Cognitive functions and their effect on disability in learning process and knowledge application in patients with arterial hypertension

Authors

  • S. Ya. Yanovska State Institution “Ukrainian State Institute of Medical and Social Problems of Disability Ministry of Public Health of Ukraine”, Dnipro,

DOI:

https://doi.org/10.14739/2310-1210.2018.1.121607

Keywords:

hypertension, stroke, cognition, disability intellectual

Abstract

Arterial hypertension (AH) is one of the most important medical and social problems due to the high incidence, disability and mortality of the population in Ukraine.

The aim of the investigation is to determine the influence of cognitive functions on disability in learning process and knowledge application in patients with hypertension.

Materials and methods. 139 patients with essential AH of II and III st. (with the consequences of a stroke) at the age of 30–59 were examined. The patients were divided into 2 groups: the first group – patients with AH, stage II (29 patients) and the second group – patients with AH, stage III (110 patients). An average age of the patients with stage II was 43.1 ± 3.1, with stage III – 45.3 ± 5.6. Psychological examination and disability tests were carried out according to generally accepted methods. Statistical processing was performed in Microsoft Excel and Ascess, the results of the correlation analysis were described at a confidence level of P < 0.05.

Results. Light cognitive impairments were detected in all patients with stage II, stage III AH patients had moderate impairments – 25.8 % of cases and light ones – 74.2 % of cases. Significant cognitive functions affects among patients with AH stage II and stage III were determined in memory (44.4 and 97.3 %), attention (77.8 and 90.6 %), intellect (44.4 and 75.6 %) and mental process (44.4 and 64.9 % of cases). Patients with stage III AH after a stroke had significant problems with their eyesight and hearing, concentration of attention and process of thinking, solving simple and complex problems. Moreover, a number of the following factors have contributed to the above-mentioned condition: emotional instability, nonconformity, desire to present themselves in a "favorable light", anxiety, depressive and paranoid tendencies,  sensitive, egocentric, anosognotic response to the disease, exacerbation of accentuation of an excitable nature and low work efficiency, acute accentuation of personality traits, impairment of short- and long-term speech, auditory, imaginative, visual and informative memory, control of expression of understanding and emotions, interpersonal and internal personal emotional intelligence and logical thinking.

Conclusions. The study of personality and character traits, the internal picture of the disease and cognitive functions are essential to determine psychoemotional disorders in patients with AH after a stroke. Therefore, such research in the practice of medical and social expertise in this pathology is obligatory.

References

Metodika «Vydelenie sushhestvennyh priznakov» [Methodology «Identification of essential features»]. Psikhologiya. Retrieved from: azps.ru/tests/tests3_sushp.html [in Russian].

Metodika «Iskljuchenie lishnego» [Elimination of superfluous]. Psikhologiya. Retrieved from: http: azps.ru/tests/tests3_elimination.html [in Russian].

Pashukova, T. I., Dopira, A. I., & D'yakonov, G. V. (1996). Issledovanie ob'ema kratkovremennoj pamyati [The volume of short-term memory Research] [Elektronniy resurs]. Praktikum po obshchej psikhologii, (P. 101–105). Moscow: Institut prakticheskoj psikhologii. [in Russian].

Zakon Ukrainy «Pro zatverdzhennia Instruktsii pro vstanovlennia hrup invalidnosti» vid 05.09.2011 r. №561 [The Law of Ukraine «On Approval of Regulations on disability group» from September 5, 2011, №561]. Retrieved from: http: www. ifp. kiev. ua. [in Ukrainian].

Zauchivanie 10 slov (A.R. Luriya) [10 words memorizing (AR Luria)]. Psikhologicheskaya diagnostika, testy. Retrieved from: https: sites.google.com/site/logopedonlain/psihologogiceskaa-diagnostika [in Russian].

Vosproizvedenie rasskaza [Storytelling]. Vse professional'nye psikhologicheskie testy. Retrieved from: http: vsetesti.ru/316/ [in Russian].

Metodika «Pamyat' na chisla» [Method «Memory of numbers»]. Psylist.net. Retrieved from: http: psylist.net/praktikum/pamcis.htm [in Russian].

Kispaeva, T. T., & Kuderinova, B. K. (2012) Bazovye aspekty profilaktiki kognitivnykh rasstrojstv pri cerebral'nom insul'te [Basic aspects of the prevention of cognitive disorders in cerebral stroke]. Russkij medicinskij zhurnal, 29, 1474–1480. [in Russian].

Drozdova, I. V., Khramtsova, V. V., Matsuga, O. M., et al. (2015) Kognityvni funktsii v praktytsi medyko-sotsialnoi ekspertyzy [Cognitive functions in the practice of medical and social expertise]. Dnipropetrovsk. [in Ukrainian].

