DOI: https://doi.org/10.15587/2313-8416.2015.42288

Rehabilitation of patients with pancreatitis and non-psychotic mental disorders

Юлия Николаевна Шевченко, Людмила Николаевна Юрьева

Abstract


In this paper, the complex rehabilitation program for patients who are hospitalized with a diagnosis of pancreatitis is given. The results of a comprehensive examination and treatment of patients suffering from pancreatitis with non-psychotic mental disorders are obtained. The clinical and psychosocial risk factors for pancreatitis are provided.

Objectives With the help of clinical and psychopathological examination to develop rehabilitation programs for patients with non-psychotic mental disorders in patients with pancreatitis.

Materials and methods Socio-demographic research method was used to obtain objective data on the age of patients with non-psychotic mental disorders in patients with pancreatitis, as well as gender, marital status, education, employment.

 Clinical and psychopathological research method used in patients with non-psychotic mental disorders in patients with pancreatitis on the basis of generally accepted approaches of psychiatric examination of patients. Diagnosis of mental disorders was performed according to the clinical criteria of ICD - 10 by standardized interviews and observations.

Results In the dynamics of complex treatment of 67 patients showed a stable trend (p <0,001) a decrease in the severity of both situational and personal anxiety (Table. 1). The number of patients with a high level of reactive anxiety decreased from 57 (85.1%) and 21 (31.3%), personal anxiety - from 52 (77.6%) and 24 (35,8%) (p <0,001 criterion Mac Nemara). Patients who refuse treatment for this time of observation severity situational anxiety decreased (p <0,05), and the personal - did not change (p> 0.05).

Conclusion Based on these data it is developed a phased differentiated rehabilitation program that include drug treatment, non-drug therapies (herbal medicine, physiotherapy), psychotherapy, and social events


Keywords


non-psychotic mental disorders; pancreatitis; rehabilitation programs; clinical features; diagnosis; treatment and rehabilitation

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