3 research outputs found
Continuing education of nurses from outpatient care - prerequisite for improving quality of life in patients with chronic diseases
ΠΡΠ²Π΅Π΄Π΅Π½ΠΈΠ΅: ΠΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΈΡΠ΅ Π³ΡΠΈΠΆΠΈ Π·Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ½ΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ ΠΊΠ°ΡΠΎ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²Π΅Π½Π° ΡΠΊΠ»Π΅ΡΠΎΠ·Π° ΡΠ° ΠΏΡΠ΅Π΄ΠΏΠΎΡΡΠ°Π²ΠΊΠ° Π·Π° ΠΏΠΎΠ²ΠΈΡΠ°Π²Π°Π½Π΅ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎΡΠΎ Π½Π° ΠΆΠΈΠ²ΠΎΡ ΠΊΠ°ΠΊΡΠΎ Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅, ΡΠ°ΠΊΠ° ΠΈ Π½Π° ΡΠ΅Ρ
Π½ΠΈΡΠ΅ ΡΠ΅ΠΌΠ΅ΠΉΡΡΠ²Π°. Π’Π΅Π·ΠΈ Π³ΡΠΈΠΆΠΈ ΡΠ΅ ΠΏΠ»Π°Π½ΠΈΡΠ°Ρ ΠΎΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈ ΡΠ΅ΡΡΡΠΈ, ΠΊΠΎΠΈΡΠΎ ΡΠ°Π±ΠΎΡΡΡ Π² ΠΈΠ·Π²ΡΠ½Π±ΠΎΠ»Π½ΠΈΡΠ½Π°ΡΠ° ΠΏΠΎΠΌΠΎΡ. Π¦Π΅Π»: ΠΠ° ΡΠ΅ ΠΏΡΠΎΡΡΠΈ ΠΌΠ½Π΅Π½ΠΈΠ΅ΡΠΎ Π½Π° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈ ΡΠ΅ΡΡΡΠΈ ΠΎΡ ΠΈΠ·Π²ΡΠ½Π±ΠΎΠ»Π½ΠΈΡΠ½Π°ΡΠ° ΠΏΠΎΠΌΠΎΡ ΠΎΡΠ½ΠΎΡΠ½ΠΎ Π΅ΡΠ΅ΠΊ-ΡΠΈΠ²Π½ΠΎΡΡΡΠ° Π½Π° ΡΠ΅ΡΡΡΠΈΠ½ΡΠΊΠΈΡΠ΅ Π³ΡΠΈΠΆΠΈ Π·Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ½ΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ: ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π΅ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅ ΡΡΠ΅Π΄ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈ ΡΠ΅ΡΡΡΠΈ ΠΎΡ ΠΈΠ·Π²ΡΠ½Π±ΠΎΠ»Π½ΠΈΡΠ½Π°ΡΠ° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ° ΠΏΠΎΠΌΠΎΡ (ΠΠΠΠ) (n=50) Π² ΠΏΠ΅ΡΠΈΠΎΠ΄Π° Π΄Π΅ΠΊΠ΅ΠΌΠ²ΡΠΈ 2015 - Π°ΠΏΡΠΈΠ» 2016 Π³. ΠΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄ΠΈ ΡΠ° Π΄ΠΎΠΊΡΠΌΠ΅Π½ΡΠ°Π»Π΅Π½, ΡΠΎΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈ (Π°Π½ΠΊΠ΅ΡΠ°), ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ ΠΈ Π³ΡΠ°ΡΠΈΡΠ΅Π½ Π°Π½Π°Π»ΠΈΠ·. Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π°Π½Π΅: ΠΠ½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈ ΡΠ° 50 ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈ ΡΠ΅ΡΡΡΠΈ, ΡΠ°Π±ΠΎΡΠ΅ΡΠΈ ΠΏΡΠΈ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ (64%) ΠΎΡ ΠΠΠΠ ΠΈ ΠΏΡΠΈ ΠΠΠ (36%). ΠΡΠ΅Π²Π°Π»ΠΈΡΠ° ΠΏΡΠΎΡΠ΅Π½ΡΡΡ Π½Π° Π°Π½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈ (88%), ΠΊΠΎΠΈΡΠΎ ΡΡΠΈΡΠ°Ρ, ΡΠ΅ Π΅ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄ΠΈΡΠ½ΠΎ ΠΎΠΏΡΠ΅ΡΠ½ΡΠ²Π°Π½Π΅ ΠΈ ΠΎΠ±ΠΎΠ³Π°ΡΡΠ²Π°Π½Π΅ Π½Π° ΠΏΡΠΎΡΠ΅ΡΠΈΠΎΠ½Π°Π»Π½ΠΈΡΠ΅ ΠΊΠΎΠΌΠΏΠ΅ΡΠ΅Π½ΡΠ½ΠΎΡΡΠΈ. ΠΠΈΡΠΎΠΊ Π΄ΡΠ» ΠΎΡ ΡΠ΅ΡΠΏΠΎΠ½Π΄Π΅Π½ΡΠΈΡΠ΅ (96%) ΠΏΠΎΠ΄ΠΊΡΠ΅ΠΏΡΡ ΠΈΠ΄Π΅ΡΡΠ° Π·Π° ΠΏΡΠΎΠ΄ΡΠ»ΠΆΠ°Π²Π°ΡΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅, a 92% ΠΈΠ·ΡΠ°Π·ΡΠ²Π°Ρ Π³ΠΎΡΠΎΠ²Π½ΠΎΡΡ Π·Π° ΠΈΠ½Π²Π΅ΡΡΠΈΡΠ°Π½Π΅ Π½Π° Π²ΡΠ΅ΠΌΠ΅ Π·Π° ΠΏΡΠΎΠ΄ΡΠ»ΠΆΠ° Π²Π°ΡΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅, ΠΊΠ°ΡΠΎ ΠΏΡΠ΅Π΄ΠΏΠΎΡΠΈΡΠ°Π½Π°ΡΠ° ΡΠΎΡΠΌΠ° Π΅ ΠΊΡΠ°ΡΡΠΊ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΠ·ΠΈΡΠ°Π½ ΠΊΡΡΡ (58%). ΠΠ·Π²ΠΎΠ΄ΠΈ: ΠΡΠΎΠ΄ΡΠ»ΠΆΠ°Π²Π°ΡΠΎΡΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π½Π° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈ ΡΠ΅ΡΡΡΠΈ Π² ΠΠΠΠ Π΅ ΠΊΠ»ΡΡΠΎΠ² Π΅Π»Π΅ΠΌΠ΅Π½Ρ ΠΎΡ ΠΏΠΎΠ²ΠΈΡΠ°Π²Π°Π½Π΅ΡΠΎ Π½Π° ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎΡΠΎ Π½Π° ΠΆΠΈΠ²ΠΎΡ Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ½ΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ. ΠΠ΄Π΅ΡΡΠ° Π·Π° ΠΏΡΠΎΠ΄ΡΠ»ΠΆΠ°Π²Π°ΡΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π½Π° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡΠ΅ ΡΠ΅ΡΡΡΠΈ Π½Π°ΠΌΠΈΡΠ° ΠΏΠΎΠ΄ΠΊΡΠ΅ΠΏΠ° ΠΎΡ ΠΏΠΎΡΡΠΈ Π²ΡΠΈΡΠΊΠΈ. ΠΡΠ΅Π΄ΡΡΠ°Π²Π΅Π½ΠΈΡΡ ΠΈΠ·Π±ΠΎΡ Π½Π° ΡΠΎΡΠΌΠ°ΡΠ° Π½Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π²Π΅ΡΠΎΡΡΠ½ΠΎ ΠΎΡΡΠ°Π·ΡΠ²Π° Π½Π΅ ΡΠ°ΠΌΠΎ ΡΠΎΠ±ΡΡΠ²Π΅Π½ΠΎΡΠΎ ΠΌΠ½Π΅Π½ΠΈΠ΅, Π½ΠΎ ΠΈ Π»ΠΈΡΠ½ΠΈΡΠ΅ Π²ΡΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠΈ. Π‘ΠΈΠ»Π½ΠΈΡΡ ΡΡΡΠ΅ΠΌΠ΅ΠΆ Π·Π° ΠΏΡΠΎΠ΄ΡΠ»ΠΆΠ°Π²Π°ΡΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ ΡΠ΅ Π΄ΠΎΠΊΠ°Π·Π²Π° ΠΎΡ ΠΈΠ·ΡΠ°Π·Π΅Π½Π°ΡΠ° Π³ΠΎΡΠΎΠ²Π½ΠΎΡΡ ΠΎΡ ΠΌΠ½ΠΎΠ·ΠΈΠ½ΡΡΠ²ΠΎΡΠΎ Π·Π° ΠΈΠ½Π²Π΅ΡΡΠΈΡΠ°Π½Π΅ Π½Π° Π²ΡΠ΅ΠΌΠ΅ ΠΈ ΡΠΈΠ½Π°Π½ΡΠΎΠ²ΠΈ ΡΡΠ΅Π΄ΡΡΠ²Π°. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅: ΠΠΏΠΈΡΡΡ Π² ΡΠ΅Π΄ΠΈΡΠ° Π΅Π²ΡΠΎΠΏΠ΅ΠΉΡΠΊΠΈ Π΄ΡΡΠΆΠ°Π²ΠΈ ΠΏΠΎΠΊΠ°Π·Π²Π°, ΡΠ΅ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡΠ΅ ΡΠ΅ΡΡΡΠΈ ΡΠ° Π·Π°Π΅Π»ΠΈ ΡΠ²ΠΎΠ΅ΡΠΎ ΠΌΡΡΡΠΎ Π² ΠΌΡΠ»ΡΠΈΠ΄ΠΈΡΡΠΈΠΏΠ»ΠΈΠ½Π°ΡΠ½ΠΈ ΠΏΡΠ°ΠΊΡΠΈΠΊΠΈ. Π’ΠΎΠ·ΠΈ ΠΏΡΠΎΡΠ΅Ρ Π² ΠΡΠ»Π³Π°ΡΠΈΡ Π΅ Π² Π½Π°ΡΠ°Π»Π΅Π½ Π΅ΡΠ°ΠΏ. ΠΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡΠ΅ ΡΠ΅ΡΡΡΠΈ ΠΎΡ ΠΠΠΠ ΡΡΡΠ±Π²Π° Π΄Π° ΠΏΡΠΈΠ΄ΠΎΠ±ΠΈΠ²Π°Ρ Π½ΠΎΠ²ΠΈ Π·Π½Π°Π½ΠΈΡ ΠΈ ΡΠΌΠ΅Π½ΠΈΡ, Π·Π° Π΄Π° ΠΌΠΎΠ³Π°Ρ Π΄Π° ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΈΡΠ°Ρ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΈ ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΡ Π·Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ ΠΈ ΡΠ΅Ρ
