Landscape–environmental planning of territories in the context of rehabilitation of patients with chronic skin diseases

INTRODUCTION: There is an objective demand for models of sustainable recreational environmental management based on modern ecodiagnostics, landscape-environmental design and rehabilitation of the population. Achievements in molecular biology have expanded understanding of the role of environmental factors in pathophysiology of chronic dermatoses (CD). Of importance is analysis of the influence of environmentally friendly recreational urban landscapes on reducing the morbidity and increasing the inter-remission period in patients with chronic skin diseases. AIM: To develop a universal model of landscape-environmental planning of the sustainable nature management territories for environmental recreation and rehabilitation of patients with CD. MATERIALS AND METHODS: An analytical assessment of scientific opinions and methodological approaches to landscape-environmental planning is given. A system analysis of scientific publications, a comparative analysis of existing regulatory legal acts permitted to identify and evaluate problems of ecodiagnostics of recreational landscapes and rehabilitation of people with CD. A method of making a final environmental diagnosis of the territory was determined. A reconnaissance survey and route tours of the forest park of Ryazan were conducted, areas suitable for rehabilitation of urban residents including patients with CD, were identified. A survey was conducted among 112 patients with CD to elicit their perception of the rehabilitation urban landscape. RESULTS: A universal model for planning territories of sustainable nature management for environmental recreation and rehabilitation has been developed. To make a final ecological diagnosis of the territory, ‘Method for diagnosing the suitability of land plots and for toxic monitoring of territories for health resort recreation and medical and environmental recreation using human and animal cell cultures’ has been proposed. An algorithm for developing an individual program of environmental rehabilitation of persons suffering CD has been summarized. An analysis of the survey questionnaires showed that 101 people (90.2%) noted the beneficial effects of the surrounding nature, reduction of stress and improvement of skin condition; 68 (60.7%) respondents suggested making improvements to the surrounding urban environment. CONCLUSION: Well-equipped and comfortable green urban landscapes have a positive effect on the treatment and rehabilitation of patients with dermatological diseases. The use of a universal methodological model in planning urban recreational areas are relevant and timely. Actualization and modernization of landscape-environmental planning is an innovative task that offers an opportunity for multiplicative use of the developed model in public healthcare.