Psychological Сare for Patients with Vertebral and Cerebrospinal Injury in the Acute Period

L.A. Bublik, Ye.V. Oprishchenko


Vertebral and cerebrospinal injury (VCSI) is up to 15 % of all injuries and is characterized by severe medical and psychological consequences. Many of the issues on the study of mental and emotional status, depending on the period of the disease, require clarification.
Objective of the Study. To investigate psychoemotional state in patients with VCSI depending on the severity of spinal trauma and psychological care in acute and early periods.
Materials and Methods. We have examined 140 patients who were treated at the vertebrology department of RITO. At the first stage, we conducted a study of psychoemotional status of patients, at the second one — examined the effects of psychotherapy on his dynamics. To assess the psychoemotional state of patients we have used Spielberger — Khanin technique.
Results and Discussion. In patients of the control group during the initial survey, reactive anxiety (RA1) indicators amounted to 46.00 ± 1.39 points (p ≤ 0.05), during the second one (RA2) — 42.28 ± 1.09 points (p ≤ 0.05). Indicators in the dynamics in the patients of the study group marked at: RA1 — 48.52 ± 1.61 points (p ≤ 0.05), RA2 — 48.52 ± 1.41 points (p ≤ 0.05). In the study group, RA1 indices (48.52 ± 1.61 points; p < 0.05) were higher than in the control group (46.00 ± 1.39 points; p < 0.05). During reinvestigation, RA2 rate was 48.52 ± 1.41 point (p < 0.05) that is statistically higher than that in the control group (42.28 ± 1.09 points; p < 0.05). RA1 and RA2 values of men and women in the study group were significantly higher than RA1 and RA2 values in the control group.
Conclusions. Psychological care significantly improves the performance of RA, which is beneficial to the patient’s adaptation to the new for him conditions of life, the ability to actively participate in the process of rehabilitation and recovery treatment.


vertebral and cerebrospinal injury; psychoemotional state; psychological correction


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