Central Asian Journal of Medicine


Introduction. The work highlights a study on the emotional, motivational, cognitive components of the attitude to the disease in patients with multidrug-resistant pulmonary tuberculosis (MDR/PTB). Materials and methods: 32 patients with multidrug-resistant pulmonary tuberculosis were under the observation, who received a standard chemotherapy course with reserve of anti-TB drugs. The object of research was 72 patients (42 women and 30 men), which were divided into 3 groups: the 1st group (control) - 40 patients without somatic diseases, the 2nd group - 18 newly diagnosed patients with MDR/PTB, the 3rd group - 14 re-treated patients with MDR/PTB. Results. According to the observations, patients with drug-resistant pulmonary tuberculosis tended to exhibit emotional reactions of a non-positive nature, resorted to an aggressive communication strategy, while after a step-by-step retest program there was an increase in compliance and adherence to the long-term treatment. Conclusion. Basing on the results of the study, the step-by-step program has been developed with the aim to work with MDR/PTB patients who have difficulties in social adaptation.

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1. Bryukhanova N.S. Mental trauma of tuberculosis // Social aspects of the problem of childhood tuberculosis // Materials of the Russian scientific and practical conference. - Omsk, 2011. – P. 70-74. 2. Valiyev R.Sh. Treatment of pulmonary tuberculosis of the lung, taking into account the characteristics of their personality and attitude to the disease // Problem. tube. – 1999. – №2. – P. 27-31. 3. Vinogradov М.V., Cherkashina I.I., Perelman М.I. The mental state of the patients with limited forms of pulmonary tuberculosis // Probl. tube. – 1991. – №10. – P.41-43. 4. Dolgikh N.О. The state of a situational-personal response in a newly diagnosed tuberculosis patient and their specific treatment using psychotherapy: PhD abstract. – М., 2005. – 23 p. 5. Drobijev M.Yu. Nosogeny (psychogenic reactions) in case of somatic diseases:: PhD abstract – М., 2016. – 25 p. 6. Kovpak D.V., Tretyak L.L. Depression. Diagnosis and treatment method. - St. Petersburg: Science and Technology, 2009. – 320 p. 7. Myasishev V.N. On the relationship between somatic and mental in human diseases // Neuroses and somatic disorders: Sat. Street: Sb. – L., 1966. – P. 3-19. 8. DTAD - a personal questionnaire. - St. Petersburg: Psychoneurological Institute named after V.M. Bekhterev, 2013. 9. Lyusher М. Test-Tsvet as a tool for psychodiagnostics. – М., 1949. 10. Streltsov V.V., Siresina N.N., Zolotova N.V. et al. Change in the psychoemotional state of wave pulmonary tuberculosis on the background of psychological and neuropsychological treatment. – М., 2016. – 12 p.



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