Year 2012, Issue 2

zsim-2012-zeszyt-2Yevhen Dzis1,2 Ivan Dzis3, Oleksandra Tomashevska1

1 Danylo Halytsky Lviv National Medical University

2 University of Management and Administration in Zamość

3 State Institution “Institute of Blood Pathology and Transfusion Medicine, Academy of Medical Sciences of Ukraine”, Lviv

Factors Affected Quality of Life of Patients Treated for Lymphoproliferative Diseases

Background. Lymphoproliferative disorders are the group of hematoonkological diseases. Manifestations of these diseases, adverse effects of treatment and complications may significantly reduce patients’ quality of life (QoL).

The aim of the study was to examine the QoL of patients with lymphoproliferative diseases according to their socio-demographic profiles, education and clinical data.

Methods. This study involved 55 patients diagnosed with non-Hodgkin lymphoma, chronic lymphocytic leukemia, Hodgkin lymphoma, and multiple myeloma. The EORTC QLQ-C30 questionnaire was used to measure their QoL. Additionally, it was used a self-composed questionnaire to assess some socio-demographic factors, patients’ awareness of their diseases, assessment of QoL in percentages and level of trust in physicians.

Results. Patients with Hodgkin lymphoma were younger than other patients. Generally in all respondents, there were the lowest scores of global health status and physical functioning as well as the worst symptoms of fatigue and financial difficulties among scores of other symptoms and problems. Compared with other patients, those with multiple myeloma had greater impairments of physical, role and social functions. Coincident diseases, anemia, hyperleukocytosis and aggressiveness of cytostatic treatment affected some parameters of QoL of examined patients. The global QoL of the female patients was nearly similar as that of the male patients except of worse appetite in women. Patients who were 60 years old or older estimated their QoL in lower percentages than did younger ones. The age of patients correlated negatively with their responsiveness and level of knowledge about their diseases. Rural residents had better role functioning and fewer symptoms of fatigue and pain; city residents had more symptoms of dyspnea than did other respondents. Persons with primary education were in less sleep disorders and symptoms of constipation in comparison with the remaining patients. Higher level of education is associated with less financial difficulties. The level of patients’ knowledge about their diseases correlated positively with their scores of global health status, role and cognitive functioning. The more responsible patients were, so they had the greater impairments of emotional function, loss of appetite and diarrhea. The patients’ level of trust in doctors correlated positively with scores of global health status and physical functioning. The results were all statistically significant (p < 0,05).

Conclusion. The QoL of patients with lymphoproliferative diseases is affected by socio-demographic factors, clinical diagnoses, the level of education and trust in physicians. To improve the overall QoL of these patients, efforts should be made to influence on modifiable predictors of symptoms and problems, and to increase patients’ awareness of diseases they suffered from and trust in doctors.

Keywords: quality of life, socio-demographic factors, lymphoproliferative diseases


Wioletta Dziadosz, Andrzej Kwolek, Justyna Leszczak

Instytut Fizjoterapii Wydziału Medycznego Uniwersytetu Rzeszowskiego

Life quality of people suffering from rheumatoid arthritis (RA)

Introduction. Rheumatoid arthritis a disease of still unexplained etiology is a chronic progressive inflammatory process of connective tissue resulting in destruction of joint and periarticular tissues.

Aim. The aim of the dissertation is to evaluate the influence that clinical and social-demographic factors have on life quality of people suffering from rheumatoid arthritis.

Material and method. The research covered 64 patients of Wojewodzki Hospital no. 2 in Rzeszow — 39 women and 25 men whose rheumatoid arthritis diagnosis was made on American College of Rheumatology criteria. The average age of the examined women was 54 years old and 55 years old of the whole group. The research was carried out with the use of the author’s own questionnaire, HAQ questionnaire, VAS scale and life satisfaction scale.

Results. The research resulted in revealing significant statistical dependencies between life quality of people with rheumatoid arthritis and demographic factors such as marital status, place of living, age and education. Essential statistical interconnections between clinical factors and life quality such as pain, morning stiffness, illness duration and patients’ functionality were also displayed.

Conclusions. 1. Social-demographic factors influencing life quality of people with RA comprise of marital status, place of living, age and education. 2. Clinical factors influencing life quality of people with RA comprise of pain, morning stiffness, illness duration and patient’s functionality. 3. There was no correlation with the quality of life of people with rheumatoid arthritis on sex.

