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6деструктивного вмешательства. Число женщин, забеременевших через 1-4 года после деструктивного лечения, составило 60 (42,1%), а добровольные аборты наблюдались у 25 (26,4%) женщин.
Ключевые слова: доброкачественные заболевания шейки матки, деструктивное лечение шейки матки, важность деструктивного вмешательства во время беременности.
REPRODUCTIVE FUNCTION OF THE CERVIX IN WOMEN AFTER DESTRUCTIVE SURGERY
A.J. Nurdildaeva, Z.G. Kamzina
NEI «Kazakh-Russian Medical ип^еге^», Kazakhstan, Almaty
Summary
Reproductive results of benign сетса1 diseases were studied in 220 treated women. From Шет was developed а method of pathological destructive treatment of the cervix. The study of patients induded the following iss^s: bacterioscopy of the smear, суЮ^ка1 examination of the smear, PCR-diagmsis of sexually transmitted infections. Depending оп the indications for destructive treatment аге: ectropion, conditioned scar deformity caused by GM (93-59.9%), pathology combined with GM, papillomavirus infection (22-20.0%), dysplasia (7-6.1%), leukoplakia (20 -18.2%), polyps of Ше cervical сапа1 (31.0%), endometriosis of the umbi1ica1 cord (6-4.7%). A comparison of the gro^ revea1ed similar patho1ogies in 92 women, but without destructive ^егеепйоп. The number of women who became pregnant after 1 to 4 years after destructive ^еаШеШ: was 60 (42.1%) and vo1untary abortions were observed in 25 (26.4%) women.
Key words: benign diseases of the сетх, des'tru^ye ^еаШеП of the се^х, ШроНапсе of des'tru^ye intervention during pregnancy.
UDC: 614.616.009 MPHTM: 76.01.79.
THE GOOGLE FORMS ONLINE SERVICE IS USED TO ASSESS THE SOCIO-PSYCHOLOGICAL QUALITIES OF A PERSON AND THE LEVEL OF PROFESSIONAL COMPETENCE OF AVERAGE MEDICAL PROFESSIONALS
1 A. Syzdykova, 1 L.Orakbay, 1 A. Mansharipova, 2 B. Shuzheev, 3 M. Kushniyazova
1 NEI «Kazakh-Russian Medical University», Kazakhstan, Almaty 2 «National Scientific Center of Phthisiopulmonology», Kazakhstan, Almaty 3 «Kazakh-British Technical University», Kazakhstan, Almaty
Summary
We have studied a group of nurses with secondary medical education for 2 years. At present, there is a need for a holistic scientific approach to the development of the content of professional training, including for secondary medical personnel, in line with the formation of professional competence of a specialist. To do this, it seems appropriate to determine the types of activities that involve a certain level of competence that ensures the successful implementation of a set of professional tasks. This article presents the results of a survey conducted using Google Forms of mid-level medical workers to assess the level of professional competence of mid-level medical workers.
Key words: competence, nurse, professional competence, secondary medical worker, online service, Google Forms.
Introduction. The emergence of a large number of modern clinics, super-equipped centers, hospices and private medical infrastructures provides for the designation of a new place and role of a secondary medical workers, the definition of the scope of his activities and a clear division of responsibilities depending on the degree of professional training and competence [1; 2].
Competence is the most important characteristic of a specialist who must be ready to perform professional activities in order to independently, responsibly, and effectively perform their work functions. As a result of
independent work, competence is gradually transformed into professionalism, which is a high skill, characterizes a deep mastery of the specialty, is expressed in the ability to creatively use the information learned in the learning process.
As a result of independent work, competence is gradually transformed into professionalism, which is a high skill, characterizes a deep mastery of the specialty, is expressed in the ability to creatively use the information learned in the learning process. Only self-development, self-education, self-movement of the individual can ensure this transition,
m
since no educational institution has ever provided, and cannot provide, all the knowledge, skills and abilities that a graduate will need in further work. An educational institution can and should lay down the basic knowledge and skills, form and develop the skills of independent work, which will become the foundation for further deepening in the theory and practice of professional activity.
