ОТНОШЕНИЕ К БОЛЕЗНИ И ПРИВЕРЖЕННОСТЬ ЛЕЧЕНИЮ БОЛЬНЫХ С ПОСЛЕДСТВИЯМИ ИНСУЛЬТА

Abstract

In patients with consequences of a stroke, disturbances in motor, cognitive, and sensory functions are observed; cardiovascular, endocrine and other body systems, impairment of self-care and independent walking. Physical dependence, the inability to self-care in fulfilling urgent biological needs leads to a feeling of helplessness and is accompanied by depressive, neurotic reactions to the disease. Restoration of impaired functions after a stroke has a long period and the success of recovery depends, on the one hand, on the volume and location of the brain lesion, the severity of motor and cognitive impairments, on the other hand, on the position of the patient himself, the attitude of the patient’s personality to the disease and adherence to treatment. A patient’s stay in a hospital is associated with the social expectations of the staff for certain behavior of the patient: fulfilling the instructions of the attending physician, partnership with staff (physical therapy methodologist, speech therapist, occupational therapist, etc.), the patient’s activity, the formation of healthy lifestyle attitudes (giving up smoking, alcohol, fatty food, etc.), which can be called psychological conditions for rehabilitation. However, not all patients are ready to fulfill these rehabilitation conditions, which are targets for psychological correction. The tasks of psychological assistance should be focused on developing adherence to treatment, forming cooperative relationships with staff, and healthy lifestyle attitudes, which can contribute to restorative treatment and the prevention of recurrent stroke. Psychological assistance during individual and group work should be focused on providing emotional support, setting realistic and understandable goals for the patient, adequate to the patient’s capabilities, both in a hospital and clinic, which can ensure his active inclusion in the treatment process.