Keywords: chronic illness, functional state, self-evaluation of medical condition, pain, life satisfaction



Anzhelika Filipyuk1, Yevhen Dzis1,2, Oleksandra Tomashevska1

1 Lwowski Narodowy Uniwersytet Medyczny imienia Danyła Halickiego

2 Wyższa Szkoła Zarządzania i Administracji w Zamościu

Prognostic value of cardiovascular risk factors in the course of ischemic heart disease and their association with hemostatic parameters

Predictive value of ischemic heart disease (IHD) risk factors for development of acute vascular events has not been definitely proven. The aim of our study was to estimate the role of risk factors of atherogenesis in development of acute vascular events and their association with disorders of blood coagulation in patients with chronic IHD. This study involved 121 male patients diagnosed with chronic IHD: stable angina, prior myocardial infarction and invasive coronary procedures. Clinical and laboratory investigations (fibrinogen, fibrin monomer, D-dimer, blood lipids) with statistical analyses were performed. It was revealed that alcohol abuse, tobacco smoking, obesity, hypokinesia and low levels of HDL cholesterol are risk factors acute vascular events. Presence of these factors in examined patients was associated with prothrombotic disorders of hemostasis. Thus, strategy of complex treatment and rehabilitation of patients with chronic IHD should be directed foremost to elimination of these conventional proatherogenic factors.

Keywords: ischemic heart disease, acute vascular events, proatherogenic risk factors, hemostatic disorders


Marcin Krępski, Justyna Leszczak

Instytut Fizjoterapii Wydziału Medycznego Uniwersytetu Rzeszowskiego

Quality of life of people with spinal cord injury

Introduction. Injuries of the spine and spinal cord are 25–35 cases per 1 million population per year. In Poland, according to the estimated number of injuries spine with spinal cord injury is about 600–700 cases per year. The total number of persons with disabilities as a result of spinal cord injury in Poland is estimated at about 15–20 thousand. The main causes of spinal cord injuries is motor vehicle accidents.

The aim of the study. Assessment of the quality of life of people with spinal cord injury with paraplegia of the lower limbs.

Material and methods. Group of respondents consisted of 50 people (38 men, 12 women). The study questionnaire was used SF-36 (8 zones, namely: physical functioning, limitations due to physical health, bodily pain, general feeling of health, vitality, social functioning, emotional functioning and mental health) and Barthel index (the degree of independence from any help physical or verbal).

Results. The study showed a reduction in the quality of life in all eight areas. Result Barthel index showed that the condition of those surveyed an average of tough. The activities of everyday life, most respondents handle yourself. The most difficult for jobs that require physical effort, and physiological problems. Social relations were clearly unsatisfactory. No major problems the subjects dealt with the movement of a wheelchair after flat surfaces.

Conclusions. 1. The functional capabilities makes the biggest problems getting up the stairs, dressing and undressing, and bathing the whole body. 2. People with paraplegia feel pain, but it is not interfering with the proper operation of a professional or a home.

Keywords: satisfaction with life, social support, individuals with spinal cord injury



Adam Topolski1, Sebastian Chrzan1, Rafał Sapuła1,2, Marta Wolanin1, Krzysztof Marczewski1,3

1Wyższa Szkoła Zarządzania i Administracji w Zamościu

2Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie

3SP Szpital Wojewódzki im. Papieża Jana Pawła II w Zamościu

Quality of life of patients with neck pain

Introduction. In recent years significantly increased the number of people suffering from all kinds of diseases of the spine. It has to do with the harmful health lifestyle. Pain syndromes of the cervical spine occur periodically in 35% of adults.

Objective. The aim of this study was to investigate the effect of rehabilitation on quality of life in patients with cervical spine pain.

Material and Methods. The study involved a group of 25 people, 18 (72%) women and 7 (28%) men, aged from 35 to 78 years (mean age 60,1, SD 13,5). These people were treated because of the pain syndrome of the cervical spine in Rehabilitation Clinic in Zamosc. The quality of life of patients, before and after the rehabilitation, tested using the SF-20.

Results. Before the rehabilitation of the quality of life of people with pain syndrome cervical spine differ significantly on the quality of life after rehabilitation (p < 0,003). Statistical analysis showed statistically significant differences in quality of life after rehabilitation in terms of age, BMI, education, and employment (p = 0,004, p = 0,008, p = 0,03, p = 0,001). Statistical tests showed a significant difference in reducing the operation (p = 0,02), general health (p = 0,04) and the perception of pain (p = 0,03) before and after rehabilitation.

