Clinical and Functional Dynamics of Physical Working Capacity and Psychological Adaptation in Patients with Acute Coronary Syndrome at the Stages of Rehabilitation

The objective of the research was to analyze the effectiveness of using suggestive therapy in the patients with acute coronary syndrome by assessing the dynamics of the clinical condition and indicators of anxiety. Materials and Methods. There were examined 135 patients with non-ST-segment elevation...

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Main Authors: Nesterak, Roksolana (Author), Bardashevska, Sofia (Author)
Format: EJournal Article
Published: Ivano-Frankivsk National Medical University, 2019-09-08.
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LEADER 03315 am a22003013u 4500
001 galician_1071_931
042 |a dc 
100 1 0 |a Nesterak, Roksolana  |e author 
700 1 0 |a Bardashevska, Sofia  |e author 
245 0 0 |a Clinical and Functional Dynamics of Physical Working Capacity and Psychological Adaptation in Patients with Acute Coronary Syndrome at the Stages of Rehabilitation 
260 |b Ivano-Frankivsk National Medical University,   |c 2019-09-08. 
500 |a https://ifnmujournal.com/gmj/article/view/1071 
520 |a The objective of the research was to analyze the effectiveness of using suggestive therapy in the patients with acute coronary syndrome by assessing the dynamics of the clinical condition and indicators of anxiety. Materials and Methods. There were examined 135 patients with non-ST-segment elevation myocardial infarction, 60 patients with the use of the conservative treatment and 75 patients who underwent percutaneous coronary intervention. The dynamics of objective indices, adaptation changes and anxiety indices in the groups of patients with traditional treatment and in the groups of patients with suggestive therapy in addition to the traditional rehabilitation measures, were analyzed. Results. Analyzing the dynamics of adaptive indices, it was determined that in the group of patients with non-ST-segment elevation myocardial infarction, who were performed conservative therapy, the dynamics was less significant, which is related to the general desadaptative syndrome. Changes in the group of patients undergoing percutaneous coronary intervention and suggestive therapy, with a decrease of blood pressure, heart rate, and a decrease in the index of functional changes from 3.78±0.15 points before the intervention up to 2.92±0.13 points after suggestive therapy (p<0.01) were more significant. In all groups of patients, high levels of reactive anxiety were observed at the beginning of treatment. As a result of treatment, a decrease in anxiety was noted, but more pronounced changes were seen in the group with the use of suggestive therapy (p<0.05). Conclusions. The use of suggestive therapy methods when treating the patients with acute coronary syndrome is an important intervention, that provides a comprehensive approach considering all the components, enhances the patients' adaptive abilities in the rehabilitation phase, improves the quality and effectiveness of restorative treatment. The use of suggestive therapy at the rehabilitation stage improves the clinical course, reduces anginal manifestations, stabilizes blood pressure and increases exercise tolerance. 
540 |a Copyright (c) 2019 Roksolana Nesterak, Sofia Bardashevska 
540 |a https://creativecommons.org/licenses/by-nc/4.0 
546 |a eng 
690 |a ischemic heart disease 
690 |a rehabilitation 
690 |a adaptation 
690 |a psychology 
690 |a anxiety 
655 7 |a info:eu-repo/semantics/article  |2 local 
655 7 |a info:eu-repo/semantics/publishedVersion  |2 local 
786 0 |n Galician Medical Journal; Vol. 26 No. 3 (2019) 
786 0 |n Galician Medical Journal; Том 26 № 3 (2019) 
786 0 |n 2414-1518 
787 0 |n https://ifnmujournal.com/gmj/article/view/1071/931 
856 4 1 |u https://ifnmujournal.com/gmj/article/view/1071/931  |z Get Fulltext