Комплаентность, социально-психологический профиль и удовлетворенность пациентов пожилого и старческого возраста оказанием кардиологической помощи в условиях стационара

Abstract

Objective. The aim of the study was to investigate the compliance, social and psychological profile and satisfaction of elderly and senile patients with cardiological care in a 24-hour in-patient hospitalization. Materials and methods. 400 elderly and senile patients were hospitalized in the District Hospital of Kostroma District No 1 and randomized in the study. Compliance of patients and social and psychological profiles were evaluated. The types of temperament of patients, valuable orientations and skills to communicate were determined. The individual strategy and tactics of patients’ behavior in a conflict situation and the level of motivation of patients for success in treatment were investigated. Results. Senile patients are more critical than elderly people in assessing the medical care provided and are more likely to have extreme levels of compliance, which can be expressed either in the "blind" implementation of doctors recommendations, or in their partial or complete disregard for and lack of confidence in medical appointments. Social and psychological factors that negatively affect the formation of satisfaction of patients of elderly and senile age with the cardiological care in hospital conditions are melancholic type of temperament, extreme levels of communicability, opposing style of behavior in conflict, suspicious style of interpersonal relations, and high level of motivation for success in treatment. Conclusion. When working with patients, their personal characteristics should be taken into account, stage-by -stage psychological counseling should be carried out with the formation of the psychological portfolio of the patient.