[ELDERLY CARDIAC PATIENTS: SELF-REPORTED HEALTH STATUS].

Autor: Zemlyanova EV; Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, 115088, Moscow, Russia, zem_lena@mail.ru.; Institute for Demographic Research - Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences, 119333, Moscow, Russia., Zubko AV; Institute for Demographic Research - Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences, 119333, Moscow, Russia.; A. N. Bakulev National Medical Research Center of Cardiovascular Surgery, 121552, Moscow, Russia.; Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, 127254, Moscow, Russia., Sabgayda TP; Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, 115088, Moscow, Russia.; Institute for Demographic Research - Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences, 119333, Moscow, Russia.; City Polyclinic No. 2 of the Moscow City Health Department, 117556, Moscow, Russia., Filatova AG; A. N. Bakulev National Medical Research Center of Cardiovascular Surgery, 121552, Moscow, Russia., Dzhitava TG; A. N. Bakulev National Medical Research Center of Cardiovascular Surgery, 121552, Moscow, Russia.
Jazyk: ruština
Zdroj: Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny [Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med] 2021 Aug; Vol. 29 (Special Issue), pp. 1338-1342.
DOI: 10.32687/0869-866X-2021-29-s2-1338-1342
Abstrakt: Introduction: Thanks to advances in science and medicine, the threshold age of a patient who can undergo open surgery on the valves of the heart or coronary arteries is increasing every year. Elderly patients constitute a special group in this regard.
Aim: Determine how elderly cardiac patients assess their health status and highlight the factors influencing it.
Materials and Methods: The results of a survey of 107 patients who are in the Department of cardiac rehabilitation of the A. N. Bakulev National Medical Research Center for Cardiovascular Surgery in 2020-2021 after surgical or endovascular treatment of cardiac pathology. The survey is carried out by a cardiologist using a questionnaire that allows you to characterize the patient's health status on the basis of self-esteem. Statistical data processing was carried out in Microsoft Office Excel 2003 and Statistica v. 6.0 programs.
Results: The majority of respondents (63.6%) assessed their state of health as satisfactory. No correlation was found between the state of health and the level of education. On average, the patients had 3.7 ± 1.8 chronic diseases. Obesity was observed in 29.4% of men and 68.8% of women. The body mass index did not correlate with the self-reported health status of the respondents, but it did correlate with the number of accumulated diseases (r = 0.42, t-statistic = 2.58).
Conclusions: Recovery of elderly patients after cardiac surgery is progressing rapidly. In women, the recovery process is slower due to the greater number of associated pathologies. Old age is not a direct contraindication for cardiac surgery. When self-assessing their health status, elderly patients do not associate it with risk factors.
Databáze: MEDLINE