Рецепт. 2021; : 316-322
Пути оптимизации профилактики мозговых инсультов в условиях мегаполиса: роль семейного врача
https://doi.org/10.34883/PI.2021.24.3.001Аннотация
В статье приведены статистические данные по заболеваемости, распространенности и смертности от мозгового инсульта в г. Киеве. Эти данные превышают соответствующие показатели в ряде развитых стран и свидетельствуют о проводимой на недостаточном уровне профилактической работе, обуславливают необходимость разработки специальных профилактических программ для снижения частоты инсультов, улучшения превентивных и лечебных мероприятий для лиц, уже перенесших это заболевание. Предложена разработанная система медико-социальных кластеров помощи при цереброваскулярных болезнях. Рекомендован план мероприятия по первичной и вторичной профилактике цереброваскулярных заболеваний и мозговых инсультов на первичном уровне оказания медицинской помощи.
Список литературы
1. Kim A.S., Johnson S.C. (2011) Global variation in the relative burden of stroke and ischemic heart disease. Circulation, vol. 124(3), pp.314–323.
2. Global health estimates: deaths by cause, age, sex and country, 2000–2012. (2014) Geneva: World Health Organization.
3. Institute for Health Metrics and Evaluation (IHME). (2018) Findings from the Global Burden of Disease Study. Seattle, WA: IHME.
4. Bogouslavsky J., Auri J., Kimura J. (2003) Stroke and neurology: a plea from the WFN. Lancet, no 2, pp.212–213.
5. Zozulia A.I., Slabkyi H.O. (2012) Zakhvoriuvanist ta smertnist naselennia Ukrainy – yak svitova problema. Zbirnyk naukovykh prats spivrobitnykiv NMAPO imeni P.L.Shupyka. Kyiv. vol. 21, kn.2, pp.706–711.
6. Derzhavna sluzhba statystyky [Elektronnyi resurs]. Rezhym dostupu: http://www.ukrstat.gov.ua/Nazvazekranu.
7. Zinchenko O.M., Mishchenko T.S. (2016) Stan nevrolohichnoi sluzhby v Ukraini v 2015 rotsi. Kharkiv, p. 23.
8. Prokopiv M.M. (2021) Medyko-sotsialne obhruntuvannia optymizovanoi systemy profilaktyky ta medychnoi dopomohy naselenniu z tserebrovaskuliarnymy khvorobamy na rivni mehapolisu v umovakh reformuvannia haluzi okhorony zdorovia Avtoreferat dysertatsii na zdobuttia naukovoho stupenia doktora medychnykh nauk, Kharkiv, p. 43.
9. Bo Norrving, Jon Barrick, Antoni Davalos, Martin Dichgans, Charlotte Cordonnier, Alla Guekht, Kursad Kutluk,Robert Mikulik, Joanna Wardlaw, Edo Richard, Darius Nabavi, Carlos Molina, Philip M Bath, Katharina S. Sunnerhagen, Anthony Rudd,Avril Drummond, Anna Planas, Valeria Caso on behalf of the Action Plan for Stroke in Europe Working Group. Action Plan for Stroke in Europe 2018–2030. European Stroke Journal, vol. 3(4), pp.309–336.
10. Ishemichnyi insult: rekomendatsii AHA ta ASA 201// https://www.umj.com.ua/article/168559/ishemichnij-insult-rekomendatsiyi-aha-ta-asa-2019-chastina-ii?fbclid=IwAR2DH3fybxmICMlBSbqAm8gWhHuekHsrxy4SZK3rCPQoGx7ggj5YQ4Labc4.
