https://repository.tdmu.edu.ua//handle/1/5335 2026-04-07T09:06:21Z 2026-04-07T09:06:21Z Семйон, Алла Михайлівна https://repository.tdmu.edu.ua//handle/123456789/18888 2026-01-22T01:00:23Z 2021-01-01T00:00:00Z

ОЦІНКА ТОЛЕРАНТНОГО СТАВЛЕННЯ МЕДИЧНИХ СЕСТЕР ДО ЛЮДЕЙ, ЯКІ ЖИВУТЬ З ВІЛ Семйон, Алла Михайлівна

2021-01-01T00:00:00Z Юрченко, Ірина Володимирівна https://repository.tdmu.edu.ua//handle/123456789/18887 2026-01-22T01:01:32Z 2021-01-01T00:00:00Z

ОСОБЛИВОСТІ ПОШИРЕННЯ СИНДРОМУ ПРОФЕСІЙНОГО ВИГОРАННЯ МЕДИЧНИХ ПРАЦІВНИКІВ НАРКОЛОГІЧНИХ ТА ПСИХІАТРИЧНИХ ЗАКЛАДІВ У СУЧАСНИХ УМОВАХ НА ПРИКЛАДІ ЛУГАНСЬКОЇ ОБЛАСТІ Юрченко, Ірина Володимирівна Сьогодні соціально-економічні перетворення та несприятлива політична ситуація в країні, складнощі впровадження реформи охорони здоров’я, вірусна пандемія супроводжуються стресами та невпевненістю в майбутньому, що негативно впливають на психологічне, матеріальне, професійне благополуччя медичних працівників. Це, безумовно, негативно позначається на якості надання медичної допомоги на всіх рівнях, що призводить до нівелювання престижу професії, відтоку висококваліфікованих кадрів, зменшенню обсягу медичних послуг та погіршення репутації будь-якого медичного закладу. Інтерес до вигорання завжди поширювався та залежав від соціально-економічного розвитку країни чи регіону. глобалізація, приватизація та, навіть, комп'ютеризація спричиняють швидкі, а іноді і миттєві зміни у робочому житті. Постійно виникає необхідність оволодіння новими навичками, новими видами робіт, підвищення продуктивності праці. Ці зміни не минули і медичних працівників – взаємозамінність, часто, вимушена, розширення обов’язків та повноважень, постійне очікування нових впроваджень – вимагають від медиків посиленої уваги, зібраності, стресостійкості. Загальне прискорення темпу життя та збільшення інформаційного тиску на особистість утворюють передумови розвитку вигорання. Хоча вигорання невід’ємно зв’язане з професійною діяльністю, фактори, що впливають на розповсюдження можуть бути дуже різноманітними. І сучасність вносить свої корективи. Особливо це стосується зовнішніх факторів впливу на СЕВ. Науковий і практичний інтерес до синдрому вигорання обумовлений тим, що його наслідки є небезпечними не лише для медичних працівників, а й для об’єктів їх професійної діяльності – пацієнтів, людей, що потребують особливого догляду, посиленої уваги, психологічної та емоційної підтримки. Професійно виснажений, емоційно знесилений лікар чи медична сестра не спроможні продуктивно працювати, оскільки у них знижується рівень психологічної готовності до інноваційної діяльності, особистісного та професійного самовдосконалення, погіршуються взаємини з адміністрацією, колегами, клієнтами. Згідно з концепцією розвитку охорони психічного здоров’я під егідою ВООЗ, МОЗ України, Швейцарської агенції розвитку та співробітництва, Агентства США з міжнародного розвитку (USAID), Світового банку та Департаменту охорони здоров’я Луганської облдержадміністрації у Луганській області була створена Координаційна рада для впровадження проєкт «Психічне здоров’я для України на період до 2030 року. Ця концепція передбачає вирішення ряду проблемних питань надання спеціалізованої медичної допомоги людям з психічними розладами. Ось лише деякі них: несвоєчасність звернення до лікування, великий відсоток людей з залежностями, анозогнозія захворювань, зростання аутичних розладів у дітей, організація мобільних бригад з надання психіатричної допомоги, інтеграція послуг із розвитку психічного здоров'я до первинної ланки, недостатність кваліфікованого персоналу. Варто враховувати і те, що ЛЗНПД Луганської області забезпечені лише на 75-80% лікарями, з яких 40% це люди пенсійного віку. Як бачимо, кадрова проблема дуже актуальна. А це значить, що виконання поставлених задач збільшує навантаження на медичний персонал, рівень відповідальності кожного працівника. Вимоги до підготовки та кваліфікації медичних кадрів усіх щаблів також значно підвищились за доволі короткий проміжок часу, що, несумнівно, додає стресоутворюючих факторів у професійній діяльності.

