РОЛЬ МЕДИЧНОЇ СЕСТРИ В РЕАБІЛІТАЦІЇ ПАЦІЄНТІВ ІЗ СТРЕС-АСОЦІЙОВАНИМИ РОЗЛАДАМИ У МУЛЬТИДИСЦИПЛІНАРНІЙ КОМАНДІ

The modern concept of nursing development emphasizes equal partnership in teamwork. A nurse is considered a highly qualified specialist - a partner of a doctor and a patient, capable of independent work as part of a single team.The aim is to investigate the role of a nurse as part of a multidisciplinary rehabilitation team.Material and methods. For a detailed clinical, anamnestic and empirical study, 56 combatants (46 men and 10 women) with post-traumatic stress disorder (PTSD) were selected. All respondents had experience of 6 to 12 months in an active combat zone. A psychodiagnostic method was used with the PHQ-9 (Patient Health Questionnaire), the Mississippi PSTD scale (military version), and the Hospital Anxiety and Depression Scale (HADS).Results. Among the entire combatants cohort, PTSD was the most common (62.9%), acute stress reaction was registered in 10.1% of individuals, and the rest (26.9%) had adjustment disorders (F43.21 - 3.3%, F43.22 - 8.9%, F43.23 - 6.7%).Among the combatants, moderate and severe degrees of depression prevailed. A low level of anxiety (less than 40 points) was established in 8.9% of combatants, reduced (40 - 78 points) - in 10.7%; medium (79 - 117 points) - in 14.2; increased (118 - 156 points) - in 50.0%; high (more than 156 points) - in 17.8%. The functions of a nurse as part of multidisciplinary rehabilitation teams (physiotherapist, physiotherapist, psychologist, social educator, speech therapist, occupational therapist, nurse) were highlighted. The implementation of the nursing process in the rehabilitation of patients is a necessary condition for the implementation of professional care, as it allows improving the quality of nursing care and has a positive effect on the patient's quality of life related to health.Conclusion. Based on the conducted research, it was established that no global task in the field of health care could be solved without coordinated and systematic efforts to maximize the potential of nursing and increase its role within the framework of interdisciplinary medical teams. The study made it possible to compare the state of psycho-emotional health of combatants, to determine the necessary rehabilitation areas, the role and tasks of a nurse/medical brother as part of a multidisciplinary rehabilitation team.