Yekaterinburg, Ekaterinburg, Russian Federation
Ekaterinburg, Russian Federation
from 22.09.2014 until now
Ural State Medical University (kafedra hirurgicheskoy stomatologii i chelyustno-licevoy hirurgii, assistant)
from 01.01.2015 until now
Russian Federation
from 01.09.2008 until now
Ural State Medical University (Department of Therapeutic Dentistry and Propaedeutics of Dental Diseases, Associate Professor of the Department)
Ekaterinburg, Ekaterinburg, Russian Federation
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.
endokrinnaya patologiya, saharnyy diabet, strah pered stomatologicheskim vmeshatel'stvom
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