Conclusions. Rehabilitation conducted within the Department Daily improving the quality of life of people with pain syndrome of the cervical spine. Rehabilitation of people with pain syndrome cervical spine reduces limitations in functioning, improvement in general and reducing pain.

Keywords: quality of life, pain syndrome of the cervical spine, the SF-20



Elżbieta Rutkowska1, Dominika Wysokińska2

1 Akademia Wychowania Fizycznego J. Piłsudskiego w Warszawie, WFiS Biała Podlaska

2 NZOZ Specjalistyczna Przychodnia Rehabilitacji Kompleksowej w Białej Podlaskiej

Control of Pain by Women with Spine Issues Undergoing Physiotheraphy

Pain as a function of central nervous system has an influence on quality level of peoples’ lives in its every area. It is stated by personal somatic conditions (registry, conductivity, reactivity) but it also depends on social conditions and psychological characteristic. Rising the ability to cope with pain by a rehabilitated patient is a crucial element of every holistic therapy wending to improvement of life quality. The research checks a psychological site of pain control. 66 women at the age between 30–50 took part in the research. They underwent physiotherapy because of back pian. A successful therapy requires partial responsibility for health from a patient (for instance: during secondary prophylaxis). In order to estimate pain control BPCQ inquiry form was used (The Beliefs abort Pain Control Questionnaire) — translated and adapted by Z. Juczyński (2001). The research results have been compared with the average data for people suffering from back pain. The research showed, that respondents — as a group — in each category: inner control (W), doctors’ influence (L), random events (P) present indifferent, weak type, which means willingness to improve health by following doctors’ and physiotherapists’ guidelines, but small personal dedication. Research shows statistically relevant link between pain control and respondents’ BMI. Usage of BPCQ inquiry form to estimate individual level of pain control may be crucial tip for health education or in organizing support for people undergoing physiotherapy.

Keywords: back pain, women, pain control, secondary prophylaxis, health education



Rafał Burak1 Rafał Sapuła1,2 Magdalena Burak1, Marta Soboń1, Sebastian Chrzan1

1Wyższa Szkoła Zarządzania i Administracji w Zamościu

2Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie

The influence of rehabilitation for quality of life of patients with low back pain

Background. Low back pain is one of the civilization diseases, it is one of the most common chronic disease among people over 65 years old, as well as one of the most common reason of disability among middle-aged patients. The quality of life is a multidimensional and interdisciplinary concept. It is described as a general satisfaction or its deficiency in different fields of life. In medicine, quality of life can be divided into two dimensions, subjective and objective. For the measurement of subjective quality of life there are used questionnaires. The purpose of this study was to evaluate the impact of rehabilitation on multidimensional quality of life of patients with low back pain.

Material and methods. Our research involved a group of 30 patients (20 women, 10 men) mean age 44 years old (SD: 15 years), treated for low back pain in the Rehabilitation Clinic of Zamość University of Management and Administration from August to November 2012. The evaluation of rehabilitation effectiveness was measured by: The Oswestry Low Back Pain Disability Questionnaire, Oswestry Disability Index — ODI, Visual Analog Scale by Barbara Headley and Beck Depression Inventary — BDI.

Results. There was observed statistically significant difference in the improvement of quality of life, reduction of pain and reduction of depression.

Conclusions. 1. Rehabilitation increases the quality of life of patients with low back pain  2. Rehabilitation affects on the subjective measurement of quality of life

Keywords: rehabilitation, the quality of life, pain



Andrzej Prystupa1, Ewa Kurys-Denis2, Małgorzata Zagroda3, Ewa Wawak3, Anna Mosiewicz1,4, Witold Krupski2, Jerzy Mosiewicz1

1Katedra i Klinika Chorób Wewnętrznych Uniwersytetu Medycznego w Lublinie

2II Zakład Radiologii Lekarskiej Uniwersytetu Medycznego w Lublinie

3Studenckie Koło Naukowe przy Katedrze i Klinice Chorób Wewnętrznych Uniwersytetu Medycznego w Lublinie

4Katedra i Klinika Neurochirurgii i Neurochirurgii Dziecięcej Uniwersytetu Medycznego w Lublinie

Chronic back pain caused by primary non-Hodgkin lymphoma

Non-Hodgkin’s lymphoma of the spinal canal occurs very rarely. We report a case of a 52-year-old man with back pain syndrome of the thoracic spine in the course of non-Hodgkin lymphoma. The diagnosis was supported by MR and histological examination. Degenerative spine disease is the most common cause of spinal pain. Symptoms of spinal pain syndroms can often mimic a rare neoplastic process in this organ like non-Hodgkin, B-cell lymphoma. The authors emphasize the importance of imaging technology in diagnosis of back pain.

