Medical and Social Characteristics of Medical Activity of Patients with Diseases of Circulation System

V. I. Pak, O. Konovalov
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Abstract

INTRODUCTION: The course and outcomes of the disease, including diseases of the circulatory system, are greatly influenced not only by the quality of medical care, but also by the attitude of patients to their health, as well as their medical activity. AIM: To study the age characteristics of the medical activity of patients with diseases of the circulatory system, taking into account gender and marital status. MATERIALS AND METHODS: On the basis of the Vinogradov City Clinical Hospital, Moscow, using a specially designed questionnaire, 582 patients hospitalized in the cardiological and neurological departments of the hospital for diseases of the circulatory system were interviewed. In the mathematical processing of the obtained data, the methods of variation statistics were used. RESULTS: Only 28.9% of the respondents answered that they regularly see a doctor for diseases of the circulatory system. Women were more active than men in terms of compliance with the dispensary observation schedule and the frequency of consultations with doctors of other specialties. According to the data obtained, 62.4% of the respondents considered it necessary to establish schools for the chronically ill and their family members, but only 17.4% of the respondents attended a school for a patient with diseases of the circulatory system. It was found that 86.1% of the surveyed patients with diseases of the circulatory system kept self-monitoring diaries: 68.7 per 100 respondents monitored blood pressure, 46 — blood sugar level and 33.6 — body weight. At the same time, married men are more likely to keep self-monitoring diaries for blood pressure, blood sugar levels and body weight. The timeliness of seeking medical care is the most important criterion that characterizes the medical activity of patients and largely determines the outcome of treatment and the cost of it. The conducted sociological study revealed a rather high medical activity of patients with diseases of the circulatory system, as well as its significant differences in a number of positions in age, gender, and marriage and family aspects. CONCLUSION: The identified features of the self-preserving behavior of patients with diseases of the circulatory system should be taken into account when providing them with therapeutic and preventive care.
循环系统疾病患者医疗活动的医学和社会特征
前言:包括循环系统疾病在内的疾病的病程和结局不仅受到医疗保健质量的极大影响,而且受到患者对健康的态度以及他们的医疗活动的极大影响。目的:研究考虑性别和婚姻状况的循环系统疾病患者医疗活动的年龄特征。材料和方法:在莫斯科维诺格拉多夫市临床医院的基础上,使用专门设计的问卷,对582名住院的循环系统疾病的心脏病和神经内科患者进行了访谈。在对所得数据进行数学处理时,采用了变差统计的方法。结果:只有28.9%的受访者回答他们定期看医生的循环系统疾病。在遵守诊所观察时间表和与其他专业医生咨询的频率方面,女性比男性更积极。根据获得的数据,62.4%的受访者认为有必要为慢性病患者及其家属建立学校,但只有17.4%的受访者参加了循环系统疾病患者的学校。86.1%的循环系统疾病患者有自我监测日记,其中68.7 / 100监测血压,46 / 100监测血糖,33.6 / 100监测体重。与此同时,已婚男性更有可能记录自己的血压、血糖水平和体重。寻求医疗护理的及时性是表征患者医疗活动的最重要标准,并在很大程度上决定了治疗的结果和费用。所进行的社会学研究显示,患有循环系统疾病的患者的医疗活动相当高,而且在年龄、性别、婚姻和家庭方面的一些职位上存在显著差异。结论:在对循环系统疾病患者进行治疗和预防保健时,应充分考虑患者自我保护行为的特征。
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