On the problem of differentiated assessment of treatment adherence among patients undergoing coronary artery bypass surgery

Яковлева, М. В.; Lubinskaya, Ekaterina I.

doi:10.21638/spbu16.2020.303

Cited by 3 publications

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“…Авторами была разработана анкета для пациента после КШ, проведен факторный анализ вопросов анкеты, и были выделены три фактора, с помощью которых можно более дифференцированно характеризовать поведение пациентов в отношении проводимой терапии: «лечебный» (или «медицинский»), «физическое состояние организма» и «вредные при-вычки». Была показана возможность разделения пациентов согласно вышеуказанным факторам для дальнейшего детального изучения их психологических и клинических характеристик [38].…”

Section: отношение пациента к терапии и рекомендациям вмешательстваunclassified

Patient adherence after coronary bypass grafting: different facets of same matter. A systematic review

Фофанова

Суботников

Агеев

2021

Kuban. nauсh. med. vestnik

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Background. Adherence in cardiological patients is a leading challenge due to a high society burden imposed by cardiovascular diseases (CVDs) through morbidity, reduced life expectancy, disability and high mortality rates in population. Despite the availability of highly effective medicines and high-technology care, the success of CVD treatment remains insufficient. A particular focus should be placed on patients with previous coronary artery bypass grafting (CABG).Objectives. A review of reasoning for non-adherence to medication and non-medication management in post-CABG patients and current methods influencing it.Methods. Russian-language and foreign literature was mined in the eLibrary and PubMed databases with the query keywords “medication adherence” [приверженность терапии], “coronary artery disease” [ишемическая болезнь сердца], “coronary artery bypass surgery” [коронарное шунтирование], “coronary revascularisation” [вторичная профилактика после коронарного шунтирования]. The review included papers published within 2016–2020, as well as selected relevant publications from 2003–2015, to cover 52 sources irrespective of study design and language. Content and descriptive analyses were used as research tools.Results. Coronary heart disease (CHD) poses an important health, social and economic problem worldwide as a leading cause of reduced life expectancy, disability and high mortality. Non-compliance with medication significantly bursts medical expenditures [1]. Coronary artery bypass grafting is used widely to treat multivessel coronary lesions both in stable and acute CHD. Secondary preventive techniques successfully preclude adverse post-CABG events, but adherence to post-CABG treatment is often low. The non-adherence rationale rarely links to a single factor but is rather complex and multifaceted. It includes social and economic reasons, systemic health care or personnel, therapy and patient-related factors. Methods are developing and refining to improve adherence to both non-medication and medication interventions.Conclusion. Clinical trials to improve secondary prevention adherence in patients after coronary artery bypass grafting will allow a wider implementation of relevant methods in outpatient management of this patient category.

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Section: отношение пациента к терапии и рекомендациям вмешательстваunclassified

Patient adherence after coronary bypass grafting: different facets of same matter. A systematic review

Фофанова

Суботников

Агеев

2021

Kuban. nauсh. med. vestnik

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“…While many authors addressing the topic of subjective responses to disease often associate these responses with specific diseases [11][12][13][14], recent studies have provided insights that illuminate a broader perspective. This shift in focus, prompted in particular by the recent wave of interest due to events such as the pandemic, suggests that attitudes toward health impairment and health in general, as well as readiness for treatment, are significantly influenced by a person's personal characteristics and past experiences.…”

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Characteristics of Subjective Attitudes Towards Diseases in Modern Adolescents of Different Gender Identity

