Assessment of the psycho-emotional profile patients of the phthisiological hospital

Amirova Zoya Rafikovna, Polidanov Maxim Andreevich, Kondrashkin Ivan Evgenievich, Ukatova Tatiana Sergeevna, Stepanenko Elina Aleksandrovna, Blokhin Igor Sergeevich

With antitubercular treatment, especially in patients with lung destruction, not only non-compliance with the treatment regimen is often observed, but also side effects, which can lead to a slowdown in recovery or aggravation of concomitant symptoms, such as depression. In this regard, the purpose of our study was to assess the psycho-emotional profile of tuberculosis patients and the possibility of using it to determine the patient's behavior model in conditions of long-term treatment of respiratory tuberculosis. Materials and methods. To achieve this goal, a survey was conducted of 174 patients hospitalized in the State Medical Institution "OKTB" in Saratov. Based on the results of the survey, 8 parameters of quality of life (QOL) were calculated, according to the SF-36 questionnaire. It was found that the indicators of QOL can be used to assess the severity of the tuberculosis process in the lungs, and individuals with tuberculosis tend to assess their physical capabilities and psycho-emotional sphere, however, it was found that in the dynamic study of prognostic indicators of QOL in patients with tuberculosis, one of the risk factors for the appearance of deviations in the mental state is a change in the level of situational and personal anxiety. The calm reaction of tuberculosis patients with a destructive process in the lung tissue to the detection of the disease and hospitalization is quite likely a manifestation of a violation of the perception of their disease, which significantly reduces the adequacy of the assessment of the severity and danger of the situation. Indicators of QOL and determination of the level of situational anxiety after admission of a patient with respiratory tuberculosis to inpatient treatment can be used to identify the prerequisites for an early prognosis of the effectiveness of treatment of patients with pulmonary tuberculosis.

Keywords:tuberculosis, quality of life, neuropsychiatric disorders, psychosomatic disorders, behavioral reactions, personality radical, behavior disorders.