Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»268210.69541/NRIPH.2025.01.003Научная статьяThe impact of professional activities of nurses on the quality of medical care for palliative patients in inpatient settingsKasimovskayaNataliya A.kasimovskaya_n_a@staff.sechenov.ruhttps://orcid.org/0000-0002-1046-4349GeraskinaNatalia S.geraskina_n_s@staff.sechenov.ruhttps://orcid.org/0000-0001-7018-2688Federal State Autonomous Educational Institution of Higher EducationI.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation (Sechenov University), Moscow, Russian Federation020420251182417042025Copyright © 2025,2025<p>Inpatient palliative care is primarily needed by adult patients over the age of 60 who have chronic diseases and a polymorbid background. Realizing the needs of patients and solving their urgent problems in inpatient settings is the main task of nurses. The study conducted in 20212022 confirmed the importance of the professional activities of nurses in solving problems and needs of palliative patients. The special conditions of professional activity for nurses are the severity of the patients' condition, since most often in their practice they encounter patients with various forms of cancer (85.0%, CI 81.488.6), severe irreversible consequences of cerebrovascular accidents (58.6%, CI 53.863.4), degenerative diseases of the nervous system in the late stages of the disease (40.2%, CI 35.445.0). Nurses in the professional field often face such groups of problems of palliative patients in inpatient settings, as pain syndrome (85.5%), manifestations of digestive disorders (60.3%), respiratory disorders (55.4%), slightly less with mental and neurological (48.2%), as well as urological problems of patients (40.4%). The frequency of occurrence of problems and symptoms in palliative patients in the professional activities of nurses is presented. The leading problems in palliative patients requiring nursing care are constipation (86.5%), nausea and vomiting (80.0%), dry mouth (70.1%), shortness of breath (79.4%), urinary incontinence (75.9%), difficulty urinating (64.5%), insomnia (77.9%), manifestations of dementia (70.4%) and depression (61.6%).</p>quality of carepalliative patientnurses, problems and needs of patientsnursing carepalliative careкачество медицинской помощипаллиативный пациентмедицинские сестрыпроблемы и потребности пациентовсестринский уходпаллиативная медицинская помощь1.1.Beloborodova А. V., Nevzorova D.V., Sizova Zh.M., Bakunina E.А. Assessment and management of severe gastrointestinal symptoms in the adult patients when providing palliative care. Messenger of Anesthesiology and Resuscitation. [Vestnik anesteziologii i reanimatologii]. 2017;14(6):73—78 (in Russian). 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