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List of publications on a keyword: «patient»

  • Finding a Solution to Socio-Economic Problems of Medical Care

    Book Chapter
    Development of the Russian socio-economic system: challenges and prospects
    Authors:
    Dmitrii V. Sudakov, Oleg V. Sudakov, Olga I. Gordeeva
    Work direction:
    Глава 10
    Abstract:
    The chapter is devoted to the study of some socio-economic problems of medical care. This topic is quite relevant due to the fact that currently in our country, optimization and modernization processes have been taking place over the past years in the medical environment and the environment of medical education, the ultimate goal of these processes being achieving a significant quality of medical care to patients. The objects of the study were 200 patients of the Voronezh City Emergency Hospital and Voronezh Regional Clinical Hospital No. 1. All of them were divided into 2 groups depending on gender: 84 men were included in group 1, 114 women in group 2. What was special about this study was the inclusion of only patients with chronic pathology suffering from it for at least 5 years. This moment was used for the patients to give a proper assessment of the changes taking place in the country. The basis of the study was a questionnaire specially developed by the authors, which includes both general questions about the patients' gender, age and the disease they were diagnosed with, as well as special ones concerning awareness of the optimization and modernization processes in medicine in recent years. At the same time, an interesting peculiarity of the study was an attempt to identify the main problems not only of a medical, but also of a socio-economic nature that arise when providing medical care to patients, as well as determining the main vectors of medicine development in general.
    Keywords:
    modernization, optimization, patient, problem
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  • On the Phenomenon of Psychological Adaptation of Patients With Chronic Diseases to the New Coronavirus Infection COVID-19 in a Pandemic

    Book Chapter
    Modern Challenges of Education and Psychology of Personality Formation
    Authors:
    Oleg V. Sudakov, Dmitrii V. Sudakov, Evgenii V. Belov, Olga I. Gordeeva, Andrei V. Khatuntsev
    Work direction:
    Глава 14
    Abstract:
    The article is devoted to the study of the phenomenon of psychological adaptation of patients to a new coronavirus infection COVID-19, with chronic diseases of a therapeutic and surgical profile during the ongoing pandemic. The subject of the presented work is very relevant in view of the fact that the incidence of a new coronavirus infection COVID-19 is currently continuing throughout the world. For now, scientists, doctors, and researchers can only hope for a speedy end to the pandemic. Nevertheless, some authors are already talking about the imminent start of the sixth «wave» of the protracted illness. It is known that for better treatment, patients do not need only medical or surgical therapy – they often also need psychological help and support. An attempt to analyze the psychological adaptation of patients in a pandemic was the goal of the presented work. The objects of the study were 200 patients of the Voronezh Regional Clinical Hospital №1, divided into 2 groups, depending on the profile: therapeutic and surgical. Subsequently, there was a division into subgroups, depending on whether the patient «transferred» a new virus or not, according to the respondent himself. A special questionnaire developed by the authors included questions about gender, age, COVID-19 disease, and the presence of chronic diseases requiring hospitalization was studied. A feature of the study was the determination of IgG to COVID-19 in patients. Subsequently, the general attitude of respondents to COVID-19 was studied, the level of fear was determined at different «waves» of the pandemic, and an attempt was made to identify depressive states in the subjects. The data obtained are of great interest not only to psychologists and psychotherapists, but also to practicing doctors of various profiles.
    Keywords:
    Covid-19, patient, psychological adaptation, new coronavirus infection, chronic pathology
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  • Assessment of Some Aspects of Psychoemotional Status of Women Ill with Breast Cancer During Negative Epidemiological Environment

    Book Chapter
    Questions of Education and Psychology
    Authors:
    Dmitrii V. Sudakov, Danail K. Nazliev, Evgenii V. Belov, Oleg V. Sudakov, Artiom N. Shevtsov
    Work direction:
    Глава 3. Медико-социальные аспекты в образовании и психологии
    Abstract:
    The paper deals with the issue of complex treatment of patients with various oncological pathologies. General concepts of modern, approved by the Ministry of Health, approaches to the therapy of cancer patients, as well as the concept of an oncological consultation are generalized. Possible disadvantages of existing treatment methods are indicated, including the lack of qualified psychological support for patients. Some authors advocate the need to introduce psychologists and psychoanalysts into the oncoconsilium, since a positive attitude of the patient himself can have a positive effect on the overall outcome of the disease. The aim of the work was an attempt to analyze some aspects of the psychoemotional state of women with breast cancer throughout: from the state of «well-being» to the establishment of a clinical diagnosis, followed by a period of treatment; the study also includes 2 periods of «waves» of new coronavirus infection. The subjects of the study were 150 female patients suffering from breast cancer. All of them were divided into 3 groups of 50 women, depending on age: 20–39 years old, 40–59 years old, 60–80 years old. The study was carried out using a questionnaire (according to a questionnaire specially developed by the authors), as well as using the Zung and Spielberg methods. We studied the level of anxiety of the patients, the level of their depressive states, depending on the «control point» (a total of 5 were allocated, in which the research stages were carried out) of the study and the age of the patients. There were identified 2 main «peaks» of psychoemotional states – the moment of clinical diagnosis and the period of the «first wave» of a new coronavirus infection. It was during these periods that the level of anxiety increased in patients, and depressive states developed. Some interesting features were also identified: for example, if the greatest fears during the «first wave» were caused by fear of Covid-19, then during the «second wave» the problems of financial security and, in fact, treatment were at the fore. The data obtained may be of interest both for doctors who treat cancer patients and healthcare organizers, and for psychologists and psychoanalysts.
    Keywords:
    oncology, anxiety, depression, patient, Spielberg, Zung, fear, coronavirus
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  • Assessment of the Psychoemotional Status of Oncology Patients During an Unfavorable Epidemiological Situation

