The effectiveness of the process of restoring the functional status of servicemen who were in the area of the Joint Forces operation

  • V. V. Kalnysh Ukrainian Military Medical Academy, Kyiv, Ukraine
  • A. V. Shvets Ukrainian Military Medical Academy, Kyiv, Ukraine
  • I. S. Trinka Ukrainian Military Medical Academy, Kyiv, Ukraine
  • S. M. Pashkovskyi Military Medical Clinical Center of the Central Region, Vinnytsya, Ukraine
  • N. V. Koval Military Medical Clinical Center of the Central Region, Vinnytsya, Ukraine
  • D. V. Slobodyanyuk Ukrainian Military Medical Academy, Kyiv, Ukraine
Keywords: psychophysiological qualities, emotional burnout, medical rehabilitation, participants in hostilities.

Abstract

Psychological rehabilitation of combatants is especially relevant today, when the hybrid war in the east of our country has been going on for eight years. The scale of this phenomenon in Ukrainian society requires an active study of the psychological problems of servicemen that have emerged during this time. The aim of the work is to determine the effectiveness of medical rehabilitation of servicemen after being in the combat zone according to the indicators of emotional burnout. A specially designed questionnaire was used to assess the impressions of combat and domestic problems that arise in the military in the area of the Joint Forces Operation (JFO) in relation to the effects of internal and external factors of combatants. To determine the development of chronic fatigue, the method "Diagnosis of emotional burnout" by Boyko V. V. was used. Statistical analysis of the obtained results was carried out with the involvement of methods of parametric and nonparametric statistics, cluster, stepwise multiple correlation and stepwise discriminant analysis using the software package STATISTICA 13.3. Analysis of the obtained data showed that six psychophysiological qualities (Rsl=0.67) were the most related to the parameter of stress load "before" treatment. The list of informative characteristics indicates the high activity of the body of servicemen, the dependence of endurance of their nervous system, the level of concentration and reliability of activity from the received stress. After treatment, the number of informative psychophysiological indicators decreases significantly, and the strength of the connection with stress increases slightly (Rsl=0.78), which indicates the gradual restoration of relevant body functions. It was found that the characteristics of emotions are associated with stress (Rsl=0.52). Before treating these relationships, there are three feelings: "self-dissatisfaction", "caged", "emotional and moral disorientation". After treatment, this connection is slightly reduced along with the elimination of the emotion of "self-dissatisfaction", which characterizes the gradual ordering, systematization of the feelings of the combatant, starting with the relationship to himself. It was found that the average efficiency of 10-day treatment is 16.7 %, which indicates the benefit of restorative procedures. Information technology has been developed that allows to quantify the outcome of treatment, the use of which will allow a meaningful approach to the treatment process, to carry out dynamic control of its results and improve rehabilitation techniques.

