Psychological Ways of Providing Primary Medical Sanitary Help for People who Use Psychoactive Substances
DOI:
https://doi.org/10.32626/2227-6246.2021-51.215-240Keywords:
primary health care, family medicine, psychoactive substances, the influence of the COVID-19 pandemic human behavior, the explicit eco-attribution, eco-attributive behaviorAbstract
The purpose of the research is to study the state of the problem of the usage of psychoactive substances in the institutions of primary health care of Ukraine and in other countries all over the world.
The following theoretical methods of the research were used to solve the tasks formulated in the article: a categorical method, structural and functional methods, the methods of the analysis, systematization, modeling, generalization. Also in our research we used empirical methods, such as the observation, the interview, a questionnaire, testing, the method of expert assessments.
The results of the research. The urgency of the provision of comprehensive primary health care to those who use psychoactive substances is in line with the strategic task of preserving and improving the health of Ukrainian citizens. The problem of the usage of psychoactive substances among the population of different countries, in particular in Ukraine, is one of the most important medical and social issues of nowadays. At the beginning of 2016, 1.7 million of people in Ukraine who were in need of psychiatric and narcological care had been registered in the health care system. It is almost 4% of the total population of the country. In the structure of mental disorders in 2015, the most common mental and behavioral disorders due to the use of psychoactive substances (alcohol, narcotic substances), representing 58.41% of all reported cases. There were 8.9% of health disorders which are related to stress, neurotic and somatoform disorders, there were 1.8% mood disorders. Among persons with a pathology of the psyche and behavior there were registered in 2015, there had been 62.7% of people of working age. In 2020 there were 1.9 million of people in Ukraine who were in need of psychiatric and narcological care had been registered in the health care system. There were 10.1% of health disorders which are related to stress, neurotic and somatoform disorders, there were 2.3% mood disorders.
Our own researches data for 2020 also indicate a high level of PS usage among young people: on average, 86.1% of pupils used any alcohol drink at least once in their lives. In the age of 17 this figure is 79.4%, and at 16–17 years old it is approaching 88%.
Conclusions. We explain these results having been obtained by us by COVID-19 pandemic in the whole world. In Ukraine people began to use more psychoactive substances. Let’s try to explain this logic with the help of psychological frames. It should be noted that the rich phenomenology of ecopsychological expeditions and the small number of scientific researches of the mental state of individuals during the COVID-19 pandemic allowed us to identify some phenomena of Environmental Psychology categorically and, for the first time, although to determine well-known scientific concepts which have been used.
It should be noted at once that under the influence of the COVID-19 pandemic human behavior acquires a sufficiently explicit eco-attribution. Eco-attribution (from the Greek oikos – the environment and from Latin – attribuo – to give, to provide) is a lifestyle that provides the primary importance of the environment, the natural expediency of caring for nature, a kind of harmony of a man and a nature, as well as the world around us. Eco-attribution or eco-attributive behavior presupposes the understanding not only of well-balanced harmonizations in the space of nature, but also in the living environment in general, as well as adequate inclusion of human activity in the environment, performance of its activities, on the one hand, in accordance with the laws of nature taking into account the conditions of existence in the society, taking into account the pandemic COVID-19 and working out its own style of the behavior, which is natural and viable under such conditions.
Eco-attributive behavior and the activity involve the search for adequate forms and principles, especially for biological adaptation and protection in changes of living conditions. As we predicted, the characteristic features of eco-psychological stress, manifested in the person’s desire to change the situation, significantly changes the very behavior and activities of people. Personal content, which is now formed in the case of absence of practical experience and practical skills of adaptation to such experiences and actions, forms, as it turned out, not flexible behavior. The basis of such behavior was rigid, torpedo mental states, pandemic or «covid» accentuations, anxiety and fear.
References
Arabi, Y. M., Balkhy, H. H., Hayden, F. G., Bouchama, A., Luke, T., Baillie, J. K., Al-Omari, A., Hajeer, A. H., Senga, M., Denison, M. R., Nguyen-Van-Tam, J. S., Shindo, N., Bermingham, A., Chappell, J. D., Van Kerkhove, M. D., & Fowler, R. A. (2017). Middle East respiratory syndrome. New England Journal of Medicine, 376 (6), 584–94. DOI 10.1056/NEJMsr1408795.
Chan, J. W. M., Ng, C. K., & Chan, Y. H. (2003). Short term outcome and risk factors for adverse clinical outcomes in adults with severe acute respiratory syndrome (SARS). Thorax, 58, 686–689.
Chen, N., Zhou, M., & Dong, X. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet, 395, 507–513. DOI 10/1016/S0140-6736(20)30211-7.
