COPING STRATEGIES IN THE SYSTEM OF RECOVERY MEASURES AT THE SANATORIUM PHASE OF MEDICAL AND PSYCHOLOGICAL REHABILITATION OF FIRE FITERS AND RESCUERS ON THE RETURN FROM ATO ZONE

Shafran L. M., Chumaeva Y. V., Golikova V. V., Ogulenko A. P., Tsybulko I. A. COPING STRATEGIES IN THE SYSTEM OF RECOVERY MEASURES AT THE SANATORIUM PHASE OF MEDICAL AND PSYCHOLOGICAL REHABILITATION OF FIRE FITERS AND RESCUERS ON THE RETURN FROM ATO ZONE. Актуальні проблеми транспортної медицини / Actual problems of transport medicine / 2019;4(58):7-18. ISSN 1818-9385

DOI http://dx.doi.org/10.5281/zenodo.3594879

http://aptm.org.ua

COPING STRATEGIES IN THE SYSTEM OF RECOVERY MEASURES

AT THE SANATORIUM PHASE OF MEDICAL AND PSYCHOLOGICAL

REHABILITATION OF FIRE FITERS AND RESCUERS ON THE

RETURN FROM ATO ZONE

Shafran L. M., Chumaeva Y. V., Golikova V. V., Ogulenko A. P., Tsybulko I. A.

State enterprise “Ukrainian Research Institute for Medicine of Transport of the

Ministry of Public Health of Ukraine”, Odessa

Summary

A comprehensive psychophysiological examination of 331 employees of the DSNS service who work and live, or performed professional duties during long-term business trips in the ATO zone (OOS) and were undergoing rehabilitation in a specialized center for medical and psychological rehabilitation (MPR) at the Odessa sanatorium was conducted. The aim of the study was to study the effectiveness of the most used coping strategies for coping with stress as a result of professional activities in the atomic zone by the officers of the DPSS during the sanatorium phase of medical and psychological rehabilitation (MPR). To diagnose the current psychoemotional state, we used the techniques combined in the Spas-14 computerized software package.

The most commonly used coping strategies were determined using the R. Lazarus questionnaire (WCQ), and post-traumatic stress disorder (PTSD) was assessed using a shortened civilian version of the Mississippi scale. Based on the cluster analysis, all examined were divided into 3 groups, in which 48.6 % had normative indicators, 42.6 % had individual symptoms, and 8.8 % had characteristic clinical signs of PTSD. They also differed in the type of coping strategies and psychoemotional reactions. Based on the studies, individually-oriented MPR programs were developed, which helped to increase its effectiveness. It is recognized as necessary to extend in-depth psychophysiological research to expand the scope of the use of coping strategies in the MPR system.

Keywords: rescue firefighters, medical and psychological rehabilitation, individually-oriented approach, coping strategies