EXPERIENCE OF APPLICATION OF NON-DRUG TECHNOLOGIES IN THE CORRECTION OF POST-STROKE PSYCHOEMOTIONAL DISORDERS

Molchanova Е. Е., Goncharova О. М., Reshetnikova L. K.

One of the factors that significantly worsen the condition of post-stroke patients is the addition of psycho-emotional disorders. The aim of the research was to study the structure of anxiety-depressive disorders in 210 patients in the acute period of ischemic stroke and to evaluate the effectiveness of various reflexotherapy methods in their correction. Signs of depression (according to the Beck scale) were detected in 72 % of the tested patients. The level of reactive anxiety (according to the Spielberger-Khanin scale) in 75.7% reached the level of moderate and high (exceeded 30 points) and in 64.8% was recorded against the background of high personal anxiety. According to the data of the A.Rean's questionnaire, the motivational pole was not clearly expressed (average 12.7 ± 0.4). On the 15th day in the main group (140 patients who received reflexotherapy procedures in addition to the standard rehabilitation complex), the frequency and severity of post-stroke depression significantly decreased (p <0.001) (on average by 4.9 points, 30 %), reactive anxiety decreased by an average of 8.5 points (22 %, p <0.001), the level of motivation significantly (p <0.001) increased (by 2.3 points, 18 %), and patients were already focused on success, while in the comparison group (70 patients who received a standard set of rehabilitation measures) there were no significant changes. The best indicators were obtained with the use of combined methods of reflexotherapy, somewhat lower - in the case of the use of separate methods (dynamic electroneurostimulation and Su Jok acupuncture).

Keywords:ischemic stroke, post-stroke depression, reactive anxiety, motivation, reflexotherapy