Kratkij orientirovochnyj test (KOT) [Short orientation test]. Psikhologicheskaya diagnostika. Retrieved from: http://brunner.kgu.edu.ua/index.php/cv/402-kot [in Russian].

Korrekturnaya tablica Bentona [Benton table]. Psikhologiya. Retrieved from: http: azps.ru/tests/tests_benton.html [in Russian].

Metodika G. Shmisheka dlya opredeleniya akcentuacij kharaktera [G. Shmishek's method for determining character accentuations]. Psikhologicheskaya diagnostika. Retrieved from: http: brunner.kgu.edu.ua/index.php/cv/203-leongard [in Russian].

Metodika E'bbingauza [The Ebbinghaus method]. Psikhologicheskaya diagnostika. Retrieved from: http: brunner.kgu.edu.ua/index.php/cv [in Russian].

Metodika Mini-mul't (Sokrashchenyj mnogofaktornyj oprosnik dlya issledovaniya lichnosti) [The speed of the bug-factoring opytuvalnik for the supplementary dosage]. Psikhologicheskaya diagnostika. Retrieved from: brunner.kgu.edu.ua/index.php/cv/283-mini-mult [in Russian].

Metodika Myunsterberga [The method of Münsterberg]. Psikhologicheskaya diagnostika. Retrieved from: http: brunner.kgu.edu.ua/index.php/psy-metodiks/32-attention/463-myunsterberg [in Russian].

Vsesvitnia orhanizatsiia okhorony zdorovia (2001) Mizhnarodna klasyfikatsiia funktsionuvannia, obmezhen zhyttiediialnosti ta zdorovia [International classification of function, life and health]. Zheneva. [in Urainian].

Faktornyj lichnostnyj oprosnik Kettela [Cattell’s Personality Factor Questionnaire] Psikhologicheskaya laboratoriya. Retrieved from: http: psylab.com.ua/tools_Faktornyy_lichnostnyy_oprosnik_Kettela [in Russian].

Murashko, N. K., Parnikoza, T. P., & Chuprina, G. N., et al. (2014) Algoritm prognozirovaniya razvitiya kognitivnykh narushenij u bol'nykh s arterial'noj gipertenziej i aterosklerozom koronarnykh i cerebral'nykh arterij [Algorithm for forecasting the development of cognitive impairment in patients with arterial hypertension and atherosclerosis of coronary and cerebral arteries]. Kyiv. [in Russian].

Metodika «Obraznaya pamyat'» [Shaped memory]. Vse professional'nye psikhologicheskie testy. Retrieved from: http://vsetesti.ru/318/ [in Russian].

Oprosnik e'mocional'nogo intelekta «E'min» (razrabotchik D.V. Lyusin). Psikhologicheskaya diagnostika. Retrieved from: http://brunner.kgu.edu.ua/index.php/cv/222-emin [in Russian].

Lichnostnyj oprosnik NIPNI im. V.M. Bekhtereva (Metodika LOBI) [LOBI methodology]. Psikhologicheskaya laboratoriya. Retrieved from: http://psylab.info [in Russian].

Portnova, E. V., & Krukov, N. N. (2013) Sravnitel'nyj analiz kognitivnykh funkcij u pacientov s gipertonicheskoj bolezn'yu na fone priema piribedila [Comparative analysis of cognitive function in patients with hypertension receiving piribedil]. Prakticheskaya medicina, 3(69), 104–108. [in Russian].

Prostye analogii [Simple analogies]. Prostye analogii [Simple analogies]. Retrieved from: http://brunner.kgu.edu.ua/index.php/therapy/52-mental/843-simple [in Russian].

Kovalenko, M., Lutai, M. I., Sirenko, Yu. M., & Sychov, O. S. (2016) Sertsevo-sudynni zakhvoriuvannia. Klasyfikatsiia, standarty diahnostyky ta likuvannia [Cardiovascular diseases. Classification, standards for diagnosis and treatment]. Kyiv: Morion. [in Ukrainian].

Metodika «Tablici Shul'te» [Schulte table]. Vse professional'nye psikhologicheskie testy. Retrieved from: http://vsetesti.ru/314/ [in Russian].

How to Cite

1.
Yanovska SY. Cognitive functions and their effect on disability in learning process and knowledge application in patients with arterial hypertension. Zaporozhye medical journal [Internet]. 2018Jan.31 [cited 2024Mar.29];(1). Available from: http://zmj.zsmu.edu.ua/article/view/121607

Issue

Section

Original research