Влияние психоэмоционального стресса на течение артериальной гипертензии

Abstract

Purpose of the study. Improving the effectiveness of treatment of patients with stages 1 and 2 of arterial hypertension by developing a psycho-corrective program. Materials and research methods. 159 patients with hypertension were examined: 98 women aged 31 to 60 years (mean age 52±0.7 years) and 61 men aged 33 to 61 years (mean age 48.9±1.0 years). Clinical observation of patients was carried out from 1 to 10 days of the patient’s stay in the hospital. The following research methods were used: history taking and complaints, physical337 examination, laboratory and functional (ECG, EchoCG, ABPM), experimental psychological (assessment of the level of stress in everyday life was carried out using the «Methodology for diagnosing stress resistance and social adaptation of T. Holmes and R .pare». Results. Patients of the 1st group - 21 (29.7%) women and 17 (25.5%) men by the time of admission to inpatient treatment had a low level of stress (102.5±5.7 points and 98.4±7.7 points, respectively). In group 2, 12 (59.3%) women and 9 (70.5%) men by the time of hospitalization had a significantly higher SS (271.7.0±11 points and 250.4±12.8 points) than in patients of group 1 (p<0.01). The study showed that the presence of US above 150 points had a significant impact on the clinical manifestations and course of hypertension. In patients with high US, regardless of gender, according to ECG data, rhythm disturbances in the form of extrasystoles were significantly more common than in patients with low US (p<0.05). Conclusions. The psycho-corrective program had a positive impact on such sychophysiological and behavioral parameters as the level of anxiety, the vegetative coefficient, and the choice of ways to cope with stress.