Correction of psychological status in patients with an arterial hypertension on a background of rehabilitation programs that include training in School of Health

Abstract

Many Russian and foreign research shows that violations of the personal status of, characterized by, inter alia, depression are involved not only in development but also the progression of one of the most common cardiovascular diseases - arterial hypertension (AH). In this study, carried out on a large industrial enterprise, evaluated the impact of rehabilitation activities through training programs for patients with AH on their psychological status. Patients with AH (n=185) were randomized into two groups: 125 patients constituted a core group (average age 48.6±0.75 years), the remaining 60-monitoring group (average age of 49.1±1.1 year). All the patients at baseline and after a year of observation conducted questionnaires and psychological tests with Hospital Anxiety and Depression Scale and psychological stress Reader. At the same time, patients in the intervention group were trained in the School of Health (5 lessons of 1.5-2 hours and 3 classes anti-stress therapy). After 12 months of training at the School of Health decreased number of respondents with clinically significant anxiety and depression, as well as the positive dynamics of the level of importance of psychological stress, both among men and among women. Thus, rehabilitation programs, including training in the School of Health has a positive effect on the psychological status of patients suffering from AH, working in a large industrial enterprise in unhealthy conditions.

Keywords

• arterial hypertension
• stress
• anxiety
• depression
• large industrial enterprise
• patient education