INFLUENCE OF TYPE 2 DIABETES MELLITUS ON QUALITY OF LIFE AND PSYCHOEMOTIONAL STATUS OF PATIENTS WITH ACUTE CORONARY SYNDROME
According to the World Health Organization, cardiovascular diseases and diabetes mellitus are the major causes of disability and mortality. Thus, these diseases are considered to be an important medical and social problem. Diabetes mellitus is an independent risk factor for cardiovascular diseases. It often leads to severe micro- and macrovascular complications. In recent years, health care system pays much attention to the quality of patients’ life. The purpose of the paper is to assess the quality of life and psychoemotional status of patients with acute coronary pathology and concomitant type 2 diabetes mellitus. The trial was conducted in the cardiological department of Ulyanovsk regional clinical hospital. Materials and Methods. The authors examined 60 persons administered to hospital with acute coronary pathology. Thirty patients had concomitant type 2 diabetes mellitus. The SF-36 questionnaire was used to assess the quality of their lives. To evaluate certain aspects of psychoemotional status, the authors relied on WAM questionnaires (well-being, activity, mood), Spilberg-Khanin scale, Taylor-Norakidze anxiety test, Zung self-rating depression scale (1965), the latter was adapted at V.M. Bekhterev Psychoneurological research institute Results. The authors revealed the negative effect of comorbidity on patients’ well-being according to WAM scale. Concomitant diabetes mellitus is associated with an increase in anxiety according to the Taylor-Norakidze scale. The results obtained with the SF-36 questionnaire prove that physical and emotional status influences the role functioning. It limits the daily activities of patients and reduces the quality of their lives. Type 2 diabetes mellitus significantly limits patients’ labour activity, thus, reducing their vitaity. Conclusion. Concomitant type 2 diabetes mellitus in patients with acute coronary syndrome significantly reduces the quality of life, and negatively affects their emotional status, due to deterioration in well-being and an increased anxiety level.