• The complex of measures to improve the psychological state in women with gynaecological, surgical and simultaneous pathology before surgical treatment
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The complex of measures to improve the psychological state in women with gynaecological, surgical and simultaneous pathology before surgical treatment

HEALTH OF WOMAN. 2018.10(136):79–83; doi 10.15574/HW.2018.136.79

Dronova V. L. , Dronov O. I. , Mokryk O. M. , Teslyuk R. S.
SI «Institute of Pediatrics, Obstetrics and Gynecology named after Academician O.M. Lukyanovaya NAMS of Ukraine», Kyiv
Bogomolets National Medical University, Kiev

The objective: based on 3-year scientific research, develop a set of measures to improve the psychological state in women with gynecological, surgical and simultaneous pathology before surgical treatment.

Materials and methods. To solve the tasks, we examined 106 patients, which were divided into three groups.

Materials and methods.The first group consisted of 31 patients with simultaneous surgical pathology. The second group consisted of 48 patients with isolated gynecological pathology. The first and second groups of patients underwent surgical interventions in the Department of Operative Gynecology of the State Institution «IPAG named after academician EM Lukyanova of the NAMS of Ukraine».

The third group consisted of 27 patients with isolated surgical pathology, to whom surgical assistance was provided in the surgical departments of the Kiev City Clinical Hospital No. 10.

Based on the determination of the peculiarities of the psychological state of patients with simultaneous, isolated gynecological and surgical pathology according to the methods of Spielberger-Khanin and Beck, the patients of all three studied groups were divided into two subgroups: with depressive disorders and anxiety states. The distribution of patients into subgroups according to the results of the assessment of the features of the psychological state is presented in the table. Among the patients of the first study group, patients with anxiety conditions prevailed – 24 (77.4%). Depressive disorders were diagnosed in 7(22.5%) patients, respectively. The distribution of the second group of patients with isolated gynecological pathology was 26 ( 54.2%) – anxiety and 22(45.8%) – depressive disorders, respectively. In patients of the third group with isolated surgical pathology, the patients were distributed as follows: 17(62.9%) with anxiety, 10 ( 37.0%) with depressive disorders. It should be noted that we diagnosed violations of the psychological state of patients with mild and moderate degrees. Severe violations were not found in any of the studied groups.

Results. An algorithm has been developed for the psycholo­­­gical reha­­bilitation of patients with gynecological, surgi­­cal and simultaneous pathology prior to surgery.

In the first group of patients with simultaneous surgical pathology, diagnosed mainly anxiety disorders of psychological status. In the second and third groups of patients with isolated gynecological and surgical pathology, respectively, both depressive and anxiety disorders of mild and moderate severity were found.

Conclusion. Based on the identified features of changes in the psychological status and their severity, adequate therapeutic measures of psychological rehabilitation were developed, presented in the form of an action algorithm using psychological influence (conversation, consultation) and drug correction (Befren preparation in average therapeutic doses) on the revealed violations, allowed to correct psychological balance and improve the results of surgical treatment of patients with simultaneous, isolated gynecological and surgical pathology.

Key words: psychological state, surgical treatment, simultaneous pathology.

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