Hygienic approaches to the prevention of occupational diseases among healthcare workers

Мұқаба

Дәйексөз келтіру

Толық мәтін

Аннотация

Introduction. Healthcare workers are at a high risk of emotional burnout due to their professional activities associated with constant mental and intellectual stress. The importance of timely diagnosed psychoemotional burnout syndrome (PEBS) determines the need to develop measures for its prevention.

Material and methods. We have studied the working conditions, health status of healthcare workers; the indices of relative risk and etiological component of the contribution of work environment and the work process factors to the development of the identified pathology were calculated; the probability of the development of PEBS based on diagnostics of the emotional burnout level according to the method suggested by V.V. Boiko.

Results. During occupational activities healthcare workers are exposed to chemical, biological, physical work environment factors, the severity and intensity of the work process. Indices of the work process intensity are assigned to the leading hazardous occupational factor according to which the class of working conditions is determined as hazardous Class 1-3. PEBS, diseases of the musculoskeletal, circulatory, digestive and respiration systems are classified as work-related ones. An assessment of the possibility of the development of PEBS has shown 35% of the healthcare workers to consider working conditions to be related to PEBS. The dependence of the development of somatic diseases on the presence or absence of PEBS is revealed.

Conclusion. The working conditions of healthcare workers are characterized by the impact of a complex of occupational factors, the leading of which is the work process intensity. Diseases of the musculoskeletal system, circulatory and respiration systems, psycho-emotional burnout syndrome are classified as work-related diseases with a high degree of conditionality. The criteria for evaluating the effectiveness of preventive measures are the reduction of general, work-related and occupational morbidity, the preservation of psychosomatic well-being, and the prevention of economic damage from temporary and permanent disability.

Авторлар туралы

E. Valeyeva

Ufa Institute of Occupational Health and Human Ecology

Хат алмасуға жауапты Автор.
Email: noemail@neicon.ru
ORCID iD: 0000-0002-9146-5625
Ресей

L. Karamova

Ufa Institute of Occupational Health and Human Ecology

Email: noemail@neicon.ru
ORCID iD: 0000-0003-0857-1150
Ресей

Elmira Shaikhlislamova

Ufa Institute of Occupational Health and Human Ecology

Email: shajkh.ehlmira@yandex.ru
ORCID iD: 0000-0002-6127-7703

MD, Ph.D., Ufa Institute of Occupational Health and Human Ecology, Ufa, 450106, Russia.