Competence should not be opposed to professional qualifications, but it should not be identified with them. The term "competence" is used to refer to the integrated characteristics of the qualities of the graduate's training, the category of the result of education. Turning to the assessment of the quality of education through competence means that education is closely linked to employment.
At present, there is a need for a holistic scientific approach to the development of the content of professional training, including for secondary medical personnel, in line with the formation of professional competence of a specialist. To do this, it seems appropriate to determine the types of activities that involve a certain level of competence that ensures the successful implementation of a set of professional tasks. This determined the purpose of our study [4; 5].
The purpose of the study. To assess the level of professional competence of average medical professionals, successfully using the online service Google Forms.
Organization and methods of research.
From the point of view of technical implementation, the Google Forms service, which operates within the Google Docs project, will help in our research. Google Forms is an online service for creating feedback forms, testing and surveys, which can be successfully used in our work. This form is effective for assessing the level of professional competence of secondary medical workers, it is necessary to use modern tools for sociological research, which make the processes easy, informative and convenient for all participants. An important feature of Google Forms is that the survey results are conveniently collected and analyzed without using any special functionality. They can also be uploaded to a file or exported to a Google Docs spreadsheet in real time.
As part of our research, we conducted an online sociological study by interviewing nurses of medical institutions: City Emergency Hospital, City Clinical Hospital No. 4.
Links to ready-made forms were sent to the respondents ' email addresses directly from Google Forms. The study covered 100 respondents. Of these, 50 nurses, senior and chief nurses of the State Medical Institution at the «City Emergency Hospital», Almaty. 50 nurses, senior and head nurses of the State Medical Institution at the «City Clinical Hospital No. 4», Almaty. The sample was carried out by a random method, i.e. from the total number of individual categories of respondents, the respondents were randomly selected up to the required volume of the study.
1. The survey was conducted online anonymously and voluntarily.
2. The questionnaires addressed the themes of religious, ethnic and socio-material conditions.
3. Psychological risk is absent.
All participants who met the inclusion and exclusion criteria were invited to participate in the study. The participant's consent is confirmed verbally. After receiving an oral confirmation of the respondent's desire to participate in the study, an online survey was conducted.
The questionnaire used questions of closed, open, semi-open type, basic, control. Using an individual anonymous questionnaire, each questionnaire was filled out online by the respondent.
Data analysis and monitoring.
1. Statistical observation - mass scientifically organized collection of primary information about individual units of the phenomenon under study.
2. Grouping and summary of the material-generalization of observation data to obtain absolute values (accounting and evaluation indicators) of the phenomenon.
3. Processing of statistical data and analysis of the results to obtain reasonable conclusions about the state of the phenomenon under study and the patterns of its development.
The calculation of the reliability of the sample of respondents was based on the condition that the indicators should be three times higher than their average error. Based on this, the sample of 100 respondents is representative. When processing the data, the text characteristics obtained in the questionnaires were formalized by known methods in order to be able to have the apparatus of quantitative methods for analyzing the collected material. The data was translated into quantitative indicators of information, i.e. it was translated into points.
At the next stage, statistical processing of the obtained data was carried out on the basis of the Microsoft Excel application computer program. In the course of the study, standard methods of variation statistics were used, where the arithmetic mean, the mean square error, the Student's coefficient (t) were calculated, followed by finding the level of confidence of differences (p).
For clarity, the data obtained are presented in the form of tables, figures and diagrams.
The results of the research.
Using the first set of questions, the status of the respondents (nurses) was studied, which concerned the following features: age, professional experience, level of education, qualification category.
The age composition of the respondents is shown in Table 1. As can be seen from the table, the most numerous groups are specialists under the age of 30 (44%), those aged 31 to 39 years - 21% and from 40 to 49 years - 17%. On the contrary, the share of the age group from 50 to 59 years is represented by 9%.
Table 1. Age distribution of respondents (abs., %).
