Assessment of the clinical effectiveness of the organizational model of medical and psychological rehabilitation based on the analysis of the dynamics of the indicators of the mental status in military personnel exposed to combat stress

Q3 Health Professions
I. V. Stanchenkov, S. I. Chistyakov, A. Suslov
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引用次数: 0

Abstract

Relevance. Currently, great importance is attached to the medical and psychological rehabilitation of military personnel performing combat missions in conditions of armed local conflicts. For improving medical and recreational activities, comprehensive approach seems promising.Intention – to study the dynamics of the indicators of the mental status in servicemen with prior exposure to combat stress in the process of medical and psychological rehabilitation in an outpatient clinic and to assess the clinical effectiveness of a complex of medical and recreational measures.Methodology. The study involved 330 servicemen exposed to combat stress factors. Of the total number of those surveyed, 54 servicemen with a reduced adaptive potential by Baevsky were selected and divided into experimental and control groups. Patients in the experimental group underwent medical and psychological rehabilitation in an outpatient clinic including audiovisual stimulation and progressive muscle relaxation according to E. Jacobson; patients in the control group received standard treatment. Research methods: clinical diagnostics, anthropometry, physiometry, psychodiagnostic testing, mathematical and statistical data processing. The median, upper and lower quartile (Me [Q1; Q4]) are presented.Results and Discussion. According to the State-Trait Anxiety Inventory by Ch. D. Spielberger, servicemen exposed to combat stress factors and having reduced adaptive reserves showed a decrease in trait anxiety both in the experimental and control group: from 29 [27; 31] to 26 [22; 29] (p = 0.001) and from 29 [25; 35] to 27 [22; 33] (p = 0.025), respectively. Depressive symptoms in both groups were within reference limits, and their dynamics in the process of medical and psychological rehabilitation did not reach statistical significance. In the structure of the integral indicator of post-traumatic stress disorder in servicemen exposed to combat stress, the symptoms of hyperactivation were of the greatest importance. The results of the analysis of the dynamics of this indicator in the experimental group revealed its statistically significant decrease from 20 [18.5; 22] to 17 [14.5; 21] at p = 0.015.Conclusion. As a result of the study, based on the analysis of the dynamics of the indicators of the mental status in servicemen exposed to the factors of combat stress, the clinical effectiveness of the proposed organizational model of medical and psychological rehabilitation in an outpatient setting was proved.
基于作战压力下军人心理状态指标动态分析的医学心理康复组织模式临床效果评价
的相关性。目前,在地方武装冲突条件下执行战斗任务的军事人员的医疗和心理康复受到高度重视。为了改善医疗和娱乐活动,综合方法似乎很有希望。目的:研究在门诊医疗和心理康复过程中,先前暴露于战斗压力的军人心理状态指标的动态变化,并评估综合医疗和娱乐措施的临床效果。这项研究涉及330名暴露在战斗压力因素下的军人。从被调查者中选出54名贝耶夫斯基适应潜能降低的军人,分为实验组和对照组。实验组患者在门诊接受医学和心理康复治疗,包括视听刺激和渐进式肌肉放松,根据E. Jacobson;对照组患者接受标准治疗。研究方法:临床诊断学、人体测量学、生理测量学、心理诊断测试、数理统计数据处理。中位数、上、下四分位数(Me [Q1;Q4])。结果和讨论。根据Ch. D. Spielberger的状态-特质焦虑量表,暴露于战斗压力因素和适应性储备减少的军人在实验组和对照组中都表现出特质焦虑的下降:从29 [27;31] ~ 26 [22;29] (p = 0.001)和29 [25;35] ~ 27 [22;[33] (p = 0.025)。两组患者的抑郁症状均在参考范围内,其在医学和心理康复过程中的动态变化均无统计学意义。在暴露于战斗压力的军人创伤后应激障碍的综合指标结构中,过度激活的症状是最重要的。实验组该指标动态分析结果显示,从20 [18.5;22]至17 [14.5;[21] p = 0.015。通过对作战应激因素影响下军人心理状态指标动态变化的分析,验证了所提出的门诊医疗心理康复组织模式的临床有效性。
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CiteScore
0.80
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0.00%
发文量
28
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