11. Kim I.V., Kokurina E.V., Varakin Yu.L. (2011) Novaya skriningovaya metodika dlya aktivnogo vy`yavleniya kardionevrologicheskikh zabolevanij v pervichnom zvene zdravookhraneniya. «Kardiovaskulyarnaya profilaktika i reabilitacziya 2011» i «Neinfekczionny`e zabolevaniya i zdorov`e naseleniya Rossii»: materialy` ob`edinennoj nauchnoprakticheskoj konferenczii Prilozhenie 1 k zhurnalu «Kardiovaskulyarnaya terapiya i profilaktika» [New screening method for active detection of cardioneurological diseases in the primary healthcare. “Cardiovascular prevention and rehabilitation 2011” and “Non-infectious diseases and health of population of Russia”: materials of joint scientificpractical conference. Supplement to the journal “Cardiovascular therapy and prevention”], vol. 10, no 4, pp.106.
12. Slabkyi H.O., Prokopiv M.M. (2019) Metodychni rekomendatsii shchodo optymizatsii medychnoi dopomohy naselenniu mehapolisu iz tserebrovaskuliarnymy khvorobamy [Guidelines on optimization of medical care for the population of metropolis with cerebrovascular diseases]. Kyiv, p.31. (in Russian)
13. Slabkyi H.O. (2018) Skryninh u pervynnii dopomozi klinichna nastanova, zasnovana na dokazakh [Screening in primary health care…, based on evidence]. «Ukrainska asotsiatsiia simeinoi medytsyny». Kyiv, p. 464. (in Russian)
14. Elfimova E.V., Elfimov M.A. (2011) Kak povy`sit` priverzhennost` k lecheniyu i sdelat` bol`nogo soyuznikom vracha [How to increase adherence to treatment and make a patient a doctor’s partner]. Zamestitel` glavnogo vracha, no 4, pp.100–108.
15. Gerasimenko M.Yu., Afoshin S.A., Lazarenko N.N. (2011) Fizicheskie faktory` v kompleksnoj reabilitaczii bol`ny`kh s ostry`mi narusheniyami mozgovogo krovoobrashheniya [Physical factors in complex rehabilitation of patients with acute disorders of cerebral circulation]. Fizioterapiya, bal`neologiya i reabilitacziya, no 6, pp.51–56.
16. Belova A.N. (2000) Nejroreabilitacziya: rukovodstvo dlya vrachej [Neurorehabilitation: guide for physicians]. M.: Antidor, p. 568. (in Russian)
Recipe. 2021; : 316-322
Ways to Optimize the Prevention of Cerebral Strokes in a Metropolis: the Role of a Family Doctor
https://doi.org/10.34883/PI.2021.24.3.001Abstract
The article provides statistical data on the incidence, prevalence, and mortality from cerebral stroke in Kiev. These data exceed the corresponding indicators in a number of developed countries and indicate that preventive work is carried out at the insufficient level, necessitate the development of special preventive programs to reduce the frequency of strokes, improve preventive and therapeutic measures for people who have already had this disease. The developed system of medical and social clusters of care for cerebrovascular diseases is proposed. The plan for the primary and secondary prevention of cerebrovascular diseases is recommended.
References
1. Kim A.S., Johnson S.C. (2011) Global variation in the relative burden of stroke and ischemic heart disease. Circulation, vol. 124(3), pp.314–323.
2. Global health estimates: deaths by cause, age, sex and country, 2000–2012. (2014) Geneva: World Health Organization.
3. Institute for Health Metrics and Evaluation (IHME). (2018) Findings from the Global Burden of Disease Study. Seattle, WA: IHME.
4. Bogouslavsky J., Auri J., Kimura J. (2003) Stroke and neurology: a plea from the WFN. Lancet, no 2, pp.212–213.
5. Zozulia A.I., Slabkyi H.O. (2012) Zakhvoriuvanist ta smertnist naselennia Ukrainy – yak svitova problema. Zbirnyk naukovykh prats spivrobitnykiv NMAPO imeni P.L.Shupyka. Kyiv. vol. 21, kn.2, pp.706–711.