Age Up to 30 years old 31-39 years old 40-49 years old 50-59 years old
Number of respondents abs.) 44 21 17 9
% ratio 44% 21% 17% 9%
The distribution of respondents by medical experience showed that almost every fourth specialist holds a position from 6 to 10 years and from 11 to 30 years (32%, 27%),
DISTRIBUTION OF RESPONDENTS BY LEVEL OF EDUCATION
Figure 1. Distribution of respondents by level of education.
Distribution of secondary medical personnel by qualification category {%)
Figure 2. Distribution of secondary medical personnel by qualification category (%).
When asked whether 78 (78%) of the respondents were satisfied with their work, 17 (17%) of the respondents were not satisfied with their work, and 5 (5%) of the respondents were not satisfied (Figure 3).
respectively, 40% of them work for up to 5 years and 1% -for more than 30 years (Table №2).
Of the total number of nurses surveyed, 99 respondents (99%) had secondary education, 1 respondent (1%) - higher education (Figure 1).
Among the respondents, 21 (21%) specialists had the highest category, 23 (23%) - the 1st category, 19 (19%) -the 2nd category, the remaining 37 did not have a category (table №3; Figure 2).
Table 2. Distribution of respondents by length of medical experience.
Work experience Up to 5 6-10 years 11-30 years 30 years or
years old old more
Number of respondents (abs.) 40 32 27 1
% ratio 40% 32% 27% 1%
Table 3. Distribution of secondary medical personnel by qualification category.
Category Higher School 1 category 2 category Doesn't have
Number of respondents (abs.) 21 23 19 37
% ratio 21% 23% 19% 37%
m
When asked about the need to improve their skills, all respondents (100%) noted the need to improve their skills. The ways of professional development that respondents
choose are shown in Table 4 and Figure 4. Thus, the table shows that 69 respondents choose advanced training courses, while only 13 choose to participate in nursing conferences.
Table 4. Ways to improve the skills of the respondents.
Ways to improve your skills Advanced training courses Reading medical literature Participation in nursing conferences
Number of respondents (abs.) 69 61 13
% ratio 48% 43% 9%
Ways to improve the skills of the respondents
i advanced training
reading m edical literature
participation in nursing corfenences
Figure 4. Ways to improve the skills of the respondents.
When asked about the proposals aimed at improving the quality of nursing care, 71% of respondents noted that they should continuously improve the skills of nurses and 70% should treat their work conscientiously (Table 5; Figure 5).
Suggestions for improving the quality of nursing care
treat work conscientiously
train nurses in communication psychology ■ improve logistics support
Figure 5. Suggestions for improving the quality of nursing care. Table 5. Proposals for improving the quality of nursing care.
Suggestions for improving the quality of nursing care Continuously improve the skills of nurses Rational use of working time Treat work conscientiously Train nurses in communication psychology Administrations to strengthen control over the work of secondary medical staff Improve logistics support Increase the prestige of the nursing profession
Number of respondents (abs.) 71 11 70 25 20 32
% ratio 71% 11% 70% 25% - 20% 32%
Thus, the online survey of mid-level medical workers to assess the level of professional competence of mid-level medical workers allowed us to draw the following conclusions:
1. Among the surveyed medical personnel, 95% of female respondents and 5% of male respondents were female. Of the total number of nurses surveyed, 99 respondents (99%) had a secondary education, and 1 respondent (1%) had a higher education.
2. The distribution of respondents by medical experience showed that 40% of respondents had work experience of up to 5 years, 32% - from 6 to 10 years and 27% - from 11 to 30 years, respectively.
3. The results ofthe survey revealed that 96% of respondents are familiar with their functional responsibilities, and 4 (4%) of respondents do not know their functional responsibilities. It was found that in 71 (71%) of the respondents, the work performed by them coincides completely with the functional responsibilities, and in 29 respondents (29%) they partially coincide.
4. Satisfaction of nurses with their work 78 (78%) of the respondents said that they were quite satisfied with their work, 17 (17%) people were not quite satisfied, and 5 (5%) respondents were not satisfied.
