对战争期间患有高水平心理生理压力、疼痛综合征和2型糖尿病的专业人员的综合康复方法Lidiia V. Butska1、2,3、Oksana O. Drevitska1、2,3、Sergei V. Dybkalyuk4、Valentyn O. Ryzhak 5、taras SHEVCHENKO乌克兰基辅国立大学2乌克兰基辅地区间人事管理学院3国立机构“乌克兰国家医学科学院KUNDIIEV职业健康研究所”乌克兰基辅4shupyk乌克兰国立卫生保健大学，乌克兰基辅5乌克兰最佳媒体，乌克兰基辅。
{"title":"对战争期间患有高水平心理生理压力、疼痛综合征和2型糖尿病的专业人员的综合康复方法Lidiia V. Butska1、2,3、Oksana O. Drevitska1、2,3、Sergei V. Dybkalyuk4、Valentyn O. Ryzhak 5、taras SHEVCHENKO乌克兰基辅国立大学2乌克兰基辅地区间人事管理学院3国立机构“乌克兰国家医学科学院KUNDIIEV职业健康研究所”乌克兰基辅4shupyk乌克兰国立卫生保健大学，乌克兰基辅5乌克兰最佳媒体，乌克兰基辅。","authors":"","doi":"10.36740/Merkur202501105","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>. Aim: To evaluate the effectiveness of a multilevel rehabilitation program integrating physiotherapy (PT), transcranial electrical stimulation (TES), and endonasal breathing of a singlet-oxygen mixture (EBSO) on pain syndromes (PS), quality of life (QL), and levels of depression in professionals with type 2 diabetes mellitus (T2DM) and high psychophysical stress.</p><p><strong>Patients and methods: </strong>Materials and Methods: Sixty professionals with high psychophysical stress were randomly divided into three groups (n=20 each). Group 1 received standard rehabilitation. Group 2 underwent targeted PT, including ultrasound therapy for the pancreas projection and magneto-laser therapy for the liver projection and Th5-Th7 zones. Group 3 received the same PT as Group 2, supplemented with TES (alpha rhythm frequency) and EBSO. The rehabilitation program lasted two weeks, comprising 10 sessions. Outcomes were assessed using the QL questionnaire - SF-36 and Beck Depression Inventory-II (BDI-II).</p><p><strong>Results: </strong>Results: Group 3 demonstrated significant improvements in QL by SF-36 score, particularly in Physical Functioning (from 49,2 ± 2,6 to 70,3 ± 3,8), Bodily Pain (from 48,1 ± 2,6 to 69,3 ± 3,1), and Mental Health (from 38,0 ± 3,3 to 59,3 ± 3,6; p < 0,01). Depression score decreased from 30,6 ± 2,1 to 18,2 ± 2,0 (p < 0,01), with notable improvements in cognitive-affective and somatic subscales. Group 2 showed moderate improvements, while Group 1 exhibited minimal changes.</p><p><strong>Conclusion: </strong>Conclusions: Combining targeted PT with TES and EBSO significantly improves somatic and psychological outcomes in T2DM patients compared to standard rehabilitation or PT alone.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"34-39"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comprehensive approach to the rehabilitation of professionals with high levels of psychophysical stress, pain syndromes and type 2 diabetes mellitus during the war Lidiia V. Butska1,2,3, Oksana O. Drevitska1,2,3, Sergei V. Dybkalyuk4, Valentyn O. Ryzhak 5 1TARAS SHEVCHENKO NATIONAL UNIVERSITY OF KYIV, KYIV, UKRAINE 2INTERREGIONAL ACADEMY OF PERSONNEL MANAGEMENT, KYIV, UKRAINE 3STATE INSTITUTION «KUNDIIEV INSTITUTE OF OCCUPATIONAL HEALTH OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE», KYIV, UKRAINE 4SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE 5OPTIMUM MEDIA UKRAINE, KYIV, UKRAINE.\",\"authors\":\"\",\"doi\":\"10.36740/Merkur202501105\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>. Aim: To evaluate the effectiveness of a multilevel rehabilitation program integrating physiotherapy (PT), transcranial electrical stimulation (TES), and endonasal breathing of a singlet-oxygen mixture (EBSO) on pain syndromes (PS), quality of life (QL), and levels of depression in professionals with type 2 diabetes mellitus (T2DM) and high psychophysical stress.