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Sydykova B, Smailova D, Khismetova Z, Brimzhanova M, Baigozhina Z, Hosseini H, Latypova N, Izmailovich M. Enhancing nursing documentation in Kazakhstan: assessing utilization and standardization for improving patient care. Front Public Health 2023; 11:1267809. [PMID: 38074771 PMCID: PMC10702541 DOI: 10.3389/fpubh.2023.1267809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 10/02/2023] [Indexed: 12/18/2023] Open
Abstract
Background and aim This article stresses the importance of comprehensive nursing documentation in scientific medicine and discusses the adoption of standardized terminologies in Europe. The study also presents findings from a cross-sectional study conducted in Kazakhstan, assessing the utilization of standard operating procedures and nursing documentation in various clinical scenarios. The aim was evaluate the level of use of the form of nursing documentation and Standard Operating Procedure within the framework of reforming the Republic of Kazakhstan. Materials and methods During the period from December 2021 to February 2022, a cross-sectional study was conducted in Kazakhstan, involving a randomly selected sample of nurses with technical and vocational education as well as those with applied/academic baccalaureate degrees in nursing. Results In this cross-sectional study of 2,263 female nurses, 75.3% were nurse practitioners, and 44% held the highest qualification category. Awareness levels varied, with around 64.7% aware of the pilot program for care services, 65.8% aware of the deputy head position, and 73.8% familiar with the "extended practice nurse" role. Only 55.2% knew about the International Clinical Nursing Classification, and 54.5% observed changes in their nursing approach due to education. The limb edema measurement checklist was not used by the majority (88.4%) of respondents, and 68% did not utilize the antibiotic susceptibility testing checklist. Various other checklists and algorithms had limited utilization, with percentages ranging from 9.1 to 69.3%, indicating varying levels of adoption among participants. For assisting children with cerebral palsy, the "Assessment of hand use capacity according to the MACS classification system" was utilized by 9.1%, while 90.9% did not employ it. In the context of communication, 30.7% of the respondents utilized the "Algorithm of actions of a medical registrar when communicating with a patient," while 69.3% did not use it. These findings highlight variable adoption rates among participants for these medical procedures and protocols. Conclusion In Kazakhstan, nursing documentation forms and Standard Operating Procedures face challenges and limited utilization, but their implementation has shown positive impacts on patient care and healthcare outcomes. Overcoming resistance to change, increasing awareness, and addressing resource constraints are essential for further improvement.
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Affiliation(s)
| | | | | | - Marzhan Brimzhanova
- Department of Health Economics and Insurance Medicine, Kazakhstan Medical University “KSPH”, Almaty, Kazakhstan
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Glushkova N, Ivankov A, Trenina V, Oshibayeva A, Kalmatayeva Z, Temirbekova Z, Mamyrbekova S, Davletov K, Khismetova Z, Kauysheva A, Auyezova A, Zhanaspayev M, Pivina L, Koshmaganbetova G, Nurbakyt A, Sarsenbayeva G, Sadibekova Z, Gazaliyeva M, Kulimbet M, Kalmatayeva D, Zhylkybekova A, Nurgaliyeva Z, Sultanbekov K, Semenov D, Izmailovich M, Tsigengagel O, Munir K. Post-conflict acute stress reactions in Kazakhstan in the aftermath of January 2022 unrests: A national survey. Heliyon 2023; 9:e21065. [PMID: 37964844 PMCID: PMC10641126 DOI: 10.1016/j.heliyon.2023.e21065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 10/12/2023] [Accepted: 10/13/2023] [Indexed: 11/16/2023] Open
Abstract
Background In January 2022 Kazakhstan experienced unprecedented nationwide protests that quickly turned to violent riots. Although the number of individuals affected physically by the disturbances were cited, the emotional toll of the events remains undetermined. The aim of this study was to evaluate the comparative rates of acute stress reactions in Kazakhstan in the aftermath of the unrests. Methods A cross-sectional, population-based online survey was conducted one month after the start of the disturbances. The study questionnaire were completed anonymously and included the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) and the General Anxiety Disorder-7 (GAD-7), as well as socio-demographic and event exposure information. Results Of the 7021 people who initially agreed to participate, 6510 were able to complete the full survey. For a cut-off of ≥3 on the PC-PTSD-5, 14.8 % of the study participants exhibited symptoms. With a cut-off of ≥4, this percentage reduced to 4.6 %. Participants from Almaty city and Almaty region who experienced the most extensive disturbances showed a doubled prevalence compared to the national level (30.0 % for a cut-off of ≥3, and 10.1 % for a cut-off of ≥4). At the national level, the prevalence of anxiety symptoms, defined as a score of ≥10 on the GAD-7, stood at 10.9 %. This prevalence decreased to 4.2 % when considering a cut-off of ≥15. Conclusion Health authorities of riot-affected areas ought to be aware of the population level mental health impact of the civil conflict and consider provision of targeted interventions to mitigate the long-term consequence of these lifespan disorders, while also seeking for the peaceful resolution of the ensuing conflicts.
