稳定缺血性心脏病和冠状动脉旁路移植术患者心理状态指标的动态变化
- 作者: Solodukhin A.1, Trubnikova O.1, Barbarash O.1
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隶属关系:
- Research Institute for Complex Problems of Cardiovascular Diseases
- 期: 卷 28, 编号 2 (2020)
- 页面: 164-170
- 栏目: Original study
- URL: https://journals.rcsi.science/pavlovj/article/view/34906
- DOI: https://doi.org/10.23888/PAVLOVJ2020282164-170
- ID: 34906
如何引用文章
详细
目的:冠状动脉旁路移植术(CABG)对缺血性心脏病(CHD)患者心理状态指标的动态评估和分析。
材料与方法:对58例从40到74岁稳定型缺血性心脏病的男性患者进行冠状动脉旁路移植前后心理状态指标,即疾疾病的内部图像、应对策略和生活取向的研究。患者入院后2-3天,冠状动脉旁路移植后7-8天由临床心理学家对各项指标进行评估。临床和心理诊断采用TOBOL问卷对疾病的态度(L.I.Wasserman)、《生活取向》(D.A. Leontiev)、《应对行为策略》(R. Lazarus,S. Folkman, T. A. Kryukova的改编版)。采用Statistica 10.0计算机软件进行统计分析。
结果:缺血性心脏病患者冠脉搭桥术后,采用TOBOL问卷、应激克服行为评估中的《积极重估》应对策略,以及《目的》在评估神经质根据《生活取向》测试中的量表水平都已确定指标的显著下降。
结论:研究结果表明,缺血性心脏病患者在冠状动脉旁路移植后,由于行为障碍和难以制定进一步的康复目标,对疾病的适应程度有所下降。为了增加术后适应,心理矫正影响的《目标》可能是《积极重估》应对策略及目标设定有助于患者在冠状动脉旁路移植后阶段制定目标。
作者简介
Anton Solodukhin
Research Institute for Complex Problems of Cardiovascular Diseases
编辑信件的主要联系方式.
Email: mein11@mail.ru
ORCID iD: 0000-0001-8046-5470
SPIN 代码: 5487-7469
Researcher ID: H-7252-2016
Laboratory Assistant-Researcher of the Neurovascular Pathology Laboratory, Research Institute for Complex Issues of Cardiovascular Diseases
俄罗斯联邦, KemerovoOl`ga Trubnikova
Research Institute for Complex Problems of Cardiovascular Diseases
Email: mein11@mail.ru
ORCID iD: 0000-0001-8260-8033
SPIN 代码: 9174-6197
Researcher ID: N-5437-2015
MD, PhD, Head of the Neurovascular Pathology Laboratory, Research Institute for Complex Issues of Cardiovascular Diseases
俄罗斯联邦, KemerovoOl`ga Barbarash
Research Institute for Complex Problems of Cardiovascular Diseases
Email: mein11@mail.ru
ORCID iD: 0000-0002-4642-3610
SPIN 代码: 5373-7620
Researcher ID: A-4834-2017
MD, PhD, Professor, Correspondent Member of RAS, Director, Research Institute for Complex Issues of Cardiovascular Diseases
俄罗斯联邦, Kemerovo参考
- Pomeshkina SA, Kondrikova NV, Barbarash OL. Labour ability assessment of patients undergone coronary artery bypass grafting. Complex Issues of Cardiovascular Diseases. 2014;(1):26-30. (In Russ). doi: 10.17802/2306-1278-2014-1-26-30
- Shchetko VN. Features of surgical treatment of ischemic heart disease in patients with the expressed dysfunction left ventricular. Medical Herald of the South of Russia. 2018;9(1):99-104. (In Russ). doi: 10.21886/2219-8075-2018-9-1-99-104
- Yusuf, S., Hawken, S., Ôunpuu, S., et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. The Lancet. 2004;364 (9438):937-52. doi: 10.1016/s0140-6736 (04)17018-9
- Solodukhin AV, Trubnikova OA, Yanitsky MS, et al. Clinical-psychological characteristics of patients with CHD before preparation for coronary bypass depending on their psycho-emotional status. Lechaschi Vrach. 2017;(11):76-9. (In Russ).
- Polonskaya II, Sergeyeva VV. Medical and social aspects of rehabilitation for coronary heart disease after coronary artery bypass grafting. The Bulletin of Contemporary Clinical Medicine. 2018;11(6):68-73. (In Russ). doi: 10.20969/VSKM.2018.11(6).68-73
- Iakovleva MV, Lubinskaya CI, Demchenko EA. Internal Picture of the Disease as a Factor of Adherence to Treatment after Coronary Bypass Surgery. Bulletin of the South Ural State University. Ser. Psychology. 2015;8(2):59-70. (In Russ).
- Zubareva OA. Correlation between the coping behavior and types of attitude to the disease in patients with coronary heart disease. The Scientific Notes of the Pavlov University. 2014;21(4):32-5. (In Russ). doi: 10.24884/1607-4181-2014-21-4-32-35
- Vasilenko TD, Selin AV, Mangushev FY. Semantic aspects of corporal experience in a chronic somatic disease. Kursk Scientific and Practical Bulletin «Man and His Health». 2016;(2):116-21. (In Russ). doi: 10.21626/vestnik/2016-2/22
- Chugunova YV, Chumakova GA, Veselovskaya NG. Anxiety-depressive disorders and quality of life in patients with obesity, undergoing coronary artery bypass grafting: review. Mezhdunarodnyj Zhurnal Prikladnyh i Fundamental'nyh Issledovanij. 2015; (11)2: 235-38. Available at: https://applied-research.ru/ru/ article/view?id=7714. Accessed: 2020 February 21.