</p><p><strong>Patients and methods: </strong>Materials and Methods: Sixty professionals with high psychophysical stress were randomly divided into three groups (n=20 each). Group 1 received standard rehabilitation. Group 2 underwent targeted PT, including ultrasound therapy for the pancreas projection and magneto-laser therapy for the liver projection and Th5-Th7 zones. Group 3 received the same PT as Group 2, supplemented with TES (alpha rhythm frequency) and EBSO. The rehabilitation program lasted two weeks, comprising 10 sessions. Outcomes were assessed using the QL questionnaire - SF-36 and Beck Depression Inventory-II (BDI-II).</p><p><strong>Results: </strong>Results: Group 3 demonstrated significant improvements in QL by SF-36 score, particularly in Physical Functioning (from 49,2 ± 2,6 to 70,3 ± 3,8), Bodily Pain (from 48,1 ± 2,6 to 69,3 ± 3,1), and Mental Health (from 38,0 ± 3,3 to 59,3 ± 3,6; p < 0,01). Depression score decreased from 30,6 ± 2,1 to 18,2 ± 2,0 (p < 0,01), with notable improvements in cognitive-affective and somatic subscales. 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引用次数: 0
摘要
目的:。目的：评价综合物理治疗（PT）、经颅电刺激（TES）和鼻内单重态氧混合呼吸（EBSO）的多层次康复方案对2型糖尿病（T2DM）高精神物理应激专业人员疼痛综合征（PS）、生活质量（QL）和抑郁水平的疗效。患者与方法：材料与方法：将60名高心理物理应激专业人员随机分为3组，每组20人。组1接受标准康复治疗。2组行靶向PT治疗，包括胰腺投影的超声治疗和肝脏投影及Th5-Th7区磁激光治疗。第3组与第2组给予相同的PT治疗，并辅以TES （α节律频率）和EBSO。康复计划持续了两周，包括10个疗程。使用QL问卷- SF-36和贝克抑郁量表- ii （BDI-II）评估结果。结果：结果：第3组通过SF-36评分显示QL有显著改善，特别是身体功能（从49,2±2,6到70,3±3,8），身体疼痛（从48,1±2,6到69,3±3,1）和心理健康(从38,0±3,3到59,3±3,6；P < 0.01)。抑郁评分由30.6±2.1分降至18.2±2.0分（p < 0.01），认知-情感和躯体亚量表均有显著改善。第二组表现出适度的改善，而第一组则表现出微小的变化。结论：与标准康复或单独PT相比，靶向PT联合TES和EBSO可显著改善T2DM患者的躯体和心理预后。
Comprehensive approach to the rehabilitation of professionals with high levels of psychophysical stress, pain syndromes and type 2 diabetes mellitus during the war Lidiia V. Butska1,2,3, Oksana O. Drevitska1,2,3, Sergei V. Dybkalyuk4, Valentyn O. Ryzhak 5 1TARAS SHEVCHENKO NATIONAL UNIVERSITY OF KYIV, KYIV, UKRAINE 2INTERREGIONAL ACADEMY OF PERSONNEL MANAGEMENT, KYIV, UKRAINE 3STATE INSTITUTION «KUNDIIEV INSTITUTE OF OCCUPATIONAL HEALTH OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE», KYIV, UKRAINE 4SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE 5OPTIMUM MEDIA UKRAINE, KYIV, UKRAINE.
Objective: . Aim: To evaluate the effectiveness of a multilevel rehabilitation program integrating physiotherapy (PT), transcranial electrical stimulation (TES), and endonasal breathing of a singlet-oxygen mixture (EBSO) on pain syndromes (PS), quality of life (QL), and levels of depression in professionals with type 2 diabetes mellitus (T2DM) and high psychophysical stress.
Patients and methods: Materials and Methods: Sixty professionals with high psychophysical stress were randomly divided into three groups (n=20 each). Group 1 received standard rehabilitation. Group 2 underwent targeted PT, including ultrasound therapy for the pancreas projection and magneto-laser therapy for the liver projection and Th5-Th7 zones. Group 3 received the same PT as Group 2, supplemented with TES (alpha rhythm frequency) and EBSO. The rehabilitation program lasted two weeks, comprising 10 sessions. Outcomes were assessed using the QL questionnaire - SF-36 and Beck Depression Inventory-II (BDI-II).
Results: Results: Group 3 demonstrated significant improvements in QL by SF-36 score, particularly in Physical Functioning (from 49,2 ± 2,6 to 70,3 ± 3,8), Bodily Pain (from 48,1 ± 2,6 to 69,3 ± 3,1), and Mental Health (from 38,0 ± 3,3 to 59,3 ± 3,6; p < 0,01). Depression score decreased from 30,6 ± 2,1 to 18,2 ± 2,0 (p < 0,01), with notable improvements in cognitive-affective and somatic subscales. Group 2 showed moderate improvements, while Group 1 exhibited minimal changes.
Conclusion: Conclusions: Combining targeted PT with TES and EBSO significantly improves somatic and psychological outcomes in T2DM patients compared to standard rehabilitation or PT alone.
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