статья Суховой 13


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ISSN 2039-2117 (online) ISSN 2039-9340 (print) Mediterranean Journal of Social Sciences MCSER Publishing, Rome-Italy Results of Personal Requirements Research of People with Different Social Status ISSN 2039-2117 (online) ISSN 2039-9340 (print) Mediterranean Journal of Social Sciences MCSER Publishing, Rome-Italy confirmed for all the people. Comparison of the clinical, functional, laboratory, X-ray da ta showed that the patients with COPD and the patients with chronic pulmonary tuberculosis had pulmonary fibrosis and emphysema on chest radiographs , disorders of ventilation conformed to the second degree of the mixed type, inflammation and intoxication syndromes were expressed moderately. So, manifestations of the disease were similar but COPD is a nonspecific pulmonary disease, and chronic pulmonary tuberculosis is a specific disease. Persons in these groups had different social status patients with fibro- cavernous pulmonary tuberculosis had low social status. To study the personal needs of these people the author developed a special questionnaire. The basis of the questionnaire "personal needs" (rationalization suggestion number 218 of Samara Stat e Medical University) is the theory of Maslow [315, 353]. The questionnaire includes 6 main sections: physiological needs; B the need in security; C - the need in recognition, acceptance by the members of the reference group; Vocational secondary education56,860,7 Secondary education35,531,2 Higher education4,55,3 Basic education 3,22,8 Smoking for more than10 years97,846,7 lcohol abuse 52,312,5 Lives alone 27,419,2 Lives with relatives33,926,8 Has full family 30,641,2 Widower (widow)11,69,4 Does not have a permanent place of residence5,72,1 Has a room in a communal apartment17,734,2 Has a private house without conveniences28,216,3 Has a separate apartment with conveniences48,447,4 Has no means for living54,843,2 ISSN 2039-2117 (online) ISSN 2039-9340 (print) Mediterranean Journal of Social Sciences MCSER Publishing, Rome-Italy The income is below the level of living40,352,7 The income is enough for the levelof living or higher4,94,1 Unqualified work before the illness9,76,4 Qualified hard work before the illness56,532,1 the illness22,644,7 Qualified easy work before the illness11,216,8 rrective labor institutions64,340,6 the disease of tuberculosis40,130,7 As it can be seen from the Table 1, the majority of patients with chronic pulmonary tuberculosis had secondary or vocational education, alcohol abuse, smoking for more than 10 years, had no means for living or income was below the level of living. More than half of men and nearly half of the women took ill with tuberculosis in prisons. For some patients with pulmonary tuberculosis the disease led to divorce. The personal needs of women according to the survey are presented in Table 2. Personal needs of women. m The name of the scale Healthy women Women with COPD Women with chronic pulmonary tuberculosis Physiological needs (PhN) 4,2 0,3 3,6 0,1* 3,1 0,5* The need in safety (SN) 3,6 0,1 3,1 0,1* 3,2 0,1* The need in acceptance by the members of the group (AN) 3,9 0,1 3,6 0,1* 3,9 0,3 The need in respect (RN) 3,7 0,2 3,7 0,2 3,5 0,2 The need in self-realization (SRN) 3,7 0,2 3,2 0,1* 3,0 0,5* The note to Table 2. Indicators are given according to a five-point scale. means the statistically significant difference with the control. The name of the scale Healthy men Men with COPD Men with chronic pulmonary tuberculosis Physiological needs (PhN) 3,7 0,1 3,5 0,2 2,9 0,2* The need in safety (SN) 3,7 0,1 3,0 0,2* 3,3 0,2* The need in acceptance by the members of the group (AN) 3,8 0,1 3,1 0,2* 3,2 0,1* The need in respect (RN) 3,6 0,2 3,2 0,2 3,3 0,2 The need in self-realization (SRN) 3,6 0,1 2,5 0,2* 2,5 0,4* The note to Table 3. Indicators are given according to a five-point scale. means the statistically significant difference with the control. The results of the table indicate that men suffering from COPD in contrast to the healthy men have significantly lower ISSN 2039-2117 (online) ISSN 2039-9340 (print) Mediterranean Journal of Social Sciences MCSER Publishing, Rome-Italy important for all the men with adequate social status regardless of health status. NRNCANSRN FEV-1 0,59*0,55*0, 24*0,45*0,51*0,51* FVPL 0,46*0,44*0, 220,41*0,49*0,47* PVR 0,48*0,36*0,23 0,39*0,47*0,49* =0,05 ** RF respiratory function; FEV forced expiratory volume; FVPL forced vital power of lungs; PVR peak volume rate The data of the table show the presence of the positive correlation of all indicators of respiratory function with personal needs. The highest correlation coefficient was observed between FEV-1 and PhN (r=0,59; NRNCANSRN FEV-10,67*0,200, 57*0,120,51*0,67* FVPL0, 36*0,190, 44*0,160,47*0,54* PVR0,48*0,210,47* 0,190,42*0,49* NRNCANSRN FEV-10,29*0,32*0, 220,180,260,34* FVPL0,210,230,33* 0,210,34*0,36* PVR0,27*0,240,19 0,160,270,32* The women with chronic pulmonary tuberc ulosis had positive correlation of persona l needs with pulmonary ventilation. The highest correlation coefficient is marked between the need for self-realization and FVPL (r=0,36; =0,05). There is NRNCANSRN FEV-1 -0,18-0,32-0,08-0,05-0,040,02 FVPL -0,10-0,15-0,160,01-0,02-0,06 PVR -0,35*-0,15-0,190,110,08-0,06 ISSN 2039-2117 (online) ISSN 2039-9340 (print) Mediterranean Journal of Social Sciences MCSER Publishing, Rome-Italy ISSN 2039-2117 (online) ISSN 2039-9340 (print) Mediterranean Journal of Social Sciences MCSER Publishing, Rome-Italy Coughing, shortness of breath, weakness, poor night sleep because of the illness, physical disabilities directly affect the personal needs making them lower in comparison with the healthy men. But respect from others, the ability to provide the future, to defend social interests for the men with COPD are more important than their own health. For the men with fibro-cavernous tuberculosis the dependence of the personal needs with the individual lung function parameters was also revealed bu t the reverse dependence. The more is the shortness of breath the lower is the personal need. It can be explained by the social status of the men with fibro-cavernous tuberculosis. 52,3% had alcohol abuse, 54,8%did not have means for living, 64,3%the illness started in prisons and in corrective labour institutions. Such persons need to be in a good physical state to protect themselves. For them to be accepted by the reference group means to be able to participate in group conflicts with physical violence. The questioned persons with chronic pulmonary tuberculosis had violations of lung ventilation of the second degree of the mixed type. The men cannot make any sudden movements, they save movements, they have constant coughing and shortness of breath. Therefore, they do not seek to an appropriate social status of their reference group. However, there is also a positive correlation, although unreliable, ISSN 2039-2117 (online) ISSN 2039-9340 (print) Mediterranean Journal of Social Sciences MCSER Publishing, Rome-Italy Identity in Psychological Research //The World of Psychology. 2012. 1.

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