Gender Features of the Rehabilitation Compliance in Patients with Obesity
Keywords:
physical therapy, weight loss, adherence to treatment and rehabilitationAbstract
Topicality. Compliance as a condition of effective rehabilitation, especially for long-term illnesses, in particular obesity, is a poorly researched problem of modern physical therapy, which leads to a decrease in the effectiveness of the applied methods of body weight correction.
Objective of the study is to determine the level of compliance in men and women with obesity of I–III degree for finding out the ways of increasing the effectiveness of the physical therapy program and setting rehabilitation goals.
Methods of the Research. To determine the value of rehabilitation compliance and possible ways of improving it according to the developed questionnaire, 288 people of the second mature age with alimentary-exogenous obesity of the I–III degree were questioned. After that, individual motivational orientation lectures were held in order to increase the level of compliance and encourage physical therapy programs and were retested.
Results of the Research. At the initial questioning, an insufficient level of compliance was found in the vast majority of patients; it may reduce the effectiveness of rehabilitation interventions in the future. An analysis of the parameters after the lecture showed that a statistically significant increase in the level of compliance was achieved in all groups. When analyzing the percentage distribution of the degree of compliance by sex and the degree of obesity in the dynamics, it was found that women of all groups showed greater compliance due to the greater number of individuals with a high and medium levels, showed greater awareness of the consequences and complications of obesity, more often considered it to be a problem that needs to be decide. The degree of compliance decreased with an increasing degree of obesity in both gender groups.
Conclusions. Determining the level of rehabilitation compliance, improving it and maintaining it at a high level taking into account gender characteristics is one of the conditions for successful long-term physical therapy programs for obese patients and the establishment of short and long-term rehabilitation goals.
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