Keywords: spinal tumours, primary non-Hodgkin’s lymphoma, degenerative spine disease



Agnieszka Iwańczuk, Andrzej Kwolek, Justyna Leszczak

Instytut Fizjoterapii Wydziału Medycznego Uniwersytetu Rzeszowskiego

Quality of Life of People After Stroke. Surveys

Introduction. Strokes are the leading cause of disability in the adult population. Are mainly elderly people, and because they are often burdened with many diseases, it increases the risk of complications, especially in the early treatment of stroke.

Aims. Evaluation of the quality of life of people with stroke at different times of its occurrence and the impact of age and gender on the quality of life of people after stroke to 3 and 6 months after stroke onset.

Material and methods. The study was carried out among patients who had fallen ill with a brain stroke and were treated on the apoplexy and rehabilitation wards in the hospitals in Rzeszów and Radzyń Podlaski from May 2011 to January 2012. It was carried out on a group of 52 patients, divided into two groups-3 and 6 months after falling ill. In each of them with the distinction between ages and sexes. The Polish version of Stroke-Specific Quality of Life SS-QOL and the Medical History Questionnaire were applied to evaluate the quality of life.

Results. According to the research, it can be presumed that the quality of life among patients of different groups is diversified depending on the time of observing the first symptoms of a stroke. The quality of life among the patients who were recovering from it for 3 months was worse than among those after 6 months from falling ill in 8 out of 12 subscales. No visible impact of the age or sex on the quality of life was observed among these patients.

Conclusions. 1. Quality of life of stroke up to 3 months of getting sick was worse than in patients up to 6 months in 8 of 12 subscales. 2. There was no significant effect of age and sex on the assessment of quality of life after stroke in the period up to 3 and 6 months after stroke onset.

Keywords: quality of life. stroke, the time of stroke, age, gender



Marta Soboń1, Joanna Sapuła2, Sebastian Chrzan1, Rafał Sapuła1,3

1Wyższa Szkoła Zarządzania i Administracji w Zamościu

2Uniwersytet Przyrodniczy w Lublinie

3Wyższa Szkoła Informatyki i Zarządzania w Rzeszowie

The influence of rehabilitation for the range of motion of cervical spine

Background. Back pain is one of the most common social problems which are widely described by the world’s literature. The variety of reasons, multiple pain syndromes, their recurring nature and stability in cases of chronic pain, cause it is a multidisciplinary approach that deserves urgent attention and the search for effective treatments.

Materials and methods. The study involved 60 patients (45 women, 15 men), treated for neck pain at the Rehabilitation Department of Zamość University of Management and Administration from July to November 2012. For study the range of motion of cervical spine, it was used the Saunders digital inclinometer with standardized research methodology. Measurements were performed at the first and the last day of rehabilitation. To evaluate the effectiveness of rehabilitation were used questionnaires: Neck Disability Index (NDI) and a Visual Analogue Scale (VAS).

Results. Studies have shown a statistically significant increase in range of flexion (p = 0,038), extension (p = 0,002), lateral flexion to right and left (p < 0,001 and p < 0,001) and rotary movements to right and left (p = 0,011 and p = 0,003). There was a statistically significant decrease in pain degree measured by VAS (p < 0,001) and increase in efficiency measured by NDI (p < 0,001).

Conclusions. 1. Rehabilitation increases the range of motion of the cervical spine. 2. Rehabilitation reduces pain measured by VAS and increases the overall efficiency measured by NDI. 3. Pain reduction and increase of efficiency can affect the improvement of quality of life.

Keywords: range of motion, cervical spine, Sounders digital inclinometer



Honorata Kotowska-Tytonik, Andrzej Kwolek, Justyna Leszczak

Instytut Fizjoterapii Wydziału Medycznego Uniwersytetu Rzeszowskiego

Does the pain affects the quality of life of patients with multiple sclerosis?