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Affiliation(s)
- Natalya Glushkova
- Department of Epidemiology, Biostatistics and Evidence-Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | | | - Varvara Trenina
- Department of Public Health, Semey Medical University, Semey, Kazakhstan
| | - Ainash Oshibayeva
- Rector Office, Khoja Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Kazakhstan
| | - Zhanna Kalmatayeva
- Academic Office, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Zhanar Temirbekova
- Rector Office, Khoja Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Kazakhstan
| | - Saltanat Mamyrbekova
- Academic Office, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Kairat Davletov
- Scientific Office, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Zaituna Khismetova
- Department of Public Health, Semey Medical University, Semey, Kazakhstan
| | - Almagul Kauysheva
- Rector Office, Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan
| | - Ardak Auyezova
- Rector Office, Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan
| | - Marat Zhanaspayev
- Department of Traumatology, Semey Medical University, Semey, Kazakhstan
| | - Lyudmila Pivina
- Department of Internal Medicine, Semey Medical University, Semey, Kazakhstan
| | - Gulbakit Koshmaganbetova
- Department of Master's and Doctoral Studies, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Ardak Nurbakyt
- Department of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Gulzat Sarsenbayeva
- Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
| | - Zhanat Sadibekova
- Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
| | - Meruert Gazaliyeva
- Dean Office of the School of Medicine, Karaganda Medical University, Karaganda, Kazakhstan
| | - Mukhtar Kulimbet
- Department of Epidemiology, Biostatistics and Evidence-Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Diana Kalmatayeva
- Department of General Psychology, Faculty of Philosophy and Political Science, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Aliya Zhylkybekova
- Department of Master's and Doctoral Studies, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Zhansaya Nurgaliyeva
- Department of Epidemiology, Biostatistics and Evidence-Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Kassymkhan Sultanbekov
- Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
| | | | - Marina Izmailovich
- Department of Internal Diseases, Karaganda Medical University, Karaganda, Kazakhstan
| | - Oxana Tsigengagel
- Department of Public Health, Semey Medical University, Semey, Kazakhstan
| | - Kerim Munir
- Developmental Medicine Centre, Boston Children's Hospital and Departments of Psychiatry and Paediatrics, Harvard Medical School, Boston, USA
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Zhakupova M, Nurbakyt A, Ospanova D, Chuyenbekova A, Kozhekenova Z, Dauletova G, Aitmanbetova A, Abdikadir M, Padaiga Z, Izmailovich M, Glushkova N, Semenova Y. Epidemiology of cerebral palsy in the Republic of Kazakhstan: Incidence and risk factors. Heliyon 2023; 9:e14849. [PMID: 37025867 PMCID: PMC10070905 DOI: 10.1016/j.heliyon.2023.e14849] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 03/16/2023] [Accepted: 03/20/2023] [Indexed: 03/29/2023] Open
Abstract
Background There is a paucity of robust data on the incidence and causes of cerebral palsy (CP) in Central Asian countries, while this information is important for planning local healthcare services. This epidemiological study was designed to clear the gap in knowledge on both the incidence of CP and the underlying risk factors in the Republic of Kazakhstan. Methods This was a retrospective study that comprised two stages. At the first stage, a cross-sectional analysis of CP frequencies was performed on the basis of official statistics obtained from the Republican Center for Health Development. A study with age- and sex-matched controls was carried out at the second stage to elucidate the maternal and neonatal risk factors associated with CP. Results Mild variability in national CP incidence was observed, ranging from 68.7 to 83.3 per 100,000 population. A number of maternal risk factors were significantly associated with CP, including arterial hypertension, thrombocytopenia, diabetes mellitus, pathology of fetal membranes, premature rupture of membranes, and acute respiratory illness during pregnancy. Low Apgar score, gestational age, birth weight, and presence of intraventricular hemorrhage or periventricular leukomalacia were among the important neonatal risk factors. Conclusion There is a need for a more comprehensive prospective study to document the extent of the CP problem in Kazakhstan. In addition, a national CP registry must be envisaged to overcome the lack of essential data.
