Epikeev A Kh, Zamotaev Iu N, Kolomoets N M
Klin Med (Mosk). 2009;87(1):58-62.
The study was designed to assess selected behavioural and psychic personality characteristics in subjects with hypertensive disease engaged in strenuous labour activity and evaluate effect of their self-care education on quality of life. A total of 126 patients were involved in the study of whom 96 were treated and instructed in the framework of the "School of psychophysiological adaptation" program and 30 comprised the control group. They were followed up for 2 years. It was shown that emotional stress promoted formation of a complex of behavioural and psychic reactions resulting in reduced level of motivation and aspiration to achieve vocational rehabilitation and health resumption. The targeted system of education proved instrumental in raising the level of motivation to comply with medical recommendations and exercise self-control. Accomplishment of the program allowed to reduce effect of risk factors on the course of disease, improve performance efficiency and quality of life. It is concluded that introduction of education programs into clinical practice is an important line of further development of preventive medicine.
该研究旨在评估从事繁重体力劳动的高血压疾病患者的某些行为和心理人格特征，并评估自我护理教育对其生活质量的影响。共有126名患者参与了该研究，其中96名在“心理生理适应学校”项目框架内接受治疗和指导，30名组成对照组。对他们进行了2年的随访。结果表明，情绪压力促进了行为和心理反应复合体的形成，导致实现职业康复和恢复健康的动机和愿望水平降低。有针对性的教育系统被证明有助于提高遵守医疗建议和进行自我控制的动机水平。该项目的完成能够降低风险因素对疾病进程的影响，提高工作效率和生活质量。得出的结论是，将教育项目引入临床实践是预防医学进一步发展的重要方向。
