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


ASSESSMENT OF THE PSYCHOEMOTIONAL REACTION OF PATIENTS TO THE DISEASE



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ASSESSMENT OF THE PSYCHOEMOTIONAL REACTION OF PATIENTS TO THE DISEASE 
AFTER MYOCARDIAL INFARCTION
Relevance.
The Republic of Kazakhstan ranks ninth in the ranking of mortality from coronary heart disease 
in the Commonwealth of Independent States. Almost every tenth citizen of Kazakhstan today suffers from coronary 
heart disease, and among those who died from it-a large proportion of the economically active population aged 18 to 
64 years [1]. In patients who have suffered a myocardial infarction, psychogenic neurotic reactions are observed, as 


 
 
ОҢТҮСТІК ҚАЗАҚСТАН МЕДИЦИНА АКАДЕМИЯСЫ, ХАБАРШЫ №4(942, 2021 жыл, ТОМ 2 
 
 
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well as neurotic disorders in the form of mainly asthenic, anxiety and depressive states [2]. In turn, it was found that 
the depressive state of the patient negatively affects the clinical course of the disease, the overall quality of life of 
patients, the tendency to treatment and the implementation of medical recommendations [4]. All this dictates the 
need for timely detection and timely treatment of psychoemotional disorders in patients [3]. The reasons that lead to 
the development of cardiological events include psychophysiological (for example, increased stress reactivity, high 
levels of signs of subclinical inflammation and changes in metabolism) and behavioral factors (low physical activity, 
unhealthy lifestyle , untimely implementation of the doctor's recommendations). In addition, the prognosis of these 
factors varies depending on the views of patients on their own health, the Health Organization of that state, and the 
level of socio-economic development due to different stereotypes in each state. Patients who have suffered a 
myocardial infarction have several different psychological reactions to the disease [4]. This means not only the 
initial reaction in the form of fear, uncertainty about the positive outcome of the disease, etc., but also further 
changes in the psyche directly related to the development of the disease and the person's understanding of his 
condition. There are 2 types of attitudes to the disease: normal (adequate) psychological reactions and pathological 
(neurotic) psychological reactions [5]. 


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