MEDICAL AND SOCIAL ASPECTS OF REHABILITATION FOR CORONARY HEART DISEASE AFTER CORONARY ARTERY BYPASS GRAFTING
The paper is devoted to medical and social aspects of rehabilitation in patients with coronary heart disease after coronary artery bypass grafting. Aim. The aim of the study was to analyze the publications on the effectiveness of rehabilitation in patients with coronary heart disease after coronary artery bypass grafting in terms of their return to work. Material and methods. Review of publications in scientiﬁc and medical literature on rehabilitation after coronary artery bypass grafting has been carried out. The methods of myocardial revascularization allow restoring blood ﬂow in coronary arteries affected by atherosclerotic process. Functional class of angina is being reduced and the functional capacity of the heart is being improved after coronary artery bypass surgery. Results and discussion. It was concluded that the goal of cardiac rehabilitation is to improve and maintain a certain level of physical, psychological and social function in a patient with coronary heart disease. It consists of physical rehabilitation, drug treatment, psycho-physiological rehabilitation, social and labor rehabilitation. Timely comprehensive cardiac rehabilitation has a positive effect on health of patients with cardiovascular diseases, as well as on return of disabled people or people who have temporarily lost ability to work, to normal personal and social life. Returning to work after surgical treatment is an independent objective of rehabilitation, the solution of which affects somatic and mental state of a patient with coronary heart disease. Implementation of comprehensive rehabilitation programs improves not only immediate but long-term prognosis of the course of coronary artery disease, and improves the quality of life in patients. Conclusion. Successful rehabilitation, retraining and reemployment can facilitate the return to work of patients with coronary heart disease after coronary artery bypass grafting.