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Tuksanova Zebiniso Izatulloyevna, assistant of the department of folk medicine, sports medicine and occupational diseases of the Bukhara State Medical Institute
Ashurova Nodira Azimovna, assistant of the department of folk medicine, sports medicine and occupational diseases of the Bukhara State Medical Institute Safarova Gulnoz Avazxonovna, assistant of the department of folk medicine, sports medicine and occupational diseases of the Bukhara State Medical Institute Hikmatova Madina Furqatovna, clinical resident of the department of folk medicine, sports medicine and occupational diseases of the Bukhara State Medical Institute, Bukhara, Uzbekistan
E-mail: ss-1961@mail.ru
HEALTH STATUS OF SCOOL CHILDREN DEPENDING ON HEALTH CARE ACTIVITIES OF FAMILIES
Abstract: The object for the study of health and lifestyle was a representative group of families (1123) with children of school age, constantly living in Bukhara and observed in medical institutions 4.11-city polyclinics. The analysis of morbidity of 1089 women-mothers, 956 men-fathers and 2196 children of school age. All taken under the supervision of the family were examined by a single specially designed program consisting of 7 sections. As a result of improvement of health literacy of parents, the number of families, which positively changed their lifestyle and improved overall moral and psychological climate in the family, has increased 2.5 times.
Keywords: health, schoolchildren, activity, lifestyle, morbidity, family, children, socio-genetic nature.
Health protection of the younger generation is not only has been accomplished. All families which were subjected to
one of the most urgent health problems, but also an important observation were examined using a unified specially designed
social task of the state, as the health of children represents a program consisting of 7 sections: analysis of works published
fundamental basis for the formation of capacity of the health on the studied problem: socio-demographic characteristics of
of adult members of society. Strengthening of the health of parents raising children of school age; socio-biological char-
children and introduction of measures aimed at its optimiza- acteristics of children of school age; comprehensive socio-
tion contribute to the successful development of the country, sanitary assessment of lifestyle of families with school-age
maintaining its stability and social security. This is of partic- children; comprehensive characteristics of the health status of
ular importance for children - the most vulnerable layer of families with children; factors that shape the health of families
population, who need special attention of both medical staff with school-age children, the effectiveness of recommenda-
as well the parents, who formulate corresponding lifestyle of tions on interactive recovery adopted by the parents. the family and the child [1-3]. Results and discussion. The majority (81.3%) of families
The purpose of the work: to study the state of health of belongs to the category of full families. 16.7% of the surveyed
schoolchildren depending on the medical activity of families. families are incomplete due to parents' divorce, and in 89% of
Materials and methods. The object of the study of health cases the initiators of the disruption ofthe families are women -
and lifestyle was the representative group of families (1123) mothers, who are now a days becoming economically more and
with school-age children, constantly residing in Bukhara city, more independent, highly estimating their role in the family,
followed up by the doctors of medical institutions 4.11 - and in this connection presenting increased requirements to
municipal clinics. Analysis of the health of 1089 mothers- their husbands. 72.3% of families are bringing up two children,
daughters, 956 men-fathers and 2196 school-age children whereas 27.7% of families have three or more children.
HEALTH STATUS OF SCOOL CHILDREN DEPENDING ON HEALTH CARE ACTIVITIES OF FAMILIES
The average size of family with school-age children, made up 4.09 person, where one family has 1.2 ± 0.04 child. It is noted that 65.6% of the children came to existence from the first pregnancy, 89.2% - from the first birth delivery. In total 56.3% of children had 7 points or more at birth as per Apgar score. Rather unfavorable is the fact that 43.3% of mothers of surveyed children had a history of abortion. It is well known that abortion negatively affects the health of children, as subsequent pregnancies and childbirth of these women flow with a variety of complications, which affect the development of the child. The results of the study confirm this regularity and suggest there is a direct correlative dependence (r = + 0.687. M = ± 0.0038, p < 0.0001) between the gestation course and childbirth and abortion history. According to our research, in cases of pregnancy ending by birth of surveyed child, every second mother (53.8%) had various complications of pregnancy and childbirth, including cases of (100 women surveyed): - pregnancy toxicosis (39); - threat of preterm birth (31); - Weakness of birth activity and application of forceps (25); - Improper placenta previa (19),- operations during delivery (10) - anemia (73); - presence of extra genital pathology (9).