5. An additional survey of 45 respondents to identify the reasons for dissatisfaction with their work revealed that 31 (68.9%) of respondents were dissatisfied with low wages, and 12 (26.7%) with insufficient social benefits, and only 1 (2.2%) of respondents were dissatisfied with a non-prestigious profession.
6. 71% of respondents noted that in order to improve the quality of nursing care, it is necessary to continuously improve the skills of nurses and 70% - to treat work conscientiously.
7. The level of professional competence formation, in our opinion, depends on the functional responsibilities performed by nurses in the workplace. The results of the survey indicate that currently the functions of nurses are not fully performed in accordance with the functional responsibilities. Thus, 38 (86.4%) of the respondents perform the duties of nurses in auxiliary offices, and 6 (13.6%) perform the duties of junior medical staff.
References:
1. G.T. Kashafutdinova, V.Yu. Baysugurova The current state of nursing in developed countries: expanding nursing practice // Bulletin of KazNMU. - 2016. - No. 3. - pp. 412416. (In Russian).
2. E.A. Bogush, The role of the chief medical nurse in the reform of nursing // Postgraduate Bulletin. - Povolzhya, 2014. - no. 5-6. - pp. 50-52. (In Russian).
3. Akanov A.A., Khamzina N.K., Buribaeva Zh.K., Nursing: the theory of delegated competence. - Astana. -2006. -110 p. (In Russian)
4. Joyce P. Management and education in nursing: commons goal and interests // Nursing Management - 2012. - pp. 20-24.
5. Glazunova L.N., Assessment of professional competence in vocational education in Great Britain. // SPO, No. 4-2003. - 47p. (In Russian).
ЖЕКЕ Т¥ЛГАНЫЦ ЭЛЕУМЕТТШ-ПСИХОЛОГИЯЛЬЩ ЦАСИЕТТЕРШ ЖЭНЕ ОРТА МЕДИЦИНАЛЬЩ ЦЫЗМЕТКЕРЛЕРДЩ КЭС1БИ ;¥ЗЫРЕТТШ1ГШ ЦАЛЫПТАСТЫРУ ДЕЦГЕЙ1Н БАГАЛАУ YШIН GOOGLE FORMS ОНЛАЙН-СЕРВИС1НЩ ЦОСЫМШАЛАРЫ
1 А. Сыздыкова, 1 Л. Оракбай, 1 А. Маишарипова, 2 Б. Шужеев, 3 М. Кушииязова
1 «Казакстан-Ресей медицинальщ университета», МЕББМ, Казакстан, Алматы к.
2 «¥лттьщ фтизиопульмонология гылыми орталыгы», Казакстан, Алматы к.
3 «Казакстан-Британ техникалык университета», Казакстан, Алматы к.
ТYЙiидi
Бiз 2 жыл бойы медбикелер тобын зерттедж (орта медициналык бiлiмi бар). Казiргi уакытта маманнын кэаби кузыреттшпн калыптастыру арнасында орта медициналык персоналды кэаби даярлау мазмунын эзiрлеуге тутас гылыми кезкарас кажеттап шсш-жеталдг Ол Yшiн кэаби мшдеттер жиынтыгынын сэтта орындалуын камтамасыз ететан белгш бiр кузыреттшк денгешн кездейтан кызмет тYрлерiн аныктау орынды болып кершедг Бул макалада орта буын медицина кызметкерлершщ кэаби кузыреттшпн калыптастыру денгешн багалау максатында Googk Forms колдану аркылы орта буын медицина кызметкерлерше жYргiзiлген сауалнама нэтижелерi келтаршедг
КЫт свздер: цузыреттШк, мейiрбике ici, кэ^би цузыреттШк, орта медицина цызметкерi, онлайн сервис, Google Forms.
