The Results of the Examination of Patients After Laparoscopic Cholecystectomy in the Acute Period of Rehabilitation Using the International Classification of Functioning

Abstract

Aim: Conduct an examination of patients after laparoscopic cholecystectomy (LCC) in the acute period of rehabilitation using the international classification of functioning (ICF). To analyze the functionality, activity, environmental factors in patients of this nosology, depending on age. Materials and Methods: The study included 382 patients with chronic calculous cholecystitis (CCC), who were in the surgical department. The assessors and patients were double-blinded during the interview, examination, and processing of the collected data. Performing the initial examination of patients, we used the ICF, formed a “Patient’s Functional Profile” map, in which the existing disorders in the functions of the body, body structures, activity and participation, environmental factors at the time of the initial survey, examination of the patient, as a rule, are available in patients after LCC on acute stage of rehabilitation. Results: It was found that in all groups there are dysfunctions, activities and participation of patients, the degree of impairment of which increases with age. The greatest degree of impairment was observed in elderly patients in the functions of muscle endurance, exercise tolerance and defecation functions. The environment of the clinic is positive for the stay after LCC of patients. A negative assessment of financial assets was in patients of retirement age. Conclusion: The use of a functional profile map of a patient after LCC with ICF with a scoring criterion makes it possible to establish the level of impairment of functioning, activity, participation, environmental factors and plan a rehabilitation program.