Issue №3-85, 2018

Influence of the Enteral Oxygen Therapy on the Dynamics of Psycho-Physiological Indicators in Children with Chronic Respiratory Diseases



1 Dmitrienko E.G., 1 Konova O.M.

1 National Medical Research Center for Children’s Health, Federal state autonomous institution of the Russian Federation Ministry of Health


ABSTRACT

Backgraund: Chronic bronchopulmonary pathology is accompanied by the development of hypoxemia and tissuehypoxia, which leads to the formation of patients with various psychophysiological disorders. Reducing the severity ofhypoxia contributes to the correction of these disorders.Aims: to evaluate the effect of enteral oxygen therapy on the dynamics of psychophysiological parameters in childrenwith chronic respiratory diseases.Materials and methods: 106 children with bronchial asthma and chronic non – specific lung diseases were examined:66 people (the main group) received oxygen cocktails as part of the complex therapy; 40-formed the comparison group. Indynamics, indicators of simple visual-motor reaction were determined, psychological testing was conducted on Spielberg-Hanin scales and «well-Being, Аctivity, Mood».Results: By the end of the course of therapy in the main group the mean time of simple visual-motor reaction decreasedfrom 263,6±8,2 ms to 215,2±7,2 ms (p<0,001), and the standard deviation of the index from 111,2±6,0 ms to 72,1±4,8 ms(p<0,001), which indicates an increase in efficiency and decrease in fatigue. The inverse correlation between the indices ofРаО2 and simple visual-motor reaction (rs=– 0,71; p<0,05) shows the improvement of psychophysiological parameters due tothe correction of hypoxemia. The favorable dynamics of the psycho-emotional state was observed in 84.5% of the childrenof the main group and only 65.6% in the comparison group, in which in some cases showed a decrease in psycho-emotionalbackground.Conclusions: The results allow us to recommend the use of enteral oxygen therapy in the complex rehabilitation treatmentof children with chronic bronchopulmonary pathology at all stages of rehabilitation.


KEYWORDS: children, chronic respiratory diseases, enteral oxygen therapy, psychophysiological disorders



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.