QUALITY OF LIFE CHANGES IN PEOPLE WITH MENTAL DISORDERS AND BEHAVIOR AS A RESULT OF ALCOHOL USE AFTER PHYSICAL THERAPY

Abstract. The purpose of the work is to deter-mine the effect of physical therapy on the quality of life and psychophysical condition of people with mental and behavioral disorders due to alcohol consumption. Methods. The study was based on a retrospective analysis of the results of treatment of 40 patients of the neuropsychiatric department aged 25-40 years, where a course of physical therapy was conducted to improve the quality of life, which was assessed according to the disease-specific SF-36 questionnaire. Physical therapy techniques included occupational therapy. It is recommended to increase and maintain physical performance, strengthen muscles and joint mobility, increase energy expenditure and prevent weight gain. It is recommended to work outdoors, in the garden, in the field, sawing and cutting firewood. The author's program includes various types of massages, work in greenhouses associated with plant care, which involves frequent lifting of socks and reaching the plants of the upper tiers with the subsequent bending of the trunk and lower extremities for packing fruits and vegetables in grocery boxes. Results. Physical activity of moderate intensity, which is provided by the program of occupational therapy leads in the first 3 months of its application to a steady tendency to improve the subjective assessment of patients by their condition, which is associated with the reduction of manifestations of general intoxication of the body of such patients. This improvement in the physical component of health was due to the improvement of its components such as physical and role functioning and the reduction of the intensity of physical pain. The reported positive changes in the subjective quality of life assessment of patients were associated with an increase in exercise tolerance. The main features of improving the components of the physical health component were: increased exercise tolerance, including medium and high intensity; increasing tolerance for daily work and reducing difficulties in its performance; reducing the pain of self-care, day-to-day work, or physical activity, and an important result that has been achieved by supplementing the traditional treatment regimen for people with mental health disorders and behaviors. The dynamic increase of the mental component of health as an integral indicator of the psycho-physical condition is conditioned by the dynamic growth of such components as vital activity, the level of mental health, manifestations of social and role emotional functioning. The study found that overall, physical therapy leads to a significant increase in the psychological and physical health component of people with mental disorders and behaviors due to alcohol use according to the disease-specific questionnaire up to 12 months. Improvement of quality of life of the specified category of patients after physical therapy is confirmed by the data of physical fitness testing with the help of appropriate tests in the similar terms of observation offered for this group of patients. Conclusions. The results have shown that physical therapy can be used in the complex of conservative treatment to improve the quality of life of people with mental disorders and behavior due to alcohol consumption and reduced physical capacity of the body. The quality of life indicator can be used to evaluate the effectiveness of treatment in this category of patients.