[Effectiveness of early psychological rehabilitation among hospitalized patients with ischemic heart disease]. 2004

A Goshtautas, and L Shinkareva, and L Gustaĭnene, and A Perminas, and N Ausmanene, and A Statkiavichene
Kaunas Medical University, Institute for Cardiology, Kaunas Medical Institute Clinic, Vitautas Mangus University, Lithuania.

The subjects of the study were men and women (n=418) suffering from myocardial infarction or angina pectoris and hospitalized in the Cardiological Clinic of Kaunas Medical University during May-June, 2001. In order to assess the possibility to apply measures of psychological rehabilitation in a hospital setting, patients were invited to participate in three group sessions of relaxation (achieved by visualizing certain images). Effectiveness of psychological intervention was assessed by measuring statements indicating presence/absence of type A behavior pattern, depressiveness, and anxiety. Blood pressure was measured twice during each session. 38.3% of men and 35.15% of women came to the first session, while all three sessions were attended by 14.2 and 7.8% of men and women, respectively. Patients did not participate due to subjective (negative attitude towards psychological measures) and objective (hospital regimen: treatment and diagnostic procedures, etc) reasons. Average age of participants of three sessions was 56.9+/-10.31 for men, and 64.4+/-8.91 for women (p<0.02). After three group sessions such indices of type A behavior pattern, depressiveness, and anxiety as nervous tension, impatience, being in a hurry, fatigue, worrying, pessimism, anxiety became lower as compared with those at the first session.

UI MeSH Term Description Entries
D009203 Myocardial Infarction NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION). Cardiovascular Stroke,Heart Attack,Myocardial Infarct,Cardiovascular Strokes,Heart Attacks,Infarct, Myocardial,Infarction, Myocardial,Infarctions, Myocardial,Infarcts, Myocardial,Myocardial Infarctions,Myocardial Infarcts,Stroke, Cardiovascular,Strokes, Cardiovascular
D003324 Coronary Artery Disease Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause. Arteriosclerosis, Coronary,Atherosclerosis, Coronary,Coronary Arteriosclerosis,Coronary Atherosclerosis,Left Main Coronary Artery Disease,Left Main Coronary Disease,Left Main Disease,Arterioscleroses, Coronary,Artery Disease, Coronary,Artery Diseases, Coronary,Atheroscleroses, Coronary,Coronary Arterioscleroses,Coronary Artery Diseases,Coronary Atheroscleroses,Left Main Diseases
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000787 Angina Pectoris The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION. Angor Pectoris,Stenocardia,Stenocardias
D001007 Anxiety Feelings or emotions of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS. Angst,Anxiousness,Hypervigilance,Nervousness,Social Anxiety,Anxieties, Social,Anxiety, Social,Social Anxieties
D017202 Myocardial Ischemia A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION). Heart Disease, Ischemic,Ischemia, Myocardial,Ischemic Heart Disease,Disease, Ischemic Heart,Diseases, Ischemic Heart,Heart Diseases, Ischemic,Ischemias, Myocardial,Ischemic Heart Diseases,Myocardial Ischemias

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