Π½ΠΈΡΠ΅ Π±Π»ΠΈΠ·ΠΊΠΈ.Introduction: Complex care for patients with chronic diseases such as multiple sclerosis is a prerequisite for improving the quality of life of both patients and their families. These cares are planned by nurses, working in outpatient care. Aim: The aim of this paper is to investigate the opinion of outpatient care nurses about the effectiveness of nursing care for patients with chronic diseases. Materials and Methods: A survey was conducted among outpatient nurses (n=50) between December 2015 and April 2016. The used methods were documentary, sociological (questionnaire), statistical and graphic analysis. Results and Discussion: Fifty nurses were interviewed and 64% of them work with a neurologist in outpatient care and 36% work for general practitioners. Most of the respondents (88%) considered that periodic refreshing and enrichment of professional competencies is necessary. Almost all of the respondents (96%) support the idea of continuing education and 92% express their willingness to invest time in continuing education. The preferred form is a short specialized course (58%). Conclusion: Continuing education for nurses in outpatient care is a key element in improving the quality of life of patients with chronic diseases. The idea of continuing education for nurses finds support from almost everyone. The presented choice of form of education probably reflects not only their opinion but also their personal abilities. The strong pursuit of continuing training is evidenced by the willingness of the majority to invest time and money. Experience in many European countries has shown that nurses have taken their place in multidisciplinary practices. This process in Bulgaria is at an early stage. Outpatient care nurses need to acquire new knowledge and skills to be able to organize comprehensive training events for patients and their relatives
Individual training for self-injection of disease-modifying medications in multiple sclerosis patients - a guarantee for successful treatment
ΠΡΠ²Π΅Π΄Π΅Π½ΠΈΠ΅: ΠΠ‘ Π΅ Ρ
ΡΠΎΠ½ΠΈΡΠ½ΠΎ ΠΈΠ½Π²Π°Π»ΠΈΠ΄ΠΈΠ·ΠΈΡΠ°ΡΠΎ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½Π΅, ΠΊΠΎΠ΅ΡΠΎ Π΅ ΡΡΠ΅Π΄ Π½Π°ΠΉ-ΡΠ΅ΡΡΠΎ ΡΡΠ΅ΡΠ°Π½ΠΈΡΠ΅ ΠΏΡΠΈΡΠΈΠ½ΠΈ Π·Π° ΡΠ΅ΡΠΈΠΎΠ·Π½ΠΎ ΡΠΈΠ·ΠΈΡΠ΅ΡΠΊΠΎ ΡΠ²ΡΠ΅ΠΆΠ΄Π°Π½Π΅ ΠΏΡΠΈ Π²ΡΠ·ΡΠ°ΡΡΠ½ΠΈ Π² ΡΡΡΠ΄ΠΎΡΠΏΠΎΡΠΎΠ±Π½Π° Π²ΡΠ·ΡΠ°ΡΡ. ΠΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½ΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π·Π° ΡΠ°ΠΌΠΎΠΈΠ½ΠΆΠ΅ΠΊΡΠΈΡΠ°Π½Π΅ Π½Π° ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΈ, ΠΌΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠ°ΡΠΈ Ρ
