Проблеми сучасної психології (Apr 2024)

Dynamics of the Efficiency of Providing Multidisciplinary Rehabilitation Assistance to Victims with Spine Injuries

  • Yurii Lukashenko

DOI
https://doi.org/10.32626/2227-6246.2024-63.181-198
Journal volume & issue
no. 63
pp. 181 – 198

Abstract

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The degree of damage to spine is now a threat to health and optimal functioning of the human body in the post-traumatic period. Taking into account the peculiarities of the mechanism of psychogenic disorders in the conditions of the full-scale Russian invasion contributes to the specialist’s readiness for stress and conflict situations during the rehabilitation period of work with the victims. The purpose of the article is to substantiate the dynamics of the effectiveness of providing multidisciplinary rehabilitation care to victims with spinal cord injuries. Psychocorrection should contain a list of training exercises aimed at the development of self-awareness, improvement of psychological culture, improvement of reflective personality characteristics, self-actualization and will involve mastering the skills of voluntary psychophysical self-regulation of the state. Research methods. Among psychodiagnostic methods, the following were used: the questionnaire «Change in the quality of life due to the disease», the method of determining the intensity of the pain syndrome according to the visual analog pain scale (VAS) and the Minnesota Multi-Profile Personality Questionnaire (MMRI-2) to assess the psychological status of the individual. The characteristics of motor activity were determined according to the dynamics of Hauser’s gait index, which determines the mobility of the victim and his ability to move freely and the need for auxiliary means of support. Research results. In subjects with spinal cord injury during hospitalization and psychocorrection changes in the gait state according to the Hauser index (muscle strength) were improved from 3.18±0.13 points on average for the group to 4.9±0.63 after the injury. This indicates that after 10-12 months’ treatment all subjects moved without the help of other attendants, some of whom were completely independent, within and outside the home to overcome thresholds and low curbs. Motor activity and gait were improved; there was a noticeable decrease in the intensity of pain, anxiety and depression.

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