Experience of working with patients of the resancing department and their relatives on information and optimization of compline
Relevance of the problem: to reduce the risk of postoperative complications in elderly and senile patients, OARIT is proposed to involve trained and informed relatives in the care and early rehabilitation. The aim of the work was to analyze the sources of ethical and legal regulation of the work of OARIT, a sociological survey of patients' relatives and the development of an educational program for their training on the basis of the clinic of anesthesiology and intensive care of the RKOD of the Ministry of Health of the Republic of Tatarstan. Materials and methods. The legal basis for the work of OARIT in the Russian Federation was studied, a questionnaire was conducted of 35 relatives of OARIT patients using a specially developed questionnaire. In 2017–2019 185 volunteer relatives were trained, 32 patients received their additional care, after which the mental status of patients (Mini Mental State scale) and physical condition (presence of bedsores, enteral nutrition) were assessed. The results obtained: 71% of the respondents are sympathetic to the restrictions on communication with a patient in OARIT, 97% consider themselves ready to take part in caring for a sick relative, but 66% do not have such experience. Therefore, a 3-hour interactive training program was developed and tested for them. 185 volunteers were trained, and their trained relatives were allowed to care for 32 patients. Preliminary results: improvement of enteral nutrition, skin condition and mental status of patients. Conclusion: the proposed system of attracting volunteers from among the relatives of OARIT patients for the care and rehabilitation of patients creates a friendly atmosphere, provides a positive dynamics of physical and cognitive-emotional disorders.