ORGANIZATION OF "OPEN REANIMATION" IN THE REPROFILED INFECTIOUS HOSPITAL

Aim – to assess the effectiveness of the «open reanimation» project in a redesigned infectious diseases hospital during a pandemic of a new coronavirus infection (NKI). Materials and methods. The study was carried out in two stages. The first stage was carried out at the time of the opening of the...

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Main Authors: Виталий Сергеевич Самоделкин, Евгения Александровна Каменева, Наталья Александровна Ануфриева, Василий Николаевич Паличев, Вадим Гельевич Мозес, Кира Борисовна Мозес, Елена Владимировна Рудаева, Светлана Ивановна Елгина, Иосиф Маркович Центер
Format: Article
Language:Russian
Published: The Publishing House Medicine and Enlightenment 2021-06-01
Series:Медицина в Кузбассе
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Online Access:https://mednauki.ru/index.php/MK/article/view/590
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author Виталий Сергеевич Самоделкин
Евгения Александровна Каменева
Наталья Александровна Ануфриева
Василий Николаевич Паличев
Вадим Гельевич Мозес
Кира Борисовна Мозес
Елена Владимировна Рудаева
Светлана Ивановна Елгина
Иосиф Маркович Центер
author_facet Виталий Сергеевич Самоделкин
Евгения Александровна Каменева
Наталья Александровна Ануфриева
Василий Николаевич Паличев
Вадим Гельевич Мозес
Кира Борисовна Мозес
Елена Владимировна Рудаева
Светлана Ивановна Елгина
Иосиф Маркович Центер
author_sort Виталий Сергеевич Самоделкин
collection DOAJ
description Aim – to assess the effectiveness of the «open reanimation» project in a redesigned infectious diseases hospital during a pandemic of a new coronavirus infection (NKI). Materials and methods. The study was carried out in two stages. The first stage was carried out at the time of the opening of the re-profiled hospital and included an assessment of the psychoemotional state of patients with NKI (n = 50, group A) before the implementation of the «open resuscitation» project in the RO, the second stage was carried out after the implementation of the «open resuscitation» project in the RO (n = 50, group B). An objective assessment of the psychoemotional state in all groups was carried out using the Hospital Anxiety and Depression Scale (HADS) questionnaire by summing two indicators of anxiety and depression and was assessed for 1-6 days of stay in the RC. The results obtained. 84 % of patients in group A and 90 % in group B had comorbid and polymorbid pathologies, p = 0.372. Upon admission to the RO, humidified oxygen received 30 % and 36 %, respectively, NIVL received 76 % and 64 % respectively, p = 0.532. The frequency of delirium was 26 % and 6 % respectively, p = 0.006. Insomnia was noted in 34 % and 18 % of patients, respectively p = 0.068. Light sedative therapy with desmedetomidine was performed in 28 % and 12 % respectively, p = 0.045. When comparing, HADS indices in patients of both groups were 36 (29; 39) points in group A and 34 (29; 38) points in group B on the 1st day of stay in RO, U[50; 50] = 1081, p = 0.246; on the 6th day of stay 32 (27; 33) and 26 (22; 30) respectively, U[50; 50] = 572, p = 0.001. Conclusions. The assessment of HADS indicators clearly demonstrates that all patients experienced severe stress during admission to the RC, however, adherence to the principles of "open reanimation" was accompanied by a significant decrease in the level of anxiety and depression in patients who are conscious
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spelling doaj-art-4ecbe127e11245c0a2cb7cec71d758822025-08-20T02:52:49ZrusThe Publishing House Medicine and EnlightenmentМедицина в Кузбассе1819-09012588-04112021-06-012028084531ORGANIZATION OF "OPEN REANIMATION" IN THE REPROFILED INFECTIOUS HOSPITALВиталий Сергеевич Самоделкин0Евгения Александровна Каменева1Наталья Александровна Ануфриева2Василий Николаевич Паличев3Вадим Гельевич Мозес4Кира Борисовна Мозес5Елена Владимировна Рудаева6Светлана Ивановна Елгина7Иосиф Маркович Центер8ГАУЗ «Кузбасская клиническая больница» им. С.В. Беляева, г. КемеровоГАУЗ «Кузбасская клиническая больница» им. С.В. Беляева, г. КемеровоГАУЗ «Кузбасская клиническая больница» им. С.В. Беляева, г. КемеровоГАУЗ «Кузбасская клиническая больница» им. С.В. Беляева, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоAim – to assess the effectiveness of the «open reanimation» project in a redesigned infectious diseases hospital during a pandemic of a new coronavirus infection (NKI). Materials and methods. The study was carried out in two stages. The first stage was carried out at the time of the opening of the re-profiled hospital and included an assessment of the psychoemotional state of patients with NKI (n = 50, group A) before the implementation of the «open resuscitation» project in the RO, the second stage was carried out after the implementation of the «open resuscitation» project in the RO (n = 50, group B). An objective assessment of the psychoemotional state in all groups was carried out using the Hospital Anxiety and Depression Scale (HADS) questionnaire by summing two indicators of anxiety and depression and was assessed for 1-6 days of stay in the RC. The results obtained. 84 % of patients in group A and 90 % in group B had comorbid and polymorbid pathologies, p = 0.372. Upon admission to the RO, humidified oxygen received 30 % and 36 %, respectively, NIVL received 76 % and 64 % respectively, p = 0.532. The frequency of delirium was 26 % and 6 % respectively, p = 0.006. Insomnia was noted in 34 % and 18 % of patients, respectively p = 0.068. Light sedative therapy with desmedetomidine was performed in 28 % and 12 % respectively, p = 0.045. When comparing, HADS indices in patients of both groups were 36 (29; 39) points in group A and 34 (29; 38) points in group B on the 1st day of stay in RO, U[50; 50] = 1081, p = 0.246; on the 6th day of stay 32 (27; 33) and 26 (22; 30) respectively, U[50; 50] = 572, p = 0.001. Conclusions. The assessment of HADS indicators clearly demonstrates that all patients experienced severe stress during admission to the RC, however, adherence to the principles of "open reanimation" was accompanied by a significant decrease in the level of anxiety and depression in patients who are conscioushttps://mednauki.ru/index.php/MK/article/view/590коронавирус«открытая реанимация»
spellingShingle Виталий Сергеевич Самоделкин
Евгения Александровна Каменева
Наталья Александровна Ануфриева
Василий Николаевич Паличев
Вадим Гельевич Мозес
Кира Борисовна Мозес
Елена Владимировна Рудаева
Светлана Ивановна Елгина
Иосиф Маркович Центер
ORGANIZATION OF "OPEN REANIMATION" IN THE REPROFILED INFECTIOUS HOSPITAL
Медицина в Кузбассе
коронавирус
«открытая реанимация»
title ORGANIZATION OF "OPEN REANIMATION" IN THE REPROFILED INFECTIOUS HOSPITAL
title_full ORGANIZATION OF "OPEN REANIMATION" IN THE REPROFILED INFECTIOUS HOSPITAL
title_fullStr ORGANIZATION OF "OPEN REANIMATION" IN THE REPROFILED INFECTIOUS HOSPITAL
title_full_unstemmed ORGANIZATION OF "OPEN REANIMATION" IN THE REPROFILED INFECTIOUS HOSPITAL
title_short ORGANIZATION OF "OPEN REANIMATION" IN THE REPROFILED INFECTIOUS HOSPITAL
title_sort organization of open reanimation in the reprofiled infectious hospital
topic коронавирус
«открытая реанимация»
url https://mednauki.ru/index.php/MK/article/view/590
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