QUALITY OF LIFE AND MENTAL HEALTH IN PATIENTS WITH CEREBROVASCULAR DISEASE
DOI:
https://doi.org/10.11603/1811-2471.2025.v.i1.15246Keywords:
cerebrovascular disease, quality of life, psycho-emotional stateAbstract
SUMMARY. According to many researchers, the course of cerebrovascular disease is dominated by a complex of neuropsychological disorders, and the main manifestation is cognitive dysfunction. With a long course of the pathological process, cognitive disorders progress and are considered as the main factors in the development of stroke and/or dementia. High specific weight of cognitive disorders in cerebrovascular pathology indicates the need for targeted rehabilitation measures, which are of crucial importance for improving the health and quality of life of this contingent of patients.
The aim – to assess the quality of life and psychoemotional state of patients with cerebrovascular disease of the I and II degrees of severity and to determine the state and severity of the clinical course of the disease in order to take into account the individual characteristics of patients when developing a comprehensive program of physical and medical rehabilitation.
Material and Methods. Patients aged 40-59 years with cerebrovascular disease of stages I and II were involved in the study. The psycho-emotional features and quality of life of the examinees were determined in compliance with the principles of biomedical ethics, based on informed consent, which functioned in the usual mode.
Results. The assessment of the psycho-emotional state and quality of life made it possible to determine the state and severity of the clinical course of the disease, namely, according to the short scale of mental status (MMSE), in most of the examined patients, 76.0 % had cognitive impairments of various degrees of severity. The absence of depressive manifestations according to the BDI scale was observed only in 24.0 % of patients. The quality of life of the examined patients with chronic cerebral circulation disorders had low indicators, in which the state of health limits the performance of physical activities. According to the TAI scale, a high level of both reactive and personal anxiety was determined only in patients with stage II (29.8 % and 38.6 %, respectively). The assessment of impaired thinking was registered to a greater extent at the compensated stage.
Conclusions. During the study, a significant prevalence of cognitive dysfunction in patients with cerebrovascular disease was found, which coincides with the literature data. Low indicators of life quality, which were recorded on the questionnaire, provide an opportunity to take into account the individual characteristics of each patient when developing a comprehensive program of medical and physical rehabilitation.
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