References

[1] Bakker, A. B., Schaufeli, W. B., Leiter, M. P., & Taris, T. W. (2008). Work engagement: An emerging concept in occupational health psychology. Work & stress, 22(3), 187-200. doi: 10.1080/02678370802393649
[2] Belynskyi, A. V. (2000). Современные подходы к медицинской реабилитации военнослужащих с пограничными психическими расстройствами [Modern approaches to medical rehabilitation of servicemen with borderline mental disorders]. Военно-медицинский журнал – Military Medical Journal, 321(8), 25-34.
[3] Boiko, V. V. (2008). Синдром эмоционального выгорания: диагностика и профилактика [Burnout syndrome: diagnosis and prevention]. СПБ: Питер – SPB: Peter.
[4] Compas, B. E., Forsythe, C. J., & Wagner, B. M. (1988). Consistency and variability in causal attributions and coping with stress. Cognitive therapy and research, 12(3), 305-320. doi: 10.1007/BF01176192
[5] Glebov, V. H. (2005). Психологическая адаптация военнослужащих к служебно-боевой деятельности в условиях вооруженного конфликта [Psychological adaptation of military personnel to service and combat activities in an armed conflict]. Ориентир – Oriyentir, (112), 36-39.
[6] Glushko, A. N. (1998). Психофизиологические основы психогигиены и психопрофилактики [Psychophysiological foundations of psychohygiene and psychoprophylaxis]. Военно-медицинский журнал – Military Medical Journal, (1), 63-70.
[7] Kalnysh, V. V., & Maltsev O. V. (2020). Вплив психотравмуючих чинників зовнішнього середовища на переживання комбатантів, служба яких проходила в умовах бойових дій [Influence of psycho-traumatic environmental factors on the experiences of combatants whose service took place in combat]. Український медичний часопис – Ukrainian Medical Journal, 5(2 (139), 27-30. doi: 10.32471/umj.1680-3051.139.191218
[8] Kalnysh, V. V., Pyshnov, H. Yu., & Varyvonchyk, D. V. (2016). Актуальні проблеми психофізіологічного стану учасників бойових дій [Actual problems of psychophysiological condition of participants in hostilities]. Україна. Здоров'я нації – Ukraine. Health of the nation, (4 (1)), 37-43.
[9] Kochyna, M. L., & Fyrsov, A. H. (2010). Многофункциональный прибор для проведения психофизиологических исследований [Multifunctional device for psychophysiological research]. Прикладная радиоэлектроника – Applied radio electronics, 9(2), 260-265.
[10] Kokun, O. M., Ahaiev, N. A., Pishko, I. O., Lozinska, N. S., & Ostapchuk, V. V. (2017). Психологічна робота з військовослужбовцями-учасниками АТО на етапі відновлення: Методичний посібник [Psychological work with servicemen-participants of anti-terrorist operation at the stage of recovery: Methodical manual]. К.: НДЦ ГП ЗСУ – К.: Research Center for Humanitarian Problems of the Armed Forces of Ukraine.
[11] Lunev, R. S., & Lunev, D. S. (2014). Психофизиологическое восприятие в профессиональной деятельности человека (на примере государственной работы сотрудников пограничной службы Российской федерации) [Psychophysiological perception in a person's professional activity (on the example of the state work of employees of the border service of the Russian Federation)]. Вестник психофизиологии – Bulletin of psychophysiology, (4), 19-26.
[12] Maslov, N. B., Bloshchynskyi, Y. A., Galushkyna, E. A., & Rohovanov, D. Yu. (2012). Концептуальные подходы к оценке функционального состояния специалистов в процессе их профессиональной деятельности [Conceptual approaches to assessing the functional state of specialists in the process of their professional activities]. Экология человека – Human ecology, (4), 16-24.
[13] Melamed, S., Ben-Avi, I., Luz, J., & Green, M. S. (1995). Objective and subjective work monotony: effects on job satisfaction, psychological distress, and absenteeism in blue-collar workers. Journal of Applied Psychology, 80(1), 29-42. doi: 10.1037/0021-9010.80.1.29
[14] Pashkyn, S. B., & Kverevkyna, D. H. (2013). Психические познавательные процессы в условиях служебной деятельности [Mental cognitive processes in the working environment]. СПб: ВИ(ИТ) – SPb: VI (IT).
[15] Popeliushko, R. P. (2015). Особливості психологічної реабілітації учасників бойових дій засобами природничої рекреації [Features of psychological rehabilitation of combatants by means of natural recreation]. Актуальні проблеми психології – Current issues of psychology, ХІ(13), 198-205.
[16] Quick, J. D., Nelson, D. L., Matuszek, P. A., Whittington, J. L., & Quick, J. C. (1996). Social support, secure attachments, and health. Handbook of Stress, Medicine and Health / ed. C. Cooper. Boca Raton, FL.
[17] Solodkov, A. S. (2013). Особенности утомления и восстановления спортсменов [Features of fatigue and recovery in athletes]. Ученые записки университета им. ПФ Лесгафта – Scientific notes of the PF Lesgaft University, (6 (100)), 131-143.
[18] Topol, O. V. (2015). Соціально-психологічна реабілітація учасників антитерористичної операції [Socio-psychological rehabilitation of participants in the anti-terrorist operation]. Вісник Чернігівського національного педагогічного університету. Серія: Педагогічні науки – Bulletin of Chernihiv National Pedagogical University. Series: Pedagogical sciences, (124), 230-233.
[19] Trinka, I. S., Kalnysh, V. V., Shvets, A. V., & Maltsev, O. V. (2016). Особливості впливу чинників бойового середовища на військовослужбовців [Features of the influence of combat environment factors on servicemen]. Військова медицина України – Military medicine of Ukraine, 16(2), 84-94.
Published
2021-06-26
How to Cite
Kalnysh, V. V., Shvets, A. V., Trinka, I. S., Pashkovskyi, S. M., Koval, N. V., & Slobodyanyuk, D. V. (2021). The effectiveness of the process of restoring the functional status of servicemen who were in the area of the Joint Forces operation. Biomedical and Biosocial Anthropology, (43), 45-53. https://doi.org/10.31393/bba43-2021-08