STUDY OF THE LEVEL OF ANXIETY OF THE NURSING STAFF OF THE PRYKARPATTINAN REGIONAL CLINICAL CENTER OF MENTAL HEALTH UNDER THE CONDITIONS OF WAR

Abstract

Introduction. The problem of long-term care for patients with mental disorders is urgent and important for our society, especially given the reduction of inpatient psychiatric services in Ukraine and the extremely insufficient development of the network of social institutions for providing long-term care for patients with mental disorders.

The aim of the study – to investigate the level of anxiety of the staff of nurses of the inpatient departments of the Prykarpattian Regional Clinical Center of Mental Health of Ivano-Frankivsk Regional Council under the conditions of war.

The main part. When researching the anxiety level of nurses, we found that the highest average level of situational anxiety was observed in the inpatient general psychiatric department of crisis states and primary psychotic episodes, as well as in ICU. The lowest average level of situational anxiety was observed among the nurses of the inpatient general psychiatric department of comorbid (dependent) conditions and the department of medical and psychological rehabilitation with a multidisciplinary team based on case management. Only in three departments, namely: a) inpatient general psychiatric department of palliative care, including department of nursing care, b) medical and psychological rehabilitation department with a multidisciplinary team based on case management and c) inpatient general psychiatric department for comorbid (dependent) conditions, there is a specific share of nurses who have a low level of situational anxiety, although the specific weight of such persons is small. It is alarming that in the rest of the departments all nurses have a moderate to high level of situational anxiety. The situation is particularly tense in the department of medical and psychological rehabilitation with a multidisciplinary team based on case management, inpatient general psychiatric department of palliative care, incl. department of nursing care, and ICU. Only 11 % of the nursing staff have a low level of situational anxiety, i.e. approximately one nurse out of 10. A moderate level of situational anxiety is inherent in 31 %. A high level of situational anxiety is observed in 17 % of nurses of the Prykarpattian Regional Clinical Center of Mental Health. The situation is very alarming, which indicates that approximately 9 out of 10 nurses have a phenomenon of situational anxiety, which mainly occurs as an emotional reaction to some stressful situation. The highest average level of personal anxiety was observed in the inpatient general psychiatric department of palliative care, including department of nursing care and at ICU. The lowest average level of personal anxiety was observed in nurses of the inpatient general psychiatric department for planned care with geriatric beds and the inpatient general psychiatric department for comorbid (dependent) conditions. Only two departments, namely: a) inpatient general psychiatric department for planned care with geriatric beds and b) inpatient general psychiatric department for comorbid (dependent) conditions, have a specific share of nurses, who have a low level of personal anxiety, although the specific weight of such persons is small. It is alarming that in the rest of the departments all nurses have a moderate to high level of situational anxiety.

Conclusions. Only 10.1 % of the nursing staff have a low level of personal anxiety, that is, approximately one nurse out of 10. A moderate level of personal anxiety is inherent in 50.9 %. Approximately 9 out of 10 nurses have the phenomenon of situational anxiety, which mainly occurs as an emotional reaction to some kind of stressful situation, and every third hospital nurse can show high anxiety in ordinary everyday life situations and is on the verge of an emotional breakdown, psychosomatic disorder and neurotic phenomena.