Психологическая реабилитация пациентов с трансплантированными органами в послеоперационный период

2013 
The purpose of this article is to highlight the two bases of psychological rehabilitation, aimed at a stable quality of life in conditions of prolonged postoperative period: organizational diagnostic and, in general, to ensure social, communicative, personal, adaptation of patients who received a donor organ, to the familiar life. Comparative study groups of patients who received different donor organs, revealed a significant difference in the degree of concern about the transplanted organ recipients heart compared with liver and kidney recipients. In the first case to be concerned much less. The results obtained at first glance may seem surprising, since the risk of complications is particularly high in the case of a heart transplant. One possible explanation for this phenomenon is that the patients in this group may realize a greater risk to the health compared to the other groups. But at the same time, due to the primitive psychological defense mechanisms (often - denial of risk or isolation of affect), such patients rarely noted conscious concern about graft. An additional factor may be the intensity of medical and psychosocial support for these patients, which also reduces the level of anxiety about the transplanted organ. However, a comparative study of patients with chronic kidney disease showed that their self-confidence and self-esteem most depend on the nature and characteristics of the disease and in many ways they are defined, and has a significant impact on their own ideas about physical attractiveness and intimate personal relations.
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