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konfliqtis Sedegad dazaralebul pirTa fsiqosocialuri daxmareba fsiqiatriis s/k institutis informacia. instiutis klinikis direqtori: qeTevan gigolaSvili. fsiqiatriis s/k institutis mier konfliqtSi dazaralebul pirTa daxmareba xorcieldeba Semdegi firmiT:.
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konfliqtis Sedegad dazaralebulpirTa fsiqosocialuri daxmarebafsiqiatriis s/k institutis informacia instiutis klinikis direqtori: qeTevan gigolaSvili
fsiqiatriis s/k institutis mier konfliqtSi dazaralebul pirTa daxmareba xorcieldeba Semdegi firmiT: • 1. ambulatoriuli daxmareba- fsiqiatriis institutis poliklinikuri ganyofileba • 2. stacionaruli daxmareba fsiqiatriis institutis klinikuri ganyofilebebi • 3. pirveladi krizisuli intervencia – akad.-o RuduSauris sax. erovnuli samedicino centri • 4. fsiqo-socialuri da samedicino-fsiqiatriuli daxmareba-devnilTa ganTavsebis adgilebi.
I stacionaruli daxmareba: gasaTvaliswinebelia, rom • stacionaruli mkurnalobis programuli dafinanseba xdeba 225 pacientze. • saomari moqmedebis gamo dasavleT saqarTvelodan pacientTa momarTvianoba ver xerxdeboda.
stacionaruli daxmareba gaewia konfliqtSi dazaralebul sul 38 pacients (devnilebi da jariskacebi), sxvadasxva fsiqikuri aSlilobebiT.maT Soris ZiriTadad iyo: • mwvave stresuli reaqciebi- 20% • reaqtiuli mdgomareoba- 7% • mwvave bodviTi aSliloba-18% • T/tvinis organuli dazianebis fonze ganviTarebuli sxvadasxva fsiqikuri aSlilobebi-32% • afeqturi aSlilobebi-23%
II. ambulatoriuli daxmareba momarTvianoba poliklinikur ganyofilebaSi: • konfliqtis zonaSi dazaralebulTa momarTvianobis saerTo raodenoba -76 • maT Soris: • samxedro mosamsaxure-32 • devnili pacientebi (goris f/n dispanserSi aRricxvaze myofi)-26 • devnili mosaxleobidan-17 • tyved-namyofi-1 • ambulatoriulu momarTvianobisas konfliqtiT dazaralebulTa Soris fsiqikuri aSlilobrbi diagnostirda Semdegi saxiT: • samxedro momsaxureTa Soris : • mwvave reaqcia stresze-20 • posttravmuli stresuli aSliloba-10 • mwvave bodviTi aSliloba-1 • ipoqondruli aSliloba-1 • devnilTa Soris: • Sereuli SfoTviTi da depresiuli aSliloba-12 • somatodormuli aSliloba-1 • mwvave reaqcia stresze-4 • tyved namyofi –posttramvuli stresuli aSliloba.
III. pirveladi krizisuli intrvencia • akad.o. RuduSauris sax. erovnuli samedicino centrSi daWrilebTan samuSaod fsiqiatriis institutis mier gaxsnili iqna posti, sadac morigeobdnen institutis TanamSromlebi. maT mier konsultirebuli iqna da pirveladi krizisuli daxmareba gaewia- 32 pacients. • IV. fsiqo-socialuri da samedicino-fsiqiatriuli daxmareba • gldanisa da muxianis raionSi ganTavsebuli devnilTa cenTrebSi (3centri) fsiqosocialuri da samedicino-fsiqiatriuli daxmarebas axorcielebs fsiqologi da fsiqiatriis poliklinikaSi ganyofilebis eqimi-fsiqiatri. • amasTandevnilTa centridan nebismieri moTxovnisas,Cveni specialistebi atareben adgilze konsultacias da samedicino daxmarebas.
rekomendaciebi: • konfliqtiT dazaralebuli pirTaTvis drouli, kvalificireabuli da xelmisawvdomi fsiqococialuri daxmareba. • fsiqosocialuri daxmarebisa da reabilitaciis erTiani saxelmwifo programis SemuSaveba, saxelmwifo da arasamTavrobo organizaciebis CarTviT. • fsiqosocialuri daxmarebisa da reabilitaciis programaSi momuSave organizaciebisTvis maTi samizne jgufebisa da aqtivobebis zusti gansazRvra koordinirebuli muSaobis mizniT. • saxelmwifo fsiqiatriuli daxmarebis programis CarCoebis gafarToeba saomar mdgomareobebTan da devnilobasTan dakavSierbuli sxvadasxva fsiqikuri aSlilobebis gaTvaliswinebiT. • konfliqtis regionSi momuSave pedagogebis eqimebisa da fsiqologebis momzadeba saomari moqmedebebiT travmirebul pirebTan(gansakuTrebiT bavSvebTan) samuSaod.
rekomendaciebi: • fsiqosocialuri daxmarebis da reabilitaciis grZelvadiani programebis SemuSaveba: • saxelmwifo fsiqiatriuli ambulatoriuli da stacionaruli 2009w.programebis SemuSaveba konfliqtSi dazaralebulTa pirTa Soris mosalodneli (mogvianebiTi) fsiqikuri aSlilobebis gaTvaliswinebiT(mxolod posttramvuli aSlilobebis ganviTareba mosalodnelia devnili mosaxleobis 17% xolo daWrilTa 30%). • fsiqikuri janmrTelobis prevenciuli programebis SemuSaveba • fsiqosocialuri daxmarebis programebis SemuSaveba gansakuTrebuli riskis mqone jgufebTan samuSaod.