6. Derzhavna sluzhba statystyky [Elektronnyi resurs]. Rezhym dostupu: http://www.ukrstat.gov.ua/Nazvazekranu.
7. Zinchenko O.M., Mishchenko T.S. (2016) Stan nevrolohichnoi sluzhby v Ukraini v 2015 rotsi. Kharkiv, p. 23.
8. Prokopiv M.M. (2021) Medyko-sotsialne obhruntuvannia optymizovanoi systemy profilaktyky ta medychnoi dopomohy naselenniu z tserebrovaskuliarnymy khvorobamy na rivni mehapolisu v umovakh reformuvannia haluzi okhorony zdorovia Avtoreferat dysertatsii na zdobuttia naukovoho stupenia doktora medychnykh nauk, Kharkiv, p. 43.
9. Bo Norrving, Jon Barrick, Antoni Davalos, Martin Dichgans, Charlotte Cordonnier, Alla Guekht, Kursad Kutluk,Robert Mikulik, Joanna Wardlaw, Edo Richard, Darius Nabavi, Carlos Molina, Philip M Bath, Katharina S. Sunnerhagen, Anthony Rudd,Avril Drummond, Anna Planas, Valeria Caso on behalf of the Action Plan for Stroke in Europe Working Group. Action Plan for Stroke in Europe 2018–2030. European Stroke Journal, vol. 3(4), pp.309–336.
10. Ishemichnyi insult: rekomendatsii AHA ta ASA 201// https://www.umj.com.ua/article/168559/ishemichnij-insult-rekomendatsiyi-aha-ta-asa-2019-chastina-ii?fbclid=IwAR2DH3fybxmICMlBSbqAm8gWhHuekHsrxy4SZK3rCPQoGx7ggj5YQ4Labc4.
11. Kim I.V., Kokurina E.V., Varakin Yu.L. (2011) Novaya skriningovaya metodika dlya aktivnogo vy`yavleniya kardionevrologicheskikh zabolevanij v pervichnom zvene zdravookhraneniya. «Kardiovaskulyarnaya profilaktika i reabilitacziya 2011» i «Neinfekczionny`e zabolevaniya i zdorov`e naseleniya Rossii»: materialy` ob`edinennoj nauchnoprakticheskoj konferenczii Prilozhenie 1 k zhurnalu «Kardiovaskulyarnaya terapiya i profilaktika» [New screening method for active detection of cardioneurological diseases in the primary healthcare. “Cardiovascular prevention and rehabilitation 2011” and “Non-infectious diseases and health of population of Russia”: materials of joint scientificpractical conference. Supplement to the journal “Cardiovascular therapy and prevention”], vol. 10, no 4, pp.106.
12. Slabkyi H.O., Prokopiv M.M. (2019) Metodychni rekomendatsii shchodo optymizatsii medychnoi dopomohy naselenniu mehapolisu iz tserebrovaskuliarnymy khvorobamy [Guidelines on optimization of medical care for the population of metropolis with cerebrovascular diseases]. Kyiv, p.31. (in Russian)
13. Slabkyi H.O. (2018) Skryninh u pervynnii dopomozi klinichna nastanova, zasnovana na dokazakh [Screening in primary health care…, based on evidence]. «Ukrainska asotsiatsiia simeinoi medytsyny». Kyiv, p. 464. (in Russian)
14. Elfimova E.V., Elfimov M.A. (2011) Kak povy`sit` priverzhennost` k lecheniyu i sdelat` bol`nogo soyuznikom vracha [How to increase adherence to treatment and make a patient a doctor’s partner]. Zamestitel` glavnogo vracha, no 4, pp.100–108.
15. Gerasimenko M.Yu., Afoshin S.A., Lazarenko N.N. (2011) Fizicheskie faktory` v kompleksnoj reabilitaczii bol`ny`kh s ostry`mi narusheniyami mozgovogo krovoobrashheniya [Physical factors in complex rehabilitation of patients with acute disorders of cerebral circulation]. Fizioterapiya, bal`neologiya i reabilitacziya, no 6, pp.51–56.
16. Belova A.N. (2000) Nejroreabilitacziya: rukovodstvo dlya vrachej [Neurorehabilitation: guide for physicians]. M.: Antidor, p. 568. (in Russian)
