ОңТҮстік қазақстан медицина академиясы, хабаршы №4 942, 2021 жыл, том 2



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Objective: 
Determination of the level of psychoemotional disorders in patients with myocardial infarction 
using the HADS scale. 
Materials and methods
. At the Shymkent heart center of JSC, 64 patients with a myocardial infarction ( age 
54.6±10.5 years) aged 46-65 years who were affected by a myocardial infarction for 3 weeks (age 54.6 ± 10.5 years) 
were selected, methods of interview and general clinical research were conducted and patients were selected 
according to the specified criteria. Before the start of the study,the course of the study was explained in a language 
accessible to all patients, the nature of the procedures carried out, and after familiarizing the patients with the course 
of the study, they signed an informed agreement. Physical rehabilitation of patients was carried out according to the 
methodology of individual physical exercises, which form a complex of basic exercises with a mode of movement 
of the VII stage, special for the stages of each disease degree for patients who have experienced a myocardial 
infarction (Aronov D.M., Bubnova M.H.,Pogosova G.V). Patients completed a questionnaire for depression and 
anxiety HADS to determine their mental status 2-4 days after hospitalization. 
When interpreting the data of the HADS survey, taking into account the indicators of all scales, the results of 
the study are divided into 3 indicators: 0-7 points - the norm; 8-10 points - subclinically expressed 
anxiety/depression; 11 points or higher - clinically pronounced anxiety / depression. The hospital Anxiety and 
Depression scale HADS (The hospital Anxiety and Depression Scale Zigmond A. S., Snaith R. P.) is designed for 
the primary detection of depression and anxiety in general medical practice. Four possible answers correspond to 
each statement of the HADS scale. The HADS scale for determining the level of anxiety and depression does not 
cause difficulties for the patient and does not require a long time to fill in and interpret the results. Also, patients 
with pronounced anxiety and depressive disorders that require the supervision of a psychiatrist were not included in 
the study. 


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