Target strategy for increasing commitment to rehabilitation in disabled individuals

Morozova E.

doi:10.14529/jpps220203

E. V. Morozova “Federal Bureau of Medical and Social Expertise” of the Ministry of Labor of Russia (3 Ivan Susanin str., Moscow, 127486, Russia) https://orcid.org/0000-0002-1897-5776 elvamorozova@yandex.ru

DOI: https://doi.org/10.14529/jpps220203

Keywords: psychological rehabilitation, commitment to rehabilitation, psychological correction, disabled people

Abstract

Introduction. The problem of commitment to rehabilitation in disabled individuals is associated with high levels of disabled population. The main causes of disability in the Russian Federation are cardiovascular diseases, malignant neoplasms and diseases of the musculoskeletal system and connective tissue. Increased disability rates determine the importance of comprehensive rehabilitation of disabled individuals of these nosological groups. Aim: the paper aims to develop and test targeted strategies for increasing commitment to rehabilitation in disabled individuals with the most common pathologies.
Materials and methods: the study involved 69 disabled individuals (group II/III) with the most common pathologies (48 female and 21 male patients, mean age 55 ± 12 years). Inpatient evaluation demonstrated low levels of commitment to rehabilitation (propensity to deviant behavior questionnaire) and other personal risks of maladjustment, which was an indication for socio-psychological rehabilitation. 34 patients were enrolled in the study due to the absence of cognitive impairment and readiness to complete study tasks. The control group (n = 35) with the same medical and social characteristics (diagnosis, gender, age, disability group) was formed to evaluate the effectiveness of the program. Results: a comprehensive rehabilitation program was developed and implemented within 3,5 months to increase commitment to rehabilitation in patients with respect to psychological aspects of rehabilitation and social performance of patients. Therefore, individual and group rehabilitation measures were taken aimed at changing emotional and motivational attitudes among patients. Conclusion. The results obtained demonstrate positive changes for all parameters of the questionnaire, except for professional and academic self-realization. Therefore, the rehabilitation program can be recommended for the inpatient treatment of disabled patients with the most common pathologies.

Downloads

Download data is not yet available.

Author Biography

E. V. Morozova , “Federal Bureau of Medical and Social Expertise” of the Ministry of Labor of Russia (3 Ivan Susanin str., Moscow, 127486, Russia)

Candidate of Psychological Sciences, Head of the Scientific and Methodological Center for Complex Rehabilitation

