Особливості реабілітаційних заходів для дітей шкільного віку із зони конфлікту на сході України

Abstract

Objective. Based on the identified trends in the health of school-age children from theconflict zone, in eastern Ukraine, the psychological characteristics of this contingent, to outlinethe principles of their rehabilitation within medico-psychological support to reduce the numberof children with psychosomatic disorders, psychological deviations under the conditions of posttraumatic stress of different level. Materials and methods. Clinical and paraclinical examination of 286 schoolchildren living in the Donetsk and Luhansk regions, and displaced people from these zones was carried out. To quantify the level of stress, cardiointervalography was used, followed by an analysis of heart rate variability. Psychological characteristics were determined using the following methods: multidimensional assessment of child anxiety, internal health picture, M. Lusher test. The intensity of stress-implementing systems was evaluated taking into account the indice of: cortisol, adrenaline, noradrenalin, and lipid peroxidation products; stress-limiting systems: serotonin, melatonin, reduced glutathione, glutathione peroxides and superoxide dismutase activity. Results. The paper presents the revealed features of the children’s health status, the nature of psychological deviations with account for the effects of psychoemotional stress. Suggestions are made on the advisability of medical and psychological support and rehabilitation of this contingent. Conclusions. Most children from the military conflict zone have an increased level of emotional stress, which provokes the activation of stress-regulating systems. The above affects the formation of psychological deviations and peculiarities of health status, which requires rehabilitation measures to prevent the development and occurrence of exacerbations of the pathology of various body systems.