COMPLIANCE AND WAYS OF ITS IMPROVEMENT IN PATIENTS AFTER TRANSCUTANEOUS CORONARY INTERVENTION IN ACUTE CORONARY SYNDROME WITHOUT ELEVATION OF ST SEGMENT

The article is a review of the current empirical data on the correlation between patient's compliance and patient's self-efficacy in long-term therapy of a chronic pathology – coronary heart disease. It is noted that the problem of low compliance remains relevant even in patients who underwent surgery on the heart vessels for acute coronary syndrome (ACS) and atherosclerosis. Patients understand the need for cardiac rehabilitation, however, they are often not prepared to completely follow the medical recommendations. Such unsatisfactory compliance negatively affects the prognosis and quality of life of patients after coronary intervention and is associated with certain factors – compliance barriers, including the psychological characteristics of a patient with ACS. This requires realization of educational programs and specific activities including active monitoring. Telemedicine, thanks to its convenience, safety and effectiveness can provide a good quality remote monitoring of patient's condition and full-value dispensary observation with a positive effect on compliance. In the review, the data of scientific research conducted in recent decades both in Russia and abroad with the aim to study, control and increase the level of compliance and reflecting the current state of the issue, are considered and analyzed. Actual knowledge of correlation between adherence to treatment and expansion of rights and opportunities of patients is summarized, in view of increasing emphasis on the problem of equal relations between a doctor and a patient against the background current healthcare policy of most modern countries of the world. The most important components of expansion of opportunities and rights are considered to be self-efficacy and the locus of monitoring the patient's health.