Patient's psychological status before cardiac valve prosthetics surgery

Isaeva E.R., Gureeva I.L., Davydenko V.V., Urusova V.A. (St. Petersburg)

	Isaeva Elena Rudolfovna –  is a doctor of psychology, lecturer of psychiatry and narcology department in St. Petersburg State Medical University of I.P. Pavlov. E-mail: isajeva@yandex.ru
	Gureeva Irina Lazarevna –  is a candidate of psychological sciences, assistant of psychiatry and narcology department in St. Petersburg State Medical University of I.P. Pavlov. E-mail: isajeva@yandex.ru
	Davydenko Vladimir Valentinovich –   is a doctor of medicine, professor of hospital surgery department № 2 in St. Petersburg State Medical University of I.P. Pavlov. E-mail: isajeva@yandex.ru
	Urusova Madina –  is a student St. Petersburg State Medical University of I.P. Pavlov. E-mail: isajeva@yandex.ru

Abstract. The article considered the results of investigation of patients' psychological status before cardiac valve prosthetics surgery. It was supposed that the condition of waiting and vagueness before surgery can provoke neurotic and anxious disorders. The most part of patients had high levels of anxiety, depression and tension before surgery. Existence and spiritual problems were revealed. In the condition of surgery waiting the psychological defense such as negation, regression, reactive states intensified. The interconnections between personal characteristics and psychopathological symptoms, between anxiety and psychological defense were revealed. The tendencies of emotional status psychological correction discussed in conclusion.

Key words: psychoemotional status, cardiac valve prosthetics surgery, anxiety, depression, mechanisms of psychological defense, psychological correction before surgery.