Features of coping in patients with cerebrovascular pathology at different stages of diseases

doi:10.26565/2312-5675-2018-10-16

Тетяна Петрівна Яворська Харківська обласна клінічна лікарня – центр екстреної медичної допомоги та медицини катастроф, Харківська медична академія післядипломної освіти МОЗ України https://orcid.org/0000-0001-7654-5195

DOI: https://doi.org/10.26565/2312-5675-2018-10-16

Keywords: coping, cerebrovascular pathology, psychological help

Abstract

Coping is an important component in adapting a person to stressful events and maintaining a psychological balance. The aim of this work was to study the features of coping in patients with cerebrovascular pathology (CVP) in the dynamics of its development at different stages of the disease. At Kharkiv Regional Clinical Hospital - Emergency and Emergency Medicine Center during 2016-2018, observed 383 patients with cerebrovascular pathology on different stage of diseases. The coping assessed by using the Ways of Coping Questionnaire R. Lazarus & S. Folkman. In persons with high risk of CVP, clinical manifestations of CVP and patients after a stroke generally defined more tension of coping than in somatic healthy people. There occurred an imbalance forms of coping with low and high efficiency, dominated confrontation, distancing, avoidance versus problem solving, positive revaluation, increasing the role of social support as external psychosocial resource. Therefore, patients at various stages of CVP had unstable stress coping-profile that was on the one hand the basis for the development of stressrelated psychosomatic changes, on the other – not correctly solve the existing stress. Detection and psychological correction of ineffective coping strategies in patients with CVP is an important component of psychological help for this contingent of patients.

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