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METHOD OF INTEGRATED MEDICAL-PSYCHOLOGICAL REHABILITATION OF PATIENTS IN LATE RECOVERY PERIOD AFTER ACUTE CEREBRAL CIRCULATION DISORDER

机译:急性脑循环疾病后晚期恢复期患者的综合医学-心理治疗方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, neurology, medical psychology and psychotherapy, psychophysiology and can be used including for psychological and psychophysiological recovery of patients in late period after ischemic stroke (within more than 6 months after a stroke). Complex of corresponding medicinal and physical effects in form of massage and exercise therapy, as well as psychological rehabilitation by psychophysiological and psychotherapeutic effect. That is ensured by using the individual's emotional well-being assessment method O. I. Odarushchenko. "Emotional well-being test 1.0", including 9 subtests determining following 9 psychological parameters: 1) internality in family relations, 2) contactness, 3) subjective well-being, 4) creativity, 5) self-acceptance, 6) behavior flexibility, 7) morality index, 8) maturity of personality, 9) self-esteem. Their values are used in ranking and calculating a general criterion (GC) of mental health, reflecting the level of emotional well-being, according to the original formula. If the GC value is equal to or more than 11.2 conv. units, which reflects the emotional well-being of the patient, then as a psychophysiological effect, a course is performed from daily sessions of electropulse exposure using a device – multifunctional glasses Mind Spa, using “Progressive Alfa Training Relaxation” program of Alpha 1 Mind Spa device for 10 days. In the first three days, exposure time for one session is 10 minutes, in subsequent – for 22 minutes, and the psychotherapeutic effect is presented by rational-emotional-behavioral psychotherapy (REBT) with a session duration of 60 minutes, which is performed after Mind Spa exposure twice a week. If the GC value is less than 11.2 conv. units (reflects the patient's emotional uneasiness), then as a psychophysiological exposure, 12-day course of daily exposure sessions is performed with the help of Mind Spa, using the program "Progressive Deep Theta Training" Theta I, setting its duration for 10 minutes. That is followed by a psychotherapeutic exposure in the form of a REBT session lasting 60 minutes 2 times a week, then again exposed to the Mind Spa apparatus for 10 minutes, but already by Alpha II “Progressive Alfa Training Relaxation” program, wherein in the days free from REBT, and alpha-training is carried out immediately after theta-training. At least 3 hours later, repeated exposures are performed sequentially – first 10 min according to Theta I program, then 10 min according to Alpha II program. After 12-day course, the patient's GC definition is repeated, and if the value is higher than or equal to 11.2 conv. units consider effects effective and terminate. If observing GC less than 11.2, said psychophysiological and psychotherapeutic exposure is repeated for emotionally dysfunctional patient for 12 days.;EFFECT: method provides an individual, differentiated approach to rehabilitation of patients in the late recovery period after ischemic stroke taking into account features of objectively established emotional status of the patient; it increases the rehabilitation effect, improves the quality of life of patients and their relatives, accelerates socialization by restoring the emotional state of the patients with preserving the effect for a long period of time.;1 cl, 1 dwg, 1 tbl, 1 ex
机译:技术领域本发明涉及医学,神经病学,医学心理学和心理治疗,心理生理学,并且可用于包括缺血性中风后晚期(中风后6个月以内)患者的心理和心理生理恢复。按摩和运动疗法形式的相应药物和物理作用的复合物,以及通过心理生理和心理治疗作用进行的心理康复。这可以通过使用个人的情绪健康评估方法O.I. Odarushchenko来确保。 “情绪健康测试1.0”,包括9个子测试,确定以下9个心理参数:1)家庭关系的内在性,2)接触性,3)主观幸福感,4)创造力,5)自我接受,6)行为灵活性,7)道德指数,8)人格成熟,9)自尊。根据原始公式,它们的值用于对心理健康的一般标准(GC)进行排名和计算,以反映情绪健康水平。如果GC值等于或大于11.2转化。反映患者情绪状态的单位,然后作为一种心理生理效应,使用设备多功能眼镜Mind Spa从每天的电脉冲暴露过程中执行课程,使用Alpha 1 Mind的“ Progressive Alfa Training Relaxation”程序水疗仪10天。在前三天中,一个疗程的暴露时间为10分钟,其后为22分钟,并且通过合理情绪-行为-心理疗法(REBT)表现出心理治疗效果,疗程为60分钟,在注意水疗每周两次。如果GC值小于11.2转化。单位(反映患者的情绪不适),然后作为心理生理暴露,在Mind Spa的帮助下使用“ Progressive Deep Theta Training” Theta I程序进行为期12天的每日暴露疗程,将其持续时间设置为10分钟。随后是每周两次,每次60分钟的REBT疗程形式的心理治疗暴露,然后再次暴露于Mind Spa装置10分钟,但已经通过Alpha II“ Progressive Alfa Training Relaxation”计划进行,其中天没有REBT,并且theta训练后立即进行alpha训练。至少3小时后,依次进行重复曝光-根据Theta I程序先进行10分钟,然后根据Alpha II程序进行10分钟。经过12天的疗程后,将重复患者的GC定义,如果该值大于或等于11.2转化。单位认为效果有效并终止。如果观察到的GC低于11.2,则对情绪失调的患者重复上述心理生理和心理治疗暴露12天;效果:该方法为缺血性中风后康复期的晚期患者提供了一种个性化的差异化治疗方法确定患者的情绪状态;它可以通过恢复患者的情绪状态并长期保持这种效果来提高康复效果,改善患者及其亲属的生活质量,加速社会化。; 1 cl,1 dwg,1 tbl,1 ex

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