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Assessment of indicators of personal sphere of people with disabling diseases of various nosological groups

Varina Hanna, Shevchenko Svitlana, Voloshyna Valentyna, Bulakh Irina

Zeszyty Naukowe Wyższej Szkoły Technicznej w Katowicach

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2021

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nr 13

181--192

EN

The research work deals with the experimental study of personal indicators of people with disabling diseases of various nosological groups (diseases of the musculoskeletal system, spinal injuries, cardiovascular diseases, cerebral blood flow acute disturbances, oncological diseases, head injuries, diseases of internal organs, central and peripheral nervous systems diseases). The study involved 22 clients (9 women and 13 men) aged 19-60, with functional limitations of various nosology of the I-III disablement groups of the Mixed Type Center of Rehabilitation for the Adults and Children with Disabilities of Melitopol City Council of Zaporizhzhia Region. It has been experimentally proved that the average values on all scales of WAM-Technique are within the statistical norm. Depending on the stage of the study, a clear pattern of changes in well-being (W), activity (A), and mood (N) during rehabilitation procedures has been traced. High rehabilitation potential of individuals of nosological groups of the sample is characterized by high indicators (≤50%) and low indicators (≥50%) on all scales. High rehabilitation potential has been revealed among people with musculoskeletal system diseases and spinal injuries. In all other nosological groups a low rehabilitation potential has been identified. It has been also proved that a majority of patients have an intrapsychic orientation towards the disease (61%). The process of socio -psychological adaptation of people with disabilities is difficult, because: these people have a low level of life satisfaction; self-esteem also has a negative dynamics; people with disabilities face significant problems in the field of relationships with others; their emotional state is characterized by anxiety and uncertainty about future

PL

Praca badawcza dotyczy eksperymentalnego badania wskaźników osobowych pacjentów z chorobami powodującymi niepełnosprawność różnych grup nozologicznych (choroby narządu ruchu, urazy kręgosłupa, choroby układu krążenia, ostre zaburzenia przepływu krwi w mózgu, choroby onkologiczne, urazy głowy, choroby narządów wewnętrznych, choroby ośrodkowego i obwodowego układu nerwowego). W badaniu wzięło udział 22 pacjentów (9 kobiet i 13 mężczyzn) w wieku 19-60 lat, z funkcjonalnymi ograniczeniami różnej nozologii I-III grup inwalidztwa Mieszanego Ośrodka Rehabilitacji Dorosłych i Dzieci Niepełnosprawnych Urzędu Miasta Melitopol, w obwodzie zaporizkim. Udowodniono eksperymentalnie, że wartości średnie we wszystkich skalach Techniki WAM mieszczą się w normie statystycznej. W zależności od etapu badania, prześledzono wyraźny wzorzec zmian samopoczucia (W), aktywności (A) i nastroju (N) podczas zabiegów rehabilitacyjnych. Wysoki potencjał rehabilitacyjny osobników z grup nozologicznych próby, charakteryzuje się wysokimi (≤50%) i niskimi (≥50%) wskaźnikami we wszystkich skalach. Duży potencjał rehabilitacyjny został ujawniony wśród osób z chorobami narządu ruchu i urazami kręgosłupa. We wszystkich pozostałych grupach nozologicznych zidentyfikowano niski potencjał rehabilitacyjny. Udowodniono również, że większość pacjentów ma orientację intrapsychiczną na chorobę (61%). Proces adaptacji społeczno-psychologicznej osób niepełnosprawnych jest trudny, ponieważ: osoby te mają niski poziom zadowolenia z życia; samoocena ma również negatywną dynamikę; osoby niepełnosprawne borykają się z poważnymi problemami w zakresie relacji z innymi; ich stan emocjonalny charakteryzuje się niepokojem i niepewnością o przyszłość.

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Perspective architectural techniques for the formation and development of public spaces in hospitals

Bulakh Irina

Architecture Civil Engineering Environment

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2021

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Vol. 14, no. 1

15--24

EN

The paper is devoted to important issues of perspective modern directions and methods of organizing public space in hospitals. The innovative world design experience of the newest hospitals is considered, in which places of communication for people were organized in a non-traditional way and received a more functionally intense form. The following latest architectural and planning techniques have been identified and systematized: “pedestrian street”, “hospital-park”, “courtyard”, intuitive orientation and “open room”. The experience of the considered ways of organizing spaces for communication, leisure and recreation for visitors, patients and staff of medical complexes in the design of modern healthcare facilities and reconstruction of existing hospitals will significantly increase the emotional and physical comfort of medical buildings visitors, promote design customization and development of healing potential of the architectural environment and consequently improve the quality and efficiency of treatment delivery.

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Forecasting the territorial-spatial development of the system of children's medical complexes in Ukraine

Bulakh Irina

Architecture Civil Engineering Environment

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2021

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Vol. 14, no. 3

5--15

EN

The forecast development prediction in time-space of the urban system of pediatric treatment facilities of Ukraine is given at the national-territorial level, based on three complementary information sources for the future: the author's structure of the urban system of healthcare, its components, and promising types of medical institutions; retrospective analysis and pat terns of organization and development of the urban system of medical institutions in the leading countries of the world, which indicate the general direction of extrapolation of systems; projected population of Ukraine (optimistic, optimal and pessimistic options), which are obtained through many years of statistical research. The paper presents the results of modeling, which demonstrate the forecast scenarios for the system development of pediatric treatment facilities at the national level of the urban network of primary care facilities and hospital networks. The model’s scenarios contain time prospects of the forecast for 2030, 2040, 2050, 2060, and 2100. The probable nonlinear deviations characteristic of the space-time development of the open system and many internal and external probable points of system bifurcations are considered. The research should be challenging and effective for international scientists who study the range of issues of the urban and spatial development of urban systems, their forecast models, and deployment scenarios. The study is also valuable for countries that face the problems of stable depopulation, have an ineffective and cumbersome healthcare system, and are in the process of looking for ways to reform the medical system in an urban planning context.

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Architectural and urban planning system of health care in Germany and the United Kingdom

Bulakh Irina, Kozakova Olena, Chala Olena, Didichenko Margaryta

Przestrzeń i Forma

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2020

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nr 41

141--148

EN

The article deals with the features of the architectural and urban organization of the health care system and the network of medical and preventive institutions of Germany and Great Britain of state and private levels of subordination. The levels of health care delivery and their share in the overall provision of medical services to the population of the countries are examined. The total number of treatment and prevention facilities across countries is analyzed. Particular attention is paid to determining in German and English health care systems the location of a network of child care facilities.