Type of attitude towards illness among military personnel undergoing rehabilitation as a factor in shaping the responsiveness of the healthcare system
DOI:
https://doi.org/10.32782/2077-6594/2024.3/14Keywords:
healthcare system responsiveness, rehabilitation, military personnel, types of attitudes towards illness, disruption of psychological adaptationAbstract
In modern conditions, a key element in strengthening healthcare systems is focusing on patient needs and adequately responding to their requests. Special attention should be given to the responsiveness of the healthcare system to the needs of veterans undergoing rehabilitation, taking into account not only physical but also socio-psychological aspects of recovery. Purpose: to study the types of attitudes towards illness among military personnel undergoing rehabilitation in order to develop ways for the healthcare system to adequately respond to their non-clinical needs. Materials and methods. Conceptual modeling and psychodiagnostic methods were used to study the types of attitudes towards illness among 135 combatants undergoing rehabilitation. Among the 12 types of attitudes, a generalized response profile and the adaptive capacities of the patients were identified. The study was conducted in compliance with bioethical standards. The analysis of the obtained data was performed using descriptive and analytical biostatistics methods, implemented in Microsoft Excel (https://www. microsoft.com/microsoft-365/free-office-online-for-the-web) and R Commander (version 4.2.1 – https://www.R-project.org). Results. The study revealed that the majority of respondents showed signs of maladaptation to illness (67,41%) and mixed response types (62,96%), with ergopathic, hypochondriac, and dysphoric types predominating. This highlights the importance of implementing personalized approaches in the rehabilitation process, particularly by ensuring such elements of healthcare responsiveness as respect for dignity, proper communication, confidentiality, prompt service, choice of service providers, autonomy, and the quality of living conditions. Conclusions. Taking into account the types of attitudes towards illness among military personnel and adequately responding to their non-clinical needs can ensure a comprehensive approach to their physical and mental recovery and contribute to enhancing the effectiveness of rehabilitation measures.
References
Саволюк С.І., Серьогіна Н.О. Роль держави в антикризовому управлінні закладами охорони здоров’я. Український медичний часопис. 2024; 3 (161): 1–4. DOI: 10.32471/umj.1680-3051.161.254093.
Papanicolas I., Rajan D., Karanikolos M., Soucat A., Figueras J., editors. Health system performance assessment: A framework for policy analysis [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2022. Available from: http://www.ncbi.nlm.nih.gov/books/NBK590192/.
Kruk M.E., Gage A.D., Arsenault C., Jordan K., Leslie H.H., Roder-DeWan S., et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018 Nov; 6 (11): e1196–e1252. DOI: 10.1016/S2214-109X(18)30386-3.
Khan G., Kagwanja N., Whyle E., Gilson L., Molyneux S., Schaay N., et al. Health system responsiveness: a systematic evidence mapping review of the global literature. Int J Equity Health. 2021 May 1; 20 (1): 112. DOI: 10.1186/s12939-021-01447-w.
Woodward A., Fuhr D.C., Barry A.S., Balabanova D., Sondorp E., Dieleman M.A., et al. Health system responsiveness to the mental health needs of Syrian refugees: mixed-methods rapid appraisals in eight host countries in Europe and the Middle East. Open Res Eur. 2024 May 30; 3: 14. DOI: 10.12688/openreseurope.15293.2.
Чижевський С.О., Колесніченко О.Г., Бондаренко О.Г. Актуальні проблеми розвитку системи психологічної реабілітації військовослужбовців ‒ учасників бойових дій. Честь і закон. 2022; 2 (81): 139–149.
Gettings R.D., Kirtley J., Wilson-Menzfeld G., Oxburgh G.E., Farrell D., Kiernan M.D. Exploring the Role of Social Connection in Interventions with Military Veterans Diagnosed with Post-traumatic Stress Disorder: Systematic Narrative Review. Front Psychol. 2022 Jul 8; 13: 873885. DOI: 10.3389/fpsyg.2022.873885.
Спіріна І.Д., Фаузі Є.С., Гненна О.М., Коваленко Т.Ю., Широков О.В. Оцінка рівня психологічної адаптації у ВІЛ інфікованих з непсихотичними психічними розладами. Вісник проблем біології і медицини. 2019; 1 (1): 167–173. DOI: 10.29254/2077-4214-2019-1-1-148-167-173.
Шорніков А.В. Непсихотичні психічні розлади у хворих на асептичний некроз головки стегнової кістки, які потребують ендопротезування [дисертація]. Дніпро: ДДМУ; 2023. 184 с.
Shorer S., Shacham M., Bloch B. Long-Term Group Nature-Assisted Therapy for Veterans Diagnosed with Chronic PTSD. Soc Work Groups. 2023; 46 (3): 235–248. https://doi.org/10.1080/01609513.2023.2173358.
Lawrence K.A., Matthieu M.M., Robertson-Blackmore E. Civic Service as an Intervention to Promote Psychosocial Health and Implications for Mental Health in Post-9/11/01 Era Women Veterans. J Womens Health (Larchmt). 2019 Aug; 28 (8): 1133–1142. DOI: 10.1089/jwh.2018.7338.
