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Authors: Kasianova A.Yu., Lebid I.G.

Pages: 365-372


Modern cardiosurgery opportunities of highly qualified specialists can help patients with congenital heart disease (CHD) to improve significantly their health and life longevity, but at the same time, many patients still complain of weakness, fast tiredness, bad mood and low quality of life.

Our aims was to identify medical and psychological features of low quality of life of adult patients of younger age after congenital heart surgery.

Material and Methods. The study involved patients (aged 19 ± 2.8 years) with surgically corrected inborn congenital heart disease. The psychodiagnostics included the study of the quality of life and the identification of signs of anxiety and depression in the patients.
Discussion. We identified gender differences in the quality of life of young adult patients with CHD: namely, every day activities of men were significantly limited due to their physical condition, – it either precedes or follows the worsening of their emotional status – but women had rather high indices of life quality. However, both men and women displayed a dramatic limitation of social contacts. Young adult patients with surgically corrected CHD displayed significant limitation of social contacts, decrease in communication levels due to the worsening of their physical and emotional condition. 42 % of male and 50 % of female patients displayed the symptoms of anxiety and/or depressive disorders.

Conclusion. Having analyzed practical advantages and possible disadvantages of different foreign questionnaires, which are adapted in Russian to assess the quality of life, we found out that MHFLQ (Minnesota Living with Heart Failure Questionnaire) is very simple and easy to use in individual analysis. However, it does not allow us to differentiate the calculation of component parts of mental, physical and social functioning for a specific group of patients. At the same time, the MOS SF-36 (36-Item Short Form Health Survey) and WHOQoL-bref (World Health Organization Quality of Life) methods allow us to assess a specific influence of physical, mental and social components on the quality of life. Unfortunately, these surveys have displayed different results. The HADS (Hospital Anxiety Depression Scale) method provides an opportunity to single out a patients’ risk group characterized by a clinical level of depression and anxiety. The implementation of active and timely psychodiagnostics and psychocorrection measures will help adult patients with the inborn congenital heart disease after the surgery to improve their quality of life.

Key words: congenital heart disease, adult patients, cardiosurgery, quality of life, anxiety, depression.

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