2021-01-01T00:00:00Z Планчак, Світлана Станіславівна https://repository.tdmu.edu.ua//handle/123456789/18886 2026-01-22T01:01:44Z 2021-01-01T00:00:00Z

ИВЧЕННЯ ПОІНФОРМОВАНОСТІ МЕДИЧНИХ СЕСТЕР «УЖГОРОДСЬКОЇ РАЙОННОЇ КЛІНІЧНОЇ ЛІКАРНІ» УЖГОРОДСЬКОЇ РАЙОННОЇ РАДИ У ПРОФІЛАКТИЦІ ГРИПУ Планчак, Світлана Станіславівна Метою дослідження було визначення соціально-інформаційних чинників ефективності вакцинації, у тому числі – пов’язаних з такими факторами, як антивакцинальні настрої, недостатня обізнаність пацієнтів і медичних співробітників.

2021-01-01T00:00:00Z Федонюк, Лариса Ярославівна https://repository.tdmu.edu.ua//handle/123456789/18363 2025-06-14T00:01:20Z 2023-01-01T00:00:00Z

ФОРМУВАННЯ ПРЕДМЕТНОЇ КОМПЕТЕНТНОСТІ СТУДЕНТІВ ТНМУ ЗАСОБАМИ МУЗЕЙНОЇ ПЕДАГОГІКИ Федонюк, Лариса Ярославівна Музейна педагогіка – це міждисциплінарна сфера, яка грунтується на освітніх теоріях і методології, опирається на основи психології, антропології, історії та музеєзнавства для створення ефективного освітнього досвіду в музейному контексті. Метою музейної педагогіки є створення динамічного та інтерактивного навчального середовища, яке дозволяє відвідувачам досліджувати та осмислювати об’єкти, що демонструються. Це досягається за допомогою ряду методів, таких як інтерактивні виставки, мультимедійні ресурси, екскурсії, майстер-класи та інші освітні програми. Поширення наукової освіти, особливо фундаментальної, в музеях потребує більших зусиль і нових підходів з боку вищих навчальних закладів. Зрештою, недостатньо змінити таблички та вивіски - нові освітні ідеї мають бути підкріплені науково обґрунтованим педагогічним супроводом. Певні країни західного світу та Європи вже мають деякий досвід використання різноманітних технологій навчання та методів організації освітнього процесу у музеях різного спрямування, особливо – у так званих «наукових центрах» - музеях науки та технологій. В Україні тільки починають виникати наукові центри, переважно незалежні приватні інституції, і тільки починається переосмислення ролі та місії музеїв у суспільстві. Тому цей процес потребує певної підтримки з боку суспільства та участі науковців і педагогів з метою розвитку та збагачення нових напрямів музейної педагогіки. Можна стверджувати, що роль музеїв цього типу в освітньому процесі значно зростає й стає сучасною тенденцією розвитку музейної педагогіки. Мета – вивчити історію становлення музеїв ТНМУ, проаналізувати сучасну діяльність та виявити тенденції розвитку освітньо-педагогічної, наукової та просвітницької діяльностей історичних і навчальних музеїв університету, а також висвітлити багатогранність музейної спадщини закладу вищої освіти.

