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Atherosclerosis, being a multifocal disease, has a pain syndrome as the main clinical manifestation. After reconstructive surgery, pain symptoms either decrease or are absent, it is logical to assume that the level of anxiety and depression will decrease to the limits of normal. However, a fairly high percentage of patients with clinical and subclinical manifestations of depression and anxiety were identified. Consequently, pain is not a major factor in high rates of depression and anxiety. We assume that a serious illness that leads to disability and death puts a person in special living conditions. This situation affects the mental state of the patient. Even a technically competent operation does not always bring relief and recovery to the patient. The aim of the study was to study the effectiveness of psychological support for patients with chronic obliterating diseases of the lower limb arteries after surgery (reconstructive surgery). It should be noted that we did not pursue a long – term goal – the patient's awareness of the disease in the context of life, but set a short-term goal according to this time period-improving the emotional state through the patient's internal psychological resources. The study was aimed at implementing a program of psychological support for patients with chronic obliterating diseases of the lower limb arteries after surgery – reducing the level of depression and anxiety in patients in the postoperative period. The sample consisted of 15 patients on the 5th day after surgery. After psychological support, the percentage of patients with clinical and subclinical manifestations of depression and anxiety decreased. This may indicate the effectiveness of the proposed assistance for violations in the emotional sphere.

Currently, in the situation of coronavirus infection, diseases of the vascular system still occupy one of the leading positions among the causes of mortality. At this moment, an important task is providing psychological assistance to patients after surgery in a hospital setting. Purpose. The research of the possibilities of psychological assistance after surgery for patients with chronic obliterating diseases of the arteries of the lower limbs. Materials and methods of research. The Hospital Anxiety and Depression Scale (HADS) (A.S. Sigmondi R.P. Snaith) was used for diagnosis. The analysis of the results of psychological examination of patients with chronic obliterating diseases of the arteries of the lower limbs was carried out in the period from 2020 to 2021 in Krasnoyarsk. Results. The conducted research demonstrates the availability of depression as one of the clinical manifestations in the emotional sphere of patients with obliterating diseases of the arteries of the lower limbs. The information of the effectiveness of psychological assistance to patients in a vascular hospital are presented. Methods of autogenic training, short-term positive psychotherapy and one of the methods of a standardized program of complex non-medicated therapy were used. Conclusions. The obtained information allows us to talk about the positive impact of psychological care on patients after reconstructive operations in vascular surgery departments. With the activation of internal psychological resources, patients pay less attention to the issue of possible disability and strive to adapt to the conditions of the disease. Practical implications. The results can be used in the psychotherapeutic practice of clinical psychologists.

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