Meditsinskaya sestra

Due to a wide range of functional load, a nurse in dentistry meets with a number of problems and difficulties in her professional activity, which directly affects the overall result of patient treatment. The study of this issue in order to improve the quality of dental care work is a relevant area of analysis. In this aspect it is necessary to consider excessive physical and mental load, infection risks, psycho-emotional stress and emotional burnout syndrome. All this undoubtedly affects the decrease in the quality of medical care.

With the continuous improvement of living standards, most patients have increasingly high demands on the quality of health care services. As for nursing, the high-quality nursing care model has gradually replaced the traditional nursing model and has been recognized by many patients. Throughout the entire period of the formation of medicine, all kinds of measures have been taken to improve the provision of therapeutic and preventive care to pregnant women, women in labor, women in childbirth, newborns and gynecological patients, since this type of care has certain specifics, differing from general medical practice. One of the possible tools to improve the quality of work of nursing professionals is to study the problems of the work process and timely elimination of difficulties faced by midwives and nurses in the course of their professional activities.

Due to the fact that the high prevalence of otorhinolaryngologic pathologies in the world has a significant impact on the increase in disability and mortality rates, both physicians and nurses in the specialized department should be aware of the main aspects related to diseases of the ENT organs, which will help them to provide better medical care to this group of patients. The role of nurses in this case is varied and includes nursing, educational and supportive aspects in solving clinical problems. In their daily practice, nurses face many challenges: overtime, increased physical workload, responsibility for patient safety, lack of respect, and increased psychological pressure. The presented aspects have a negative impact on the mental health of nursing staff, leading to “professional burnout” and a decrease in the quality of nursing care.

The purpose of this study is to evaluate complications after minimally invasive surgical interventions for obstructive jaundice. The statistical analysis of the data of modern Russian and foreign literature sources, as well as the latest scientific works in the field of preoperative preparation of the patient and prevention of postoperative complications in the field of minimally invasive surgical intervention was carried out. The development of these complications represents a fairly wide range of pathological processes, which depends on several indicators directly related to the patient and the operating environment. One of the most important factors is preoperative preparation, which depends on the type of operation, the individual reaction of the patient. Based on the results obtained during the study, it can be concluded that.

To address the spread of pathogenic agents and minimize the risk of infection, it is essential to apply measures for proper antiseptic treatment of the surgical site prior to an invasive medical procedure to effectively reduce the incidence of surgical site infection and associated complications. Knowledge of the concepts and standards for the use of antiseptic and disinfectant agents helps health care providers to effectively prevent the spread of infectious agents and provides a scientific basis for their rational use. Research on the mechanisms of action of antiseptics has not only scientific but also practical importance for nurses and clinicians, which is related to more effective use of these drugs in professional activities and potential development of new promising compounds and their combinations.

Cardiomyopathy (CMP) is a group of heterogeneous diseases characterized by structural or functional changes in the myocardium, not caused by coronary heart disease, hypertension, valvular diseases and congenital diseases. This article deals with problems of etiology, pathogenesis, clinical symptomatology, approaches to detection and treatment of restrictive cardiomyopathy.

Introduction. During the COVID-19 pandemic, crises occurred in various spheres of life – health, politics, economics, education, etc. Medical staff turned out to be a more vulnerable category in terms of the risk of developing emotional burnout. The various problems that the doctors had to face contributed to a huge increase in workload, as well as increased susceptibility to burnout and stress.

The aim of the study is to investigate the emotional burnout of COVID nurses in hospitals, polyclinics and hospitals 3 years after the COVID-19 pandemic.

Material and methods. To achieve the purpose of the study, a survey and analysis were conducted among nurses who worked in the “red zone” of COVID hospitals (n=73); polyclinic nurses (n=78) and nurses of multidisciplinary hospitals (n=77), as well as the control group (n=79). To study the burnout syndrome, the Maslach Burnout questionnaire was used and a questionnaire was conducted, which allowed us to assess the attitude of nursing staff to the situation 3 years after the COVID-19 pandemic. The processing of the obtained data was carried out using the statistical package “Statistica”.

Results. It was revealed that nurses who worked in the “red zone” in COVID hospitals, their colleagues from polyclinics and multidisciplinary hospitals, according to the results of the study, have increased indicators of emotional burnout. COVID hospital nurses have significantly higher characteristics of “occupational exhaustion” and “depersonalization” compared to hospital nurses (p≤0.001) and outpatient nurses (p≤0.001). It should be noted that the nurses of COVID hospitals have a significantly lower indicator of “reduction of personal achievements” compared to the nurses of multidisciplinary hospitals and outpatient clinics. Risk factors that affect the psychological health and emotional burnout of nurses during the COVID-19 pandemic have been identified: changes in the organization of work, the risk of infection and social isolation.

Conclusions. The study revealed that all three groups have increased characteristics of professional burnout. Thus, COVID hospital nurses have significantly higher rates of “professional exhaustion”, “depersonalization” and low values of the indicator “reduction of personal achievements”, compared with colleagues in multidisciplinary hospitals and outpatient clinics, even after 3 years. The treatment of patients with COVID-19 exposes physicians to specific risk factors associated with the care of infected patients, with significant changes in the organization of work, as well as safety-related aspects that contribute to increased stress and emotional burnout.