MEDICO-PSYCHOLOGICAL FEATURES OF CASE MANAGEMENTOF PATIENTS WITH VARIOUS FORMS OF DIABETES MELLITUS PROVIDED WITH AMBULATORY CARE IN THE MUNICIPAL AUTONOMOUS INSTITUTION "DENTAL CLINIC #12"
Abstract and keywords
Abstract (English):
Predmet. Narushenie psihoemocional'nogo sostoyaniya i ozhidanie bolevogo sindroma pri provedenii stomatologicheskih vmeshatel'stv vedet k formirovaniyu stressovyh reakciy organizma, dezorganizuet rabotu funkcional'nyh sistem organizma i, sledovatel'no, vedet k razvitiyu negativnyh, vliyayuschih na zhizn' i zdorov'e pacientov stomatologicheskogo profilya funkcional'nyh izmeneniy. Osnovnoy zadachey vrachi stomatologi i klinicheskie psihologii v nastoyaschee vremya schitayut preodolenie emocional'nogo stressa, osobenno u pacientov s takoy obschesomaticheskoy patologiey, kak endokrinnaya. Cel'. Razrabotat' novuyu strategiyu k vedeniyu pacientov s razlichnymi formami saharnogo diabeta v usloviyah ambulatorno-poliklinicheskogo priema. Metodologiya. Ispol'zovanie psihologicheskih testov, oprosnikov, dinamicheskogo nablyudeniya za psihofiziologicheskimi i medicinskimi pokazatelyami pacientov stomatologicheskogo profilya s saharnym diabetom, metody statisticheskoy obrabotki poluchennyh dannyh. Rezul'taty provedennogo nami issledovaniya pokazyvayut, chto 98,5% vseh ispytuemyh ispytyvali vyrazhennoe emocional'noe napryazhenie pered stomatologicheskim vmeshatel'stvom. V kontrol'noy gruppe (bez endokrinnoy patologii) strah pered stomatologicheskim vmeshatel'stvom ispytyvali 61% pacientov, v gruppe pacientov, bol'nyh saharnym diabetom I tipa, – 92% chelovek, v gruppe s saharnym diabetom II tipa – 79%. 39% vseh ispytuemyh posle stomatologicheskogo vmeshatel'stva otmetili, chto ozhidanie boli ili manipulyacii stomatologa vedut k vozniknoveniyu emocional'nogo stressa, poroy k neadekvatnomu povedeniyu i nedoveriyu k deystviyam i rekomendaciyam vracha-stomatologa. Vyvody. Rezul'taty issledovaniya imeyut prakticheskoe znachenie pri rabote s pacientami, stradayuschimi saharnym diabetom. Vracham stomatologam-hirurgam pri planirovanii stomatologicheskogo vmeshatel'stva neobhodimo uchityvat' tip saharnogo diabeta, vliyayuschego na labil'nost' nastroeniya. Nalichie u pacientov razdrazhitel'nosti, mnitel'nosti, trevozhnosti, podavlennosti, ugnetennosti, obschey slabosti, adinamii, povyshennoy utomlyaemosti, vyalosti, sonlivosti, snizhenie rabotosposobnosti, emocional'noy neustoychivosti, povyshennoy konfliktnosti, hronicheskih, dovol'no vyrazhennyh lichnostnyh izmeneniy, obuslovlennyh zabolevaniem, – pryamoe pokazanie dlya obrascheniya k klinicheskomu psihologu i provedeniya psihoterapevticheskoy podgotovki pered stomatologicheskim vmeshatel'stvom.

Keywords:
endokrinnaya patologiya, saharnyy diabet, strah pered stomatologicheskim vmeshatel'stvom
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References

1. Balabolkin M. I., Klebanova E. M., Kreminskaya V. M. Lechenie sakharnogo diabeta i ego oslozhneniy. Rukovodstvo dlya vrachey (Treatment of diabetes mellitus and its complications. Guide for doctors), Moscow, Meditsina, 2005. 512 p.

2. Parodontologiya: natsionalnoe rukovodstvo (Periodontology: national guide), Moscow, GEOTAR-Media, 2013, 712 p.

3. Rabinovich S. A., Moskovets O. N., Zoryan E. V., Demina N. A., Efremov O. S. Klinicheskaya stomatologiya - Clinical dentistry, 2007, no. 1, pp. 62- 65.

4. Samoylik M. M. Stomatologicheskiy status bolnykh insulinnezavisimym sakharnym diabetom i ego korrektsiya (Dental status of patients with insulin-independent diabetes mellitus and its correction), author’s abstract of PhD Thesis, 2004, Moscow, 20 p.

5. Antonova K. V. Russkiy meditsinsky zhurnal - Russian Medical Journal, 2006, no. 26, pp. 1889-1905.

6. Zakharchuk T. A. Depressivnye sostoyaniya u bolnykh sakharnym diabetom (Depressive states of patients with diabetes mellitus), author’s abstract of PhD Thesis, Moscow, 2007, pp. 127-134.

7. Drobizhev M. Yu. Problemy endokrinologii - Problems of Endocrinology, 2002, vol. 48, no. 5, pp. 37-39.

8. Antsiferov M. B., Drobizhev M. Yu. Russkiy meditsinsky zhurnal - Russian Medical Journal, 2003, Vol. 11, no. 27, pp. 1480.

9. Pryadein V. P., Chernavsky A. F. Strakh kak predmet psikhologicheskogo issledovaniya. Psykhologicheskie, Psykhfiziologicheskie, vozratnye i gendernye kharakteristiki (Fear as an object of psychological study. Psychological, psychophysiological, age and gender characteristics), Saarbrucken, Germany, Lambert Academic Publishing, 2012, 241 p.

10. Chernavsky A. F., Zaripova E. M., Leonova O. M. Materialy Mezhdunarodnoy konferentsii «Biosovmestimye materialy i novye tekhnologii v stomatologii» (Proceedings of the International conference «Biocompatible materials and new technologies in dentistry») Kazan, 2014, pp. 212-218.


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