References

1. Dymochka M.A., Krasnovskaya E.S., Verigina N.B. Desibility rates in the adult population of the Russian Federation for the period 2017-2019. Mediko-socialnui problem invalidnosti = Medical and social problems of disability. 2020; 2:7–26. (in Russ.).
2. Bonkalo T.I., Golcov A.V., Shmelev S.V. et al. Features of psychological adaptation of disabled people with late lesions of the musculoskeletal system. Vestnik Moskovskogo gosudarstvennogo oblastnogo universiteta = Bulletin of Moscow State Regional University (e-journal). 2016;4:11. Available at: https://www.elibrary.ru/item.asp?id=27811183 (accessed 22.10.2021) (in Russ.).
3. Dymochka M.A., Morozova E.V., Zhukova E.V. Psychological rehabilitation in the structure of complex rehabilitation of disabled people (methodological and regulatory approaches). Mediko-socialnui problem invalidnosti = Medical and social problems of disability. 2020;2:75–84. (in Russ.).
4. Semenova O.N. Factors influencing adherence to therapy: WHO parameters and the opinion of patients of the cardiology department. Bulleten medicinskih internet-conferencii = Bulletin of medical Internet conferences. 2013;3(3). Available at: http://medconfer.com/node/2079 (accessed 12.10.2021) (in Russ.).
5. Chowdhury R., Khan H., Heydon E. et al. Adherence to cardiovascular therapy: a meta-analysis of prevalence and clinical consequences. European Heart Journal. 2013;34(38):2940–2948.
6. De Vera M.A., Bhole V., Burns L.C., Lacaille D. Impact of statin adherence on cardiovascular disease and mortality outcomes: a systematic review. British Journal of Clinical Pharmacology. 2014;78(4):684–698.
7. Pérez-Escamilla B., Franco-Trigo L., Moullin J.C. et al. Identification of validated question-naires to measure adherence to pharmacological antihypertensive treatments. Patient Prefer Adherence. 2015;9:569–578.
8. Vlasnik J.J., Aliotta S.L., DeLor B. Medication adherence: factors influencing compliance with prescribed medication plans. Case Manager. 2005;16(2):47–51.
9. Solondaev V.V., Sumerkina D.V. Compliance in doctor-patient communication. Medicinskaya psihologiya v Rossii: electronnii nauchnii gurnal = Medical Psychology in Russia: electronic scientific journal. 2011;4. Available at: http://www.medpsy.ru/mprj/archiv_global/2011_4_9/nomer/ nomer24.php (accessed 22.10.2021) (in Russ.).
10. Elfimova E.V., Elfimov M.A. Personality and illness: "the internal picture of the disease", quality of life and commitment. Zamestitel glavnogo vracha = Deputy Chief Physician. 2009;11:18–25. (in Russ.).
11. Shmeleva S.V. Features of the quality of life of older women in modern Russia. Socialnaya politika i sociologiya = Social policy and sociology. 2009;1 (43):112–116. (in Russ.).
12. Morozova E.V. The study of rehabilitation activity of patients with basic disabling pathology in the conditions of medical and social expertise and rehabilitation. Mediko-socialnui problem invalidnosti = Medical and social problems of disability. 2019;4:38–49. (in Russ.).
Morozova E.V., Aleksanin S.S. Conceptual approach to the development of the problem of rehabilitation commitment of the individual in conditions of disabling disease. Vestnik psichoterapii = Bulletin of psychotherapy. 2021;80(85):128–147. (in Russ.).
14. Morozova E.V. New diagnostic approaches to assessing the rehabilitation commitment of the individual. Mediko-socialnue problem invalidnosti = Medical and social problems of disability. 2020;1:61–73. (in Russ.).
15. Komissarova N.V., Buvalceva V.P., Michurina M.A. et al. Assessment of cognitive functions on the MOCA scale in patients with endocrinological and cardiological profiles. Vestnik medicinskogo instituta “Reaviz” = Bulletin of the Medical Institute “Reaviz”. 2021;4:71–75. (in Russ.).
16. Rybnikov V.Yu., Morozova E.V. Structural-dynamic model of the “Internal picture of disability” in the context of psychological rehabilitation. Vestnik psichoterapii = Bulletin of Psy-chotherapy. 2016;57(62):113–133. (in Russ.).
17. Lvova N.V., Kostereva L.I. Application of an integrative approach in the psychological rehabilitation of women with breast cancer. Medico-socialnue problem invalidnosti = Medical and social problems of disability. 2015;1:65–71. (in Russ.).
18. Lvova N.V. Correction of the psychophysiological state of patients using the audiovisual vibrotactile musical system “Sensorium” based on the “zero gravity” chair. Mediko-socialnue problem invalidnosti = Medical and social problems of disability. 2012;3:19–22. (in Russ.).
19. Novikova K.V. Psychological correction of the neuropsychic state of people who have had a stroke in a sensory room. Psiholog = Psychologist. 2021;2:1–19. (in Russ.).
20. Shuyskaya K.G. Features of employment of disabled people Deloproizvodstvo i kadru = Office work and personnel. 2015;6:78 Available at: URL: https://base.garant.ru/57473697/ (accessed 22.10.2021) (in Russ.).
21. Pashkova G.G. Problems of employment and employment of disabled people in the Russian Federation. Vestnik Tomskogo gosudarstvenogo universiteta. Pravo = Bulletin of Tomsk State University. Rigth. 2018;29:162–173. (in Russ.).

References on translit

-