ΠΎΠ΄Π° Π½Π° Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½Π΅ΡΠΎ, Π΅ Π³Π°ΡΠ°Π½ΡΠΈΡ Π·Π° ΡΡΠΏΠ΅ΡΠ½ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΠΏΡΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Ρ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²Π΅Π½Π° ΡΠΊΠ»Π΅ΡΠΎΠ·Π° (ΠΠ‘). Π¦Π΅Π»: ΠΠ° ΡΠ΅ ΠΏΡΠΎΡΡΠΈ ΠΌΠ½Π΅Π½ΠΈΠ΅ΡΠΎ Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Ρ ΠΠ‘, ΠΏΡΠ΅ΠΌΠΈΠ½Π°Π»ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½ΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π·Π° ΡΠ°ΠΌΠΎΠΈΠ½ΠΆΠ΅ΠΊΡΠΈΡΠ°Π½Π΅ Π½Π° ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΈ, ΠΌΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠ°ΡΠΈ Ρ
ΠΎΠ΄Π° Π½Π° Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½Π΅ΡΠΎ (ΠΠΠ₯Π), ΠΎΡΠ½ΠΎΡΠ½ΠΎ Π΅ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡΠ° ΠΌΡ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ: ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π΅ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅ ΡΡΠ΅Π΄ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Ρ ΠΠ‘ (n=50) ΠΏΡΠ΅Π· ΠΌΠ΅ΡΠ΅Ρ ΠΎΠΊΡΠΎΠΌΠ²ΡΠΈ 2016 Π³., ΠΏΡΠ΅ΠΌΠΈΠ½Π°Π»ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½ΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π·Π° ΡΠ°ΠΌΠΎΠΈΠ½ΠΆΠ΅ΠΊΡΠΈΡΠ°Π½Π΅ Ρ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΈ, ΠΌΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠ°ΡΠΈ Ρ
ΠΎΠ΄Π° Π½Π° Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½Π΅ΡΠΎ ΡΡΠ΅Π· ΠΏΡΡΠΊΠ° ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½Π° Π°Π½ΠΊΠ΅ΡΠ°. ΠΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄ΠΈ ΡΠ° Π΄ΠΎΠΊΡΠΌΠ΅Π½ΡΠ°Π»Π΅Π½, ΡΠΎΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈ (Π°Π½ΠΊΠ΅ΡΠ°), ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ ΠΈ Π³ΡΠ°ΡΠΈΡΠ΅Π½ Π°Π½Π°Π»ΠΈΠ·. Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π°Π½Π΅: ΠΠ½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈ ΡΠ° 50 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Ρ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° ΠΠ‘, ΠΏΠΎΡΠ΅ΡΠ°Π²Π°ΡΠΈ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΠ·ΠΈΡΠ°Π½Π° ΠΊΠΎΠΌΠΈΡΠΈΡ ΠΊΡΠΌ Π£ΠΠΠΠ βΠ‘Π²Π΅ΡΠ° ΠΠ°ΡΠΈΠ½Π°` ΠΠΠ - ΠΠ°ΡΠ½Π°. ΠΡΠΈΡΠΊΠΈ Π°Π½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ ΡΠ° ΠΏΡΠ΅ΠΌΠΈΠ½Π°Π»ΠΈ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ ΠΏΡΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ° ΡΠ΅ΡΡΡΠ° - ΡΠΏΠ΅ ΡΠΈΠ°Π»ΠΈΡΡ ΠΏΠΎ ΠΠ‘. ΠΠΎΠ²Π΅ΡΠ΅ ΠΎΡ ΠΏΠΎΠ»ΠΎΠ²ΠΈΠ½Π°ΡΠ° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ (58%) ΡΠ° ΡΠ΅ Π½ΡΠΆΠ΄Π°Π΅Π»ΠΈ ΠΎΡ Π½Π°Π΄ ΡΡΠΈ Π²ΠΈΠ·ΠΈΡΠΈ Π·Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅. ΠΠΎΡΡΠΈ 80% ΠΎΡ ΡΡΠ°ΡΡΠ½ΠΈΡΠΈΡΠ΅ Π² Π°Π½ΠΊΠ΅ΡΠ½ΠΎΡΠΎ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅ ΠΏΠΎΡΠΎΡΠ²Π°Ρ, ΡΠ΅ ΠΏΡΠΈ ΠΏΡΠΎΠ±Π»Π΅ΠΌ ΡΠ΅ ΠΎΠ±ΡΡΡΠ°Ρ ΠΊΡΠΌ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ°ΡΠ° ΡΠ΅ΡΡΡΠ°, ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡ ΠΏΠΎ ΠΠ‘. ΠΠ·Π²ΠΎΠ΄ΠΈ: ΠΡΠΈΡΠΊΠΈ Π°Π½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈ, Π±Π΅Π· ΠΈΠ·ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅, ΡΡΠΈΡΠ°Ρ, ΡΠ΅ Π½Π΅ Π±ΠΈΡ
Π° ΡΠ΅ ΡΠΏΡΠ°Π²ΠΈΠ»ΠΈ ΡΡΡ ΡΠ°ΠΌΠΎΠΈΠ½ΠΆΠ΅ΠΊΡΠΈΡΠ°Π½Π΅ΡΠΎ Π±Π΅Π· ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ·ΡΠΎΡΠ½ΠΈΠΊΡΡ Π½Π° ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΡ Π·Π° Π½Π°Π»ΠΈΡΠΈΠ΅ Π½Π° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ° ΡΠ΅ΡΡΡΠ° - ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡ ΠΏΠΎ ΠΠ‘, ΠΊΠΎΡΡΠΎ ΠΌΠΎΠΆΠ΅ Π΄Π° ΠΏΡΠΎΠ²Π΅Π΄Π΅ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ΡΠΎ ΠΏΠΎ ΡΠ°ΠΌΠΎΠΈΠ½ΠΆΠ΅ΠΊΡΠΈΡΠ°Π½Π΅, ΠΎΡΡΠ°Π·ΡΠ²Π° Π°ΠΊΡΡΠ°Π»Π½Π°ΡΠ° ΡΠΈΡΡΠ°ΡΠΈΡ. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅: ΠΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½ΠΎΡΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π·Π° ΡΠ°ΠΌΠΎΠΈΠ½ΠΆΠ΅ΠΊΡΠΈΡΠ°Π½Π΅ Ρ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΈ, ΠΌΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠ°ΡΠΈ Ρ
ΠΎΠ΄Π° Π½Π° Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½Π΅ΡΠΎ, Π΅ Π΅Π΄Π½Π° Π½ΠΎΠ²Π° ΡΠ°Π·Π»ΠΈΡΠ½Π° ΠΏΠΎΡΡΠ΅Π±Π½ΠΎΡΡ ΠΎΡ Π·Π΄ΡΠ°Π²Π½ΠΈ Π³ΡΠΈΠΆΠΈ ΠΈ ΠΏΡΠΈΡ
ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ° ΠΏΠΎΠ΄ΠΊΡΠ΅ΠΏΠ°, ΠΊΠΎΡΡΠΎ Π±ΠΈ Π±ΠΈΠ»Π° ΡΠ΄ΠΎΠ²Π»Π΅ΡΠ²ΠΎΡΠ΅Π½Π° ΠΎΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ° ΡΠ΅ΡΡΡΠ° -ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡ ΠΏΠΎ ΠΠ‘. ΠΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ Π² ΡΠΈΡΡΠ°ΡΠΈΡ Π½Π° Ρ
ΡΠΎΠ½ΠΈΡΠ½ΠΎ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½Π΅ ΠΊΠ°ΡΠΎ ΠΠ‘ ΠΈ ΡΡΡ
