Vol 20, No 3 (2025)

The article presents an analysis of the formation of the general disability of the adult population due to chronic obstructive pulmonary disease in the Republic of Dagestan in 2018–2024, indicating an increase in the total number of people with disabilities with the largest proportion of people who were repeatedly recognized as disabled (80,3 %). The disabled in group III predominate, their number is 71,9 % with a level of 1.06 per 10,000 population, with a tendency to increase the proportion of the disabled in group II and a decrease in the proportion of the disabled in group I. In the age structure dominates people with disabilities of working age (83,6 %) with a tendency to decrease the disability levels of this contingent of people with disabilities. There is a predominance of males in the gender structure among both the able-bodied and over-able-bodied population (58,1 % and 81,1 %, respectively). In the nosological structure, the largest proportion was made up of people with disabilities due to other chronic obstructive pulmonary diseases (J 44) — 50,2 % and due to other specified chronic obstructive pulmonary diseases (J 44.8) — 19,7 %.

The article presents an analysis of disability of persons aged 18 years and older due to obstructive pulmonary disease and their nosological structure in the Republic of Dagestan for 2018–2024. The analysis revealed that the number of people recognized as disabled for the first time ranged from 48 to 84 people, totaling 459 people, with an average of 66 people per year. The level of primary disability was recorded in the range of 0,21–0,39 per 10.000 adults with a downward trend. The average annual intensive index was 0,29. The structure was dominated by people with disabilities of working age (80,3 %) with a tendency to decrease their share. The contingent of those recognized as disabled for the first time was formed due to other chronic obstructive pulmonary diseases (J 44) — 49,5 %, other specified chronic obstructive pulmonary diseases (J 44.8) — 24,2 %. The gender structure was dominated by males, both among the able-bodied and over the working age — 58,5 % and 84,6 %, respectively. The severity was dominated by the disabled of the III group — 77,3 %.

The article presents the results of the analysis of the capabilities of a stationary social service institution in organizing and conducting events for comprehensive medical and social rehabilitation of older people in permanent residence. It has been established that the implementation of a set of rehabilitation measures based on the concept of the “Matrix of Rehabilitation in the Microsocial Environment” recommended by the World Health Organization (WHO) not only increases the level of activity and community participation of older people, but also ensures a high level of satisfaction with the quality and conditions of social services. This approach helps improve the quality of life of older people, helps them maintain independence and active participation in community life, emphasizing the importance of integrating medical and social rehabilitation into the social service system to achieve the best results.

The article presents the materials of a study on the quality of life of elderly patients with aortic valve damage using the SF-36 questionnaire (Short Form-36 Health Survey), which is one of the most common tools for assessing the quality of life related to health. The SF-36 questionnaire includes 36 questions combined into 8 scales, and also allows you to calculate 2 total indicators — physical (PCS) and mental (MCS) components of health.