CONTEMPORARY CRITERIA FOR DISABILITY CONFIRMATION IN PATIENTS WITH CONSEQUENCES OF HEARING DISEASES

Objective. To develop criteria for disability confirmation in patients with the consequences of diseases of the hearing organ from the standpoint of the International Classification of Functioning, Disability and Health (ICF) depending on the severity of the identified disability resulting from persistent disorders of hearing functions.

Materials and methods. The representative selection was formed of 129 patients of working age (from 17 to 56 (61) years) with hearing impairments of varying severity who were examined by medical and rehabilitation expert commissions and the Republican Scientific and Practical Center for Medical Assessment and Rehabilitation for the period from 2016 to 2018. In order to realize the program of additional examination all patients were referred by proficient doctors to the Republican Center for Research and Practice in Otolaryngology, where they underwent audiological examination to clarify the degree of their hearing impairments and the effectiveness of hearing aids was evaluated.

Results. The new term “Categorical Index of Deficit Functioning” (CIDF) was introduced to summarize the measures of impairments, restrict activity, and participation ability in patients with aural disorders taking into account the influence of environmental factors. A comparison was made between the clinical and functional characteristics of aural disorders and the corresponding severity of the disabilities caused by them through the CIDF. Contemporary criteria of disability confirmation in patients with the consequences of hearing diseases from the standpoint of the ICF depending on the degree of problems arising during their functioning in the auditory-speech environment were worked out.

Conclusions. The criteria for disability confirmation in persons with consequences of hearing diseases were developed on the basis of a new theoretical framework using ICF codes. They are based on the results of an assessment of the interaction of an individual with varying degrees of disability caused by persistent aural disorders, on the one hand, and the environmental factor represented by audio-amplifying devices, on the other hand. The application of new disability criteria in the medical and social evaluation will ensure its objectivity and minimization the variability of the expert decision, caused by the human factor.

Ключевые слова: , , , , ,
Автор(ы): V. B. Smychok, S. W. Kozlowa