PSYCHOLOGICAL FEATURES OF PATIENTS WITH HYPERTENSION IN COMBINATION WITH ISCHEMIC DISEASE, IMPAIRED PURINE METABOLISM AND OBESITY

Mokhnachew A. V.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

The article presents the literature and own research data on psychological characteristics, quality of life and compliance level among patients with hypertension in combination with ischemic disease, impaired purine metabolism and obesity. In patients with HD was found the average force correlation between psychasthenic (7 scales) and autistic (8 scales) tendencies (0.65 and 0.68, p < 0,0001). It was noted that the level of compliance in patients with a predominant kinesthetic representative system was higher in all study groups, while a low compliance rate was noted among patients with a predominantly visual representative system. Was noted increase the level of stress on the Holmes-Ray scale, depending on the stage of hypertension in all groups. The correlation between the activity scale (9) and hypochondria (1), depression (2), rigidity (6), autism (8), and social adaptation (4) in patients with HD without violating of purine metabolism was peculiar to personality, and in patients with HD in combination with violating of purine metabolism was the difference between the scale of activity (9) and demonstrativeness (3). The described combination of personal characteristics in patients with GB, the level of stress and compliance can lead to a violation of adaptation in the surrounding social environment with the development of neurotic disorders. Differences in the dependence of the severity of the patient’s condition on the existing of the comorbid pathology are shown, and also conclusions that indicate the need for psychological correction for the prevention of depressive and hypochondriacal disorders, as well as for the purpose of increasing the level of compliance with work with patients.

hypertension, comorbidity, compliance, quality of life, violation of purine metabolism

• Ayvazyan T.A. Psikhorelaksatsiya v lechenii gipertonicheskoy bolezni / T.A. Ayvazyan // Kardiologiya. – 1991. – № 31. – S. 95-98.
• Bagriy A.E. Depressiya pri KHSN. Podkhody k lecheniyu / A.E. Bagriy. – Kiyev, 2008. – 371 s.
• Krasnov V.M. Psikhiatricheskiye rasstroystva v obshchemeditsinskoy praktike / V.M. Krasnov // RMZH. – 2002. – № 45. – S. 144-146.
• Malkina-Pykh I.G. Psikhosomatika: spravochnik prakticheskogo psikhologa / I.G. Malkina-Pykh. – M.: Eksmo, 2004. – S. 58-62.
• Metodika otsenki kachestva zhizni bol’nykh i invalidov: metod. rekomendatsii. – M., 2000. – S. 1-15.
• Pogosova G.A. Depressiya – novyy faktor riska ishemicheskoy bolezni serdtsa i prediktor koronarnoy smerti / G.A. Pogosova // Kardiologiya. – 2002. – № 4. – S. 86-90.
• Jula A. Alexithymia: a facet of essential hypertension / A. Jula, J.K. Salminen, S. Saarijarvi // Hypertension. – 1999. – Vol. 33. – P. 1057-1061.
• Strauch B. Precise assessment of noncompliance with the antihypertensive therapy in patients with resistant hypertension using toxicological serum analysis / B. Strauch, O. Petrák, T. Zelinka [et al.] // J Hypertens. – 2013. – № 31 (12). – Р. 2455-2461.

«Bulletin of problems biology and medicine» Issue 4 Part 3 (141), 2017 year, 163-167 pages, index UDK 616.127-007.61:616.12-005.4-06:616.36-003.826

10.29254/2077–4214–2017–4–3–141–163-167