APPLICATION OF ART THERAPY IN ‘ASTHMA SCHOOL’ IN ADOLESCENTS WITH UNCONTROLLED AND PARTIALLY CONTROLLED BRONCHIAL ASTHMA

Abstract

The aim of the study – to increase the effectiveness of providing medical care to children, taking into account the child's individual and psychological characteristics, constitutional and somatic characteristics of the body and its adaptive capabilities. Materials and Methods. Our work is a part of the comprehensive scientific work "Prognostic criteria for metabolic disorders in children with somatic pathology in the ecosocial conditions of the Ternopil region" (state registration number 0113U001240) and the Belarusian Ukrainian Polish Asthma Study (BUPAS) epidemiological research. We conducted a survey of 38 child patients (from 11 to 15 years) with asthma who were hospitalized to the allergic department in children’s hospital. They were observed by physicians and were questioned on asthma control questionnaire (ACQ-5), Eisenk EPI personal questionnaire, Phillips’ questionnaire, Spielberger’s test. To correct the problems which were founded in adolescent patients, we have created a modified version of Astma School and combined it with art therapy, elements of methods of neuro-linguistic programming, dance-motor therapy and also used the creative visualization and body-oriented psychotherapy. Results and Discussion. The complex of art therapy, added to standard therapy, positively influenced on the level of controllability in asthma and lowered personal and situational anxiety in children. During the training in the right breath with the help of art therapy in patients with asthma, anxiety was reduced: personal in 58.33 %, against 10.53 % in protocol treatment, situational in 66.67 %, against 10.53 %, and improved control of the disease comparatively with an initial level of 75.00 % versus 42.11 %, which significantly (p <0.05) reflects the higher efficacy of the complementary symptomatic treatment. Conclusion. It is proved that correction of BA therapy taking into account individual peculiarities of the psychosomatic state of the patient contributes to increasing the effectiveness of treatment.