Studying different aspects of quality of life in the system of neurorehabilitation of patients with neurodegenerative pathology

Abstract

Breach of partnership signifi cantly worsens life satisfaction, leads to emotional disturbances, affects self-esteem, and ultimately is a quality of life problem. Erectile dysfunction (ED) continues to remain the most important problem of the health and quality of life of the male population. This problem in men with multiple sclerosis is detected in 50—90 % of cases. The article presents the result of isolating pathogenetic variants of erectile dysfunction in 73 men of the Eastern region of Ukraine with a remitting type of course of multiple sclerosis who were being treated at the Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine. At the time of the examination, all patients were in a post-debut period in a state of remission (full or partial). The clinical characteristics of the debut included the defeat of all functional systems: the optic nerve (in the form of retrobulbar neuritis), the pyramidal, cerebellar systems, impaired sensitivity and damage to the brain stem, sphincter disorders. Three pathogenetically different variants of ED were distinguished: with a predominant violation of suprasacral regu lation of erection, with a predominant violation of sacral regulation of erection, with a predominantly psychogenic ED. The predominant ED variants are the va riant with the predominant violation of suprasacral regulation of erection and the variant with predominantly psychogenic ED. The ED variant with a predominant violation of sacred regulation of erection was characterized by a moderate level of personal and reactive anxiety on the SpilbergerKhanin scale, positively correlated with damage to the function of the pelvic organs and was defined as prognostically unfavorable. The study confirmed the previously established clinical heterogeneity of ED in the remitting type of multiple sclerosis. The results of the study are supposed to be used in the development of rehabilitation programs for the remitting type of multiple sclerosis, taking into account regional specifics. Key words: quality of life, multiple sclerosis, remitting course, regional specificity, erectile dysfunction