2023-01-01T00:00:00Z Stashuk, Lyudmyla https://repository.tdmu.edu.ua//handle/123456789/17996 2024-06-27T00:03:16Z 2023-01-01T00:00:00Z

CHEMOTHERAPY-INDUCED COGNITIVE IMPAIRMENT Stashuk, Lyudmyla Additionally, this research underscores the importance of early detection and intervention in patients undergoing chemotherapy. While the exact pathophysiological mechanisms underlying CICI remain elusive, evidence points towards the disruption of neural synapses, inflammation, oxidative stress, and alterations in blood-brain barrier permeability as potential contributors. This complexity reinforces the need for a multidisciplinary approach in the management and research of CICI. Moreover, the emotional and psychological toll of CICI cannot be overlooked. Patients often express feelings of frustration, anxiety, and depression due to cognitive changes, which can affect their overall quality of life and impede their post-treatment recovery. Therefore, integrating psychological support and counseling is imperative to holistically address the multifaceted challenges faced by those afflicted. Interestingly, the increasing awareness of CICI has led to a surge in the development of technological aids and cognitive training programs. These tools, ranging from mobile applications to comprehensive cognitive rehabilitation programs, aim to help individuals regain their cognitive functions and enhance their adaptive strategies. The path forward necessitates a synergy between rigorous scientific research and compassionate patient care. Collaborative efforts between oncologists, neurologists, psychologists, and allied health professionals are crucial in developing effective strategies to minimize the impact of CICI. This holistic approach will ensure that cancer survivors not only live longer but also enjoy a life of optimal cognitive and emotional well-being.

2023-01-01T00:00:00Z Ustian, Boris https://repository.tdmu.edu.ua//handle/123456789/17995 2024-06-27T00:03:08Z 2023-01-01T00:00:00Z

Nursing aspects of cerebrovascular accidents (strokes): management, prevention and evidence-based best practices Ustian, Boris Stroke has emerged as a significant socio-medical issue in Neurology, with an estimated annual occurrence of 15 million cases worldwide. The acute period of stroke poses a high mortality rate of 20-30%. Furthermore, 70-80% of stroke survivors experience disabilities, necessitating the assistance of caregivers, and limiting their ability to live a full life. To address this, the development of more effective rehabilitation approaches is crucial to facilitate the recovery process and restore patients to their previous level of functioning. Unhealthy lifestyle choices, such as pernicious habits and non-compliance with medical recommendations, along with the neglect of preventive medical check-ups, contribute to the prevalence of stroke. However, advancements in rehabilitation technologies and models have the potential to revolutionize the field, enabling patients to acquire new recovery skills and achieve a faster return to normal life compared to traditional rehabilitation methods. Promoting a healthy lifestyle, including smoking cessation, a nutritious diet, and regular physical activity, plays a vital role in both primary and secondary stroke prevention. Controlling high blood pressure is essential for the general population and particularly critical during the acute phase of hemorrhagic stroke. Primordial prevention strategies encompass community-based education programs, identifying and treating atrial fibrillation, and leveraging digital health technologies. Acute stroke treatments may involve medications and surgical interventions, with specialized stroke units in hospitals demonstrating effectiveness in delivering optimal care. Patients with chronic conditions like stroke require long-term medication management, lifestyle adjustments, self-management skills, and support from caregivers and families to achieve optimal health outcomes. Rehabilitation interventions target the physical, speech-related, and cognitive functions of stroke survivors with disabilities. Home-based or community-based rehabilitation services, as well as remote rehabilitation, hold promise for post-stroke patients. The aim of the study: to investigate the specific aspects of nursing work in cerebrovascular accidents; in particular, investigate the principal aspects of prevention and treatment taking into account evidence-based best practices. Study objectives. 1. To determine the fundamental concepts of cerebrovascular accidents. 2. To determine the treatment and prognosis in cerebrovascular accidents. 3. To study evidence-based best practices in prevention, rehabilitation and management of patients with acute cerebrovascular accidents. 4. To investigate the specific aspects of nursing work with patients in the neurological department, including those with acute cerebrovascular accidents. 5. To study the symptoms in patients admitted with strokes of various etiology. 6. To study the time from the onset of the disease to hospital admission in neurological patients. The object of research. Patients with acute cerebrovascular accidents aged 23 to 95 years; in this setting, we have been investigating the symptoms found on admission in patients with strokes of various etiology and the time from the onset of the disease to admission. The subject of research. The special aspects and the role of nursing process in the treatment of neurological patients with strokes of various etiology and the impact of the time from the onset of the disease to admission on the course of the disease. The methods of study: general clinical assessments, special neurological methods, history of present disease and health history, clinical observation of neurological patients, physical examination, general health assessment, data comparison and data analysis, laboratory and instrumental tests, a comprehensive analytical method; and statistical research methods. The scientific and practical value of the study. During analysis of information about the work of nursing personnel with patients in the neurological department we have studied the fundamental concepts of cerebrovascular accidents, identified the characteristic features of treatment and prognosis in cerebrovascular accidents, reviewed the evidence-based best practices in prevention, rehabilitation and management of patients with acute cerebrovascular accidents; determined the specific aspects of nursing work with patients in the neurological department, including the patients with acute cerebrovascular accidents, and investigated the symptoms in patients admitted with strokes of various etiology and the time from the onset of the disease to admission of neurological patients

