Clinico-hemodynamic and psycho-cognitive parallels of internal picture of health correction in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction

Roxolana Nesterak, Igor Vakalіuk, Jacek Łuniewski, Jan Szczegielniak

R. Nesterak, I. Vakalіuk, J. Łuniewski, J. Szczegielniak – Clinico-hemodynamic and psycho-cognitive parallels of internal picture of health correction in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction. Fizjoterapia Polska 2019; 19(3); 158-166

Abstract
Aim. The aim of this research was to determine the clinical-hemodynamic and psychologic-cognitive parallels of correction of internal picture of health in the process of restorative treatment and rehabilitation of patients with ST-segment elevation myocardial infarction.
Materials and methods. The study included 141 patients with STEMI. They were divided into the following groups: 63 patients with the use of conservative treatment, and 78 patients with invasive treatment tactics – percutaneous coronary intervention (PCI). Depending on the applied methods of restorative treatment and rehabilitation, each group of patients was divided into subgroups. Patients of the first subgroup were given traditional treatment; in the second subgroup of patients, in addition to traditional treatment, the training with optimization of the IPH in the form of the “Program of clinical-psychological rehabilitation of cardiological patients by optimisation of the internal picture of health” was used.
Results. The use of the “Program of clinical-psychological rehabilitation of cardiologic patients by optimization of the internal picture of health” increases the clinical efficacy of post-infarction period management, increases tolerance to physical activity measured in 6MWT, reduces manifestations of myocardial ischemia, and in general, increases the quality of life in patients with ST-segment elevation myocardial infarction.
Conclusions. “Program of clinical-psychological rehabilitation of cardiologic patients by optimization of the internal picture of health” can be effectively used in clinical practice.

Key words:
myocardial infraction, rehabilitation, psychology

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