PSYHOSOCIAL HEALTH AND ILLNESS ADJUSTMENT IN PATIENTS UNDERGONE MYOCARDIAL INFARCTION

Physical, psychological and social variables influence adaptation to disease. psychological diseaseadaptation affects all the factors related to disease and treatment. similarly, psychological diseaseadaptation may affect the course of disease favorably or adversely. also patients’ diseaseadaptation may vary depending on individual’s personality, physical and psychological strength, socio-cultural characteristics, psycho-social stressors, negative feelings about disease, coping methods, previous experiences, life-style, hereditary features, support received from family members, type of disease or loss and the approach of therapy team to patient. the mental and behavioral problems level that accompany physical diseases affect patient’s adaptation, care, such as length and affect cost of treatment, course of disease, mortality and morbidity adversely. cardiac diseases and especially myocardial infarction (mi) are psychiatric complications develop a lot. in myocardial infarction, psychological problems as well as serious physical problems may appear in individuals who suffer from a threat for death and bodily image. individuals, along with their personal characteristics, are influenced from such factors as depression, anxiety, stress, need for information related to disease, to manage disease under control and need for social support. after myocardial infarction medical therapy, self-care, restricted physical activity and increase in disease-related expenditures may cause patients to experience anxiety and depression. development of psychiatric problems such as anxiety or depression and continuous adjustment disorder may be seen in patients. when literature was reviewed it was reported that patients’ mental health was influenced by factors such as self-respect, stress, social support, psychological support, emotional problems, status of physical and psychological efficiency, perceptions toward disease, coping strategies, relationships with health professionals and cooperation. in order for nursing supportive approaches can be applied for patients undergone myocardial infarction, the article was involved the factors affecting patients’ mental conditions and the approaches toward developing skills to cope with psycho-social adaptation and problems.