Internal Picture of the Disease as a Success Factor of Postoperative Neurorehabilitation in Patients with Pituitary Adenoma

Q4 Biochemistry, Genetics and Molecular Biology

International Journal of Biology and Biomedical Engineering Pub Date : 2021-09-01 DOI:10.46300/91011.2021.15.44

A. M. Domracheva, I. A. Safonova, A. O. Denisenko, D. Sozaeva, S. Berezhanskaya, A. Afonin, I. Panova, S. Dombayan, T. A. Afonina

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Abstract

In order to study the perception of patients operated on for pituitary adenoma, their disease, the types of response to the disease, as well as the influence of the type of internal picture of the disease ((VKB) on the success of the treatment and rehabilitation process, 52 patients (24 men, 28 women) aged from 32 to 46 years old (mean age – 37,7 ± 1,2 years), operated on for pituitary adenoma Analysis of medical records, interviews, assessment of the patient's condition using a number of rating scales and psychodiagnostic techniques to determine the type of attitude to the disease revealed in patients a high level of nosogenic stress reactions and a significant predominance of a maladaptive attitude towards an intrapsychic disease (92,3%). The presence of the dominant maladaptive type of VKB in patients significantly reduces the socio-psychological adaptation in the postoperative period. Under these conditions, in the process of forming a strategy of postoperative neurorehabilitation for the successful restoration of the psychosocial status of patients with pituitary adenomas, it is necessary to take into account the nature of maladaptive personality reactions.

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疾病作为垂体腺瘤患者术后神经康复成功因素的内部图景

为了研究垂体腺瘤手术患者的认知、他们的疾病、对疾病的反应类型，以及疾病的内部图像类型（VKB）对治疗和康复过程成功的影响，52名患者（24名男性，28名女性）年龄从32岁到46岁（平均年龄-37,7±1,2岁），垂体腺瘤手术分析医疗记录、访谈、使用多种评定量表和心理诊断技术评估患者的病情，以确定患者对疾病的态度类型，发现患者存在高水平的致病应激反应，对精神疾病的适应不良态度占显着优势（92,3%）。患者中显性适应不良型VKB的存在显著降低了术后的社会心理适应。在这些条件下，在形成垂体腺瘤患者术后神经康复策略以成功恢复其心理社会状态的过程中，有必要考虑到不适应人格反应的性质。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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International Journal of Biology and Biomedical Engineering Biochemistry, Genetics and Molecular Biology-Biochemistry, Genetics and Molecular Biology (all)

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期刊介绍： Topics: Molecular Dynamics, Biochemistry, Biophysics, Quantum Chemistry, Molecular Biology, Cell Biology, Immunology, Neurophysiology, Genetics, Population Dynamics, Dynamics of Diseases, Bioecology, Epidemiology, Social Dynamics, PhotoBiology, PhotoChemistry, Plant Biology, Microbiology, Immunology, Bioinformatics, Signal Transduction, Environmental Systems, Psychological and Cognitive Systems, Pattern Formation, Evolution, Game Theory and Adaptive Dynamics, Bioengineering, Biotechnolgies, Medical Imaging, Medical Signal Processing, Feedback Control in Biology and Chemistry, Fluid Mechanics and Applications in Biomedicine, Space Medicine and Biology, Nuclear Biology and Medicine.