3 research outputs found

    Continuing education of nurses from outpatient care - prerequisite for improving quality of life in patients with chronic diseases

    Get PDF
    Π’ΡŠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅: ΠšΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΈΡ‚Π΅ Π³Ρ€ΠΈΠΆΠΈ Π·Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ с Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½ΠΈ заболявания ΠΊΠ°Ρ‚ΠΎ мноТСствСна склСроза са прСдпоставка Π·Π° повишаванС качСството Π½Π° ΠΆΠΈΠ²ΠΎΡ‚ ΠΊΠ°ΠΊΡ‚ΠΎ Π½Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈΡ‚Π΅, Ρ‚Π°ΠΊΠ° ΠΈ Π½Π° Ρ‚Π΅Ρ…Π½ΠΈΡ‚Π΅ сСмСйства. Π’Π΅Π·ΠΈ Π³Ρ€ΠΈΠΆΠΈ сС ΠΏΠ»Π°Π½ΠΈΡ€Π°Ρ‚ ΠΎΡ‚ мСдицински сСстри, ΠΊΠΎΠΈΡ‚ΠΎ работят Π² ΠΈΠ·Π²ΡŠΠ½Π±ΠΎΠ»Π½ΠΈΡ‡Π½Π°Ρ‚Π° ΠΏΠΎΠΌΠΎΡ‰. Π¦Π΅Π»: Π”Π° сС ΠΏΡ€ΠΎΡƒΡ‡ΠΈ ΠΌΠ½Π΅Π½ΠΈΠ΅Ρ‚ΠΎ Π½Π° мСдицински сСстри ΠΎΡ‚ ΠΈΠ·Π²ΡŠΠ½Π±ΠΎΠ»Π½ΠΈΡ‡Π½Π°Ρ‚Π° ΠΏΠΎΠΌΠΎΡ‰ относно Π΅Ρ„Π΅ΠΊ-тивността Π½Π° сСстринскитС Π³Ρ€ΠΈΠΆΠΈ Π·Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ с Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½ΠΈ заболявания. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ: ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π΅ ΠΏΡ€ΠΎΡƒΡ‡Π²Π°Π½Π΅ срСд мСдицински сСстри ΠΎΡ‚ ΠΈΠ·Π²ΡŠΠ½Π±ΠΎΠ»Π½ΠΈΡ‡Π½Π°Ρ‚Π° мСдицинска ΠΏΠΎΠΌΠΎΡ‰ (Π˜Π‘ΠœΠŸ) (n=50) Π² ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° Π΄Π΅ΠΊΠ΅ΠΌΠ²Ρ€ΠΈ 2015 - Π°ΠΏΡ€ΠΈΠ» 2016 Π³. Π˜Π·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈΡ‚Π΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ са Π΄ΠΎΠΊΡƒΠΌΠ΅Π½Ρ‚Π°Π»Π΅Π½, социологичСски (Π°Π½ΠΊΠ΅Ρ‚Π°), статистичСски ΠΈ Π³Ρ€Π°Ρ„ΠΈΡ‡Π΅Π½ Π°Π½Π°Π»ΠΈΠ·. Π Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ΠΈ ΠΈ обсъТданС: АнкСтирани са 50 мСдицински сСстри, Ρ€Π°Π±ΠΎΡ‚Π΅Ρ‰ΠΈ ΠΏΡ€ΠΈ Π½Π΅Π²Ρ€ΠΎΠ»ΠΎΠ³ (64%) ΠΎΡ‚ Π˜Π‘ΠœΠŸ ΠΈ ΠΏΡ€ΠΈ ΠžΠŸΠ› (36%). ΠŸΡ€Π΅Π²Π°Π»ΠΈΡ€Π° ΠΏΡ€ΠΎΡ†Π΅Π½Ρ‚ΡŠΡ‚ Π½Π° Π°Π½ΠΊΠ΅Ρ‚ΠΈΡ€Π°Π½ΠΈ (88%), ΠΊΠΎΠΈΡ‚ΠΎ считат, Ρ‡Π΅ Π΅ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ΠΈΡ‡Π½ΠΎ опрСсняванС ΠΈ обогатяванС Π½Π° профСсионалнитС компСтСнтности. Висок дял ΠΎΡ‚ рСспондСнтитС (96%) подкрСпят идСята Π·Π° ΠΏΡ€ΠΎΠ΄ΡŠΠ»ΠΆΠ°Π²Π°Ρ‰ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅, a 