ПРИМЕНЕНИЕ ОНЛАЙН-СЕРВИС GOOGLE FORMS ДЛЯ ОЦЕНКИ СОЦИАЛЬНО-ПСИХОЛОГИЧЕСКИХ КАЧЕСТВ ЛИЧНОСТИ И УРОВЕНЬ СФОРМИРОВАННОСТИ ПРОФЕССИОНАЛЬНОЙ КОМПЕТЕНТНОСТИ СРЕДНИХ МЕДИЦИНСКИХ РАБОТНИКОВ
1 А. Сыздыкова, 1 Л. Оракбай, 1 А. Маишарипова, 2 Б. Шужеев, 3 М. Кушииязова
1 НУО «Казахстанко-Российский медицинский университет», Казахстан, г. Алматы 2 «Национальный научный центр фтизиопульмонологии», Казахстан, г. Алматы 3 «Казахстанко-Британский технический университет», Казахстан, г. Алматы
Аннотация
Нами на протяжении 2 лет была исследована группа медицинских сестер (с средним медицинским образованием). В настоящее время назрела необходимость целостного научного подхода к разработке содержания профессиональной подготовки среднего медицинского персонала в русле формирования профессиональной компетентности специалиста. Для этого представляется целесообразным определить виды деятельности, которые предполагает определенный уровень компетентности, обеспечивающий успешное выполнение совокупности профессиональных задач. В данной статье приводятся результаты проведенного с применением Google Forms анкетирования медицинских работников среднего звена с целью оценки уровня сформированности профессиональной компетентности медицинских работников среднего звена.
Ключевые слова: компетентность, медицинская сестра, профессиональная компетентсность, средний медицинский работник, онлайн-сервис, Google Forms.
УДК: 614.3:378.1 МРНТИ: 75.75.02.
РОЛЬ СТУДЕНТОВ В САНИТАРНО-ПРОФИЛАКТИЧЕСКОЙ ДЕЯТЕЛЬНОСТИ СРЕДИ НАСЕЛЕНИЯ
Н.Т. Джайнакбаев, С.Н. Третьякова, А.О. Сейдалин, Т.Х. Хабиева, М.В. Давыденко
НУО «Казахстанско-Российский медицинский университет», Казахстан, Алматы
Аннотация
В статье рассматриваются вопросы гигиенического воспитания потребностей в сохранении здоровья и по предупреждению рисков здоровья населения на основе медико-профилактической деятельности студентов 5-х и 6-х курсов. Успех профилактической работы среди населения по предупреждению социально значимых заболеваний, основанный на устранении факторов риска и воспитании здорового образа жизни, достигается только в результате совместных целенаправленных усилий населения и медицинских работников. Научно-образовательная миссия университета осуществляется через распространение идей, знаний, разработок здоровье сберегающих технологий, просвещения населения. В связи с этим, студентами 5-6-х курсов читаются лекции в школах, колледжах и других учебных заведениях, темами которых являются наиболее актуальные для нашего города проблемы здравоохранения, вопросы профилактики туберкулеза, СПИДа и гепатита, и других заболеваний. По результатам социологического опроса изучено мнение студентов университета о методах эффективного, гигиенического обучения и воспитания в целях достижения безопасности жизни всего населения и формирования культуры здоровья у всех субъектов образовательного процесса.
Данный аспект работы свидетельствует о необходимости проведения постоянного социологического исследования (мониторинга нужд потребителей, духовной трансформации студентов) культурного движения, трудовой, лекторской и волонтерской деятельности студенчества НУО «Казахстанско-Российский медицинский университет».
Традиционный базовый принцип интеграции важнейших элементов образования, воспитания, науки и практики в университете имеет солидное обоснование и оправданные этой интеграцией результаты. Один из них касается воспитания лекционной культуры студентов «понимание интеллектуальной деятельности как профессии и развитие способностей к лекторскому мастерству».
Ключевые слова: мнение, творчество, мотивация, самовоспитание, профессиональный рост студентов, профилактика туберкулеза, Спида и других заболеваний, санитарно-эпидемиологическая ситуация.
Введение. Успех профилактической работы среди населения по предупреждению социально значимых заболеваний, основанный на устранении факторов риска и воспитании здорового образа жизни, достигается только в результате совместных целенаправленных усилий
населения и медицинских работников. Эффективное решение этой задачи требует хорошей информированности в вопросах профилактики туберкулеза, СПИДа и других заболеваний среди населения, должной профессиональной квалификации врачей первичного звена,
