Abstract
Aim. Comparative analysis of life quality (LQ), psychological status and treatment adherence in patients before and after prevention events in local polyclinics. Material and methods. In the study, both gender persons participated (n=1082), age 21-70 y.o., registered as dispensary in the polyclinics of MBHI “Clinical Consulting-Diagnostical Center” of Kemerovo. During 6 months, two groups were followed up, comparable by the mean level of the main modifiable risk factors. Main group patients underwent primary risk measurement and further investigation with innovative approach to medical prevention, based on differential group training. All participants, before and after the prevention events were assessed for LQ, psychological status, treatment adherence. Results. In patients under dispensary follow up in local polyclinics, there were revealed: predominance of middle level of physical component and low level of psychological component of LQ; high level of chronic psychoemotional stress, anxiety and depression; high level of treatment adherence. The efficacy shown, of the performed prevention events. In intervention group there was significant positive dynamics almost in all scales of SF-36. Self-rating increased for the health self-evaluation and for treatment perspectives — GH (p=0,0001), psychoemotional background improved — RE (p=0,0001), social — SF (p=0,001) and life activity — VT (p=0,0089), the levels of situational and trait anxiety decreased (p=0,001 and p=0,0047 respectively), treatment adherence increased (p=0,00043). Conclusion. By the results of the study, the differences revealed in LQ, psychoemotional status and treatment adherence in the main patients group, who were managed with an innovative clinical organizational approach, and in comparison group. LQ of the main group patients by all SF-36 scales significantly improved, levels decreased of psychoemotional stress, anxiety and depression. Innovative methods of prevention work in local polyclinics facilitate improvement of LQ, patient’s responsibility for self-health care; shape rational and active attitude towards the disease, motivation to be healthier, treatment adherence and compliance to clinician recommendations.
Highlights
(p=0,0001), улучшились психоэмоциональный фон — RE (p=0,0001), социальная — SF (p=0,001) и жизненная активность — VT (p=0,0089), снизились уровни ситуационной и личностной тревожности (p=0,001 и p=0,0047, соответственно), улучшилась приверженность лечению (p=0,00043)
Для проведения рискометрии при диспансеризации в поликлинике была использована медицинская информационная система “Комплексная информационная система первичных медицинских осмотров и профилактики болезней системы кровообращения” — МИС (КОРУНД) — свидетельство государственной регистрации программы для ЭВМ No 2010615687, позволяющая в автоматическом режиме проводить рискометрию на основе шкалы SCORE у практически здоровых людей, без клинических прояв лений ишемической болезни сердца (ИБС) и сахарного диабета (СД) и у пациентов, с сосудистых заболеваний (ССЗ), на основе российских рекомендаций по диа гностике, лечению и профилактике артериальная гипертензия (АГ) и ИБС с последующим формированием индивидуальных рекомендаций
Preventing cardiovascular diseases at the noncommunicable diseases in the primary health care system
Summary
Мониторинг качества жизни, психологического статуса и приверженности лечению у пациентов при проведении профилактических мероприятий в территориальной поликлинике. Провести сравнительный анализ качества жизни (КЖ), психологического статуса, приверженности лечению у пациентов до и после проведения профилактических мероприятий в территориальной поликлинике. Monitoring of life quality, psychological status and treatment adherence at prevention events in local polyclinics. Aim. Comparative analysis of life quality (LQ), psychological status and treatment adherence in patients before and after prevention events in local polyclinics. Innovative methods of prevention work in local polyclinics facilitate improvement of LQ, patient’s responsibility for self-health care; shape rational and active attitude towards the disease, motivation to be healthier, treatment adherence and compliance to clinician recommendations. Цель настоящего исследования — провести сравнительный анализ КЖ, психологического статуса, ПЛ у пациентов до и после проведения профилактических мероприятий в территориальной поликлинике
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