[Experience of COB-school for patients with chronic obstructive bronchitis]

The results of training of chronic obstructive bronchitis (COB) patients according to the educational program "COB-school" are presented. The program was developed basing on the results of examination of 132 COB patients (80 males and 52 females) which included assessment of clinical picture, external respiration function, histological verification, standard multifactorial personality investigation, Luscher's test, specially designed questionnaire to diagnose social status. The findings demonstrate that COB patients respond to their disease with inadequate emotions, their psychological reactions are destructive, they suffer from social maladaptation. It is also shown that COB belong to diseases with abnormal pulmonary ventilation which is stressogenic and, consequently, treatment discipline of such patients is low. Methodology of the educational program rests on psychological laws of coping with stressogenic situation. The informative blocks of the program were constructed basing on these laws while the analysis of personality disorders provided grounds for optimal information presentation. The program covered 64 female and 50 male learners with COB. The effect of the program was evaluated by several clinical indices and reached 66.8 and 66.0% in females and males, respectively and a total of 66.4%. Thus, educational program with psychological and social correction noticeably improves discipline of COB patients' treatment.