«Саратовский научно-медицинский журнал» » Архив номеров » Volume 9, issue 4 » Публикация

Аннотация Aim: clinical psychophysiological assessment of social and psychophysiological adaptation of the patient with the remote effect of the III degree acute radiation syndrome, with local radiation injuries of heavy degree from the extremely uneven gamma and neutron radiation with the subsequent amputation of both feet at level in top / 3 shins, according to feature of its individual mental adaptation and the periods of its mental adaptation stages. Material and methods. The object of the research was a patient (born in 1939) who worked as an engineer in the National Research Centre (NRC "Kurchatov Institute") from 1963 to 2010, the senior researcher. Psychophysiological inspection of the patient had been organized according to the MMPI test, Kettell's test, Raven in 30 years after radiation accident (1971) in dynamics in 2001, 2002, 2006, 2009 with the use of the automated program and methodical Expert complex intended for research of the properties, cognitive and intellectual features of the personality. Results. Average profile of multilateral research of the personality (MMPI) and the dynamics of indicators according to the years of supervision (2001-2009) points to a disharmonious combination of hypochondriac, disturbing and depressive and demonstrative tendencies to prevalence of a demonstration, as firmness manifestation before a heavy illness at the patient after the III degree acute radiation sickness, and local radiation injuries of heavy degree from the extremely uneven gamma and neutron radiation, am- putation of both shins at level in top / 3, late beam buttock, right hip ulcers, a beam cataract of the III degree of both eyes, stabilized. The assessment of the efficiency of psychophysiological adaptation in dynamics with 2009 indicates emergence of prevalence of hypochondriac tendencies over a demonstration with accession of high uneasiness and autistic lines at preservation of the leading role of an hypochondriac somatization of alarm with considerable decrease in an emotionality, an integration, a freedom of behavior. The changes revealed in dynamics correspond to the specific increase weight of violations of mental adaptation, characteristic for the period of adaptation exhaustion. The high intelligence, good figurative and logical thinking, well-mannered forms of behavior, high control over the emotional sphere, restraint of emotions, independence, self-sufficiency, organization, behavior taking into account environment requirements provided the patient M. firmness before a heavy illness, promoted good adaptation to an environment with confidence in myself, high social adaptability, opportunity successfully to carry out duties, hold the work account (worked 39 years after accident). Comparative assessment of operator ability of the patient M. showed good average time of common and difficult sensorimotor reactions with 2 mistakes, high time of reaction for moving object, however decrease in accuracy of reaction from 10-13% to 2% testifies to manifestation in dynamics of insufficiency of real functional reserves of nervous system. Conclusions. Efficiency of psychophysiological adaptation depends not only on a dose of radiation and weight of the transferred disease, but, mostly, on premorbid properties of the identity of the victim and his social and labor installation.