THE EFFECTIVENESS OF A MULTIDISCIPLINARY APPROACH FOR THE FORMATION OF MOTIVATION FOR REHABILITATION IN NEUROLOGICAL PATIENTS
The higher the patient ’ s motivation for recovery, the better the prognosis for restoring lost functions to this patient we can give, all other things being equal. Unfortunately, the motivation for rehabilitation is not available for all patients who have survived stroke. Aim of the study: to identify the main reasons for the decrease in motivation for rehabilitation in neurological patients, develop methods to increase motivation and evaluate their effectiveness. Materials and methods. The study included patients with motor disorders after ischemic stroke ( n = 96). The median prescription of stroke was 21 [11; 47] days, the median age of patients is 54 [42; 65] years. The number of techniques included procedures of robotic mechanotherapy with biological feedback (“Stabilan-01-2”, “Armeo”) and the support of a medical psychologist (psychological information, counseling, compilation of a dynamics diary, the performance of independent evening tasks by patients, the work of a psychologist with relatives). To assess the effectiveness of the techniques used, the following set of techniques was used: “Rehabilitation potential of personality” by I.Y. Kulagina, L.V. Senkevich, color test of relationships by A.M. Etkind, the method “Bodily geography of emotions” by V.A. Ananyev and E.A. Gorskaya, the method “Tree” by L.P. Ponomarenko. Results. Accompanying a medical psychologist together with the use of robotic simulators with biological feedback helps to increase the rehabilitation potential of patients, improves their attitude to the future, their body, and medical personnel, encourages them to adhere to an active position in the rehabilitation process. The use of robotic simulators without the support of a medical psychologist also has a positive effect on the above indicators, but to a lesser extent. Conclusion. an integrated approach to rehabilitation, including the interaction of specialists of different profiles, improves the quality of the rehabilitation process, has a positive effect on the psychological well-being of patients. (1 figure, 1 table, bibliography: 6 refs).