92% изразяват готовност Π·Π° инвСстиранС Π½Π° Π²Ρ€Π΅ΠΌΠ΅ Π·Π° ΠΏΡ€ΠΎΠ΄ΡŠΠ»ΠΆΠ° Π²Π°Ρ‰ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅, ΠΊΠ°Ρ‚ΠΎ ΠΏΡ€Π΅Π΄ΠΏΠΎΡ‡ΠΈΡ‚Π°Π½Π°Ρ‚Π° Ρ„ΠΎΡ€ΠΌΠ° Π΅ ΠΊΡ€Π°Ρ‚ΡŠΠΊ спСциализиран курс (58%). Изводи: ΠŸΡ€ΠΎΠ΄ΡŠΠ»ΠΆΠ°Π²Π°Ρ‰ΠΎΡ‚ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π½Π° мСдицински сСстри Π² Π˜Π‘ΠœΠŸ Π΅ ΠΊΠ»ΡŽΡ‡ΠΎΠ² Π΅Π»Π΅ΠΌΠ΅Π½Ρ‚ ΠΎΡ‚ ΠΏΠΎΠ²ΠΈΡˆΠ°Π²Π°Π½Π΅Ρ‚ΠΎ Π½Π° качСството Π½Π° ΠΆΠΈΠ²ΠΎΡ‚ Π½Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ с Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½ΠΈ заболявания. Π˜Π΄Π΅ΡΡ‚Π° Π·Π° ΠΏΡ€ΠΎΠ΄ΡŠΠ»ΠΆΠ°Π²Π°Ρ‰ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π½Π° мСдицинскитС сСстри Π½Π°ΠΌΠΈΡ€Π° ΠΏΠΎΠ΄ΠΊΡ€Π΅ΠΏΠ° ΠΎΡ‚ ΠΏΠΎΡ‡Ρ‚ΠΈ всички. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π΅Π½ΠΈΡΡ‚ ΠΈΠ·Π±ΠΎΡ€ Π½Π° Ρ„ΠΎΡ€ΠΌΠ°Ρ‚Π° Π½Π° ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ вСроятно отразява Π½Π΅ само собствСното ΠΌΠ½Π΅Π½ΠΈΠ΅, Π½ΠΎ ΠΈ Π»ΠΈΡ‡Π½ΠΈΡ‚Π΅ Π²ΡŠΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΠΈ. Билният стрСмСТ Π·Π° ΠΏΡ€ΠΎΠ΄ΡŠΠ»ΠΆΠ°Π²Π°Ρ‰ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ сС Π΄ΠΎΠΊΠ°Π·Π²Π° ΠΎΡ‚ ΠΈΠ·Ρ€Π°Π·Π΅Π½Π°Ρ‚Π° готовност ΠΎΡ‚ мнозинството Π·Π° инвСстиранС Π½Π° Π²Ρ€Π΅ΠΌΠ΅ ΠΈ финансови срСдства. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅: ΠžΠΏΠΈΡ‚ΡŠΡ‚ Π² Ρ€Π΅Π΄ΠΈΡ†Π° СвропСйски Π΄ΡŠΡ€ΠΆΠ°Π²ΠΈ ΠΏΠΎΠΊΠ°Π·Π²Π°, Ρ‡Π΅ мСдицинскитС сСстри са Π·Π°Π΅Π»ΠΈ своСто място Π² мултидисциплинарни ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ. Π’ΠΎΠ·ΠΈ процСс Π² Π‘ΡŠΠ»Π³Π°Ρ€ΠΈΡ Π΅ Π² Π½Π°Ρ‡Π°Π»Π΅Π½ Π΅Ρ‚Π°ΠΏ. ΠœΠ΅Π΄ΠΈΡ†ΠΈΠ½ΡΠΊΠΈΡ‚Π΅ сСстри ΠΎΡ‚ Π˜Π‘ΠœΠŸ трябва Π΄Π° ΠΏΡ€ΠΈΠ΄ΠΎΠ±ΠΈΠ²Π°Ρ‚ Π½ΠΎΠ²ΠΈ знания ΠΈ умСния, Π·Π° Π΄Π° ΠΌΠΎΠ³Π°Ρ‚ Π΄Π° ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΈΡ€Π°Ρ‚ комплСксни мСроприятия Π·Π° ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π½Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈΡ‚Π΅ ΠΈ Ρ‚Π΅Ρ…Π½ΠΈΡ‚Π΅ 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

    Get PDF
