[Natural healing factors of Nalchik resort in medical rehabilitation of the patients with post-traumatic stress disorder. (Randomized controlled trial)].

Autor:	Achabaeva AB; Kabardino-Balkarian State University named after Kh. M. Berbekov, Nalchik, Russia., Hassani H; Kabardino-Balkarian State University named after Kh. M. Berbekov, Nalchik, Russia., Dzhambekova ZM; Kabardino-Balkarian State University named after Kh. M. Berbekov, Nalchik, Russia., Otarova IS; Kabardino-Balkarian State University named after Kh. M. Berbekov, Nalchik, Russia., Bogotova AZ; Kabardino-Balkarian State University named after Kh. M. Berbekov, Nalchik, Russia., Mirzova KZ; Psychoneurologic dispensary, Kabardino-Balkarian Republic, Nalchik, Russia., Vasilyeva ES; FSBSI «Petrovsky National Research Centre of Surgery», Moscow, Russia.
Jazyk:	ruština
Zdroj:	Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury [Vopr Kurortol Fizioter Lech Fiz Kult] 2023; Vol. 100 (6), pp. 59-65.
DOI:	10.17116/kurort202310006159
Abstrakt:	Introduction: In order to optimize rehabilitation measures for post-traumatic stress disorder (PTSD) it is advisable to use natural therapeutic factors in the medical rehabilitation programmes of this category of patients, which is due to the pronounced psycho-corrective effects of climatic landscape therapy and nitrogen-thermal waters. Aim: To study psycho-corrective effects of a new rehabilitation technique for the patients suffering from PTSD using natural therapeutic factors of Nalchik resort. Material and Methods: Thera has been carried out a randomized controlled trial that included 74 patients with PTSD. Two groups were formed by simple randomization: in the control group (CG/ n =38) the patients had standardized pharmacotherapy, physical training and individual psychocorrection in accordance with federal clinical recommendations; in the main group (MG/ n =36) terrencourt in the natural park of Nalchik resort and nitrogen-thermal baths were additionally prescribed. The effectiveness of rehabilitation measures was monitored using a questionnaire to assess the therapeutic dynamics of PTSD, the Beck Hopelessness scale, as well as the Neurotech Kolibri wireless BFB complex (Russia). Results: A comparative analysis of monitoring of psycho-emotional status indicators proved the feasibility of the developed medical rehabilitation programme for PTSD patients. A significant improvement in psychoemotional status was observed according to the questionnaire for assessing the therapeutic dynamics of PTSD (on average by 2 times, p <0.01), according to the Beck hopelessness scale, according to which the clinically assessed suicidal risk and hopelessness level were reduced by 1.7 ( p <0.01) times with the patients in the MG. According to the analysis of brain biopotentials during the primary training, the patients had insufficient control over the course of mental activity (63%), and at the end of the course the indicator improved to 97% ( p <0.01). In the CG positive dynamics on both scales of psychological testing and analysis of brain biopotentials was significantly lower (by 12-15%, p <0.05- p <0.01). Conclusion: After including in the standardized rehabilitation programme controlled walking in the mid-mountain Natural Park and nitrogen-thermal baths of Nalchik resort, there was a significant improvement in the psycho-emotional status of the patients suffering from PTSD, which indicates their psychocorrective effects and provides great opportunities to improve the effectiveness of medical rehabilitation.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu