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Published on: May 3, 2018
Perceived Psychological Well-Being in Patients with Hemodynamically Insignificant Carotid Arteries Stenosis
Olga A Germanova1, Marina Fedorina, Igor L Davydkin
1International Centre for Education and Research in Cardiovascular pathology and Cardiovisuslization, Samara State Medical University, 18 Gagarina Street, 443096 Samara, Russia, olga_germ@mail.ru.
Background:
Analysis of the perception of the disease in borderline stenosis of the orifice of the internal carotid artery (ICA) (up to 69% in diameter) in asymptomatic patients.
Subjects And Methods:
48 patients (28 men and 20 women). Group 1: stenosis up to 49% - 23 people (13 men, 10 women), mean age 50.4±16.1 y.o. Group 2: stenosis 50-59% - 18 people (10 men, 8 women), mean age 57.3±16 y.o. Group 3: stenosis 60-69% - 7 people (5 men, 2 women), mean age 61±12.3 y.o. All patients underwent ultrasound Doppler of brachiocephalic arteries, examination with Brief Illness Perception Questionnaire E. Broadbent (Russian version).
Results:
According to the results of examination of patients with ICA stenosis, patients with more pronounced lesions (60-69%) more often have a type of reaction "negative attitude to the consequences of the disease".
Conclusions:
The majority of patients (54.2%) have a "negative type of attitude towards the consequences of the disease". This type of attitude to the disease is most pronounced in women and patients with stenosis of the ICA 60-69%. It is necessary to perform the psychological work with patients with carotid stenosis in order to form in them more adaptive types of perception of the disease, understanding of the disease and a positive attitude towards treatment.
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