2023-01-01T00:00:00Z Sharipov, Farkhod https://repository.tdmu.edu.ua//handle/123456789/17994 2024-06-27T00:02:41Z 2023-01-01T00:00:00Z

Home_based patient care: special aspects of organization and nursing work Sharipov, Farkhod Patient care was provided by specifically trained nurses since the early 19th century. A lot of Roman-Catholic and Protestant sisters in many cities of the United States joined this movement and provided home nursing services wth the supervision of the church. It was very important because they were trying to fulfill the need in high quality patient care outside the hospital walls. A lot of chronic conditions in patients require huge financial and human resource need as well as medical system overload. Provision and financing of home-based care services are important considerations for decision-making in the field of health care policies and practices. The aim of the study is to study the management of nursing process in home-based care provided to patients with various health problems, including chronic disease; to identify the principles of individual approach to patients in a home setting and the challenges in the nursing process; and to define the staging of chronic disease compensation as a method to evaluate treatment and care outcomes in a home setting. Study objectives. 1. To study the historical aspects of home-based care. 2. To determine the role of nurses in home-based health services. 3. To determine the nursing work in conditions requiring home-based extended care. 4. To study the principles of individual approach to patients in a home setting. 5. To determine the problems occurring in the nursing process. 6. To investigate the staging of chronic disease compensation in nursing care. 7. To evaluate home-based treatment and care based on the phases of chronic disease compensation. The object of research. Patients with chronic disease of different etiologies and compensation phases in a setting of home-based nursing care. The subject of research. Nursing management in a home-based care setting, and evaluation of home-based treatment and care based on chronic disease compensation. The methods of study: standard clinical methods, collecting the history of disease and health history, patient observation, physical examination, appraisal of the patient’s general health status, collection of information regarding the patient’s principal complaints, the specific aspects and the analysis of chronic disease compensation, data comparison, laboratory tests, diagnostic imaging; the analytical method; and the statistical methods

2023-01-01T00:00:00Z Sarkissian, Sarkissian https://repository.tdmu.edu.ua//handle/123456789/17993 2024-06-27T00:02:53Z 2023-01-01T00:00:00Z