Choi, K. W., Chau, T. N., Tsang, O., Tso, E., Chiu, M. C., Tong, W. L., Lee, Po O., Ng, Tak K., Wai, Fu Ng, Lee, Kam Ch., Lam, W., Yu, Wai Ch., Lai, Jak Y., & Lai, Sik T. (2003). Outcomes and prognostic factors in 267 patients with severe acute respiratory syndrome in Hong Kong. Ann Intern Med, 139, 715–723. DOI 10.7326/00034819-139-9-200311040-00005.
Edwards, F., Lee, H., & Esposito, M. (2019). Risk of being killed by police use of force in the United States by age, race-ethnicity, and sex. Proceedings of the National Academy of Sciences of the United States of America, 116 (34), 16793–16798. DOI 10.1073/pnas.1821204116.
Epstein, R., Blake, J. J., & Gonzбlez, T. (2017). Girlhood interrupted: the erasure of black girls’ childhood. Washington, DC: Georgetown Law Center on Poverty and Inequality. Retrieved from https://www. law.georgetown.edu/poverty-inequality-center/wp-content/uploads/ sites/14/2017/08/girlhood-interrupted.pdf.tab.
Hardeman, Rachel R., Medina, Eduardo M., & Kozhimannil, Katy B. (2016). Structural Racism and Supporting Black Lives – The Role of Health Professionals. New England Journal of Medicine, 375 (22), 2113–2115. DOI 10.1056/NEJMp1609535.
Hayden, F. G., Farrar, J., & Peiris, J. S. (2014). Towards improving clinical management of Middle East respiratory syndrome coronavirus infection. Lancet Infect Dis., 14 (7), 544–546. DOI 10.1016/S14733099(14)70793-5.
Holshue, Michelle L., DeBolt, C., Lindquist, S., Lofy, Kathy H., Wiesman, J., Bruce, H., Spitters, Ch., Ericson, K., Wilkerson, S., & Tural, A. (2020). First Case of 2019 Novel Coronavirus in the United States. New England Journal of Medicine, 382 (10), 929–936. DOI 10.1056/ NEJMoa2001191.
Huang, C., Wang, Y., & Li, X. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395, 497–506.
Kalil, A. C., Metersky, M. L., & Klompas, M. (2016). Management of adults with hospital-acquired and ventilator-associated pneumonia:2016 clinical practice guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect Dis, 63, 61–111.
Khwaja, A. (2012). KDIGO clinical practice guidelines for acute kidney injury. Nephron Clin Pract., 120, 179–184.
Lane, H. Clifford, Marston, Hilary D., & Fauci, Anthony S. (2016). Conducting clinical trials in outbreak settings: Points to consider. Clinical trials, 13 (1), 92–95. DOI 10.1177/1740774515618198.
Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Ren, R., Leung, Kathy S. M., Lau, Eric H. Y., & Wong, Jessica Y. (2020). Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. New England Journal of Medicine, 382 (13), 1199–1207. DOI 10.1056/NEJMoa2001316.
Mykhalchuk Nataliia, Pelekh Yurii, Kharchenko Yevhen, Ivashkevych Eduard, Ivashkevych Ernest, Prymachok Lyudmyla, Hupavtseva Nataliia, & Zukow Walery (2020). The empirical research of the professional reliability of 550 doctors during the COVID-19 pandemic in Ukraine (March-June, 2020). Balneo Research Journal, 11 (3), 393–404. DOI http://dx.doi.org/10.12680/balne.
Onufriieva, L., Chaikovska, O., Kobets, O., Pavelkiv, R., & Melnychuk, T. (2020). Social Intelligence as a Factor of Volunteer Activities by Future Medical Workers. Journal of History Culture and Art Research, 9 (1), 84–95. DOI http://dx.doi.org/10.7596/taksad.v9i1.2536.
Ranieri, V. M., Rubenfeld, G. D., & Thompson, B. T. (2012). Acute respiratory distress syndrome: the Berlin Definition. JAMA-Journal of the American Medical Association, 307, 2526–2533. DOI 10.1001/ jama.2012.5669.
Villar, J., Blanco, J., & del Campo, R. (2015). Spanish Initiative for Epidemiology, Stratification & Therapies for ARDS (SIESTA) Network. Assessment of PaO/FiO for stratification of patients with moderate and severe acute respiratory distress syndrome. BMJ Open, 5 (3). DOI 10.1136/bmjopen-2014-006812.
Yang, Y., Yang, M., & Shen, C. (2020). Evaluating the accuracy of different respiratory specimens in the laboratory diagnosis and monitoring the viral shedding of 2019-nCoV infections. MedRxiv. Preprint posted online February 17. DOI 10.1101/2020.02.11.20021493.
Zou, L., Ruan, F., & Huang, M. (2020). SARS-CoV-2 viral load in upper respiratory specimens of infected patients. New England Journal of Medicine, 382, 1177–1179. Published online March 19. DOI 10.1056/NEJMc2001737.
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