Psychological Rehabilitation Research Articles

Програмово-методичний комплекс логопедичного супроводу дітей раннього віку з церебральним паралічем

The article examines the multifaceted nature of psychological and pedagogical rehabilitation. In particular, the wide and varied possibilities of rehabilitation of persons with psychophysical disabilities are noted. In addition, it is indicated that the society at the present stage seeks to satisfy the ever wider range of needs of people with psychophysical limitations. Emphasis is placed on the fact that a person with a disability should be considered, regardless of his capacity for action and usefulness to society, as an object of social policy, which is focused on creating conditions for the individual to realize all potential abilities as much as possible, and integrate into society. At the same time, a person with a disability should be considered not only as an object of special education, rehabilitation measures, social work, but also as an active object of social life and creator of his own destiny. The article also reveals the main principles of modern rehabilitation of children with disabilities, which directly correspond to the person-oriented paradigm: the openness of social rehabilitation to the future, its dynamism and variability, in connection with which it must be in the process of constant search and change, all the time forming new orientations and goals: integration of all ways of mastering the world by the child; personal orientation of the rehabilitation process, free development of individuality, which is its main factor; the principle of realism, which guides the setting of realistically achievable rehabilitation goals based on the capabilities of a child with health disabilities, objective social conditions, etc. (it is this principle that dictates the need for a strict individual approach when carrying out rehabilitation measures); direct participation of the child and his parents in creating a rehabilitation program, choosing the content, form, methods, place, time and pace of this process; the principle of humanism – a resource that guides the search for the positive to overcome "crisis situations", the actualization of potential opportunities embedded in a person, which recognizes the absolute value of a person, a child, as an individual, his uniqueness, the right to freedom of choice.

СОЦІАЛЬНО-ЕКОНОМІЧНА РОЛЬ ІНКЛЮЗИВНОГО ОСВІТНЬОГО ХАБУ

Визначено структуру інклюзивного освітнього хабу як соціально-економічної інституції. Встановлено, що його структуру мають формувати чотири основні платформи: освіта, наука, реабілітація і виробництво. Це дозволить хабу акумулювати зусилля закладів освіти, потенціал наукових шкіл, реабілітаційні можливості й практичне застосування вмінь, знань і навичок здобувачів з особливими освітніми потребами через виробничу складову. Складові інклюзивного освітнього хабу, з огляду на їх функціональні можливості, є ендогенними детермінантами, що формують основні напрями діяльності хабу і визначають його роль як соціально-економічного феномену. Діяльність хабу також обумовлюють і екзогенні чинники, які створюють умови його функціонування й визначають можливості фінансування його діяльності. Встановлено соціальну роль і економічне значення інклюзивного освітнього хабу як форми інституціоналізації інклюзивної освіти. Його соціальну значимість у забезпеченні верств населення з особливими потребами посилюють можливості здобуття якісної освіти, підвищення кваліфікації і перекваліфікації відповідно до фізичних чи психологічних особливостей паралельно з фізичною чи психологічною реабілітацією. Економічний результат, що виокремлює роль хабу як повноцінного учасника економічних відносин, полягає в пропозиції першого робочого місця для людей з особливими потребами, відновленні робочої сили як фактора виробництва, формуванні людського капіталу як основи розвитку, а також у отриманні прибутку від виробничої діяльності, надання освітніх і реабілітаційних послуг, у залученні внутрішніх і зовнішніх джерел інвестування. Визначено співвідношення окремих цілей Плану відновлення України і економічних важелів, якими володіє інклюзивний освітній хаб для їх реалізації.

