Assessment of the clinical effectiveness of the organizational model of medical and psychological rehabilitation based on the analysis of the dynamics of the indicators of the mental status in military personnel exposed to combat stress

Relevance. Currently, great importance is attached to the medical and psychological rehabilitation of military personnel performing combat missions in conditions of armed local conflicts. For improving medical and recreational activities, comprehensive approach seems promising.
Intention – to study the dynamics of the indicators of the mental status in servicemen with prior exposure to combat stress in the process of medical and psychological rehabilitation in an outpatient clinic and to assess the clinical effectiveness of a complex of medical and recreational measures.
Methodology. The study involved 330 servicemen exposed to combat stress factors. Of the total number of those surveyed, 54 servicemen with a reduced adaptive potential by Baevsky were selected and divided into experimental and control groups. Patients in the experimental group underwent medical and psychological rehabilitation in an outpatient clinic including audiovisual stimulation and progressive muscle relaxation according to E. Jacobson; patients in the control group received standard treatment. Research methods: clinical diagnostics, anthropometry, physiometry, psychodiagnostic testing, mathematical and statistical data processing. The median, upper and lower quartile (Me [Q1; Q4]) are presented.
Results and Discussion. According to the State-Trait Anxiety Inventory by Ch. D. Spielberger, servicemen exposed to combat stress factors and having reduced adaptive reserves showed a decrease in trait anxiety both in the experimental and control group: from 29 [27; 31] to 26 [22; 29] (p = 0.001) and from 29 [25; 35] to 27 [22; 33] (p = 0.025), respectively. Depressive symptoms in both groups were within reference limits, and their dynamics in the process of medical and psychological rehabilitation did not reach statistical significance. In the structure of the integral indicator of post-traumatic stress disorder in servicemen exposed to combat stress, the symptoms of hyperactivation were of the greatest importance. The results of the analysis of the dynamics of this indicator in the experimental group revealed its statistically significant decrease from 20 [18.5; 22] to 17 [14.5; 21] at p = 0.015.
Conclusion. As a result of the study, based on the analysis of the dynamics of the indicators of the mental status in servicemen exposed to the factors of combat stress, the clinical effectiveness of the proposed organizational model of medical and psychological rehabilitation in an outpatient setting was proved.

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