Vartbaronov R A, Koliagin V Ia, Karlov V N, Krylov Iu V, Chernov O E
Aviakosm Ekolog Med. 1995;29(5):15-9.
Some theoretical aspects of the rehabilitation problem and its interaction with the problem of professional health of pilot have been discussed in this paper. The authors have proposed methodologic approaches to the essence of medical and professional rehabilitation; classification of the main directions and types of rehabilitation, the principles of its application in flying practice as well as the question about economic advisability have been studied. As the main lines of medical rehabilitation there suggests the nosologic, psychologic and physiologic, professional (singly) rehabilitation with consideration of the labile and base components of professional health of pilot. As the base principle of rehabilitation there advances an etiopathogenic approach to the use of different means and methods of rehabilitation treatment and correction of a changed functional state. General requirements upon provision of multilevel, differential, individual, accessible and adequate rehabilitation are formulated. The method to calculate the economic effect of rehabilitation measures at the expense of savings in costs of pilot personnel by increasing the flight longevity and decreasing the number of flights necessary for maintaining the given level of combat effectiveness is proposed. The classifier of the main directions and types of rehabilitation is presented.
本文讨论了康复问题的一些理论方面及其与飞行员职业健康问题的相互作用。作者提出了医学和职业康复本质的方法学方法;研究了康复的主要方向和类型的分类、其在飞行实践中的应用原则以及经济合理性问题。作为医学康复的主要线路,建议考虑飞行员职业健康的不稳定和基础成分进行疾病分类、心理和生理、职业(单独)康复。作为康复的基本原则,提出了一种病因学方法,用于使用不同的康复治疗手段和方法以及纠正改变的功能状态。制定了对提供多层次、差异化、个性化、可及和充分康复的一般要求。提出了一种通过提高飞行寿命和减少维持给定作战效能水平所需的飞行次数来计算以节省飞行员人员成本为代价的康复措施经济效果的方法。给出了康复的主要方向和类型的分类。