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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medecol</journal-id><journal-title-group><journal-title xml:lang="ru">Медицина и экология</journal-title><trans-title-group xml:lang="en"><trans-title>Medicine and ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2305-6045</issn><issn pub-type="epub">2305-6053</issn><publisher><publisher-name>Карагандинский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">medecol-326</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Расширенный сестринский уход за пациентами с сложными кардиологическими состояниями</article-title><trans-title-group xml:lang="en"><trans-title>Advanced nursing care of patients with complex, cardiologic conditions</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шозда</surname><given-names>К. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Shozda</surname><given-names>K. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Школа сестринского образования</p><p>Караганда</p></bio><bio xml:lang="en"><p>Shozda Kristina Eduardovna – MSc, trainee teacher of the School of Nursing Education, tel.:+77078037255</p><p>Karaganda</p></bio><email xlink:type="simple">Shozda@qmu.kz</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ваартио-Рахалин</surname><given-names>Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Vaartio-Rajalin</surname><given-names>H.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Турку</p></bio><bio xml:lang="en"><p>Turku</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Карагандинский медицинский университет<country>Казахстан</country></aff><aff xml:lang="en">Karaganda Medical University<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Университет Або Академи<country>Финляндия</country></aff><aff xml:lang="en">Åbo Akademi University<country>Finland</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>28</day><month>05</month><year>2023</year></pub-date><volume>0</volume><issue>3</issue><fpage>16</fpage><lpage>18</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шозда К.Э., Ваартио-Рахалин Х., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Шозда К.Э., Ваартио-Рахалин Х.</copyright-holder><copyright-holder xml:lang="en">Shozda K.E., Vaartio-Rajalin H.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medecol.qmu.kz/jour/article/view/326">https://medecol.qmu.kz/jour/article/view/326</self-uri><abstract><p>Настоящая статья рассматривает вопросы расширенного сестринского ухода при работе с пациентами, которые страдают от сложного комплексного состояния в кардиологии. Рассматриваются комплексы симптомов и синдромов, которые наблюдаются у пациентов при кардиологических заболеваниях, а также возможные методики улучшения качества жизни пациентов. Рассматривается состояние пациентов на всех этапах заболевания (от неотложной помощи до реабилитации). Мы рассмотрели и разработали свои положения в теории среднего уровня самопомощи при хронических заболеваниях в кардиологии. Были изучены клинические рекомендации по сестринскому делу для реабилитации сердца, предложенные Национальным исследовательским центром развития здравоохранения. Нами были предложены некоторые улучшения существующих клинических рекомендаций.</p></abstract><trans-abstract xml:lang="en"><p>This article addresses the issues of extended nursing care when working with patients who suffer from a complex complex condition in cardiology. Complexes of symptoms and syndromes that are observed in patients with cardiac diseases, as well as possible methods for improving the quality of life of patients, are considered. The condition of patients at all stages of the disease (from emergency care to rehabilitation) is considered. We reviewed and developed our provisions in the theory of the average level of self-help in chronic diseases in cardiology. Clinical guidelines for nursing for cardiac rehabilitation proposed by the National Research Center for Health Development were studied. We have proposed some improvements to existing clinical guidelines.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сложные состояния</kwd><kwd>расширенный сестринский уход</kwd><kwd>теории ухода</kwd><kwd>кардиологические пациенты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Complex conditions</kwd><kwd>Advanced nursing care</kwd><kwd>Nursing theory</kwd><kwd>Cardiological patients</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">A DeVon H, Vuckovic K, Ryan C, Barnason S, Zerwic J, Pozehl B, Schulz P, Seo Y, Zimmerman L. / Systematic review of symptom clusters in cardiovascular disease. // Eur Jour Cardiov Nurs. – 2016. - No16(1). – P. 6-17.</mixed-citation><mixed-citation xml:lang="en">A DeVon H, Vuckovic K, Ryan C, Barnason S, Zerwic J, Pozehl B, Schulz P, Seo Y, Zimmerman L. / Systematic review of symptom clusters in cardiovascular disease. // Eur Jour Cardiov Nurs. – 2016. - No16(1). – P. 6-17.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Beck AT, Ward C, Mendelson M. / «Beck Depression Inventory (BDI)». // Arch of Gen Psych. – 1961. – No 4. – P. 561-571.</mixed-citation><mixed-citation xml:lang="en">Beck AT, Ward C, Mendelson M. / «Beck Depression Inventory (BDI)». // Arch of Gen Psych. – 1961. – No 4. – P. 561-571.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Dunlay SM, Manemann SM, Chamberlain AM, Cheville AL, Jiang R, Weston SA, Roger VL. / Activities of daily living and outcomes in heart failure. // Circulation. 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