New therapeutic opportunities in improving the antenatal management of obese women

Research objectives: to assess the effectiveness of the developed treatment complex on the course of pregnancy and childbirth in obese women.Materials and methods. 135 pregnant women were examined depending on the degree of obesity and received treatment. The women were examined and treated in the Department of Pathology of Pregnancy and Childbirth, SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine” during 2019–2021.The developed medical complex included: Miofolic 2 sachets/day 3 months before pregnancy and throughout the gestation period; in case of insufficiency or deficiency of vitamin D, this vitamin was prescribed in a dose of 4000 IU/day; magnesium citrate 250–300 mg/day during pregnancy; micronized progesterone vaginally 200–400 mg/day in the II phase of the menstrual cycle before conception and up to 34 weeks of gestation (if necessary); individual programs of prenatal psychological rehabilitation using psychophysical exercises were used depending on the psychosomatic disorders.Results. it was found that the number of pregnant women of older reproductive age is increasing. There was a decrease in pre-pregnancy weight (which was positively reflected in the subsequent course of pregnancy) at the 3 months before the onset of pregnancy in women with lifestyle modification (diet therapy, dosed physical activities) and who intake a developed treatment complex at the pre-gravid stage.A peculiarity of the somatic morbidity of pregnant women was the combination of various types of extragenital diseases. Significant differences were found between chronic diseases of the cardiovascular system and diseases of the gastrointestinal tract and liver compared to the control group. The course of pregnancy largely depended on the reproductive system status before fertilization – an increase in the frequency of infertility was noted with an increase in the woman’s body mass index.Pregnant women who received the developed treatment complex had fewer pregnancy complications, the frequency of which was not significantly different from the control group. At the same time, against the background of the treatment, their lipid profile and vitamin and mineral supply improved. All this had a positive effect on the pregnancy outcomes.Conclusions. Developed medical complex including myo-inositol, starting from the pre-gravid period and throughout pregnancy, helps to reduce insulin resistance in obese women, improve the lipid profile and normalize the leptin level, which has a positive effect on the course of pregnancy and childbirth and improves perinatal outcomes.

Features of mental and reproductive health, functional state of the organism of female military servicemen who suffered concussion during combat actions

Research objectives: establishing an association between the state of mental health, the functional state of body systems, clinical and anamnestic data on reproductive health in female combat participants who suffered a concussion.Material and methods. The study included 487 women of reproductive age who took part in hostilities and suffered a concussion and who were divided into 2 groups – the main group (211 women with post-concussion syndrome) and a comparison group (246 women without the post-concussion syndrome). The control group included 30 healthy civilian women of reproductive age without any trauma episodes in the anamnesis. Concussion symptoms were determined by Cicerone K.D., PCL, Wein, Spielberger – Hanin, Beck questionnaires.Results. The participants of the main group and the comparison group were comparable in terms of age, social status, anthropometric data, parameters of menstrual, ovulatory and reproductive functions, gynecological, somatic and infectious diseases. Patients with post-concussion syndrome have a duration of menstruation 1.07 times (p < 0.001) longer compared to women without post-concussion syndrome; painful menstruation in 1.47 times more often (p < 0.0001), heavy menstruation in 1.64 times (p < 0.003) more often. The infertility duration in patients with post-concussion syndrome is 1.29 times longer (p < 0.0001) compared to women without post-concussion syndrome. 69.27% of women who took part in hostilities and suffered a concussion have a history of ureaplasmosis or bacterial vaginosis: chlamydia and bacterial vaginosis occur in every third patient, ureaplasmosis in 41.61% patients. Chlamydia trachomatis is detected in patients with post-concussion syndrome 1.64 times (p < 0.0007) more often than in patients without this syndrome.Conclusions. Women who suffered concussions during hostilities have significant problems with physical and mental health due to the impact of brain injury and stress factors associated with military actions. Solving this problem requires the development of a comprehensive program that will include medical and psychological support for female military personnel and creation of high-quality medical and psychological rehabilitation of female veterans aimed at their full adaptation to peaceful life.

