Saratov JOURNAL of Medical and Scientific Research

Chelyabinsk Regional Clinical Hospital №3

Quality of life, anxiety-depressive disorders and cognitive functions on the background of rehabilitative period of ischemic stroke

Year: 2017, volume 13 Issue: №1 Pages: 051-057
Heading: Neurology Article type: Original article
Authors: Belskaya G.N, Lukyanchikova L.V.
Organization: Chelyabinsk Regional Clinical Hospital №3 , South Ural State University (National Research Institute)
Summary:

The aim of the work is to evaluate the quality of life, cognitive deficits, the development of anxiety and depression of patients in rehabilitative period of mild and medium-severe hemispheric ischemic stroke during the year at the background of complex rehabilitation. Materials and Methods. We examined 123 patients at the age of 40 to 80 with ischemic stroke in the acute and rehabilitation periods (up to 1 year). Quality of life (overall life questionnaire SF-36, overall performance), the state of cognitive functions (the MMSE scale), the level of anxiety and depression (the HADS and the MADRS scale) during the acute phase and after a course of rehabilitation treatment have been assessed. Re-sults. After rehabilitation in the sanatorium positive dynamics of physical and psychological well-being was noted with patients, cognitive function was improved as well as emotional regression of personality disorders in the first 3 months after ischemic stroke. These effects are related with individual program of rehabilitation on an outpatient phase, including cognitive and neuropsychological correction leading to a clear positive dynamics of the main indicators of cognitive status, reduction of anxiety and depressive disorders, improving physical and mental health components of the SF-36 questionnaire in the course of the year. Conclusion. The findings proved that during the complex rehabilitation after an ischemic stroke during a year the marked high levels of "quality of life" including reducing anxiety and depression and regression of cognitive impairment were revealed.

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