Aim. To study psychic, cognitive status and life quality of petients underwentcoronary bypass grafting (CABG).Material and methods. Totally 81 patient with CHD studied (80% men, 20%women) with the age 56,3±1 y. o., underwent planned CABG. On 7–8th day afterCABG the 6-minute walk test (WT) was done and the Hospital anxiety-depressionscore used, Hamilton anxiety-depression score, Spielberger anxiety score and othermethods to assess asthenia and cognitive status (MMSE, MoCA). Life Quality (LQ)assessed with 10-points visual-analogue scale; coping behavioural strategiesstudied.Results. Values by WT were 415±130 m, LQ — 6±0,3 points. In 35% patients therewas lowering of cognitive functioning. In 20% there were affective disorders and thenegative correlation of WT with anxiety (r= –0,3; p<0,01), affective disorders with LQ(r= –0,53; p<0,05). Anxiety was comorbid to depression (r=0,91; p<0,05). Moderateand prominent asthenia registered in 36% and 18% of patients, asthenia was linkedwith affective (r=0,96; р<0,02) and cognitive (r=0,97; р<0,001) disorders. 46%patients used non-constructive and relatively constructive coping strategies.Conclusion. On 7–8th days after CABG in 35% patients there is lowering ofcognitive functioning and not less than 20% show signs of affective disorders, thatimpacts LQ of patients and tolerability of physical exertion. The anxiety anddepression revealed were associated not only with each other but with asthenisationof patients to. Cognitive disorders and emotional dyscomfort, experiencing bypatients, may affect adaptation leading to non-constructive coping strategies. Thefound specifics of psychic and cognitive status must be taken into account forelaboration of individualized patient-centered programs of rehabilitation afterCABG.
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