Use of digital methods in psychocorrective therapy in naval specialists with cardiovascular pathology in the far north: retrospective study

OBJECTIVE. Develop digital methods of psychocorrective therapy in naval specialists with cardiovascular pathology in the Far North.

MATERIALS AND METHODS. There was scanning of 230 men aged 39-48 with an average age (42,2±3,8), suffering from cardiovascular pathology in comorbidity with mental illness. The therapeutic effect of the treatment was evaluated in patients with only standard therapy with cardiotropic drugs or in combination with the use of psychotropic medication (nootropics, day anxiolytics) or with medical and psychological rehabilitation and digital (computer) psycho-physiological therapy.

RESULTS. The adverse effects of naval labour factors on the state of health in naval specialists are characterized by rising onset of clinical symptoms of existing disease, manifested by an increase in the number of their requests for medical assistance to a cardiologist of the clinic about complaints, hospital readmissions and prolonged bed-day for 12 months. Naval specialists with cardiovascular pathology, medical and psychological rehabilitation and digital psychophysiological therapy in combination with the basic treatment, are characterized by a lower number of requests for medical assistance about complaints and hospital readmissions (bed-day) for 12 months after discharge, compared to patients of other subgroups.

DISCUSSION. For 12 months an increasing number of hospital readmissions and visits to a cardiologist were registered in naval specialists in the multimorbid course of chronic CAD and HD stage 1, compared to other patients, which indicates the formation of “mutual burden syndrome” in them. The presence of “mutual burden syndrome”, apart from naval labour factors, causes a deterioration in the clinical course of chronic CAD and HD stage 1, increases resistance of these diseases to the medication load with cardiotropic drugs and prolongs a bed-day in a year. The use of digital methods of psychophysiological correction in combination with the main treatment of cardiovascular disease in naval specialists prevents adverse effects of naval labour factors on the state of health, maintains the lasting therapeutic effect for at least 12 months after their discharge from the hospital and improves the clinical and economic aspect of medical assistance in the treatment of such patients (reduced costs of medicines, average bed-day in a year).

CONCLUSION. The use of digital methods of psychocorrective therapy in combination with the main treatment of cardiovascular disease in naval specialists improves the clinical and economic aspect of medical assistance in the treatment of such patients (reduced costs of medicines, average bed-day in a year).

marine medicine, hypertension, coronary artery disease, anxiety-depressive disorders, risk factors, cardiovascular disease

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