Quality of life at the patients between the ages of 18 and 50 with ischemic stroke

T. A. Usanova, I. N. Shelpakova
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Abstract

This study was conducted to examine changes in the quality of young patients‘ life , who underwent ischemic stroke, with an emphasis on the degree of change in cognitive functions and the presence of depressive disorders. MMSE scale (Mini mental State Examination), 10 words technique and clock drawing test, as well as assessment of depression on the Hamilton Rating Scale for Depression were used as the research methods. The study showed that its participants did not experience severe cognitive disorders. Besides, their level is comparable to pre-Dement disorders and there was no serious violation of memory, orientation, perception, attention, speech, reading and writing. Therefore, we can definitely say that there is no significant damage to the social and professional functions of the studied patients’ lives. However, there are either light or moderate depressive disorders in all studied groups. Consequently, young patients with ischemic stroke are more susceptible to depressive rather than cognitive disorders. These results should be taken into account while doing the social and professional rehabilitation of these patients, which is necessary to improve their quality of life, adaptation in society and a soon return to daily activities. 634 НАУЧНЫЕ ВЕДОМОСТИ ^ Серия Медицина. Фармация. 2018. Том 41 ,No 4 Ключевые слова: пациенты в возрасте от 18 до 50 лет, ишемический инсульт, качество жизни, когнитивные функции, депрессивные расстройства, социальная реабилитация, профессиональная реабилитация, шкала MMSE, шкала Гамильтона.
18 ~ 50岁缺血性脑卒中患者的生活质量
本研究旨在检查缺血性中风年轻患者生活质量的变化,重点关注认知功能的变化程度和抑郁障碍的存在。研究方法采用MMSE量表(Mini mental State Examination)、10字技术及时钟绘制测验、汉密尔顿抑郁评定量表(Hamilton Rating scale for depression)评定抑郁程度。研究表明,参与者没有出现严重的认知障碍。此外,他们的水平与痴呆前的障碍相当,没有严重的记忆、定向、感知、注意、言语、阅读和写作的侵犯。因此,我们可以肯定地说,研究患者的社会和职业功能没有明显的损害。然而,在所有的研究组中都有轻度或中度的抑郁症。因此,年轻的缺血性中风患者更容易患抑郁症,而不是认知障碍。在对这些患者进行社会和专业康复时应考虑到这些结果,这对于提高他们的生活质量,适应社会并尽快恢复日常活动是必要的。634 НАУЧНЫЕ ВЕДОМОСТИ ^ Серия Медицина。Фармация。2018. Том41岁,4号Ключевыеслова:пациентыввозрастеот18д50олет,ишемическийинсульт,качествожизни,когнитивныефункци,идепрессивныерасстройства,социальнаяреабилитация,профессиональнаяреабилитация,шкалаMMSE,шкалаГамильтона。
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