Mariola Żuk, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz

Mariola Żuk, Piotr Majcher, Marek Fatyga, Andrzej Skwarcz – The psychological situation of the disabled patient after injury to the spine and spinal cord. Fizjoterapia Polska 2002; 2(1); 65-67

Abstract
Background. Motor disability places the person affected in a difficult psychological situation for many reasons. Some of these reasons are directly associated with the circumstances of hospital treatment and rehabilitation. Others involve life after dismissal from the hospital and return to social life. In the present study the authors share their experience in clinical work with patients disabled by injury to the spine and the spinal cord.Material and method. Based on a study of 602 patients treated for spinal injuries in the period 1986-2000, the authors discuss their psychological situation. Of these patients, 357 had suffered damage to the central nervous system, while 245 had not.Results. In order to achieve a good outcome in rehabilitation, the patient needs the help of the treatment team and the immediate environment. The return to life outside the hospital is easier when particular conditions are fulfilled in the person’s environment. Thus during the course of in-patient rehabilitation steps are taken to create for the patient a sort of “social niche”, into which s/he will enter after discharge from the hospital.Conclusion. It is of vital importance to include the patient in the activities of a self-help group, in which the immediate family is also engaged.

Key words:
Self-Help Groups, social belonging, family support

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