Possibility of a systemic biopsychosocial approach to the examination of adolescent orthopedic patients using the data of primary express-diagnostics of PSAF autodesadaptation

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Abstract

BACKGROUND: A complex biopsychosocial approach to the diagnosis and treatment of patients of different ages and pathologies is a doctrine of modern medicine. However, this approach is slowly being implemented in practical healthcare, and a biomedical orientation and approach remains the dominant model.

AIM: To demonstrate the possibility of using the primary express diagnostics of PSAF autodesadaptation as the first unifying step to realize the biopsychosocial approach in the examination of adolescents and young adult patients with orthopedic pathology and traumatic injuries.

MATERIALS AND METHODS: The article presents the analysis of literary sources to substantiate the relevance of the biopsychosocial approach in medicine. Clinical examples and preliminary analysis of the express diagnostics of PSAF autodesadaptation in seven inpatients were also presented.

RESULTS: The expression and structure of patients’ complaints were obtained. Thus, individual-oriented recommendations for the treatment and rehabilitation of these patients were developed.

CONCLUSIONS: Further development and refinement of the technique of the primary express diagnostics of PSAF autodesadaptation, given its simplicity and accessibility, can allow its use during admission in a specialized hospital and outpatient admission when carrying out rehabilitation measures.

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About the authors

Alexey G. Baindurashvili

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov

Email: turner011@mail.ru
ORCID iD: 0000-0001-8123-6944
SPIN-code: 2153-9050
Scopus Author ID: 6603212551

MD, PhD, Dr. Sci. (Med.), Professor, Member of RAS, Honored Doctor of the Russian Federation

Russian Federation, Saint Petersburg; Saint Petersburg

Mikhail M. Soloviev

Academician I.P. Pavlov First Saint Petersburg State Medical University

Author for correspondence.
Email: solmm@rambler.ru
ORCID iD: 0000-0001-8608-3713
SPIN-code: 7458-9083

MD, PhD, Dr. Sci. (Med.), Professor, Honored Worker of Science

Russian Federation, Saint Petersburg

Karina S. Solovyova

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery

Email: ks.solovyeva37@mail.ru
ORCID iD: 0000-0002-1890-2286
SPIN-code: 8427-6275

MD, PhD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Saint Petersburg

Galina V. Pyatakova

Saint Petersburg State Pediatric Medical University

Email: pyatakova@yandex.ru
ORCID iD: 0000-0002-9830-9959
SPIN-code: 1119-5811
Scopus Author ID: 57193279339
ResearcherId: P-1237-2015

PhD, Cand. Sci. (Psychol.), Assistant Professor

Russian Federation, Saint Petersburg

Ivan A. Zharuk

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery

Email: ivanzharuk@gmail.com
ORCID iD: 0009-0005-3899-0761
SPIN-code: 2750-5207
Russian Federation, Saint Petersburg

Anna M. Solovyova

Almazov National Medical Research Centre

Email: Anna-solovyeva@mail.ru
ORCID iD: 0000-0001-9845-2539
SPIN-code: 5523-5347

MD, PhD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg

Anna A. Baindurashvili

Academician I.P. Pavlov First Saint Petersburg State Medical University

Email: korably2001@mail.ru
ORCID iD: 0009-0009-7823-0678
SPIN-code: 1916-0319

MD, PhD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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1. JATS XML
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2. Fig. 1. Voluntary confidential information to the doctor (VCID) sheet by the patient

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3. Fig. 2. Structure of PSAF autodisadaptation — the ratio of the pronouncement of individual clusters (a); nature and manifestation of complaints (b) in patient D., 16 years old. ∑∫ PSAF = 41 points

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4. Fig. 3. Ratio of the pronouncement of individual clusters of PSAF autodisadaptation (a); nature and manifestation of individual complaints in points (b) in patient A., 17 years old. ∑∫ PSAF = 45 points

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5. Fig. 4. Total integral indicator of PSAF autodisadaptation, number of complaints, and scores in patient E., 17 years old, with hip subluxation on the right observed during the examination on November 15, 2019 (a); after 7 days on November 22, 2019 (b). ∑∫ PSAF = 34 points

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