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Izmailovich M, Semenova Y, Abdushukurova G, Mukhamejanova A, Dyussupova A, Faizova R, Gazaliyeva M, Akhvlediani L, Glushkova N, Kalmakhanov S, Bjørklund G. Molecular Aspects of Allergen-Specific Immunotherapy in Patients with Seasonal Allergic Rhinitis. Cells 2023; 12:383. [PMID: 36766723 PMCID: PMC9913438 DOI: 10.3390/cells12030383] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 12/30/2022] [Accepted: 01/03/2023] [Indexed: 01/22/2023] Open
Abstract
A systematic review and narrative synthesis of publications was undertaken to analyze the role of component-resolved diagnosis technology in identifying polysensitization for the provision of allergen-specific immunotherapy to patients with seasonal allergic rhinitis. A search of publications was carried out in electronic databases in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search helped to identify 568 publications, 12 of which were included in this review. Overall, 3302 patients were enrolled. The major finding was that component-resolved diagnostics change the choice of relevant allergens for allergen-specific immunotherapy in at least 50% of cases. Sensitization to allergen components differs with age, type of disease, and overall disease duration. Patients who had both bronchial asthma and allergic rhinitis were sensitized to a larger number of allergens than patients who had bronchial asthma alone.
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Affiliation(s)
- Marina Izmailovich
- Department of Internal Diseases, Karaganda Medical University, Karaganda 100008, Kazakhstan
| | - Yuliya Semenova
- School of Medicine, Nazarbayev University, Nur-Sultan 010000, Kazakhstan
| | - Gulzada Abdushukurova
- Department of Therapy, Faculty of Postgraduate Medical Education, Shymkent Medical Institute, Shymkent 160006, Kazakhstan
| | - Ainur Mukhamejanova
- Department of Family Medicine No 2, Astana Medical University, Nur-Sultan 010000, Kazakhstan
| | - Azhar Dyussupova
- Department of General Medical Practice of Semey City, Semey Medical University, Semey 071400, Kazakhstan
| | - Raida Faizova
- Department of General Medical Practice of Semey City, Semey Medical University, Semey 071400, Kazakhstan
| | - Meruert Gazaliyeva
- Vice-Rector for Clinical Work, Astana Medical University, Nur-Sultan 010000, Kazakhstan
| | - Leila Akhvlediani
- School of Medicine & Health Sciences, BAU International University Batumi, 6010 Batumi, Georgia
| | - Natalya Glushkova
- Department of Epidemiology, Biostatistics & Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty 050040, Kazakhstan
| | - Sundetgali Kalmakhanov
- Department Health Policy and Organization, Al-Farabi Kazakh National University, Almaty 050040, Kazakhstan
| | - Geir Bjørklund
- Council for Nutritional and Environmental Medicine (CONEM), 8610 Mo i Rana, Norway
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Mamyrbekova S, Iskakova G, Faizullina K, Kuziyeva G, Abilkaiyr N, Daniyarova A, Arynova G, Brimzhanova M, Abdushukurova G, Gazaliyeva M, Glushkova N, Semenova Y, Izmailovich M. The diagnostic accuracy of spirometry versus peak expiratory flow test for follow-up of adult asthma patients at primary care level. Allergy Asthma Proc 2022; 43:e58-e64. [PMID: 36065110 DOI: 10.2500/aap.2022.43.220049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Background: The asthma burden is growing worldwide, and this is predisposed by environmental and occupational exposures as well as individual risk factors. This study was aimed at a comparison of diagnostic accuracy of spirometry and peak expiratory flow rate (PEFR) in asthma screening of adult patients with lung function abnormalities that present at the level of primary care. Methods: This study was conducted in Shymkent city, South Kazakhstan, the third most populous city of the country with developed industries and high rates of pulmonary diseases. Four hundred and ninety-five adult patients with lung function abnormalities were enrolled in the study and underwent two screening tests (spirometry and PEFR). The diagnosis of asthma was verified by a qualified pulmonologist after performance of screening tests and was based on symptoms, medical history, and laboratory and lung function tests. Results: The sensitivity of spirometry was 0.97 and that of PEFR was 0.95 (p = 0.721), whereas the specificity of spirometry was 0.37 and that of PEFR was 0.28 (p = 0.227). Both tests yielded the same results for the positive predictive value (0.98). The negative predictive value was significantly higher for spirometry versus PEFR (0.23 versus 0.08; p = 0.006). The positive and negative likelihood ratios of the two tests also differed significantly (p = 0.001 and p = 0.006, respectively), whereas the overall accuracy was comparable between the two tests (0.96 for spirometry and 0.94 for PEFR; p = 0.748). Conclusion: Ambulatory PEFR monitoring is non-inferior to the monitoring of the forced expiratory volume in 1 second and could be used for screening purposes on equal grounds with spirometry.