Introduction. Multiple sclerosis is a chronic demyelization disease incurable of unknown etiology, which occurs mainly in adults. The essence of multifocal disease is damage to the central nervous system, which results in various neurological symptoms including pain syndromes.

The aim. Assess the prevalence of pain syndromes in patients with multiple sclerosis and dependent on gender, age, place of residence, duration of disease, and as also to determine whether concomitant pain affects quality of life.

Materials and methods. The study was of 80 patients who reported to the Ambulatory Clinic of Neurology and District Hospital in Lezajsk diagnosis of clinically definite multiple sclerosis. The study group included 39 men and 41 women. Used to assess pain scale „Visual Analogue Scale” (VAS), and to assess the quality of life questionnaire used International (MusiQol).

Results. The study was carried out between March 2011 May 2012. The study found the occurrence of pain in 90% of patients. Most chronic pain was (90.3%). Dominated by muscle spasms especially of the lower limbs and back pain, the cause can be associated with abnormal posture and muscle tension change that prevents the execution of physiological movements of the patient.

Conclusions. With the increase in the intensity of pain significantly worsens the quality of life of patients with multiple sclerosis. Patients with pain due to often complain about the impossibility of carrying out activities of daily living, often switching from float and depressed. They have low self-esteem, they feel useless, they feel rejected by family and friends and they have a lack of satisfaction with the marriage.

Keywords: pain, symptoms, chronic disease, activities of daily living



Agnieszka Paterska1, Krzysztof Marczewski1,2

1SP Szpital Wojewódzki im. Papieża Jana Pawła II w Zamościu

2 Wyższa Szkoła Zarządzania i Administracji w Zamościu

Education of diabetic patients make it sens?

Type 2 diabetes is an incurable, slowly progressing disease, that is characterized by severe complications. Diabetic patients education is a vital element in the treatment of diabetes. The knowledge of the proper nutrition, physical activity and self- management training enable the delay in the disease progress. The difficulties in the exact judgment, about the beneficial influence of the education, result from the differences in the training methods. The loss of positive outcomes in the course of time and the periodic training sessions repetitions are essential. Only the regular and long-lasting diabetic patient education plays a part in the complex therapy

Keywords: diabetic patient education, type 2 diabetes, glycated hemoglobin



Anna Ogorzałek, Andrzej Kwolek

Instytut Fizjoterapii Wydziału Medycznego Uniwersytetu Rzeszowskiego

Quality of life after mastectomy

Introduction. Breast cancer is one of the most common malignancies in the world also in Poland. It affects mostly women. It is a disease that affects not only physical health, but it interferes with the functioning of patients in other areas of life such as the sphere of mental, emotional or social.

Aims. The aim of the quality of life women after mastectomy who are members of Sadecki Club Amazonek.

Material and methods. The study included 97 women — members of the Sadecki Club Amazonek after mastectomy at age 36 to 82 years. As a research tool used a standardized questionnaire EORTC QLQ C30, version 3.0, along with the module on breast cancer, EORTC QLQ BR-23. Questions were closed character. Results: The study took part mainly women living in the city, with different marital status and different periods after surgery. The results showed lower levels of quality of life women, reduced their physical functioning, vocational, emotional, social and cognitive. Amazons confessed to often symptoms of side effects of therapy, symptoms of breast and arm. They also suffered from problems with accepting their bodies. There is the relationship between marital status and female sexual functioning. Married women are sexual active more than women which are divorced, free and widows. Place of living has an influence on the women’s after mastectomy quality of life. „Amazons” who live in rural areas achieve a higher quality of life.

Conclusions. Quality of life of women associated in Nowy Sącz Amazon Club is less as compared to the quality of life of standardization. The level of quality of life, the Amazons „decreases with age and the influence of time after mastectomy. Women living in rural area received significantly higher performance, often in less often suffer from fatigue, pain, nausea.

Keywords: breast cancer, operational treatment of breast cancer, „Amazon”, satisfaction of life



Justyna Leszczak

Instytut Fizjoterapii Wydziału Medycznego Uniwersytetu Rzeszowskiego

Women fitness over 55 years age to actively participation in exercise

Introduction. Physical activity enables people to achieve good health, energy and enjoyment. Its absence deteriorates adaptive mechanisms which regulate functions of certain systems and organs.