Ельникова,

Колосова

2023

Pedagogical Review

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Статья посвящена изучению особенности субъективного отношения к болезни представителей современной молодежи с различной полоролевой, гендерной идентичностью. Представлены результаты диагностического исследования взаимосвязи полоролевой идентичности и типов отношения к болезни. В качестве методологической базы, рассматривается биопсихосоциальная модель, в рамках которой при характеристике состояния здоровья учитывает в первую очередь психологические факторы. Отмечается, что актуальные тенденции развития общества диктуют настоятельную необходимость рассмотрения таких понятий как «болезни» и «здоровья» в первую очередь не с физиологической точки зрения, но как некое психологическое состояние человека. Приводится анализ исследований, доказывающий, что носители разных гендерных ролей демонстрируют совершенно иные модели поведения в том числе и в сфере здоровьясбережения. Полученные экспериментальные результаты позволяют заключить, что модель поведения обусловлены полоролевой идентичностью и в ситуации отражения тех или иных симптомов болезни учет психологических характеристик личности, в частности, влияние субъективного отражение своего социального пола, при построении лечебного процесса болезни любой нозологии просто необходим. This article examines how young people with different gender identities perceive disease and how their attitudes toward disease might be influenced by their gender roles. The study presents the results of a diagnostic analysis examining the relationship between gender identity and different ways of thinking about disease. The study draws on the biopsychosocial model, emphasizing psychological factors in health assessment. It is found that current trends in social development view the concepts of “disease” and “health” not only as physiological states but also as psychological states. The research analyzes studies showing that individuals with different gender roles have completely different behavioral patterns, including health protection. The experimental results obtained suggest that behavioral patterns are influenced by gender identity. When considering specific disease symptoms, it is essential to consider the individual’s psychological characteristics, especially the effects of his or her subjective perception of social gender. This consideration is very important in formulating the therapeutic approach to various disease conditions.

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On the development of a systemic (biopsychosocial) prediction model for cardiovascular disease. Part I

Щелкова

Iakovleva

Eremina

et al. 2023

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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The authors have attempted to design and verify by means of mathematical modelling methods a model of comprehensive (medical, social and psychological) prognosis in cardiovascular disease, which would cover different aspects of patients’ disease, treatment and life functioning and would be relevant to the objectives of the treatment and rehabilitation process. A multidisciplinary set of methods was used to accomplish the aim: clinical and psychological. The study included 437 patients with coronary heart disease and/or chronic heart failure undergoing surgical treatment.Part I of the article presents the results of the first 4 stages of the study.1) A theoretical prediction model based on existing data was developed and empirically tested on different patient populations at various stages of surgical treatment. 2) An overall information database was compiled on the basis of our own research. A total of 245 indicators were taken into account; they were expertly divided into five groups: clinical, socio-behavioural, personality characteristics, emotional state indicators, and cognitive functioning indicators.3) The missing cells in the sampling matrix were filled in by means of mathematical modelling and neural networks. 4) An exploratory factor analysis of all characteristics in the allocated groups was performed, resulting in 24 factors: 3 in the group of clinical characteristics (“Coronary heart disease”, “Transplantation”, “Patient’s age and duration of heart failure”), 6 in the group of socio-behavioural (“Social and occupational orientation”, “Keeping a habitual lifestyle in spite of illness”, “Occupational strain”, “Lifestyle”, “Non-adherent behaviour”, “Occupational stress”), 5 in the group of personality characteristics (“Attitude towards illness”, “Motivational orientation”, “Decreased resilience”, “Irrational beliefs”, “Coping strategies and coping resources”), 4 in the group of emotional state characteristics (“Dominant emotional state and feelings”, “Quality of life and mood”, “Absence of anxiety at the moment of the study”, “Functioning in conditions of illness”), 6 in the group of characteristics of cognitive functioning (“Neuropsychological characteristics”, “Spatial–constructive thinking and pace of mental activity”, “Visual memory”, “Attention and verbal–logical thinking”, “Verbal memory”, “No significant decrease in IQ”).

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On the problem of differentiated assessment of treatment adherence among patients undergoing coronary artery bypass surgery

Cited by 3 publications

References 0 publications

Patient adherence after coronary bypass grafting: different facets of same matter. A systematic review

Patient adherence after coronary bypass grafting: different facets of same matter. A systematic review

Characteristics of Subjective Attitudes Towards Diseases in Modern Adolescents of Different Gender Identity

On the development of a systemic (biopsychosocial) prediction model for cardiovascular disease. Part I

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