Пологи в пограничні терміни життєздатності: досвід Перинатального центру м. Києва

The article discusses the main medical consequences of extreme prematurity, the contradictions of the medical and ethical point of view of raising such children. There are differences in the term of viability in different countries and different institutions of obstetric care. The measures of resuscitation care provided to extremely premature newborns, as well as the potential consequences of the survival of those born in extreme terms - motor and cognitive disorders, impaired vision and hearing, and socialization - are considered. Purpose - to determine the viable period in the conditions of the Kyiv Perinatal Center based on the results of 2014-2022 and to formulate the principles of providing assistance to women in labor and newborns of this category. Materials and methods. The indicators of neonatal mortality in the Perinatal Center of Kyiv for the years 2014-2022 at birth at 22-26 weeks, as well as the prevalence of severe health disorders during further observation, were analyzed. A comparison of these indicators with global data was made. Results. Analysis of neonatal mortality rates showed that at the beginning of the work of the Perinatal Center, the term of viability was above the limit of 26 weeks, in 2013 it shifted to the limit of 26 weeks, and in 2014 to 25 weeks, remaining there even now. This term is shorter than in Ukraine as a whole, i.e. transferring a pregnant woman with unavoidable very early premature birth to a tertiary center optimizes the results for the child. Monitoring of the further development of such newborns showed that at 22-23 weeks 10 out of 10 newborns, at 24 weeks - 8 out of 10, at 25 weeks - 6 out of 10, and at 26 weeks - 5 out of 10 have serious health disorders. A detailed description of the activities of the Perinatal management clinical group is provided extremely premature births, which provides high-risk patients with delivery before 27 weeks of counseling in decision-making regarding neonatal resuscitation, as well as rehabilitation after reproductive losses. Conclusions. The gestational period of viability in the Perinatal Center is 25 weeks. According to the Perinatal Center, the frequency of severe health disorders in extremely premature babies ranges from 100% at 22 weeks to 50% at 26 weeks. Implementation of the policy of Perinatal management of extremely premature births allows to observe the ethical principles of autonomy and justice when providing care to a newborns. The Perinatal Center of Kyiv operates a full cycle of providing assistance to women with very early premature births - from observing ethical principles in providing assistance to newborns to psychological rehabilitation after reproductive loss and planning the next pregnancy. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. No conflict of interests was declared by the authors.

Mine or Alien? The Experience of Body and Corporeality in Sudden Vision Loss

RESEARCH OBJECTIVE: The goal of the article is to describe the specific perceptions of corporeality of an adult who experiences sudden loss of vision. Special emphasis is put on the process of creating a new representation of one’s body.
 THE RESEARCH PROBLEM AND METHODS: The text focuses on the issues of deconstructing one’s self-image due to the change in experiencing one’s body, temporary incapability of performing daily activities, and problems with avoiding pain and discomfort. A literature search and analysis were conducted.
 THE PROCESS OF ARGUMENTATION: The main consequences of vision loss in adulthood are presented. A process of creating a new representation of one’s own body is described in reference to the concept of the stages of adjustment to vision loss.
 RESEARCH RESULTS: When comparing the current appearance and functionality of their body to the situation from before vision loss, persons with acquired vision impairment have a sense of alienation of their body. Along with the loss of vision as a basic cognitive tool, they experience disintegration of their physical “self,” loss of confidence in their other senses, and overall bodily inadequacy. The negative approach to their own corporeality tends to be reinforced by reactions of other people.
 CONCLUSIONS, INNOVATIONS AND RECOMMENDATIONS: The attitudes and emotions towards one’s body influence the dynamics of adjustment to vision loss, including the motivation of a blind person to actively participate in the rehabilitation process. Psychological rehabilitation should support a person who is losing vision in deconstructing the corporeal ‘self’ and reintegrating a new body image. The issue of the changing body image in the situation of sudden vision loss in adulthood has not been sufficiently researched. There is a need to undertake studies focused on this issue.