Aims. The aim of the dissertation is to evaluate level of fitness of people who are over 55 years old and attend physical recreation and fitness classes.

Materials and methods. The research covered 60 people, including 30 people (i.e., 50%) attending fitness classes in Otylia fitness club in Strzyzow and 30 non-attendants (i.e., 50%). The research was made with The Fullerton Functional Fitness Test, along with a questionnaire and BMI.

Results. The results showed the people attending fitness classes proved 8% better fitness. Also, a significant difference in BMI can be observed, which is 1,84 kg/m² between tested and controlled group.

Conclusions. The fitness results are much better for people who actively participate in physical exercise.

Keywords: fitness, women, fitness activities, physical recreation, weight



Barbara Klara, Andrzej Kwolek

Instytut Fizjoterapii Wydziału Medycznego Uniwersytetu Rzeszowskiego

Assessment of women knowledge of osteoporosis

Introduction. Osteoporosis, which belongs to the group of diseases associated with the progress of civilization, is a serious health, social and economic problem. Anyone can develop osteoporosis, but it is more common in women than men.

The aim of the thesis. The major aim of this thesis was to test women’s knowledge of osteoporosis. Research material and methods: The research study was carried out among 180 women rehabilitated in the rehabilitation.

Material and method. The study was conducted in the period December 2011 –March 2012. Participation in the study was voluntary.

The results. Over half of those questioned showed limited knowledge of osteoporosis. The research study does not reveal remarkable difference in the level of knowledge showed by women belonging to different age groups. However, women living in urban areas demonstrate considerably wider knowledge of osteoporosis than those living in rural ones. The analysis of the answers given by women with different level of education showed that those with university degrees have greater knowledge of the disease than those with secondary, vocational secondary and primary school education.

Conclusion. 1. Women’s knowledge of osteoporosis is limited. 2. Women living in urban areas have greater knowledge of osteoporosis than those living in rural ones. 3. Women with university degree demonstrate wider knowledge of the disease than those with secondary level education, vocational and primary one.

Keywords: motor system, chronic illness, knowledge, education



Katarzyna Czop1, Krzysztof Marczewski1,2,

1SP Szpital Wojewódzki im. Papieża Jana Pawła II w Zamościu

2Wyższa Szkoła Zarządzania i Administracji w Zamościu

Is any kind of diet pharmacologically active? Considerations based on quercetin

In addition to energy substances, for biological potential of plant products respond vitamins, minerals, fiber and phytochemicals — flavonoids of the most frequently consumed in our diet quercetin. The paper discusses the properties of quercetin that determine the health prevention activity and use in the prevention and treatment of cardiovascular disease including hypertension, coronary heart disease and the leading cause of atherosclerosis and the prevention of allergies and cancer. It also pointed to the possible pharmacological interactions, and therefore recommendations for proper dosage.

Keywords: flavonoids, quercetine, phytocomponents, antioxydants



Agnieszka Musolf-Parol

Wyższa Szkoła Ekonomii i Innowacji w Lublinie

Disorder of Life Balance as Professional Burnout – Disease of Civilization of Our Times

Contemporary concept of “burnout” has many meanings. It may concern the aspects of physical exploitation of individual and the mental feeling of helplessness and hopelessness. The classical definitions of professional burnout indicate for balance disorders in relation between human and work, which negatively influence on functioning of individual. This problem concerns mainly those who are excessively involved in official duties. Raising rate of civilization development increases needs towards modern human being, who repeatedly cannot cope with. The permanently of this phenomenon may cause increase in the number of people, who are touched by the professional burnout, which is included to modern diseases of civilization.

Keywords: burnout, stress



Edward Przychodaj

Wyższa Szkoła Zarządzania i Administracji w Zamościu

Reflections on Disability

The paper deals with some problems of disability — the most important ones according to the author. They are described from the sociological perspective. They show this phenomenon in many aspects; in its base, against and in the context of the social policy, the situation of the disabled and their families, in the context of the system of social and health protection, professional and social rehabilitation, its genesis and present scale and the social structure, social and demographic features as well as many other vital problems of this society. The purpose and the message of the paper, which is a kind of an essay, is to draw attention to humanistic, simply human, very personal and psychological dimension of the subject matter.

Keywords: disability, the state social policy, the social, material and legal protection system of the disabled, social and professional rehabilitation, the disabled situation in the family and their psychosocial, educational and life problems