All articles by Nikolaev V. A.
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2022 № 2 Telerehabilitation of post-stroke patients: current trends in the Russian healthcare system
With age, the risk of stroke increases significantly, but at the same time, there are tendencies for an increase in its prevalence in young and middle-aged people, which determines the urgency of the problem of rehabilitation treatment after stroke both in the world and in Russia. The use of digital technologies in neurorehabilitation can be very multifaceted and extensive. Telerehabilitation as an innovative direction of telemedicine is an important aspect within the framework of the national project «Healthcare» and the program «Digital Economy of the Russian Federation».
P u r p o s e of the study is to analysis of the Russian experience of organizing and conducting telerehabilitation of post-stroke period in the context of the digital transformation of the healthcare system in Russia.
M a t e r i a l s a n d m e t h o d s . The article used technologies for searching and selecting information using search engines (www. google.ru, www.yandex.ru), specialized and bibliographic databases (PubMed, eLIBRARY.RU), methods of analysis and synthesis, analytical data processing.
R e s u l t s . The study showed that telerehabilitation has a high clinical value of adherence to the treatment of patients of post-stroke period and is not a separate type of medical activity, but an innovative therapeutic and prophylactic method that expands the possibilities of therapy and improves the process of interaction in the «doctor-patient» and «doctor-doctor» communication systems.
This technology of restorative telemedicine makes it possible to increase the level of scientific knowledge, skills and abilities of healthcare organizers and medical workers in order to strengthen the national healthcare system of Russia, as well as to rationally use the scientific and practical potential of digital solutions in interdisciplinary interaction of specialists dealing with medical neurorehabilitation, significantly expanding the coverage of the population telerehabilitation services after a stroke.
F i n d i n g s . Despite the positive experience of some medical organizations in Russia in the use of telerehabilitation, this direction is still in its infancy and is likely to develop in the coming years for the rehabilitation of many stroke patients, which will help healthcare organizers, doctors and patients and other interdisciplinary specialists effectively and interact seamlessly in the digital health ecosystem in the context of the development of patient-centered medicine. -
2021 № 4 STUDY OF THE INFLUENCE OF TECHNOLOGIES OF ACTIVE LONGEVITY ON THE SOCIAL ADAPTATION OF ELDERLY AGED PERSONS FOR PREVENTIVE PREVENTION OF AGE-ASSOCIATED DISEASES
In the context of demographic problems of population aging the prevention of age-related diseases is becoming increasingly important in the activities of practical health care workers, geriatricians, social workers, which indicates the relevance of researching technologies for extending a healthy period of life, increasing the adaptive capabilities of older people in the formation of a health-oriented urban space, comfortable and a complementary environment the influence of which on the state of health does not provoke the development of pathological changes, but on the contrary, ensures the improvement of the human body, maintains and restores its reserve functionality.
The present study has shown that the use of technologies for active aging is an important medico-social factor contributing to the strengthening and restoration of health. During the experiment there was a positive dynamics of the influence of active aging technologies on the preservation and prolongation of social activity of elderly people in terms of preventing the risks of chronic non-communicable diseases on the example of a group of elderly muscovites aged 55–85 years and older, participants of the Moscow longevity project at the research base of the City club space «My social center» (Moscow city). -
2022 № 5 Scales and tests for evaluating the effectiveness of telerehabilitation of stroke patients
This article provides international scales and tests used in the telerehabilitation of stroke patients. The practical value of the work lies in the fact that, based on the analysis of international scientific articles published on the basis of randomized clinical trials, scales and tests used in telerehabilitation are given.
The results of this study can be used by healthcare professionals, doctors and medical workers to organize telerehabilitation of post-stroke patients under Russian conditions, as well as in clinical trials. The article may be useful to scientific and academic staff, resident doctors and other specialists who are dealing with digital rehabilitation of neurological patients or conducting research.