Stresul şi evaluarea riscului psihosocial în asistenţa socială clinică a bolnavilor cardiaci internaţi în spital [Stress and Psychosocial Risk Assessment in Clinical Social Work in Cardiac Patients Admitted to Hospital]

There is some research that explores effective psychosocial interventions such as clinical social work, counseling individuals and families in conditions of chronic disease. This paper proposes an approach to psychosocial stress as factor in the context of a disease with significant psychosocial meanings: cardiac disease. Intrafamilial, personal and professional stress can have significant adverse effects on the patients life and on the family and professional relationships. Fears and anxieties were expressed about death and permanent damage to the heart. To answer the question “what role has the stress in assessment of psychosocial risk in heart patients?” was made a research that assessed the perceptions of social stress in cardiac patients. This study will be conducted to investigate associations between psychosocial risk factors, including stress sources of illness, low perceived social support, depressive symptoms and behavior adaptation on life stress events in patients affected by cardiac disease. Thirty-eight patients were interviewed. After that it has been calculated a psychosocial risk score and 11 cases were selected for deeper analysis. Was finally analyzed clinical social work as a strategy and interventional method to patients faced with heart disease and having a high psychosocial risk.

Keywords: stress, psychosocial risk, cardiac disease, clinical social work