Luk'ianova I E, Sukhanov V G, Sigida E A
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2007 Jan-Feb(1):36-9.
The research in the field of theoretical methodological problems of preservation and recovery of population health on the basis of studying the impact of the social and biological factors is high-top priority guideline of the strategy and tactics of health care in enhancing the medical social care. The actuality of consideration in the Russian Federation the concept of the rehabilitation care to people with vital activity restrictions depends on many reasons. The patients with stoma consist a specific group of persons survived severe disease or trauma or very often mutilating "stomic" operation which entailed the above-mentioned vital activity restrictions. Among people with intestine or ureter stoma , the disability substantially differs from any other disability developed due to other causes. The rehabilitation as an active form of the social protection is to be directed towards preserving the quality of life of "stomised" patients and changing their social position i.e. engaging into community. It is assumed that the community adaptation to the specific needs of such category of disabled persons and environment alteration are the most necessary components of the medical social rehabilitation.
基于对社会和生物因素影响的研究，在人口健康保护与恢复的理论方法问题领域开展研究，是加强医疗社会护理过程中医护战略和策略的重中之重。在俄罗斯联邦，考虑针对有生命活动受限人群的康复护理概念具有现实意义，这取决于多种原因。造口患者是经历过严重疾病或创伤、或经常接受致残性“造口”手术且导致上述生命活动受限的特定人群。在有肠道或输尿管造口的人群中，残疾情况与因其他原因导致的任何其他残疾有很大不同。康复作为一种积极的社会保护形式，应旨在维护“有造口”患者的生活质量并改变他们的社会地位，即融入社区。据推测，社区适应这类残疾人的特殊需求以及改变环境是医疗社会康复最必要的组成部分。
