СРАВНЕНИЕ ПСИХОЛОГИЧЕСКОГО СТАТУСА ПАЦИЕНТОВ ДО И ПОСЛЕ КОРОНАРНОГО ШУНТИРОВАНИЯ

Цель. Аортокоронарное шунтирование (АКШ) — это вмешательство, используемое чтобы помочь улучшить и ежегодно сохранять жизни тысяч пациентов с ишемической болезнью сердца. Измерение психологического статуса пациентов значительно способствует пониманию восприятия пациентами результатов лечения. Целью данного исследования было сравнение психологического статуса больных до операции и спустя 3 месяца после АКШ.

Материал и методы. В это кросс секционное исследование вошли, в общей сложности, 120 последовательных пациентов, которые были обследованы за несколько дней до и 3 месяцев после выполнения АКШ в больнице Ekbatan в Хамадане (Иран) в 2012г. Использовался вопросник SCL-90 для измерения психологических измерений до и после АКШ. Анализ данных проводили с использованием пакета программ SPSS версия 18. В паре т-тесты были использованы для сравнения предоперационного и послеоперационного количества баллов вопросника SCL-90.

Результаты. Значимые различия были обнаружены между значениями баллов до и после АКШ у пациентов по значениям: соматизация, навязчивость-принуждение, межличностная чувствительность, депрессия и тревожность опросника SCL-90 (р<0,001).

Заключение. Предоперационная оценка может выявить пациентов с риском клинических уровней послеоперационных психологических проблем. Можно сделать заключение, что выявление психологических симптомов во время предоперационной оценки имеет большое значение для диагностической ориентации и, при необходимости, консультирования и терапевтических вмешательств.

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