The aspects of nursing work in post-general anesthesia and intensive care unit patient care Sarkissian, Sarkissian The post-general anesthesia intensive care is of crucial importance in the postoperative period, since it allows for a close monitoring of the patient's vital signs, including heart rate, blood pressure, respiratory rate and oxygen saturation. In addition, this allows for a quick recognition and treatment of any complications that may arise, such as respiratory failure, sepsis, or shock. An intensive care unit also provides conditions for pain control, early mobility and nutritional support. Pain control is especially important in the postoperative period, as uncontrolled pain can delay recovery, increase the risk of complications, and lead to chronic pain. Nurses are instrumental in pain management by regularly assessing pain levels, administering appropriate pain medications, and monitoring side effects. To improve the quality of patient's stay in the intensive care unit, nurses can carry out a number of activities. These activities may include regular reassurance and emotional support of patients and their families, encouraging early movement and exercise, and promoting good nutrition and adequate sleep. The aim of the study was to conduct a research study and analysis of the characteristics of nursing work in providing care to post-general anesthesia patients and patients in the intensive care unit. Study objectives. 1. To study the main aspects of intensive care in nursing. 2. To study the special characteristics in the work of an intensive care unit nurse. 3. To investigate the modern principles and options for pain and discomfort control in post-general anesthesia patients. 4. To study and analyze the methods of treatment of critical patients in an intensive care unit. 5. To study the special characteristics of nursing management and leadership in the organization of ICU-based care. Object of research: Patients in the anesthesia and intensive care unit who have been operated upon due to various surgical disease and were on therapy in the early postoperative period. Subject of research: the aspects of nursing work in post-general anesthesia and ICU patient care; the intensity of pain syndrome in the postoperative period; the use of standardized protocols for monitoring pain intensity in postoperative intensive care patients as part of nursing practice; and comparative assessment of pain intensity over the first two days postoperatively in intensive care patients using standardized and conventional protocols. Research methods: the following methods were used to solve the problems of the study: • General clinical methods: the nurse is using general clinical methods such as monitoring the patient's vital signs, monitoring of patient's physical and mental well-being, and checking for any complications or side effects associated with anesthesia or ICU stay. • Collecting history of present disease and general health history: the nurse is collecting a detailed history of the patient's health and present disease, including any prior surgeries or hospital admissions. • Physical examination: the nurse is conducting a thorough physical inspection of the patient to assess their general health, including monitoring of any vital signs, skin color, and other health parameters. • Assessment of the patient's general condition: the nurse assesses the patient's general health status, including their level of consciousness, orientation, and pain level. The nurse also monitors the patient's water and electrolyte balance and nutritional status. • Collecting information on major complaints: the nurse collects information on the patient's major complaints such as pain, discomfort, nausea or other symptoms, and reports them to the physician for further evaluation and treatment. • Special characteristics and analysis of rehabilitation: the nurse monitors the patient's rehabilitation process, including their physiotherapy, occupational therapy, and other activities intended to help them recover after surgery or from illness. • Data comparison: the nurse compares the patient's current status with their previous status to assess any changes or improvements in their health. • Laboratory and instrumental tests: the nurse orders and interprets laboratory tests such as blood and urine tests or imaging studies, to help diagnose any complications or monitor the patient's recovery. • Analytical method: the nurse uses an analytical approach to identify any potential problems or complications, and develop a plan of care to address them. • Statistical methods: the nurse uses statistical methods to analyze and interpret data related to patient outcomes, and uses this information to improve patient care and outcomes. The scientific and practical value of the study. The practical significance of the research paper is to study the aspects of intensive care in nursing, the characteristics of nursing work in an intensive care unit, the investigation of modern principles and options for pain and discomfort control in post-general anesthesia patients; to study and analyze the methods of treatment used in critical patients in an ICU setting; and to investigate and analyze the special characteristics of nursing management and leadership in the organization of ICU-based care.

2023-01-01T00:00:00Z Kafarskaya, Yelena https://repository.tdmu.edu.ua//handle/123456789/17992 2024-06-27T00:02:39Z 2023-01-01T00:00:00Z

The role of the nurse in the prevention and management of diabetes mellitus in children and adolescents Kafarskaya, Yelena Diabetes mellitus (DM) is one of the most common chronic diseases in childhood. At the same time, children and adolescents are a special category of patients that require increased attention from doctors and nurses. After all, it is difficult for them to understand what negative manifestations diabetes can lead to. The course of the disease in children of primary school age has always been considered severe, which is also related to endogenous factors (fear of injection, refusal to eat, etc.). At the initial stage, the child has general weakness, weight loss even with a good appetite, irritability, decreased performance at school, nausea, vomiting, sometimes nocturnal incontinence, which indicates decompensation of diabetes. In adolescents, the emotional factor that affects the course of the disease is of great importance. They are characterized by depression and aggressiveness, including directed at themselves, anxiety, eating disorders, conflicts in the family, low self-esteem, problems with fulfilling medical recommendations. The aim of the study: to study the role of the nurse in the prevention and management of diabetes mellitus in children and adolescents. Study objectives. 1. To study the etiological aspects and classification of diabetes mellitus in children. 2. To determine the features of nursing management in diagnosing and treating diabetes mellitus in children and adolescents. 3. To investigate modern methods of control and treatment of diabetes mellitus. 4. To investigate the preventive aspects and the nurse’s role in the early detection of diabetes in children. The object of research. School-age children and adolescents from a specific region who had their blood sugar levels tested to determine glucose tolerance. The subject of research. The nursing process in the screening and care of patients with diabetes mellitus in adolescence and childhood, determining the total number of patients with elevated blood sugar levels and identifying the type of disorder associated with impaired glucose tolerance. The methods of study: History of the disease: a collection of a detailed history of the patient's diabetes mellitus, including the onset, duration, symptoms, and previous treatment. Life history: Gather information about the patient's lifestyle, diet, exercise habits, family history, and any other relevant factors that may contribute to the development of diabetes. Patient monitoring: Regular monitoring of blood glucose levels, vital signs, and symptoms of diabetes-related complications. Objective examination: Performing a physical exam to assess the patient's overall health and identify any signs or symptoms of diabetes-related complications. Laboratory and instrumental research methods. These may include blood tests to measure blood glucose levels, HbA1c, lipid profile, kidney function, and other parameters that can help diagnose and monitor diabetes. Analytical method: analysis of the collected data to identify any trends, patterns, or associations that may be associated with diabetes mellitus. Statistical methods of scientific research: The use of statistical methods to analyze data and draw conclusions about the prevalence of elevated blood sugar levels and the type of disorder associated with impaired glucose tolerance in the study population. The scientific and practical value of the study. In the course of this scientific study, we studied the etiological aspects and classification of diabetes mellitus in children, identified the features of nursing management in the diagnosis and treatment of diabetes mellitus in children and adolescents, investigated modern methods of control and treatment of diabetes mellitus; investigated the preventive aspects and the role of a nurse in the early detection of diabetes in children.

