ФАКТОРЫ, ВЛИЯЮЩИЕ НА СОЦИАЛЬНУЮ АДАПТАЦИЮ ЛИЦ, КОТОРЫЕ ОСУЩЕСТВЛЯЮТ УХОД ЗА БОЛЬНЫМИ С РАЗВЕРНУТОЙ И ПОЗДНЕЙ СТАДИЕЙ БОЛЕЗНИ ПАРКИНСОНА

The status of caregivers of patients with the end and advanced stages of Parkinson’s disease (PD) has been poorly studied. The aim of the study was to investigate the factors influencing the social adaptation of caregivers. The scale of social adapta tion (Zh. M. Glozman, 1998) was used to estimate its level. The Unified PD Rating Scale, Schwab and England Activities of Daily Living scale, Barthel index, Autonomic Impairment Scale, Addenbrooke’s Cognitive Examination, Cornell Scale for Depression in Dementia, and Neuropsychiatric Inventory were used for the clinical evaluation of the patients’ state. The main determinants of the social adaptation of caregivers were professional, family-domestic, and leisure limitations and emotional changes, which were determined by the severity of symptoms of parkinsonism, particularly axial motor impairments and psychotic, autonomic, and cognitive disorders in patients with PD. Key words: Parkinson’s disease, caregivers’ social adaptation, cognitive impairments, neuropsychiatric impairments