The study has established that 75.3% of parents believe that their child is sociable, cheerful and j oyful. However, the alarming fact is 14% of parents reported that their child does not seek to communicate with others, and 19% of parents believe that their child is reserved and afraid to come in contact with teachers and other children. Those children who attended preschool institutions (kindergarten, etc.) more quickly adapt to the beginning of school life, they feel more confident and comfortable in the school community. The study of children's progress revealed that children who attend school willingly and with interest easily and quickly learn the curriculum. Thus, the grade point average (GPA) of children who attend school with pleasure made up 4.6; whereas in the group of children who go to school "reluctantly" the GPA was significantly lower - 3.7. It was found that with age the time for preparation of one lesson is reduced (from 28.4 to 18.6 minutes), however the total time spent on homework increases with the transition to higher forms of school. Particular role in this regard is attributed to parents seeking to attract and involve children in different additional exercises and activities: sports, painting, music, foreign languages, etc. It was noted that 17.2% of children are involved in certain additional activities, and with age, the number of such children is significantly increased. It is noteworthy that more than 60% of the children would like to have additional classes, but only 44% - were able to implement their desires.
The study of children's sickness rate indicates that the level is relatively high - average of 1970.3%o. At the same
time the incidence of boys at the age of 7 is higher than that of girls (respectively 2483%against 2445%), and after the age of 7 years in all age groups the incidence is higher with girls by an average of 5.4%. The analysis of age-specific structure of children's sicknesses revealed no differences between boys and girls. The analysis of the structure of sickness by age showed the general it you diseases of children aged between 7 to 10 years and from 11 to 14 years, which made it possible to divide all the children surveyed into 2 groups. In general, the structure of child sicknesses is presented by the same classes of diseases, which have a different level of prevalence. In overall structure of sickness rate the first 7 ranked places are occupied by the following classes of diseases: respiratory diseases, digestive system, eyes and adnexa, injuries and accidents, some infectious and parasitic diseases, skin and sub-cutaneous tissue diseases, as well as musculoskeletal system. These enumerated classes of diseases account for 81% of all diseases of children aged between 7 to 10 and 75% - at the age of 11-14 years. The analysis of chronic disease rate diagnosed in 21.7% of school children showed its level at 303.8%. A points system was utilized for integrated assessment of the state of health of the family, which is based on distribution of family members into health groups. The proportion of families that received a very good assessment of health amounted to only 15.8%. Every fourth - fifth family (22.6%) had good health. A big part of surveyed families (35.9%) was allocated to families with a satisfactory health assessment. Alarming is the fact that every fourth family was in poor (21.9%) or very poor (3.8%) health condition. The study of the health status of examined families in connection with their way of life revealed that among the families referred to the group with a good and very good health, healthy way of life was observed, on average 2.6 times more often in comparison with the group of families with bad and very bad health.
Conclusion: It has been established that medico-social behavior of families is determined by the level of social and hygienic lifestyle characteristics, correlation dependence between the considered indications made up r = 0.461, m = 0.0032, p < 0.01. In general, in families with high medical activity, the families with high levels of socio-hygienic characteristics of lifestyle are significantly (p < 0.001) often observed than those with low level (41.3% vs. 1.4%). Given that medical activity of family is related to factors that facilitate leveling of the negative impact of socio-hygienic factors of lifestyle, in the course of the study the health of families was analyzed taking into account their medico-social behavior. The obtained results demonstrate the leading role of medical activity in shaping the health of families with school-age children.
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