Contemporary Ukrainian Visual Culture on the Way to the International Cultural Space

The article is devoted to the visual culture of Ukraine since independence. It pays special attention to the trends and phenomena of contemporary Ukrainian visual culture that have entered the context of world culture through recognition on international cultural platforms (competitions, festivals, biennials, etc.). The considerations concern the development of various trends in contemporary Ukrainian art, which use various artistic media: photography, installation, performance and film. In particular, Ukrainian conceptual photography was the most interestingly represented by several generations of photographers of the Kharkiv School, who combined radical bodily imagery and social criticism. The Ukrainian installation is represented by the works of artists of the REP (Revolutionary Experimental Space) group, which is focused on the unity of art and politics and considers artistic creation as a political act. An interesting sub-direction of the installation is the video installation, which delivers an original combination of contemporary Ukrainian artists with site-specific art and artistic means of reflecting on the traumas inflicted on Ukrainian society by the war. The article pays special attention to the development of contemporary Ukrainian cinema. The author demonstrates the connection between the work of contemporary Ukrainian filmmakers and the traditions of Ukrainian poetic cinema. In addition, other trends in Ukrainian cinema are identified: the experimental search for a new film language, the development of documentary cinema, on top of the convergence of fiction and non-fiction artistic languages in the work of contemporary Ukrainian filmmakers. The dominant issues of contemporary Ukrainian films selected for screening at leading European film festivals are identified: inclusiveness, reflection on Ukrainian history, war trauma, psychological rehabilitation of combatants, etc.

About the system of institutions providing social services to persons affected by human trafficking

The article examines the system of providing social services for persons affected by human trafficking. Based on the analysis of legislative norms, the necessity of making changes and additions to the Law of Ukraine «On combating human trafficking» is substantiated.It is proposed to set out Art. 17 of the Law of Ukraine «On Combating Human Trafficking» in terms of ensuring the rights of persons who have suffered from human trafficking in the following wording: “In order to ensure the realization of the rights provided for by this Law, persons who have suffered from human trafficking may be referred to one of the existing networks centers of social services, centers of social service (provision of social services), centers of social and psychological assistance. The conditions of stay and provision of services to persons affected by human trafficking by the existing network of social service centers, territorial centers of social services (provision of social services), centers for social and psychological rehabilitation of children and shelters for children, centers of social and psychological assistance are regulated by the provisions of the specified institutions . Social services are provided free of charge only with the consent of the injured person or an incapacitated person - with the consent of the body of guardianship and guardianship in the event that such a person has not been appointed a legal representative. The content and scope of social services for each affected person is determined individually depending on their needs and is specified in the contract on the provision of social services in accordance with the standards for providing social services to affected persons, which are approved by the central executive body, which ensures the formation of state policy in the field of prevention and counter-trafficking people, taking into account the requirements of international legal acts». Also taking into account the fact that in Ukraine, persons with disabilities are particularly vulnerable to falling into the situation of human trafficking; persons with injuries, serious illnesses or health disorders (especially mental); elderly people and teenagers; members of lowincome families; representatives of national minorities [3], in our opinion, it is also necessary to resolve the issue of the involvement of guardianship and care authorities for incapacitated persons in the event that such a person has not been appointed a legal representative. The provisions of the Law of Ukraine “On Prevention and Combating Domestic Violence” dated 07.12.2017 No. 2229-VIII can serve as an example, in particular, Article 17 of this act.

Types of social services for homeless people

The article examines the types of social services provided to homeless persons in accordance with the Law of Ukraine "On Social Services". On the basis of the analysis of legislative norms and scientific developments, the need to apply a comprehensive approach to the functioning of the system of providing services to homeless persons is substantiated, taking into account the state social standards, which determine the procedure for providing appropriate social services for persons who find themselves in difficult life circumstances.
 It was found that homeless persons are recipients of such social services as shelter, night shelter, supported accommodation of homeless persons, social integration and reintegration, and in-kind assistance. At the same time, the legislation of Ukraine provides for the possibility of applying to homeless persons such types of social services as information and social prevention, representation of interests, social support during employment and at the workplace, representation (mediation).
 Given the fact that the only social service within which emergency medical assistance is provided on the street is emergency (crisis) intervention, it is necessary to recognize homeless persons as its recipients. It is also proposed to supplement the list of social services for homeless people with social and psychological rehabilitation.
 Attention is focused on the need to harmonize the provisions of Art. 17 of the Law of Ukraine «On the Basics of Social Protection of Homeless Persons and Homeless Children» and Art. 16 of the Law of Ukraine «On Social Services» regarding the types of social services provided to homeless persons. It has been proven that temporary shelter, social, medical, legal, educational, and rehabilitation services for homeless persons in the sense of the provisions of the Law of Ukraine «On Social Services» are not provided for. Therefore, it is suggested that the provisions of Art. 17 of the Law of Ukraine «On the Basics of Social Protection of Homeless Persons and Homeless Children» in the following wording: «Homeless persons have the right to social services and rehabilitation in the order and under the conditions determined by the legislation of Ukraine.»

Theoretical and legal characteristics of social protection of participants of combat actions in Ukraine

The article deals with the development of legislation protecting combatants in Ukraine. Recent achievements in the legal regulation of the social protection of combatants in Ukraine have been analysed. Countering and deterring the armed invasion of Russia affected the safety of the participants in the conflict; it created the necessary conditions for a decent standard of living. Despite the duration of the conflict between Russia and Ukraine - more than nine years, there is an imperfect regulation of social benefits for participants in hostilities. During the study of the normative-legal mechanism regulating the social protection of combatants, several problematic points were revealed outside the normative-legal field, particularly regarding missing persons and prisoners of war and the absence of generally accepted protocols (protocols). It has been found that the development of military medical rehabilitation and related infrastructure is becoming increasingly crucial in Ukraine as the country's war-related disability is on the rise. Under these circumstances, it is necessary to increase the investments of the state and local self-government bodies in the development of modern rehabilitation institutions to attract the participation of other subjects, and this is an important direction. Some recent achievements in the legal regulation of the social protection of combatants in Ukraine were noted. The necessity of expanding the possibilities of providing additional social benefits to the participants of hostilities at the level of united territorial communities has been demonstrated. As part of the theoretical and legal analysis of the legal basis of social protection of combatants in Ukraine, normative legal acts are catalogued, and their legal force is classified (legislative, sub-legal). The latest achievements in the legal regulation of social protection of combatants in Ukraine are mentioned, in particular, the law of the status of volunteers, the possibility of receiving monetary compensation for the purchase of housing, as well as the adoption by the government of a state program aimed at the physical, medical, psychological and social readaptation of combatants. These actions will continue until 2022. Several difficult moments of a non-legal and regulatory nature are indicated, particularly regarding the missing and prisoners of war - participants in the conflict and the lack of generally accepted protocols for the psychological and social rehabilitation of the participants in the competition. The necessity of expanding the possibilities of providing additional social benefits to the conflict participants is shown. To improve the regulatory and legal mechanisms of state administration in the social protection of combatants, it is proposed to involve such organisations as public and veteran associations, unions, and other social partnerships in the development of legislative acts.

Psychological injury rehabilitation lags behind physical rehabilitation: Elite athletes’ experiences and support within Chinese context

This qualitative study was focused on two objectives: to explore (a) Chinese elite athletes' perceptions of their rehabilitation experiences after severe acute injuries, and (b) support strategies facilitating their return to competition. We interviewed 10 Chinese elite athletes through a semi-structured interview guide consisting of open questions and requests for information about the participants’ injury and rehabilitation experiences. We utilized a reflexive thematic analysis to interpret participants’ accounts. Two themes are presented to reveal the Chinese elite athletes’ perceptions: (a) psychological injury rehabilitation lags behind physical rehabilitation and (b) post-injury psychological support within the CWNS.This study contributes to athlete rehabilitation scholarship by providing a unique Eastern, collective perspective embedded with the Chinese Whole Nation System (CWNS).

The establishment, maintenance, and adaptation of high- and low-impact chronic pain: a framework for biopsychosocial pain research.

The establishment, maintenance, and adaptation of high- and low-impact chronic pain: a framework for biopsychosocial pain research.

Socio-psychological features in patients with pulmonary tuberculosis

BACKGROUND. The effectiveness of the therapy of patients with pulmonary tuberculosis (TB) of various categories is largely related to the psychotraumatic nature of the disease and treatment, however, their social and psychological features and the need for psychological help have not been sufficiently studied.
 OBJECTIVE. To study the socio-psychological features of patients with pulmonary TB depending on the category of the case and the terms of treatment.
 MATERIALS AND METHODS. 200 patients with pulmonary TB were interviewed anonymously, including 45 (22.5 %) – with new cases, 27 (13.5 %) – with repeated treatment, 128 (64.0 %) – with multiple drug resistance (MDR-TB), according to the special form of primary social and psychological assessment of a patient with TB – Patient Health Questionnaire (PHQ-9).
 RESULTS AND DISCUSSIONS. The difference in the presence of unfavorable social factors among TB patients of different categories was revealed: low income, unemployment, disability, bad habits, retirement age, negative social history (were in prisons, migrants or internally displaced, lack of permanent work) met 2-3 times more often among repeated cases of the disease and MDR-TB, than in patients with new cases of the disease. Depressive disorders at the initial stage of treatment were found in 95.0 % of all TB patients, and mostly the signs of depression were pronounced, as evidenced by: very low interest or satisfaction in ordinary things in 52.0 %; bad mood, depression or a feeling of helplessness in 91.5 %; difficulty falling asleep, interrupted or too long sleep in 90.0 %; a feeling of fatigue or exhaustion – loss of strength in 94.5 %; poor appetite or, on the contrary, overeating in 89.5 %; negative thoughts about oneself in 57.5 %; difficulty concentrating in 57.0 %. The duration of these symptoms for more than 7 days during the last 2 weeks in many interviewees indicates a significant expressiveness of depressive disorders in the vast majority of TB patients. The dependence of the psychological state of TB patients on the category of the case and the duration of treatment was established and statistically proven. In patients with repeated treatment and MDR-TB, symptoms of depressive disorders were not only more frequent, but also more severe than in patients with new cases. If 74.8 % of patients with repeated cases and 57.0 % of patients with MDR-TB had mild and moderate depression, then 77.8 % of patients with new cases had mild (subclinical) depression. In patients who were treated for more than 4 months, signs of depressive disorders were more pronounced compared to those who were treated for less.
 CONCLUSIONS. This study not only confirms the need for differentiated psychological support of the treatment process in phthisiology (depending on the category of the case and the duration of treatment), but also encourages the search for new approaches to the medical, social and psychological rehabilitation of TB patients, taking into account the negative impact of the war in Ukraine on the social and psychological condition of such patients and the characteristics of their management in wartime conditions. There is a need to introduce rates of psychologists and psychiatrists for constant counseling of TB patients.

Rehabilitation Perspectives in Long COVID-19.

Long COVID is a term used to describe the persistence of symptoms in people who have had COVID-19 for an extended period. It affects multiple systems including neurological (fatigue, brain fog, attention issues, memory issues), neuromuscular (sarcopenia, myositis, arthritis and myopathy), cardiovascular (myopericarditis, right ventricular dysfunction, vasculitis and aortic, arterial and venous thrombosis) and respiratory (pulmonary fibrosis, pleurisy, pulmonary embolism and pneumonitis). This results in functional impairments which adversely affect the quality of life of patients. The rehabilitation of persons who have experienced long COVID-19, also known as "long haulers," is a relatively new field of study. We have described potential rehabilitation interventions to improve functional capacity and quality of life in patients with long COVID. These rehabilitation interventions include but are not limited to, endurance, flexibility and strength training, pulmonary rehabilitation, task specific exercises to improve Activities of Daily Living (ADL), psychological rehabilitation, medical rehabilitation, pain management and management of dysphagia.

Methodology for assessing the efficiency of medical and psychological rehabilitation of military personnel in a resort facility

Background. Currently, increased attention is paid to the conduct of medical and psychological rehabilitation (MPR) of military personnel in resort facilities. In this regard, one of the crucial directions is the development and improvement of a system for assessing the efficiency of medical and psychological rehabilitation using various methods and criteria for assessing the functional state of the body of military personnel. Aim. The purpose of the study is to develop a methodology for assessing the effectiveness of medical and psychological rehabilitation of military personnel in a resort facility based on a quantitative assessment of system complexes of indicators of the functional state of the body using the hardware and software complex. Materials and methods. The study was carried out in the branch of the FSBI Resort Complex «Privolzhsky» of the Ministry of Defense of Russia as part of the work of the psychotherapeutic office (psychologist's office) with the involvement of 163 military members aged 33.09±0.49 years using the Diamed-MBS hardware and software complex (RU No. FSR 2008/03936), which includes heart rate variability, volumetric electrical conductivity (electrosomatography), and bioelectrography at the beginning and at the end of rehabilitation activities carried out for 10 days. Mathematical and statistical processing of the data obtained for 163 military members was performed in Excel and Statistica 6.0 programs. Results. The options for calculating a single index of MPR efficiency coefficient, which includes integrative assessment of system complexes of subjective, somatic, and psychoemotional components of functional state of the body of military members using the Diamed-MBS hardware and software complex before and after rehabilitation, are presented. Conclusion. The study made it possible to determine the high informativity of the point assessment of the objective indicators of the functional state of the body of military personnel according to the method of bioelectrography and electrosomatography with the Diamond-MBS hardware and software complex, as well as in accordance with subjective data of military members’ self-reports. As a result of the work, it was shown that when assessing the effectiveness of military personnel MPR, it is optimal to be guided by its efficiency, that is, the degree of achievement of the program’s set goals. With this approach, the main end result is the calculation of a single indicator of the military personnel MPR efficiency coefficient in a resort facility in a given period of time. Achieving high points from 4 to 6, where 4 is «good,» 5 is «very good,» and 6 is «excellent,» at the end of the MPR allows calculating the criteria for subjective, somatic, and psychoemotional system complexes of the functional state of the body of military personnel, as well as weighting coefficients of significance of each criterion. The results of the assessment provide the head of the resort facility with information for making dynamic management decisions.

Considering animals in rehabilitation psychology.

Considering animals in rehabilitation psychology.

REVIEW for a collective monograph «SOCIAL AND PSYCHOLOGICAL REHABILITATION OF CHILDREN AND YOUTH WITH SPECIAL EDUCATIONAL NEEDS BY MEANS OF INCLUSIVE TOURISM» (2022)

The monographic study is an attempt to find out the current problems of social and psychological rehabilitation of children and youth with special educational needs by means of inclusive tourism.Research materials can be used in the activities of educational institutions of all levels, inclusive resource centers, institutions of the social sphere and rehabilitation centers, in the work of non-governmental and public organizations, youth centers, etc.; during the teaching of professionally oriented academic disciplines; Certification training; development of special courses, training aids and extracurricular work. The monograph was prepared based on the results of the research topic «Social and psychological rehabilitation of children and youth with special educational needs by means of inclusive tourism» (state registration number: 0119U103978) of Pavlo Tychyna Uman State Pedagogical University.

Evaluation of Rehabilitation Service Capacity for Mildly Disabled Institutionalized Elderly - An Analysis Based on the Hierarchical Analysis and Entropy Method

Background: The quality of rehabilitation services plays an important role in the health and satisfaction of society, but it still has some significant deficiencies in different aspects at the same time. It is one of the main issues in the system of rehabilitation services in all countries. Objectives: This study aimed to investigate the rehabilitation service capacity for mildly disabled older adults in nursing homes. Methods: The data were used hierarchically and assigned entropy values, the final level of rehabilitation service capacity of mildly disabled older adults in nursing homes was derived, and hierarchical analysis and entropy power methods were combined. Results: In evaluating rehabilitation services for older adults with mild disabilities in nursing homes, the weight of the first-level risk indicators was 0.1454 for the rehabilitation environment, 0.3687 for the quality of rehabilitation services, and 0.4859 for the effectiveness of rehabilitation. Conclusions: Rehabilitation environment indicators for an elderly nursing home on their privacy and anti-slip design were ranked first, rehabilitation service quality indicators on the level of rehabilitation division, respectful treatment, and humanistic care, indicating that older people in nursing homes were more important physiological and psychological rehabilitation effect indicators analysis. Rehabilitation effect indicators, independent laundry, independent toileting, bathing, and independent dressing, are especially important in nursing homes for mildly disabled older adults who prefer the change the healthy physical effects.

Managing disabled workers due to occupational accidents in Indonesia: a case study on return to work program

BackgroundLimited research and studies prove the usefulness of case management for persons with disabilities, which helps disabled employees recover their dignity through medical vocational, and psychological rehabilitation in underdeveloped countries’ Return To Work (RTW) programs.MethodsThis qualitative case study design involved semi structured interviews with case managers as the primary data source, supplemented by secondary data from BPJS Ketenagakerjaan. Data analysis utilized QDA Miner Lite and Python with ArcGIS integration for descriptive visualization.ResultsThe RTW program of BPJS Ketenagakerjaan has already adopted ILO’s fundamental suggestion, which creates two central themes: internal aspects that are essential to the RTW framework and external variables that impact RTW practice. The key themes produce six main pieces to discuss further: personal skill, personal literacy, providers, guidelines, authorities, and stakeholder support.ConclusionReturn to Work Program benefits companies, and the implementation of a career development service or a partnership with non-governmental organizations guarantees that disabled employees who cannot return to work with their former employers are still in the global economy.

Interrelationship of psychological and sociological factors after a first percutaneous coronary intervention (PCI) : Implications for secondary prevention

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): This study is supported with a young investigator grant from Vísindaráð Landspítala [the science committee of Landspitali-University Hospital] awarded to dr. Erla Svansdóttir. Background Coronary artery disease (CAD) is a leading cause of death, disability, and health-care burden worldwide. Advances in medical technology combined with identification of CAD risk factors has resulted in lower CAD mortality rates in western countries in the past decades. Secondary prevention constitutes a crucial factor for hindering further CAD development by helping patients with risk factor modification. Psychological and sociological factors have been identified as risk factors for progression of CAD and adverse well-being following adverse CAD events, and should be given consideration in secondary prevention. Purpose The aim of this study was to assess the prevalence of psycho- and sociological factors in patients undergoing a first Percutaneous Coronary Intervention (PCI) and to explore how the interrelationship of these factors affect patients’ well-being. This study is a part of a larger study investigating the psychological well-being and rehabilitation success of patients after an initial PCI procedure up to six months post-PCI. Methods Participants were 97 patients (mean age 60±7.6 years) who underwent a PCI in Iceland from December 2021 to May 2022. Questionnaires assessing somatic symptoms, anxiety, depression, perceived stress, cardiac anxiety, and distress personality were administered during hospitalization. Results Majority of participants were male (79%), in a relationship (79%), had secondary/higher education (83%), worked full time (72%) and lived in the capital area (69%). Overall, nearly half of PCI patients showed some depression symptoms (47%) and 38% some anxiety symptoms. Of these, 15% and 10% had moderate or severe symptoms of depression and anxiety, respectively. Women scored higher than men on cardiac anxiety and cardiac-related avoidance (p’s<0.05). Age had a negative correlation with somatic symptom scores (r=-0.26, p<0.05), anxiety (r=-0.32, p<0.01), cardiac anxiety (r=-0.24, p<0.01), cardiac fear and worry (r=-0.39, p<0.01) and social inhibition (r=-0.26, p<0.01). Higher education level was linked with lower anxiety, depression, perceived stress, negative affectivity and social inhibition (table 1). Not being in a relationship was associated with more somatic symptoms (ß=0.27), perceived stress (ß=0.24) and cardiac-related avoidance (ß=0.25), independent of age, gender, and education status (see table 2, all p’s<0.05). In secondary analyses patients not in a relationship had higher odds of current smoking (OR 5.4, 95% CI:1.7-17.6) and of having some depression symptoms (OR 2.7, 95% CI:1.0-7.4). Conclusion Nearly half of PCI patients in Iceland had some depression or anxiety symptoms, and psychological distress was higher among patients of younger age or lower education levels. Single patients may pose a group in need of specific support in secondary prevention given their elevated somatic symptoms, cardiac-related avoidance and perceived stress which may hinder rehabilitation efforts.