METHOD FOR OUTPATIENT REHABILITATION TREATMENT OF PATIENTS WITH ISCHEMIC HEART DISEASE FOLLOWING CARDIAC SURGERY

FIELD: medicine.SUBSTANCE: invention refers to rehabilitation of cardiac patients with ischemic heart disease following a cardiac surgery. From the 1-2 rehabilitation days, a mental training, autogenic training elements comprising a successive staged myorelaxation are involved. That is preceded by a complex of breathing exercises including an inspiratory tension in the extremity muscles and an expiratory relaxation, in a combination with the exercises including an expiratory tension in the muscles and an inspiratory relaxation. The complex is completed by doing 'full breathing' exercises. That is followed by a self-massage of the points found in the middle of a palm between the 3rd and 4th metacarpal bones, in a fossa within a knee cap in the lateral direction from a tuberosity of tibia, above the upper edge of a medial malleolus on the right. By the 10-12rehabilitation day, the massage covers the points of the ninth rib cartilage, in front of free ends of the ninth rib, at an edge of the ninth rib cartilage on the right, in front of free ends of the eleventh rib on a lateral side of an abdomen. Then, the autogenic training is started; it involves the staged body relaxation with increasing the number of effective psychotherapeutic elements at each following stage: the first lesson includes relaxation of the upper extremity muscles to evoke a warmth sense therein; the second lesson consists in relaxation practiced on the first lesson followed by focusing on the lower extremities; the third lesson provides evoking the warmth sense within the incisional wound with underlying relaxation. The following lessons aim at doing the elements of the previous lessons; thereafter, the patient imagines the expiratory warmth growth within the incisional wound. The patient does 2-6 'full breathing' exercises at the end of each lesson.EFFECT: higher clinical effectiveness ensured by the integrated involvement of the physical and psychophysiological factors by optimising blood circulation in the patient's organs and tissues by oxygenation, regulating the psychoemotional and psychosomatic state, improving stress resistance. Изобретение относится к медицине, реабилитации кардиологических больных с ишемической болезнью после операции на сердце. С 1-2 дня реабилитации проводят ментальный тренинг, элементы аутогенной тренировки, содержащей выполнение последовательно по этапам расслабления мышц. При этом предварительно выполняют комплекс дыхательной гимнастики из упражнений, при к