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Background. There are still understudied issues concerning the health indicators of children who are in conditions of conducting warfare in primary school age. Objective. The aim of the study is to evaluate comprehensive rehabilitation measures to optimize health indicators (physical, functional and mental capacity parameters) of primary school children in conditions of military conflict.Methods. An examination of 419 elementary school children was conducted in the period from March 2022 to September 2022 including. The main group: 128 children, who lived in the territory of military operations. Control group: 291 children who lived peaceful territories. The indicators (body mass index, Robinson index, vital index, strength index, V.A. Shapovalova power index and mental capacity of children according to the results of V.Ya. Anfimov correction task) were compared before the start of the developed comprehensive rehabilitation program and 6 months after the start of its implementation.Results. It was found that all elementary school children who lived in locations of military conflict had a decrease in physical and functional parameters of varying degrees of severity, as well as indicators of mental capacity. The comprehensive rehabilitation program promoted to the normalization of the studied indicators in evacuated (57/86, 56%) children in comparison with children who remained in the locations of military operations (43/70, 49%). The studied indicators had the highest recovery rates at the age of 7-8 years. The most vulnerable was a subgroup of 9-10 years old boys who permanently living in conditions of conducting warfare. The development and implementation of the comprehensive integration program using individual rehabilitation routes had an optimizing effect on the studied indicators of physical and functional conditions, as well as cognitive performance in 101 children of the main subgroups, which amounted to 78.9%.Conclusion. Under the influence of the comprehensive integration rehabilitation program, optimization of health indicators was observed in children living in locations of conducting warfare. The most pronounced effect was observed in children who left the territories of shelling as a result of evacuation to Rostov-on-Don.
Background. There are still understudied issues concerning the health indicators of children who are in conditions of conducting warfare in primary school age. Objective. The aim of the study is to evaluate comprehensive rehabilitation measures to optimize health indicators (physical, functional and mental capacity parameters) of primary school children in conditions of military conflict.Methods. An examination of 419 elementary school children was conducted in the period from March 2022 to September 2022 including. The main group: 128 children, who lived in the territory of military operations. Control group: 291 children who lived peaceful territories. The indicators (body mass index, Robinson index, vital index, strength index, V.A. Shapovalova power index and mental capacity of children according to the results of V.Ya. Anfimov correction task) were compared before the start of the developed comprehensive rehabilitation program and 6 months after the start of its implementation.Results. It was found that all elementary school children who lived in locations of military conflict had a decrease in physical and functional parameters of varying degrees of severity, as well as indicators of mental capacity. The comprehensive rehabilitation program promoted to the normalization of the studied indicators in evacuated (57/86, 56%) children in comparison with children who remained in the locations of military operations (43/70, 49%). The studied indicators had the highest recovery rates at the age of 7-8 years. The most vulnerable was a subgroup of 9-10 years old boys who permanently living in conditions of conducting warfare. The development and implementation of the comprehensive integration program using individual rehabilitation routes had an optimizing effect on the studied indicators of physical and functional conditions, as well as cognitive performance in 101 children of the main subgroups, which amounted to 78.9%.Conclusion. Under the influence of the comprehensive integration rehabilitation program, optimization of health indicators was observed in children living in locations of conducting warfare. The most pronounced effect was observed in children who left the territories of shelling as a result of evacuation to Rostov-on-Don.
<p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Objective.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> The study is aimed on estimation of students’ current state in regions with high degrees of involvement in the consequences of hostilities.</span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Context and relevance.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> Research data, mainly foreign ones, indicate a high prevalence of violations of various degrees of severity, from mild adaptation disorders to symptoms of PTSD, in children either living in military conflict zones or having experience related to their involvement into consequences of hostilities. Such children have a great need for targeted psychological assistance. There are still a gap in domestic studies devoted to the analysis of the impact of involvement into consequences of hostilities on children of different age groups. Also, specialists are still experiencing deficits in compact tools allowing comprehensive assessment of children current state and their need for psychological assistance. </span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Study design.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> We studied features of the students’ current state in regions highly involved into the consequences of hostilities. using specially developed screening tools, in two versions: for students of 5–8 and 9–11 grades, respectively. </span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Participants.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> 646 students in grades 9–11 (36% male, 64% female) and 829 students in grades 5-8 (43% male, 57 % female), living in regions experiencing the impact of events related to hostilities, mainly from Lugansk People’s Republic.</span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Methods (tools).</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> The study is based on a questionnaire developed to assess the current state of the children including items assessing a) manifestations of socio-psychological and mental maladaptation in various spheres of life, b) symptoms of posttraumatic stress disorder, c) psychological (personal and social) resources for coping with stress. This part of questionnaire includes lists if features among which student must choose those which fit his/her current state on the base of multiple choice. The questionnaire also contains items assessing the subjective well-being of children in life areas mentioned above by the 10-point Likert scale. The questionnaires were presented electronically, using the AnketologBox platform. Results were analyzed using IBM SPSS 27.0.</span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Results.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> Results were obtained regarding the prevalence and severity of signs of socio-psychological maladaptation, including PTSD symptoms, and subjective estimation of well-being and psychological resources for coping with stress in students of 5–8 and 9–11 grades. Significant differences were found between students according to the criterion of gender (in the group of students in grades 9–11) and age (in the group of students in grades 5–8), namely: 1) the tendency to decrease the level of well-being in these areas with age in secondary school (grades 5-8) and 2) a significantly higher level of vulnerability of girls compared to boys in the psychophysiological, emotional, behavioral spheres, as well as in relationships with loved ones (grades 9–11).</span></p> <p class="MsoBodyText" style="text-align: justify; mso-pagination: lines-together; margin: 8.0pt 35.45pt .0001pt 35.45pt;"><strong><span lang="EN-US" style="mso-ansi-language: EN-US;">Key findings.</span></strong><span lang="EN-US" style="mso-ansi-language: EN-US;"> The data analysis allowed us to identify the main features of the current state of students in the regions highly involved in the consequences of hostilities: the presence of severe distress in some children in the psychophysiological, cognitive, emotional, communicative and behavioral spheres, the tendency to decrease the level of well-being in these areas with age in secondary school students, the existence of special risk groups, which include female students of 9–11grades. The proposed diagnostic tool appeared to be sensitive to phenomena under study varying from psychological resources of coping with stress to signs of maladaptation in students living in territories involved into the consequences of hostilities.</span></p>
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