    Π’ΡŠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅: МБ Π΅ Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½ΠΎ ΠΈΠ½Π²Π°Π»ΠΈΠ΄ΠΈΠ·ΠΈΡ€Π°Ρ‰ΠΎ заболяванС, ΠΊΠΎΠ΅Ρ‚ΠΎ Π΅ срСд Π½Π°ΠΉ-чСсто срСщанитС ΠΏΡ€ΠΈΡ‡ΠΈΠ½ΠΈ Π·Π° сСриозно физичСско ΡƒΠ²Ρ€Π΅ΠΆΠ΄Π°Π½Π΅ ΠΏΡ€ΠΈ Π²ΡŠΠ·Ρ€Π°ΡΡ‚Π½ΠΈ Π² трудоспособна Π²ΡŠΠ·Ρ€Π°ΡΡ‚. Π˜Π½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»Π½ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π·Π° самоинТСктиранС Π½Π° ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΈ, ΠΌΠΎΠ΄ΠΈΡ„ΠΈΡ†ΠΈΡ€Π°Ρ‰ΠΈ Ρ…ΠΎΠ΄Π° Π½Π° заболяванСто, Π΅ гаранция Π·Π° ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΏΡ€ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ с мноТСствСна склСроза (МБ). Π¦Π΅Π»: Π”Π° сС ΠΏΡ€ΠΎΡƒΡ‡ΠΈ ΠΌΠ½Π΅Π½ΠΈΠ΅Ρ‚ΠΎ Π½Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ с МБ, ΠΏΡ€Π΅ΠΌΠΈΠ½Π°Π»ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»Π½ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π·Π° самоинТСктиранС Π½Π° ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΈ, ΠΌΠΎΠ΄ΠΈΡ„ΠΈΡ†ΠΈΡ€Π°Ρ‰ΠΈ Ρ…ΠΎΠ΄Π° Π½Π° заболяванСто (ММΠ₯Π—), относно СфСктивността ΠΌΡƒ. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ: ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π΅ ΠΏΡ€ΠΎΡƒΡ‡Π²Π°Π½Π΅ срСд ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ с МБ (n=50) ΠΏΡ€Π΅Π· мСсСц ΠΎΠΊΡ‚ΠΎΠΌΠ²Ρ€ΠΈ 2016 Π³., ΠΏΡ€Π΅ΠΌΠΈΠ½Π°Π»ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»Π½ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π·Π° самоинТСктиранС с ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΈ, ΠΌΠΎΠ΄ΠΈΡ„ΠΈΡ†ΠΈΡ€Π°Ρ‰ΠΈ Ρ…ΠΎΠ΄Π° Π½Π° заболяванСто Ρ‡Ρ€Π΅Π· пряка ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»Π½Π° Π°Π½ΠΊΠ΅Ρ‚Π°. Π˜Π·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈΡ‚Π΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ са Π΄ΠΎΠΊΡƒΠΌΠ΅Π½Ρ‚Π°Π»Π΅Π½, социологичСски (Π°Π½ΠΊΠ΅Ρ‚Π°), статистичСски ΠΈ Π³Ρ€Π°Ρ„ΠΈΡ‡Π΅Π½ Π°Π½Π°Π»ΠΈΠ·. Π Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ΠΈ ΠΈ обсъТданС: АнкСтирани са 50 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ с Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° МБ, посСщаващи спСциализирана комисия към Π£ΠœΠ‘ΠΠ› β€žΠ‘Π²Π΅Ρ‚Π° ΠœΠ°Ρ€ΠΈΠ½Π°` ЕАД - Π’Π°Ρ€Π½Π°. Всички Π°Π½ΠΊΠ΅Ρ‚ΠΈΡ€Π°Π½ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ са ΠΏΡ€Π΅ΠΌΠΈΠ½Π°Π»ΠΈ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ ΠΏΡ€ΠΈ мСдицинска сСстра - спС циалист ΠΏΠΎ МБ. ΠŸΠΎΠ²Π΅Ρ‡Π΅ ΠΎΡ‚ ΠΏΠΎΠ»ΠΎΠ²ΠΈΠ½Π°Ρ‚Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ (58%) са сС Π½ΡƒΠΆΠ΄Π°Π΅Π»ΠΈ ΠΎΡ‚ Π½Π°Π΄ Ρ‚Ρ€ΠΈ Π²ΠΈΠ·ΠΈΡ‚ΠΈ Π·Π° ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅. ΠŸΠΎΡ‡Ρ‚ΠΈ 80% ΠΎΡ‚ участницитС Π² Π°Π½ΠΊΠ΅Ρ‚Π½ΠΎΡ‚ΠΎ ΠΏΡ€ΠΎΡƒΡ‡Π²Π°Π½Π΅ посочват, Ρ‡Π΅ ΠΏΡ€ΠΈ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌ сС ΠΎΠ±Ρ€ΡŠΡ‰Π°Ρ‚ към мСдицинската сСстра, спСциалист ΠΏΠΎ МБ. Изводи: Всички Π°Π½ΠΊΠ΅Ρ‚ΠΈΡ€Π°Π½ΠΈ, Π±Π΅Π· ΠΈΠ·ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅, считат, Ρ‡Π΅ Π½Π΅ Π±ΠΈΡ…Π° сС справили със самоинТСктиранСто Π±Π΅Π· ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅. Π˜Π·Ρ‚ΠΎΡ‡Π½ΠΈΠΊΡŠΡ‚ Π½Π° информация Π·Π° Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ Π½Π° мСдицинска сСстра - спСциалист ΠΏΠΎ МБ, която ΠΌΠΎΠΆΠ΅ Π΄Π° ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅Ρ‚ΠΎ ΠΏΠΎ самоинТСктиранС, отразява Π°ΠΊΡ‚ΡƒΠ°Π»Π½Π°Ρ‚Π° ситуация. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅: Π˜Π½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»Π½ΠΎΡ‚ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π·Π° самоинТСктиранС с ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΈ, ΠΌΠΎΠ΄ΠΈΡ„ΠΈΡ†ΠΈΡ€Π°Ρ‰ΠΈ Ρ…ΠΎΠ΄Π° Π½Π° заболяванСто, Π΅ Π΅Π΄Π½Π° Π½ΠΎΠ²Π° Ρ€Π°Π·Π»ΠΈΡ‡Π½Π° потрСбност ΠΎΡ‚ Π·Π΄Ρ€Π°Π²Π½ΠΈ Π³Ρ€ΠΈΠΆΠΈ ΠΈ психологичСска ΠΏΠΎΠ΄ΠΊΡ€Π΅ΠΏΠ°, която Π±ΠΈ Π±ΠΈΠ»Π° ΡƒΠ΄ΠΎΠ²Π»Π΅Ρ‚Π²ΠΎΡ€Π΅Π½Π° ΠΎΡ‚ мСдицинска сСстра -спСциалист ΠΏΠΎ МБ. ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈΡ‚Π΅ Π² ситуация Π½Π° Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½ΠΎ заболяванС ΠΊΠ°Ρ‚ΠΎ МБ ΠΈ тяхното ΠΏΡ€ΠΎΠ΄ΡŠΠ»ΠΆΠΈΡ‚Π΅Π»Π½ΠΎ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ зависят ΠΈ ΠΎΡ‚ собствСното ΠΈΠΌ ΡƒΠΌΠ΅Π½ΠΈΠ΅ Π΄Π° сС справят. Π—Π°Ρ‚ΠΎΠ²Π° ΠΎΡ‰Π΅ ΠΏΠΎ-голяма значимост ΠΌΠΎΠΆΠ΅ Π΄Π° сС ΠΎΡ‚Π΄Π°Π΄Π΅ Π½Π° постигнатото чувство Π·Π° сигурност слСд ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»Π½ΠΎ ΠΎΠ±ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π·Π° самоинТСктиранС Π½Π° ММΠ₯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
    corecore