Kanevskaia S S, Smirnov E A, Krasotchenko L B, Sakharova O P
Probl Tuberk. 1990(12):16-9.
The social and clinical background of 1,043 tuberculosis patients newly recognized as disabled was studied. A complex study of the interrelation between tuberculosis-induced disability and medical and social factors was undertaken. Ineffective treatment proved to be the leading cause of disability, associating with untimely detection of the disease in 19.4% of the cases, irregular chemotherapy in 51.2%, concurrent chronic alcohol abuse in 31.4% as well as with insufficient use of surgical interventions and disruptions in the treatment continuity at its different stages. An important role in establishing the disability belongs to a low qualification level of the patients, their ++counter-indicated occupational conditions and the associated difficulties in their employment. A possible drop in the disability extent depends upon a number of issues dealing with preventive, diagnostic, therapeutic and social activities.
对1043名新认定为残疾的结核病患者的社会和临床背景进行了研究。对结核病所致残疾与医学和社会因素之间的相互关系进行了综合研究。无效治疗被证明是导致残疾的主要原因,在19.4%的病例中与疾病发现不及时有关,在51.2%的病例中与化疗不规律有关,在31.4%的病例中与同时存在慢性酒精滥用有关,还与手术干预使用不足以及治疗不同阶段的连续性中断有关。患者资质水平低、其职业条件禁忌以及相关就业困难在确定残疾方面起着重要作用。残疾程度可能降低取决于一系列与预防、诊断、治疗和社会活动相关的问题。