Psychology and Sociology / 6. Clinical Psychology

Student (Specialist) Pavlova L.E.

Kursk State Medical University, Kursk, Russia

Features of representations of mothers about the care of children.

Childhood - a time of formation of man, the acquisition and consolidation methods of functioning in society, including behavioral responses to a variety of difficult situations, such for example as a disease. The perception of the disease is limited to the experience of a child with physical discomfort and physical distress. The child does not predict the consequences of the disease, can not assess the benefits of therapy. [1] And on how to respond to the mother (accompanying adult) will largely depend on the reaction of the child as specifically occurring medical procedures (injection, sampling tests, physiotherapy) and future medical visits. The quality of the developed relations between the mother and physician dependent and following prescribed treatment and strict compliance with procedures, the mood of recovery, the emotional state of the mother, the child and the doctor himself. [2, 3] In the situation of health care in subjects interaction "doctor-mother-child" there are images of medical care, as social stereotypes that may be involved in the formation of behavioral responses. And for each of these entities, these images are in the area of bilateral and trilateral relations. The hypothesis of the study: there are specific images of medical care and the features of the system of relations "parent - the doctor." The study took place in health care facilities and the city of Kursk. The study involved 87 people: mothers, children, and physicians. Methods: clinical interview, a standardized questionnaire, method of diagnosis of interpersonal relations T. Leary. Statistical methods: the criterion U-Mann Whitney. According to the results of diagnostic techniques of interpersonal relations T. Leary, we obtained the following data - the stylistic differences between the physicians working in the institutions represented not found. According to the results of clinical interviews and standardized questionnaires, we received the following information. A statistically significant difference (p-level 0,05) in the parameters of confidence in the doctor, doctor's appointments and execution features of perception mothers of the treatment process. At the hospital, the mother expressed doubts about the diagnosis (60%), feared a long stay (50%), sought to quickly leave the walls of the House sought to verify the diagnosis (76%) and were looking for information on the prescribed treatment, through a variety of sources (internet, phone calls friends, other doctors). Just mothers parents often raised the issue of refusal of treatment, although objective data on children are still in need of skilled care. Which directly indicates disagreement in the "parent-doctor" and manifestation noncompliance. In a survey in the sanatorium of the data is not found, the mother willingly visited with children of procedures performed by a doctor's prescription, and were generally pleased with our stay. But questions about admissions to hospitals and health care clinics in the district, again surfaced theme of no confidence and the doctor prescribed treatment. Situation of mothers are similar in both health care facilities: the purpose of presence - the provision of medical assistance to the child, as in both cases the mother and child are in the House, there is an interaction with the medical staff, the implementation of doctor's appointments, the implementation of the necessary procedures to the schedule (injections, physiotherapy). But in rehab are not received complaints from doctors to not keeping appointments, virtually no conflict situations, in contrast to the hospital. A mother does not express doubts about the need to perform all procedures and prescription. In conducting clinical interviews mother argued that "sanatorium - restores the health of children, it is better in every way," as opposed to saying that "the hospital of treatment and may harm", "can not help", brought a lot of accidents in the provision of at the hospital, heard from the media, from friends and acquaintances, as well as its own negative experience of interaction. Submissions mothers have a dichotomy in the perception of nursing home and hospital - "resort-good", "hospital-bad." Based on these data, we can draw the following conclusions. The image of the care involved in the formation of behavioral responses to situations of care, and therefore the compliance of mothers and young patients.

Literature

1. Данилов Д.С. Терапевтическое сотрудничество (комплаенс): содержание понятия, механизмы формирования и методы оптимизации. Неврология, нейропсихиатрия, психосоматика. 2014;(2):4–12]

2. Недуруева Т.В. Профессиональное здоровье медицинских работников: структурно-критериальный подход //Ученые записки российского государственного социального университета. 2012. № 2. с. 175-180

3. Никишина В.Б., Молчанова Л.Н. Состояние выгорания медицинских работников в контексте внутрипрофессиональной дифференциации // Известия пензенского государственного педагогического университета им. В.Г. Белинского. 2011. № 24. с. 986-993.