Optimization of the quality of life in children who have experienced the stress of military operations and parental deprivation during the implementation of a comprehensive rehabilitation program

Introduction. As a result of the fighting in Donbas, the number of children left without parental care has increased significantly. At the same time, one of the key links influencing the formation of a child’s body is proved to be is parent-child interaction, which determines both the physical and neuropsychic development of a child. Objective was: to determine the features of the quality of life of primary school-age children living in different social conditions against the background of parental deprivation and prolonged military operations in Lugansk under the influence of the integrated multidisciplinary program “Health for children!”.
Materials and methods. Two hundred twenty two children aged of 7–10 years were examined. Depending on the living conditions, there were identified 3 groups of the children: Group I — 74 children (36 boys and 38 girls) living in disadvantaged families. The criteria of disadvantage were a combination of the following aspects: incomplete family, unfavourable living conditions, antisocial behaviour of parents. Group II included 62 children (32 boys and 30 girls) raised in orphanage in Lugansk and group III consisted of 86 children (40 boys and 46 girls) from well-off families. All children had their quality of life assessed using the Pediatric Quality of Life — Peds QLTM4.0 questionnaire before and after the implementation of the health-saving program “Health for children!”.
Results. During the implementation of the program “Health for children!” throughout the year, optimization of indicators of social and school functioning in institutionalized children was established, which exceeded the values of children from disadvantaged families by 10,04 points and 5,42 points, respectively. Despite the complex of health-saving measures carried out, children from destructive families maintained low indicators of emotional and physical functioning. The highest results of psychosocial health were observed in children from well-off families, which exceeded the indicators of children from disadvantaged families by 18,15%, and children from an orphanage by 11,2%.
Conclusion. The consequences of the stress of parental deprivation against the background of the military operations suffered leave a deep imprint on all components of children’s health. An extremely important area for optimizing health and quality of life indicators is the introduction of integrated multidisciplinary comprehensive rehabilitation and wellness programs.

children, quality of life, parental deprivation, comprehensive rehabilitation program

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