rehabРеабилитологияJournal of Medical Rehabilitation2949-58732949-5881IRBIS LLC10.17749/2949-5873/rehabil.2026.79rehab-172Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESРазвитие представлений о качестве жизни и изменение подходов к его оценке в медицинской реабилитацииEvolution of quality of life concepts and changes in their assessment in medical rehabilitationhttps://orcid.org/0000-0003-0991-8988КончуговаТ. В.KonchugovaТ. V.

Кончугова Татьяна Венедиктовна , д.м.н., проф.

ул. Новый Арбат, д. 32, Москва 121099

ул. Трубецкая, д. 8/2, Москва 119048

Tatiana V. Konchugova , Dr. Sci. Med., Prof. 

ИвановаВ. В.IvanovaV. V.

Иванова Виктория Викторовна

4-й Монетчиковский пер., д. 1/6, стр. 3, Москва 115054

Viktoria V. Ivanova

https://orcid.org/0000-0002-5083-6581СанджиеваЛ. Н.SandzhievaL. N.

Санджиева Лидия Николаевна , к.м.н.

Шоссе Энтузиастов, д. 12, Московская обл., Балашиха 143900

Lidia N. Sandzhieva , PhD 

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр реабилитации и курортологии» Министерства здравоохранения Российской Федерации; Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения Российской ФедерацииРоссияNational Medical Research Center for Rehabilitation and Balneology; Sechenov UniversityRussian FederationОбщество с ограниченной ответственностью «Международный госпитальный медицинский центр Интермедцентр»РоссияInternational Hospital Medical Center “Intermedcenter”Russian FederationГосударственное бюджетное учреждение здравоохранения Московской области «Московский областной перинатальный центр»РоссияMoscow Regional Perinatal CenterRussian Federation20261608202642133–145Copyright © Кончугова Т.В., Иванова В.В., Санджиева Л.Н., 20262026Кончугова Т.В., Иванова В.В., Санджиева Л.Н.Konchugova Т.V., Ivanova V.V., Sandzhieva L.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rehabilitology.com/jour/article/view/172

Неотъемлемой частью персонифицированных программ лечения и восстановления является оценка качества жизни (КЖ) пациента. Данный метод определения состояния здоровья применяется достаточно широко, однако в последние 10 лет появляются предпосылки к преобразованию этой группы инструментов. В обзоре проведен анализ развития представлений о КЖ пациентов и изменения подходов к его оценке. Представлены разносторонние методы: от опросников с фокусом на социальное благополучие до анкет и шкал, которые используются в рутинной клинической практике с целью мониторинга физического состояния и определения эффективности подобранной программы реабилитации. Показан переход от принципа, направленного на диагностику заболевания и осложнений, к пациентоориентированному подходу. Отмечен тренд на цифровизацию оценки КЖ с использованием систем дистанционного мониторинга и представлены препятствия к внедрению этой практики в российскую клиническую практику. Выявлены исследования, в которых подтверждена возможность создания единого контура оценки КЖ пациентов в дистанционном формате и масштабирования данного подхода.

The assessment of a patient’s quality of life (QoL) is an integral part of personalized treatment and rehabilitation programs. Although this method of assessing health status has been widely used, the past 10 years have seen prerequisites emerge for transforming this group of tools. This study reviews the evolution of concepts regarding patient QoL and changes in approaches to its assessment. Various methods are presented, ranging from questionnaires focused on social well-being to forms and scales used in routine clinical practice to monitor physical condition and determine the effectiveness of a chosen rehabilitation program. A shift towards a patient-oriented approach, replacing the previous focus on diagnosing diseases and complications, is demonstrated. A trend toward the digitalization of QoL assessment using remote monitoring systems is outlined, along with the obstacles to implementing this practice in Russian clinical settings. Studies have been identified that confirm the possibility of creating a unified system for remote assessment of patient QoL and scaling this approach.

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The authors declare that there are no conflicts of interest present.