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Affiliation(s)
- Saltanat Mamyrbekova
- From the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Gulnara Iskakova
- Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan, Almaty, Kazakhstan
| | - Kamila Faizullina
- Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan, Almaty, Kazakhstan
| | - Gulmira Kuziyeva
- From the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Nazerke Abilkaiyr
- From the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Anara Daniyarova
- From the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Gulbanu Arynova
- From the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Marzhan Brimzhanova
- From the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Gulzada Abdushukurova
- Department of Therapy, Faculty of Postgraduate Medical Education, Shymkent Medical Institute, Shymkent, Kazakhstan
| | | | - Natalya Glushkova
- From the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Yuliya Semenova
- Nazarbayev University School of Medicine, Nur-Sultan, Kazakhstan; and
| | - Marina Izmailovich
- Department of Internal Diseases, Karaganda Medical University, Karaganda, Kazakhstan
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Ansatbayeva T, Kaidarova D, Kunirova G, Khussainova I, Rakhmetova V, Smailova D, Semenova Y, Glushkova N, Izmailovich M. Early integration of palliative care into oncological care: a focus on patient-important outcomes. Int J Palliat Nurs 2022; 28:366-375. [PMID: 36006790 DOI: 10.12968/ijpn.2022.28.8.366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Globally, cancer remains one of the leading causes of mortality. Palliative care is designed to meet a range of cancer patients' priority issues, including the management of pain and other cancer-associated symptoms. Routine palliative care envisages the provision of not just medical therapy, but also psychological support, social support and spiritual assistance. What constitutes the best model for palliative care remains a matter of debate. AIM This review was undertaken with the aim to discuss different aspects of early integration of palliative care into oncological care, with a focus on patient-important outcomes. METHODS A comprehensive search of publications was conducted with a focus on integrative palliative care for incurable cancer patients. For this purpose, the following databases and search engines were used: Scopus, PubMed, Cochrane Library, Research Gate, Google Scholar, eLIBRARY and Cyberleninka. RESULTS A comprehensive approach with early integration of different medical services appears to be the most promising. Integrative palliative care is best provided via specialised interdisciplinary teams, given that all members maintain systemic communications and regularly exchange information. This model ensures that timely and adequate interventions are provided to address the needs of patients. CONCLUSION Further research is needed to pinpoint the most optimal strategies to deliver palliative care and make it as tailored to the patient's demands as possible.
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Affiliation(s)
- Tolganay Ansatbayeva
- Asfendiyarov Kazakh National Medical University; Oncologist of a Mobile Palliative Home Care Team, City Oncological Center of Almaty, Kazakhstan
| | - Dilyara Kaidarova
- Doctor of Medicine; Professor; Academician of the National Academy of Sciences of the Republic of Kazakhstan; Chairperson of the Board, JSC Kazakh Institute of Oncology and Radiology; Head of the Oncology Department, JSC Asfendiyarov Kazakh National Medical University, Kazakhstan
| | - Gulnara Kunirova
- President, Kazakhstan Association for Palliative Care Board of Directors, International Association for Hospice and Palliative Care; Executive Director, Together Against Cancer, Kazakhstan
| | - Ilmira Khussainova
- Assistant Professor of General and Applied Psychology, al-Farabi Kazakh National University; Head of the Department of Psychological and Social Assistance, Kazakh Insititute of Oncology and Radiology, Kazakhstan
| | - Venera Rakhmetova
- Professor of Department of Internal Diseases, Astana Medical University, Kazakhstan
| | - Dariga Smailova
- Head of Department of Epidemiology, Evidence-based Medicine and Biostatistics, Kazakhstan School of Public Health, Kazakhstan
| | - Yuliya Semenova
- Assistant Professor, Nazarbayev University School of Medicine, Kazakhstan
| | - Natalya Glushkova
- Associate Professor of the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Kazakhstan
| | - Marina Izmailovich
- Assistant Professor, Department of Internal Diseases, Karaganda Medical University, Kazakhstan
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Seksenova L, Koshkarbaeva B, Zhumadilova Z, Dedova O, Akhmetova N, Izmailovich M, Knaus A, Sabekova O, Kabduova A, Sarbasova D, Valiyeva S, Sydykbaeva Z. The Establishment of the Cause-Effect Relationship of the Formation of Somatic Diseases in the Population of Pre-Aral under the Influence of Ecological Factors. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.9369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Aim: The drying out region of the Aral Sea - the largest ecological disaster of anthropogenic origin. Establishment of the cause-and-effect relationship of formation of diseases among the adult population under the influence of environmental-hygienic factors.
Methods: The article identifies the relationship between somatic diseases in the surveyed population and identifies the leading type of aberrations under influence of ecological factors in this region.
Results: The article presents the results of multidimensional statistical analysis (correlation, linear and nonlinear regression, logistic) with the gradual establishment of the presence of the influence of the environmental factor on the development of a particular nosology and determining the significance of this influence, and also the prediction of the incidence growth with an increase in the level of the environmental factor was assessed.
Conclusion: This article provides the leading nosologies from the main classes of diseases throughout the Aral Sea region.
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