2023-01-01T00:00:00Z Stratt, Anna https://repository.tdmu.edu.ua//handle/123456789/17991 2024-06-27T00:02:51Z 2023-01-01T00:00:00Z

Modern surgical methods in the treatment of cardiovascular pathology and prevention of postoperative complications Stratt, Anna Cardiovascular diseases (CVD) persist as a significant global health issue. The span from 2010-2023 witnessed monumental shifts in surgical techniques for CVD, leading to heightened efficacy and diminished postoperative complications. Study Objectives: To critically examine the latest surgical methods in cardiovascular treatments and to systematically analyze preventative strategies against postoperative adversities. The Aim of the Study: To map the advancements in cardiovascular surgical practices introduced and gauge their impact on patient outcomes, simultaneously pinpointing the most effective protocols to stave off postoperative complications. The Object of Research: Cardiovascular surgical interventions that emerged and evolved. The Subject of Research: The effectiveness, associated patient outcomes, and potential postoperative complications of these modern cardiovascular surgical approaches. Methods of Study: A rigorous systematic review, encompassing both randomized controlled trials and observational studies from the designated period, was undertaken. Spotlight was cast on Minimally Invasive Cardiac Surgery (MICS), Transcatheter Aortic Valve Replacement (TAVR), Robotic-assisted Cardiac Surgery, and Hybrid Procedures. Furthermore, postoperative care paradigms, such as Enhanced Recovery After Surgery (ERAS) protocols, anticoagulation management, intraoperative monitoring, and patient-driven rehabilitation programs, were in-depth assessed. Results: Modern surgical interventions, especially MICS, TAVR, and Robotic-assisted surgeries, were associated with marked reductions in surgical trauma, blood loss, and hospital stay lengths, leading to better patient satisfaction scores. Hybrid procedures demonstrated exceptional efficacy in managing multifaceted cardiovascular conditions by capitalizing on the combined strengths of traditional and catheter-based approaches. Postoperative management, underscored by ERAS protocols and meticulous anticoagulation strategies, significantly lowered immediate and delayed postoperative complications. The proactive involvement of patients in their recovery, facilitated by early mobilization and tailored rehabilitation, further optimized post-surgical outcomes and minimized re-hospitalization rates. Conclusion: The surgical landscape for cardiovascular pathology underwent a transformative evolution. Embracing a holistic approach that synergizes cutting-edge surgical techniques with a robust postoperative care regimen ensures superior patient outcomes and sets a new standard in cardiovascular care. Future research should delve deeper into long-term patient outcomes, potential complications emerging beyond the immediate postoperative period, and the socioeconomic implications of these innovative treatments. Scientific and Practical Value of the Study: This research offers invaluable scientific insights into the evolution of cardiovascular surgical interventions over a significant period, enriching the academic literature in the domain. Practically, the study equips healthcare professionals with empirical data on the efficacy of these techniques, facilitating informed clinical decisions. Furthermore, the study underscores the importance of integrative postoperative care, providing clinicians with a roadmap to minimize complications and improve patient welfare.

2023-01-01T00:00:00Z