METHOD OF IMPROVING THE HEALTH OF NURSES IN HOSPITALS DURING THE WAR
DOI:
https://doi.org/10.11603/2411-1597.2025.1.15197Keywords:
health, nurse, quality of life, burnout, cortisol, glucose, blood pressureAbstract
Introduction. The physical, mental and emotional well-being of nurses is the basis for providing high-quality medical care, because the quality of the performed medical measures and patient care depends on their well-being. The intensity of tasks and the high level of responsibility inherent in work in a hospital negatively affect the general health of nurses. As a result, chronic fatigue, sleep disorders, burnout syndrome, cardiovascular diseases, psychosomatic disorders and other pathological conditions may develop. Among the interventions aimed at reducing the impact of various factors on the health of nurses, special attention is paid to reducing the psychological impact on the health of nurses.
The aim of the study – to conduct a comparative assessment of the health of hospital nurses working with the military before and after training in basic skills for overcoming excessive stress associated with the challenges of war.
The main part. The cohort study included an examination of 151 nurses who were constantly involved in providing medical care to the military. A questionnaire was conducted among nurses, as well as blood tests for morning cortisol, glucose, lipid metabolism indicators, and blood pressure measurements. It was found that interventions related to training in overcoming excessive stress associated with the challenges of war contribute to a decrease in the manifestations of high-level emotional exhaustion in nurses by 41.3 % (p=0.031) and a decrease in signs of depersonalization (p=0.041). Integrative indicator of the physical component of quality of life increased by 10.2 %, while the psychological component of quality of life – by 15.4 % (p<0.05). At the same time, the level of cortisol in the blood serum decreased to the limits of reference values (p=0.042), and the level of basal glucose and systolic blood pressure also significantly decreased.
Conclusions. The introduction of training in basic skills for coping with stress associated with the challenges of war for hospital nurses who are constantly involved in providing medical care to military personnel contributes to the reduction of professional burnout, normalization of cortisol levels, basal glucose, and also a decrease in blood pressure.
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