[Learning of patients with ischemic heart disease after operations on the coronary arteries at the "School-Club for Coronary Patients"].
Such learning programs as "School-club for Coronary Patients" SCCP) are very important for rehabilitation of outpatients with coronary heart disease (CHD) after reconstructive operations on the coronary vessels. The authors summarize pilot experience gained in the activity of the SCCP at the Consulting and Diagnostic Center set up in 2000. The group of lecturers included a cardiologist, a urologist-andrologist, a physiotherapist, a phytotherapist and others. Participation of a dietitian is desirable. The activity of the SCCP aimed at explanation of the role of risk factors in development and progression of CHD, of the mechanisms of action of the most effective medicines applied in the treatment of CHD and arterial hypertension, teaching CHD patients current methods of non-drug therapy, activation of motivation for successful treatment. The curriculum is designed for 12 lessons which covers information on the structure and function of the cardiovascular system, causes of the onset and progression of CHD, principles of CHD treatments, methods of health restoration after myocardial infarction and operations on the coronary vessels. The response to the questionnaires filled in by the learners who have undergone reconstructive surgery on the coronary vessels show that the number of the learners taking the prescribed drugs regularly raised from 77.1 to 95.8%. The recommended doses were followed by 64.6% instead of 18.8%. The diet was kept by 52.1% patients instead of 29.2%. The number of exercising CHD patients raised from 12.5 to 58.3%. It is evident that training of CHD patients after surgery on the coronary vessels or MI in SCCP is an essential method to improve quality of treatment, prevention of complications, the disease prognosis. This experience should be widely introduced into the practice of outpatient departments.
Danilov
Iu A
IuA
Kartashov
V T
VT
Baksheev
V I
VI
D003327:Coronary Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D018450:Disease Progression; D005260:Female; D006801:Humans; D007858:Learning; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000517:prevention & control / Q000601:surgery; D010353:Patient Education as Topic; D015397:Program Evaluation; D012307:Risk Factors; D012426:Russia; D013663:Teaching; D014656:Vascular Surgical Procedures
Obuchenie bol'nykh ishemicheskoĭ bolezniiu serdtsa, perenesshikh operatsii na koronarnykh arteriiakh, v "skole koronarnykh bol'nykh".