Background. Coronary artery disease (CHD) remains the most common disease and a common cause of death worldwide. In this regard, much attention is paid to preventive measures in relation to coronary heart disease. Providing high-quality and timely psychological rehabilitation as part of secondary prevention programs has the potential to improve the prognosis of patients with coronary disease. Therefore, it is urgent to improve the measures of psychological rehabilitation. Objective: review and analysis of data from modern foreign and domestic studies on the psychological rehabilitation of patients with coronary heart disease (within the framework of complex cardiac rehabilitation). Results. Despite the obvious, recognized by experts, benefits of rehabilitation programs, there is a problem of insufficient active participation of patients with coronary heart disease in such programs. Research is needed to identify factors and develop methods that improve patient motivation to participate in and complete rehabilitation activities. The main targets of psychological rehabilitation of patients with coronary heart disease include the correction of such psychological characteristics as: hostility, emotional tension, manifestations of depressive and anxious behavior, maladaptive personality traits. The importance of dealing with anxiety and depression is emphasized. According to scientific literature, the most effective and appropriate methods of psycho-correction in the system of psychological rehabilitation of patients with coronary heart disease are cognitive-behavioral methods, as well as the use of an integrative approach. It is important to develop and implement general organizational standards for psychological rehabilitation of patients with coronary artery disease, as well as the inclusion of positions of medical psychologists in the staffing of cardiological medical institutions. Conclusions. Despite the use of modern methods of treatment and rehabilitation, the mortality rate from CHD remains high. Therefore, it is necessary to continue research aimed at optimizing treatment and rehabilitation measures with the expansion of the set of psychological rehabilitation.
Background. The study of psychoemotional characteristics and quality of life (QOL) in patients with CHD undergoing coronary artery bypass grafting (CABG) at different stages of treatment is crucial for enriching information about the characteristics of the psychological responses to illness and for the comprehensive analysis of the psychological aspects of recovery after CABG. The study was carried out at the Almazov National Medical Research Centre (St. Petersburg, Russia). The study sample comprised 65 patients with CHD preparing for CABG. Methods. Asthenic State Scale, Integrative Anxiety Test, The Symptom Checklist-90-R (SCL-90-R), and 36-Item Short Form Survey (SF-36). Results show that in the early postoperative periood, asthenia tends to intensify. State anxiety and its components decrease during the rehabilitation period after CABG. Both before and after CABG, patients have increased rates of psychopathological symptoms. A week after CABG, depressive and somatization symptoms intensify. 3 months after CABG, psychopathological symptoms tend to decrease, however, many indicators remain above the norm. Conclusion. The analysis of the QOL dynamics revealed the influence of the surgery on all QOL components. Psychological interventions for patients with CHD undergoing the CABG are necessary at all stages of the treatment and rehabilitation process.
The article is devoted to the study of emotional burnout syndrome in students of medical higher educational institutions at different stages of training. The study was based on the assumption that medical students at different stages of professional training have differences in the emotional and personal sphere, in the level of sociopsychological adaptation and in the level of empathy. The aim of the study was to study the psychological aspects of burnout syndrome in medical university students at different stages of vocational training. To achieve this goal, methods were used to study emotional and personal characteristics and socio-psychological adaptation. The study revealed differences in the emotional and personal sphere and in the level of sociopsychological adaptation. Also, there are targets of influence for psychocorrective and psychoeducational work with students, namely non-adaptive adaptation strategies, ways to overcome stress and a negative assessment of prospects. And for the prevention of burnout syndrome, it is advisable to use the Stress Management program, which is aimed at teaching and training ways to effectively get out of difficult stressful situations and preserve the resource state, goal-setting skills and proactive thinking, as well as the study of various relaxation techniques.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.