    Book Chapter
    Modern challenges of education and psychology of personality formation
    Authors:
    Dmitrii V. Sudakov, Danail K. Nazliev, Evgenii V. Belov, Oleg V. Sudakov, Artiom N. Shevtsov
    Work direction:
    Психология и медицинские аспекты формирования личности
    Abstract:
    The article is devoted to the study of the characteristics of oncology patients’ psychoemotional status. This topic is relevant, since the number of detected cases of cancer is growing annually in Russia and around the world, the annual mortality from which in Russia alone is more than 160,000 people per year. It is outlined that the treatment of oncology patients is a complex and long process involving a wide variety of medical specialties. It is emphasized that the therapy for any malignant tumor is discussed and agreed upon by a special council, which usually includes a surgeon, oncologist, radiologist, chemotherapist, immunologist. However, many researchers acknowledge that often patients also need the help of a psychologist as a positive attitude can significantly help in the fight against a formidable disease. The study of psychoemotional aspects of oncology patients has already been carried out earlier. However, in 2020, the world is faced with a new threat – a new coronavirus infection, as a result of which the entire way of providing medical care has changed. The authors pay special attention to the fact that due to quarantine measures, even cancer centers were closed on a periodic basis, leaving, temporarily, patients in need without qualified assistance. It is the fact that determines the purpose of the work – the analysis of various aspects of oncology patients’ psychoemotional status. The objects of the study were 300 oncology patients, men and women, who were divided into 3 groups of 100 people, depending on their age: 18–40, 41–60, 60+. Then there was a further division into subgroups, depending on whether the oncology was newly diagnosed. The authors believe that the study is interesting since it was carried out in 2 stages – before the period of coronavirus infection and with its spread. The levels of situational and personal anxiety in patients were determined, various depressive states were identified, and patients’ main fears were indicated. The authors come to the conclusion that during a period of unfavorable epidemiological situation, the psychoemotional state of the patients worsened: the level of anxiety increased, various depressive states developed, and patients’ fears changed. The data obtained are of certain interest, both for practicing oncologists and psychologists, and for health professionals.
    Keywords:
    oncology, anxiety, depression, patient, Spielberg, Zung, fear
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  • Osobennosti podgotovki vrachei-pediatrov v meditsinskom vuze, problemy i resheniia

    Book Chapter
    Education and science: current trends
    Authors:
    Liudmila V. Ulianova, Vera S. Ledneva, Marina I. Talykova, Nadezhda S. Korchagina, Anna V. Kriuchkova
    Work direction:
    Глава IV. Современные подходы к профессиональному обучению
    Abstract:
    The article discusses the problem of university training of pediatricians for work in the primary health care sector - children's clinics, in accordance with the objectives of the national project "Health Care". Taking into account the main goals of the national project aimed at reducing mortality in general and infant mortality in particular, the main way to implement it is the full staffing of medical personnel in primary health care in order to ensure access to medical care for the population and focus on preventive measures. The authors of the article analyzed the causes of the imperfection of providing primary health care for children, the low motivation of medical students to work as a local pediatrician, examined in detail the features of training at the pediatric faculty. The specifics of the pedagogical process aimed at training of future pediatricians at the university are specified and the author's view on its implementation is proposed. The authors formulate and justify a strategy for reforming the training of future doctors at the final stage of preparation. The need for an integrated approach to reforming the educational process, taking into account the formation of professional competencies of the local doctor, is shown. The authors also consider it necessary to expand and deepen knowledge not only in the field of pediatrics, but also psychology for future primary care physicians in order to improve the quality of medical care. Particular attention in the education of the future pediatrician should belong to practical skills, according to the qualification characteristics of the local doctor, which requires the availability of educational activities in simulation centers and university pediatric clinics. The authors consider the introduction of mentoring by experienced specialists over young pediatricians an essential condition for a high level of skills development. To solve the problem of low motivation of students to work as a local pediatrician, the authors propose expanding the possibilities of further professional and career growth. The most important and promising direction of optimizing the education of future district pediatricians, from the authors’ point of view, is the possibility of organizing specialized departments for training general practitioners at a medical university.
    Keywords:
    pediatrician training, outpatient medical care, general practitioner
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