Psychological factors influencing the formation of therapeutic cooperation in pulmonary tuberculosis patients undergoing in-patient treatment

Золотова, Н. В.; Стрельцов, В. В.; Баранова, Г. В.; Харитонова, Н. Ю.; Багдасарян, Т. Р.

doi:10.21292/2075-1230-2020-98-12-34-40

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Примером могут служить ситуации, в которых пациенту показана госпитализация в противотуберкулезный стационар, но его социально-экономическая сфера жизни находится в уязвимом положении и определяется отсутствием официального трудоустройства, наличием арендованного жилья и пр. В подобных ситуациях пациент зачастую пренебрегает своим здоровьем и прерывает лечение или принимает противотуберкулезные препараты нерегулярно, что способствует еще большему нарастанию ЛУ МБТ, тем самым расширяя ее спектр [9][10][11][12].…”

Section: Introductionunclassified

Psychological support in the formation of adherence to the treatment of patients with tuberculosis

Maier,

Isaeva,

Brazhenko

et al. 2023

The Scientific Notes of the Pavlov university

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The objective of the study was to review the current measures of psychological support in the formation of adherence to the treatment in patients with tuberculosis. When writing the article, a descriptive method was used. The relevance of the study was due to the increasing number of patients with multiple and broad drug resistance, as well as the low level of adherence to the treatment of a large number of patients.Methods and materials. The article discussed measures of psychological support and psychological follow-up for patients diagnosed with tuberculosis in the territory of the Russian Federation and in the CIS countries. The main attention was paid to the identification of common and specific elements in the structure of adherence to the treatment, such as the personal characteristics of the patient, features of the emotional-volitional sphere, and attentive-mnestic abilities. Examples of measures taken to increase the level of adherence to the treatment of in patients with tuberculosis were given. The possibility of using information about the internal picture of the patient’s illness to correct the level of adherence to the treatment was considered.Conclusions. To date, methods of psychological support in the formation and psychological correction of the level of adherence to the treatment are not given sufficient attention, and the psychological characteristics of a patient are not taken into account when determining the level of adherence to the treatment. The internal picture of the patient’s disease is not considered as a substrate of adherence to the treatment, information about the relationship between the internal picture of the disease and adherence to the treatment is not enough to form a unified, generalized approach to the realization of diagnostic and corrective measures aimed at increasing the level of adherence to the treatment.

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Section: Introductionunclassified

Psychological support in the formation of adherence to the treatment of patients with tuberculosis

Maier,

Isaeva,

Brazhenko

et al. 2023

The Scientific Notes of the Pavlov university

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show abstract

“…Современный этап развития методики реабилитации в медицине характеризуется все большим признанием психологической и социальной помощи пациентам как неотъемлемой части процесса выздоровления, что необходимо для коррекции имеющихся у пациентов нарушений, а также для улучшения результатов медицинского вмешательства [4]. Авторы подчеркивают, что учет зависимых факторов, а также основных психологических особенностей пациента обеспечивает возможность нивелирования ряда отрицательных факторов, влияющих на курс лечения, что особенно важно при заболевании туберкулезом [5,6]. Поэтому так важен комплексный подход, который заключается не только в медикаментозном лечении, но охватывает все стороны личности пациента, что возможно при обязательном осуществлении психологического сопровождения процесса медицинской помощи пациенту.…”

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An integrated treatment approach including an obligatory component of psychological support to patients with tuberculosis in the anti-tuberculosis medical organizations of the Samara region

Krasnenkova,

Baryshnikovа,

Kabaeva

et al. 2023

Science and Innovations in Medicine

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Aim to implement a comprehensive approach to treatment of patients with tuberculosis in anti-tuberculosis medical organizations. Material and methods. Fifty-two patients and fourteen employees took part in the study. For psychodiagnostics, we used the "TOBOL" questionnaire, the diagnostics of professional "burnout" by K. Maslach, S. Jackson, the Wheel of Life concept by Paul J. Meyer. The data was analyzed using Mann Whitney U-test, Wilcoxon signed rank test. Results. The older patients had a tendency for excessive vigilance and aggressiveness in their attitude to the disease. The harmonious and anosognostic types of attitude to the disease were prevalent in patients with permanent employment. The medical workers demonstrated a high level of emotional burnout. The training aimed at prevention of burnout was the part of the study. After the training, the registered values of emotional exhaustion were reduced by 7 points, the depersonalization score shifted from high to average, the reduction of personal achievements score raised by 5 points. Conclusion. The age and social status can influence the type of attitude towards tuberculosis. Patients under 40 years of age with permanent employment have a more favorable prognosis of adherence to treatment and persistent clinical cure of tuberculosis. The introduction of an integrated approach to the provision of medical care with the mandatory presence of psychological support is relevant and necessary. This study substantiates the expediency of creating a psychological assistance office in a medical organization.

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Pulmonary tuberculosis in patients with mental disorders in combination with alcoholism

Ovchinnikova¹,

Полуэктова²,

Hovhannisyan³

2023

Nurse

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The article presents an assessment of the characteristics of the clinical and psychological state of patients with comorbid pathology (pulmonary tuberculosis and mental disorder) in combination with alcoholism. The purpose of assessing the characteristics of the clinical and psychological state of this category of persons is to create a medical and social portrait of the latter. Results. The study showed that a fairly high percentage of patients with comorbid pathology (pulmonary tuberculosis and mental disorder) are dependent on psychoactive substances. For the studied category of persons, characteristic psychological features and cognitive impairments were revealed. Conclusion. Taking into account the results of the study, it is necessary, in addition to the main anti-tuberculosis treatment, to such patients to carry out therapeutic measures aimed at improving cognitive functions and involve them in rehabilitation psychological and correctional programs. In terms of providing medical care, pay special attention to the organization and implementation of comprehensive treatment for patients with alcohol dependence and comorbid pulmonary tuberculosis, to implement it jointly: by phthisiatricians, psychiatrists, psychologists and narcologists.

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Psychological factors influencing the formation of therapeutic cooperation in pulmonary tuberculosis patients undergoing in-patient treatment

Cited by 4 publications

References 3 publications

Psychological support in the formation of adherence to the treatment of patients with tuberculosis

Psychological support in the formation of adherence to the treatment of patients with tuberculosis

An integrated treatment approach including an obligatory component of psychological support to patients with tuberculosis in the anti-tuberculosis medical organizations of the Samara region

Pulmonary tuberculosis in patients with mental disorders in combination with alcoholism

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