MULTIFACTOR PREVENTION OF ISCHEMIC HEART DISEASE IN THE PRIMARY HEALTH CARE OF THE REPUBLIC OF UZBEKISTAN

R. Sh. Rajabova, X. B. Omarov, Abdulbasit Burhan Turkestaniy, N. A. Khasanova and N. M. Nurillaeva*

ABSTRACT

Introduction: Thanks to scientific researches, carried out in the world, a large number of preventive programs in recent years is created, the assessment of their efficiency and economic feasibility is studied, predictive criteria. Nevertheless, questions of creation of organizational models and technologies of introduction of preventive programs in real practice taking into account features of mentality of the population remain not solved. Aim: Our scientific research study is oriented at solving of above mentioned scientific degree, in particular, the presence of certain nonmodifiable risk factors RF and modifiable coronary heart disease requires long-term monitoring and treatment with prevention programs created for rural medical points (RMP) and family clinics (FC) in Uzbekistan, which indicates the relevance of the theme of the research. Methods and results: Rather most part of IHD patients doesn't address to doctors (42, 9%), and among persons at whom this disease was taped at the independent request of patients for a medical care (58, 1%) the late address to the doctor and untimely diagnostics takes place. As a result of it between emergence of the first symptoms of the disease and diagnosing of a IHD stable angina pectoris (SAP) passes 6, 8±0, 2 years. Conclusion: Implementation of the program of multifactorial prevention of an IHD of SAP led to improvement of 17 indicators of quality of life of patients and taped existence of reliable correlation dependence of quality of life with age,with duration of SAP advanced in years, hereditary burdeness, with heart pains, stenocardia FC, frequency of hospitalization, the diastolic blood pressure (DBP) level and drug intake frequency.

Keywords: Ischemic heart disease, Primary Prevention, Risk factors, Arterial hypertension, Anxiety depressive syndrome.