚɧɢɹɦɢ / ȼ.Ⱥ. Ƚɨɥɢɤ // ɍɤɪ. ɧɟɜɪɨɥ. ɠɭɪɧɚɥ. – 2010. – ʋ 1. – C. 82–87.

3. ɂɧɜɚɥɢɞɧɨɫɬɶ,ɫɨɫɬɨɹɧɢɟ ɡɞɨɪɨɜɶɹ ɢ ɤɚɱɟɫɬɜɨ ɠɢɡɧɢ ɢɧɜɚɥɢɞɨɜ ɜɨɣɧɵ ɢ ɩɭɬɢ ɨɩɬɢɦɢɡɚɰɢɢ ɢɯ ɫɨɰɢ-ɚɥɶɧɨɣ ɡɚɳɢɬɵ / ɋ.ɇ.ɉɭɡɢɧ, Ȼ.ɇ.ɏɭɛɭɬɢɹ, Ʌ.ɇ. ɑɢ-ɤɢɧɨɜɚ:ɦɨɧɨɝɪɚɮɢɹ. – Ɇ., 2009. – 173 ɫ.

4. Ʌɟɯɚɧ ȼ.Ɇ. əɤɿɫɬɶ ɠɢɬɬɹ ɯɜɨɪɢɯ ɧɚ ɯɪɨɧɿɱɧɿ ɡɚɯɜɨɪɸɜɚɧɧɹ ɬɚ ɿɧɜɚɥɿɞɿɜ: ɡɚɝɚɥɶɧɿ ɡɚɤɨɧɨɦɿɪɧɨɫɬɿ / ȼ.Ɇ.Ʌɟɯɚɧ, Ⱥ.ȼ.ȱɩɚɬɨɜ, ɋ.ɋ.ɉɚɧɿɧɚ // ȼɿɫɧɢɤ ɫɨ-ɰɿɚɥɶɧɨʀ ɝɿɝɿɽɧɢ ɬɚ ɨɪɝɚɧɿɡɚɰɿʀ ɨɯɨɪɨɧɢ ɡɞɨɪɨɜ'ɹ ɍɤ-ɪɚʀɧɢ. – 2004. – ʋ 3. – C. 20-24.

5. Ɇɨɪɨɡɨɜɚ ȿ.ȼ. ɋɨɰɢɚɥɶɧɨ-ɩɫɢɯɨɥɨɝɢɱɟɫɤɢɟ ɚɫɩɟɤɬɵ ɪɟɚɛɢɥɢɬɚɰɢɢ ɢɧɜɚɥɢɞɨɜ ɜ ɩɪɚɤɬɢɤɟ ɦɟɞɢɤɨ-ɫɨɰɢɚɥɶɧɨɣ ɷɤɫɩɟɪɬɢɡɵ / ȿ.ȼ.Ɇɨɪɨɡɨɜɚ,Ȼ.ɇ.ɏɭɛɭɬɢɹ // ȼɟɫɬɧɢɤ ȼɫɟɪɨɫ. ɨɛ-ɜɚ ɫɩɟɰɢɚɥɢɫɬɨɜ ɩɨ ɦɟɞɢɤɨ-ɫɨɰɢɚɥɶɧɨɣ ɷɤɫɩɟɪɬɢɡɟ, ɦɟɞɢɤɨ-ɫɨɰɢɚɥɶɧɨɣ ɪɟɚɛɢɥɢ-ɬɚɰɢɢ ɢ ɪɟɚɛɢɥɢɬɚɰɢɨɧɧɨɣ ɢɧɞɭɫɬɪɢɢ. – 2006. – ʋ 3– 4. – ɋ. 74-77.

6. ɇɨɜɢɤ Ⱥ.Ⱥ.ɂɧɬɟɝɪɚɥɶɧɵɣ ɩɨɤɚɡɚɬɟɥɶ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ – ɧɨɜɚɹ ɤɚɬɟɝɨɪɢɹ ɜ ɤɨɧɰɟɩɰɢɢ ɢɫɫɥɟɞɨɜɚɧɢɹ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ / Ⱥ.Ⱥ.ɇɨɜɢɤ, Ɍ.ɂ.ɂɨɧɨɜɚ // ȼɟɫɬɧɢɤ ɤɚɱɟɫɬɜɚ ɠɢɡɧɢ. – 2006. – ʋ 7–8. – ɋ. 111-116.

7. ɇɨɜɢɤ Ⱥ.Ⱥ.Ɋɭɤɨɜɨɞɫɬɜɨ ɩɨ ɢɫɫɥɟɞɨɜɚɧɢɸ ɤɚ-ɱɟɫɬɜɚ ɠɢɡɧɢ ɜ ɦɟɞɢɰɢɧɟ / Ⱥ.Ⱥ.ɇɨɜɢɤ,Ɍ.ɂ.ɂɨɧɨɜɚ. –ɋɉɛ.:ɂɡɞɚɬ.ɞɨɦ «ɇɟɜɚ»;Ɇ.:ɈɅɆȺ-ɉɊȿɋɋ Ɂɜɟɡɞ-ɧɵɣ ɦɢɪ, 2002. – 320 ɫ.

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9. An investigation into the health-related quality of life of individuals living with HIV who are receiving HAART / Jelsma J. [et al.] // AIDS Care. – 2005. – Vol. 17, N 5. – P. 579-88.

Motl, Edward McAuley, Erin M. Snook, Rachael C. Gliottoni // Psychol Health Med. – 2009. – Vol. 14, N 1. – P. 111-124.

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