Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and Rehabilitation1560-95372412-2092Eco-Vector3561110.17816/MSER35611Role of rehabilitation in improvement of quality of life physical and psycho-social characteristics in ischemic heart-disease patients due to the change of appreciation of painIshinovaVera Aleksandrovna-SerdyukovS V-KantemirovaR K-IshinovaV A-SerdyukovS V-KantemirovaR K-15092011143141721072020Copyright © 2011, Eco-Vector2011Activation of sympathoadrenal system under the conditions of the coronary insufficiency leads to the myocardial ischemia and occurrence of anginous pain. Pain sensations in the heart area in patients with ischemic heart-disease are a permanent source of anxiety and alarm. In connection with that use of psychophysiological self-regulation methods within comprehensive rehabilitation aimed at optimization of emotional state, abatement of painful sensations intensity, improvement of quality of life of the patients suffering from ischemic heart-disease takes on special significance.
The conducted treatment has shown that presence of anginous pain in patients with ischemic heart-disease and pronounced psychopathologic symptomatology are accompanied with low level of quality of life. Application of empatho-technique and comprehensive rehabilitation contributed to abatement of pain intensity, decrease of anxiety and alarm level, and improvement of social, role-physical and emotional functioning.anginous painempatho-techniqueischemic heart-diseasequality of lifepsychophysiological self-regulationангинозная больэмпатотехникаишемическая болезнь сердцакачество жизнипсихофизиологическая саморегуляция[Ишинова В. А., Святогор И. А. Сравнительная оценка эффективности методов саморегуляции, основанных на системах внешней и внутренней обратных связей // Сборник материалов IX Международной науч. конф. "Потенциал личности: комплексная проблема" 4 июня 2010. - СПб., 2010. - С. 272-279.][Кутузова А. Э., Алексеева Н. П., Петрова Н. Н. Психический статус и качество жизни больных хронической сердечной недостаточностью // Сердеч. недостат. - 2007. - Т. 8, № 5 (43). - С. 222-224.][Новик А. А., Ионова Т. И. Руководство по исследованию качества жизни в медицине. - СПб., 2002.][Российские рекомендации по диагностике и лечению стабильной стенокардии (второй пересмотр). - М., 2008. - С. 7.][Смулевич А. Б., Сыркин А. Л. Психокардиология // Псих. расстройства в общ. мед. - 2007. - № 4. - С. 4-9.][Тарабрина Н. В. Практикум по психологии посттравматического стресса. - СПб., 2001.][Ishinova V. A., Svyatogor I. A., Reznikova T. N. Features of color reflectionin psychogenic pain in patients with somatoform disorders during psychotherapeutic treatment // Spanish J. Psychol. - 2009. - Vol. 12, N 2. - P. 715-724.][Strik J. J., Lousberga R., Cberiexb E. G., Honiga A. One year cumulative incidence of depression following myocardial infarction and impact on cardiac outcome // J. Psychosom. Res. - 2004. - Vol. 56. - P. 59-66.]