Differential diagnosis of states of operability in young people who have had COVID-19 infection

Igor M. Uliukin , Aleksey A. Sechin , Vadim V. Rassokhin , Elena S. Orlova , Alyona A. Shuklina

Russian Military Medical Academy Reports ›› 2021, Vol. 40 ›› Issue (2) : 69 -75.

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Russian Military Medical Academy Reports ›› 2021, Vol. 40 ›› Issue (2) :69 -75. DOI: 10.17816/rmmar79416
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Differential diagnosis of states of operability in young people who have had COVID-19 infection

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Abstract

AIM: to assess the peculiarity of the state of working capacity in the process of rehabilitation in young people after suffering COVID-19 infection.

MATERIALS AND METHODS: We examined 62 convalescents who underwent COVID-19 (men aged 22.83 ± 0.37 years) 90 days after discharge from the hospital. The main clinical forms (CF) of COVID-19 in this study were inapparent form (20 people – 32.25%), acute respiratory viral infection (22 people – 35.49%), pneumonia without respiratory failure (20 people – 32.25%). The diagnostics of all clinical cases of COVID-19, examination, treatment and discharge of patients from the hospital were carried out in accordance with the regulatory documents. The psychodiagnostic study was carried out according to the Questionnaire “Differential Diagnosis of Conditions of Decreased Performance” by A.B. Leonova and S.B. Velichkovskaya. All surveyed received voluntary informed consent to participate in the study.

RESULTS: In most cases, in all groups, the degree of severity of states of working capacity is regarded as low, which is probably due to asthenic syndrome after a previous illness, and psychological fatigue, due, in particular, to the presence of post-traumatic stress disorder syndrome.

CONCLUSION: The states of reduced working capacity and the effectiveness of professional activity are very diverse, therefore, the peculiarities of the mental state can be understood only on the basis of identifying really acting motives of activity, which are manifested in reflexive assessments of the real situation and the behavior of the individual, taking into account their emotional coloring. Therefore, in order to substantiate corrective and rehabilitation measures in the case of a state of reduced working capacity and the effectiveness of professional activity, a differentiated assessment of these conditions is required, which requires the work of a multidisciplinary rehabilitation team (2 tables, bibliography: 32 refs).

Keywords

COVID-19 / differential diagnosis of states of operability / fatigue / mental satiety / monotony / tension/stress / young people

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Igor M. Uliukin, Aleksey A. Sechin, Vadim V. Rassokhin, Elena S. Orlova, Alyona A. Shuklina. Differential diagnosis of states of operability in young people who have had COVID-19 infection. Russian Military Medical Academy Reports, 2021, 40(2): 69-75 DOI:10.17816/rmmar79416

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