Abstract
Aim. To assess attitude of patients to coronary arthe in-hospital settings and determining coping stratetery disease (CAD) for evaluating their adaptation to gies used to overcome surgery-related stress. Materials and methods. 132 male patients (the mean age 61 years) with stable coronary artery disease were included in the study. All patients underwent the assessmentof psychological status performed by clinical psychologists in the preoperative period. The subjective assessment of patients’ psychological state and attitude to the disease was evaluated using the A.E. Lichko questionnaire. The Lazarus “Ways of Coping” questionnaire was used to determine behavioral strategies for coping with stress. Patients’ responsibility for their somatic symptoms was assessed using the health scale “Level of Subjective Control”. Psychological testing was performed on days 5-7 before CABG. Results. Harmonious, ergopathicand anosognostic types of attitude to the diseaseprevailed in the study group. 114 (80%) patients had a combination of two or more types of attitude to the disease. Harmonious and ergopathic types of attitude were commonly com bined with other types of attitude to the disease (n=96, 73%). The assessment of the subjective level of control reported that internal locus of control was found in 36 patients (27%) and externallocus of control in96 patients (73%). The assessment of coping-strategies showed that 79 (60%) patientsrarely used stress-coping strategies. Moreover, 6 patients (5%) did not use any coping strategies. Conclusion. Harmonious, ergopathic and anosognostic types of attitude to the disease prevailed in patients with coronary artery disease in the preoperative period. Moreover, external locus of control and the rare use of stress-coping strategies in these patients suggested the need for comprehensive medical and psychological support that should be intriduced in the in-hospital setting.
Highlights
M a terials and m ethods. 132 male patients with stable coronary artery disease were included in the study
A ll patients underwent the assessmentof psychological status performed by clini cal psychologists in the preoperative period
Harmonious, ergopathic and anosognostic types o f attitude to the disease prevailed in pa tients with coronary artery disease in the preoperative period
Summary
M a terials and m ethods. 132 male patients (the mean age 61 years) with stable coronary artery disease were included in the study. 132 male patients (the mean age 61 years) with stable coronary artery disease were included in the study. A ll patients underwent the assessmentof psychological status performed by clini cal psychologists in the preoperative period. The sub jective assessment o f patients’ psychological state and attitude to the disease was evaluated using the A.E. Lichko questionnaire. The Lazarus “Ways o f Coping” ques tionnaire was used to determine behavioral strategies for coping w ith stress. Patients’ responsibility for their somatic symptoms was assessed using the health scale “ Level o f Subjective Control”. Psychological testing was performed on days 5-7 before CABG
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