Psychotherapeutic care in the system of comprehensive rehabilitation of persons with limb amputation

Purpose. Study of the influence of psychotherapeutic assistance on the rehabilitation of persons who have undergone limb amputation. Materials and methods. A study of the psychological characteristics of 48 patients who underwent amputation of the lower extremity was carried out on the basis of the departments of vascular surgery and traumatology of the Samara Seredavin Regional Clinical Hospital. The control group included 25 people (16 men, 9 women), aged 45 to 70 years. Amputations of the extremities were performed by him in connection with the developed gangrene due to obliterating vascular diseases. The main group consisted of 23 people (14 men, 9 women) aged 35 to 60 years with a stable and prosperous social status, who received an acute sudden injury that ended in amputation of one or both lower extremities. The examination was carried out on the 3-5th day of the postoperative period, depending on the patient's condition. For the study, the following psychodiagnostic methods and techniques were used: 1) clinical conversation; 2) coping test by R. Lazarus, S. Folkman; 3) methodology for diagnosing the type of attitude to the disease; 4) Hamilton Depression Scale; 5) S. Rosenzweig's test of drawing frustration. Results. The difference between the group of patients and the control group was statistically confirmed in terms of “seeking social support” (higher in the control group), “confrontation” and “flight - avoidance” (higher in the group of patients) (p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }