ANALYSIS OF THE DYNAMICS OF THE DISPENSARY COVERAGE OF PARTICIPANTS OF THE FIGHTING DOCTORS

Gavlovsky O. D., Golovanova I. A.

SOCIAL MEDICINE AND ORGANIZATION OF HEALTHCARE PROTECTION

Scentific article

Today, the dynamics of dispensary observation of combatants is an important issue in medicine and in national psychiatry and psychology, the problem of post-traumatic stress, various post-war disorders, posttraumatic stress requires a number of studies. Theoretical and practical knowledge of specialists on psychological resistance, stability of personnel, about war, battle, action on military combat stress factors, adaptation of military to the environment of stay, collective, events occurring around it, its readiness for performance of tasks on purpose, various psychological and mental disorders, methods and methods of providing psychological assistance, is an important issue for medicine. Engaging in combat is generally recognized as the stress factor of the highest intensity. Among veterans first recognized as disabled, more than 50.0% are persons of working age. A study of the quality of life of combatants shows that among all the number of injuries they received are psychological (about 80%). In this case, 30-40% of patients suffer irreversible psychogenic injuries. Cases of inappropriate behavior, suicide attempts, problems in family life are recorded. The level of resistance is lowered by the high intensity of shelling and fighting with the enemy, as well as the duration of being in the combat zone without rotation. It is known that in such intense psychological state a person can stay 35-45 days, and many soldiers have been in the ATO area for about 2 months. Efforts are made to avoid memories; nightmares, a feeling of devastation that leads to a general disillusionment with the future of life.

mental illness, trauma, dispensary coverage, combatants.

1. Belyakin SA. Sistema vosstanovitel’nogo lecheniya na pozdnemgospital’nom etape. Materialy V1 nauch.-prakt. konf. Sovershenstvovaniye sistemy medikosotsial’noy reabilitatsii lits, postradavshikh pri vypolnenii voinskogo dolga (sluzhebnykh obyazannostey) v protsesseizmeneniya sotsial’noy sfery v Rossiyskoy Federatsii; 2002 Maya 18. Moskva; 2002. s. 112-4. [in Russian].
2. Pinchuk IYa, redactor. Diahnostyka ta korektsiya psykhofiziolohichnykh ta psykhichnykh porushenʹ zdorovʺya v pislyastresovyy period: metodychnyy posibnyk. Ukr. n.-d. in-t sots. i sudovoyi psykhiatriyi ta narkolohiyi MOZ Ukrayiny, Ukr. n.-d. in-t medytsyny transportu. Odesa: Feniks; 2015. 109 s. [in Ukrainian].
3. Dmytrenko HM, redaktor. Psykholohichna reabilitatsiya uchasnykiv ATO: vydy diyalʹnosti praktychnoho psykholoha. Osobystistʹ u kryzovykh umovakh ta krytychnykh sytuatsiyakh zhyttya. Zb. nauk. pratsʹ. Sumy: Vyd-vo SumDPU imeni A.S. Makarenka; 2016. s. 248-52. [in Ukrainian].
4. Andriyenko OI. Dosvid ozdorovlennya uchasnykiv ATO v umovakh DP «Sanatoriy «Novomoskovsʹkyy» PrAT «Ukrprofzdorovnytsya». Materialy XV naukovo-praktychnoyi konferentsiyi Problemy ta perspektyvy etapnoho vidnovnoho likuvannya; 2015 Ver 10-11; 2015. s. 16-7. [in Ukrainian].
5. Ipatov AV, Serhiyeni OV, Titov HI. Obgruntuvannya systemnykh zakhodiv z profilaktyky invalidyzuyuchykh zakhvoryuvanʹ u viysʹkovosluzhbovtsiv. Visnyk sotsialʹnoyi hihiyeny ta orhanizatsiyi okhorony zdorov`ya Ukrayiny. 2007;4:75-80. [in Ukrainian].
6. Matyash MM, Khudenko LI. Ukrayina Mulʹtymodalʹnyy pidkhid v likuvanni viddalenykh naslidkiv minno-vybukhovoyi zakrytoyi cherepnomozkovoyi travmy ta posttravmatychnoho stresovoho rozladu v uchasnykiv ATO. Mizhnarodnyy nevrolohichnyy zhurnal. 2018;3:23-6. [in Ukrainian].
7. Liedl А, Knaevelsrud С. Chronic pain and PTSD: the Perpetual Avoidance Model and its treatment implications. Torture. 2008;18(2):69-76.
8. Zhakhovsʹkyy VO, Livinsʹkyy VH, Kudrenko MV, Melʹnyk IP. Medychne zabezpechennya antyterorystychnoyi operatsiyi: Voyenno-medychna doktryna Ukrayiny yak instrument formuvannya yedynoho medychnoho prostoru. Ukrayina. Zdorovʺya natsiyi. 2015;1(33):7-17. [in Ukrainian].
9. Pishelʹ PYa, Polyvʺyana MYu, Huzenko KV. Posttravmatychnyy stresovyy rozlad ta rozlady adaptatsiyi v uchasnykiv ato: kliniko-sotsialʹna kharakterystyka ta praktyka psykhofarmakoterapiyi. Ukrayina. Zdorovʺya natsiyi. 2016;4(1):69-73. [in Ukrainian].
10. Engel CC, Liu X, McCarthy BD, Miller RF, Ursano R. Relationship of physical symptoms to posttraumatic stress disorder among veteransseeking care for Gulf War-related health concerns. Psychosom. Med. 2000;62(6):739-45.
11. Bohomoletsʹ OV, Pinchuk IYa, Ladyk-Bryzhalova AK. Poshyrenistʹ ta struktura posttravmatychnykh psykhichnykh porushenʹ v uchasnykiv boyovykh diy. Arkhiv psykhiatriyi. 2016;2(85):11-5. [in Ukrainian].
12. Thomas HV, Stimpson NJ, Weightman AL, Dunstan F, Lewis G. Systematic review of multi-symptom conditions in Gulf War veterans. Psychological Medicine. 2006;36:735-47.

«Bulletin of problems biology and medicine» Issue 4 Part 2 (154), 2019 year, 345-348 pages, index UDK 355.292:616-08

10.29254/2077-4214-2019-4-2-154-345-348