Π½ΠΎΡΠΎ ΠΏΡΠΎΠ΄ΡΠ»ΠΆΠΈΡΠ΅Π»Π½ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π·Π°Π²ΠΈΡΡΡ ΠΈ ΠΎΡ ΡΠΎΠ±ΡΡΠ²Π΅Π½ΠΎΡΠΎ ΠΈΠΌ ΡΠΌΠ΅Π½ΠΈΠ΅ Π΄Π° ΡΠ΅ ΡΠΏΡΠ°Π²ΡΡ. ΠΠ°ΡΠΎΠ²Π° ΠΎΡΠ΅ ΠΏΠΎ-Π³ΠΎΠ»ΡΠΌΠ° Π·Π½Π°ΡΠΈΠΌΠΎΡΡ ΠΌΠΎΠΆΠ΅ Π΄Π° ΡΠ΅ ΠΎΡΠ΄Π°Π΄Π΅ Π½Π° ΠΏΠΎΡΡΠΈΠ³Π½Π°ΡΠΎΡΠΎ ΡΡΠ²ΡΡΠ²ΠΎ Π·Π° ΡΠΈΠ³ΡΡΠ½ΠΎΡΡ ΡΠ»Π΅Π΄ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½ΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π·Π° ΡΠ°ΠΌΠΎΠΈΠ½ΠΆΠ΅ΠΊΡΠΈΡΠ°Π½Π΅ Π½Π° ΠΠΠ₯Π.Introduction: Individual training for self-injection of disease-modifying medications is a guarantee for successful treatment in patients with Multiple Sclerosis (MS). MS is a chronic disabling disease, which is among the most common causes of serious physical disability in working-age adults. Aim: The aim of this paper is to investigate the opinion of patients with MS, who have undergone inductive self-injection training to modify the course of the disease. Materials and Methods: A study through a direct individual survey was conducted among patients (n=50) in October 2016 who had undergone individual self-injection training for medications modifying the course of the disease (MMCD). The used methods were documentary, sociological (questionnaire), statistical and graphical analysis. Results and Discussion: Fifty patients with an MS diagnosis visiting a specialized commission at St. Marina University Hospital, Varna were interviewed. All of the surveyed patients have received training with a nurse, an MS specialist. More than half of the patients (58%) needed more than three study visits. Nearly 80% of the survey respondents indicated that they contacted an MS specialist nurse, if there was a problem.Conclusion: All respondents, without exception, consider that they would not cope with self-injection without training. The information about the presence of a nurse specialist on MS who can carry out self-injection training reflects the current situation. Individual training for self-injection of disease-modifying medications is a new and different need for health care and psychological support that would be met by a nurse specialist on MS. Patients with a chronic disease such as MS and their long-term treatment depend on their own ability to cope with it. Therefore, even greater significance can be attributed to the attainment of a certain sense of security after individual self-injection of MMCD
Π‘ΡΡΠ΄Π΅Π½ΡΡΠΊΠ° Π½Π°ΡΡΠ½Π° ΠΊΠΎΠ½ΡΠ΅ΡΠ΅Π½ΡΠΈΡ "ΠΠ΄ΡΠ°Π²Π΅ΠΎΠΏΠ°Π·Π²Π°Π½Π΅ΡΠΎ-Π΄Π½Π΅Ρ ΠΈ ΡΡΡΠ΅", 22 ΠΠ°ΠΉ 2013, ΠΠ°ΡΠ½Π°
ΠΠ°ΡΠ½Π΅Π½ΡΠΊΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈ ΡΠΎΡΡΠΌ (Varna Medical Forum) V. 2, Suppl 4 (2013