INFLUENCE OF COMPLEX PHYSICAL REHABILITATION ON THE QUALITY OF LIFE OF PATIENTS WITH CEREBROVASCULAR PATHOLOGY

Abstract

Vascular diseases of the nervous system are one of the leading causes of permanent disability both in Ukraine and throughout the world, second only to oncology and injuries. Cerebrovascular diseases occupy a larger share in the structure of vascular diseases, which are mainly caused by slowly progressive forms of chronic brain ischemia, the development of which leads to a deterioration of the general condition and a significant decrease in the quality of life. Complex application of rehabilitation measures will contribute to slowing down the rate of progression, secondary prevention of complications and significant improvement of the quality of life. The purpose of the study is to study the impact of complex physical rehabilitation on the quality of life of patients with chronic cerebral ischemia of the subcompensated stage. Research methods – quality of life was assessed using the Medical Outcomes Study Short Form (SF-36) electronic questionnaire. Descriptive statistics were used for statistical data analysis; comparison of mean values of variables was carried out using the parametric method of Student's t-test. A non-parametric method (Mann-Whitney U-test) was used to compare the indicators of small samples. The results of the study showed that the positive impact of the implemented complex physical rehabilitation program was reflected in all aspects of the quality of life, according to the results of the questionnaire (SF-36), but the changes in the patients of the main group were more pronounced according to the indicators: «viability» – patients noted an improvement in mood, increasing energy and adding vitality; «role of physical problems in limiting life activities» increasing physical activity; «social activity» desire in communication; «role of emotional problems in limiting life activities» increasing motivation for self-realization and «general perception of health» improving general health. Conclusions – the positive impact of the implemented complex physical rehabilitation program was reflected in all aspects of the patients' quality of life, according to the results of the electronic questionnaire (SF-36), which testifies to its timeliness, significance and effectiveness.