e-mail: shajkh.ehlmira@yandex.ru

Ресей

V. Krasovskiy

Ufa Institute of Occupational Health and Human Ecology

Email: noemail@neicon.ru
ORCID iD: 0000-0003-2185-9167
Ресей

N. Vlasova

Ufa Institute of Occupational Health and Human Ecology

Email: noemail@neicon.ru
ORCID iD: 0000-0003-3926-0937
Ресей

Әдебиет тізімі

  1. Double E.V. The prevalence of various classes of diseases among the medical staff of a large hospital. Zdorov’e naseleniya i sreda obitaniya [Public Health and Life Environment]. 2015; 7: 17–21. (in Russian).
  2. Kaibyshev V.T. Strategy and principle of management of the psychosocial factors of professional risk of doctors: Autoabstract оf Diss. Moscow; 2007: 46. (in Russian).
  3. Karamova L.M., Nafikov R.G. The role of psychosocial factors in shaping the health status of medical workers. Sovremennyye problemy gigiyeny i meditsiny truda [Modern Problems of Hygiene and Occupational Medicine]. Ufa; 2015: 359–67. (in Russian).
  4. Komissarova E.M., Ermakova M.A. Characterization of arterial hypertension under conditions of psycho-emotional burning out of emergency departments in medical workers. Meditsina truda i promyshlennaya ekologiya [Occupational Health and Industrial Ecology]. 2011; 11: 19–23. (in Russian)
  5. Sorokin G.A. Work, fatigue and professional risk. Saint Petersburg: Izd. politekhnicheskogo universiteta; 2016: 456. (in Russian)
  6. Dyachkova V.V., Novikova I.A. Factors of professional burnout of physicians. Gigiyena i sanitariya [Hygiene and Sanitation, Russian journal]. 2017; 96 (3): 165–9. (in Russian)
  7. Koroleva E.P. Labor protection of medical workers: psycho-emotional factors. Zdravookhraneniye [Health Care]. 2013; 4: 44–50. (in Russian)
  8. Bianchi R., Schonfeld I.S., Laurent E. Is it Time to Consider the «Burnout Syndrome» A distinct Illness. Front Public Health. 2015; 3: 158.
  9. Challenges to occupational health services in the national and international responses. Proceed: WHO/ICON/ILO Working. Finish institute of occupational Health. 2003: 16–9.
  10. Berezentseva E.A. Occupational stress as a source of emotional burnout. Upravleniye obrazovaniyem: teoriya i praktika [Education Management: Theory and Practice]. 2014; 4: 162–70. (in Russian)
  11. Berhmiller A., Zagorodny I., Zagorodnaya N., Kapustnik V., Bekkelmann I. The relationship between burnout syndrome and personality traits of ambulance workers. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [S.S. Korsakov Journal of Neurology and Psychiatry]. 2016; 116 (6); 25–9. (in Russian)
  12. Copenhagen Burnout Inventory. The conceptualisation find measurement of burnout. Work Stress. 2005; 19 (3): 187–91.
  13. Freudenberger H. J. Staff burnout. J Soc Issues. 1974; 30 (1): 159–65.
  14. Maslach C., Schaufeli W. History and conceptual specificity of burnout. Recent development in theory and research. New York: Hemisphere; 1993: 1–16.
  15. Nafikov R.G., Akhmetshina V.T., Shaikhlislamova E.R. The role of psychosocial factors of industrial and non-industrial nature in the formation of occupational stress of medical workers of the TB service. In: The connection of diseases with the profession from the standpoint of evidence-based medicine [Svyaz’ zabolevaniy s professiyey s pozitsii dokazatel’noy meditsiny]. Kazan; 2011: 309–10. (in Russian)
  16. Bakumov P.A., Volchansky M.E., Zernyukova E.A., Grechkina E.R., Kovalskaya E.N., Ledovskaya T.I. The appearance of emotional burnout in doctors and nurses. Meditsina truda i promyshlennaya ekologiya [Occupational Health and Industrial Ecology]. 2018; 2: 30–6. (in Russian)
  17. Nafikov R.G., Akhmetshina V.T., Shaikhlislamova E.R., Khafizova A.S. Features of the formation of the syndrome of “professional burnout” among medical workers of the infectious service of the Republic of Bashkortostan. In: Gigiyena, organizatsiya, zdravookhraneniye i profpatologiya [Hygiene, Organization, Health Care and Occupational Pathology]. Novokuznetsk; 2012: 50–4. (in Russian)
  18. Bonnie A. Clough, Sonja March, Raymond J. Chan, Leanne M. Casey, Rachel Phillips, Michael J. Ireland Interviews: a systematic review. Syst Rev. 2017; 6: 144.
  19. Kobyakova O.S., Deev I.A., Kulikov E.S., Khomyakov K.V., Pimenov I.D., Zagromova T.A. et al. Professional burnout of nursing staff as far as how and where? Obshchestvennoye zdorov’ye i zdravookhraneniye [Public Health and Health care]. 2017; 3: 18–23. (in Russian)
  20. Ovchinnikov I.V., Palchenkova M.V., Kalachev O.V. Burnout syndrome: diagnosis, treatment principles, prevention. Voyenno-meditsinskiy zhurna [Military Medical Journal]. 2015; 7: 17–24. (in Russian)
  21. Boyko V.V. Burnout syndrome in professional communication. SPb.: Peter; 1999: 105. (in Russian)
  22. Korochina T.Ya., Korchina V.I., Maslakova A.P. The contingency of violations of the elementary status with the level of stress in medical ambulance teams. Meditsina truda i promyshlennaya ekologiya [Occupational Medicine and Industrial Ecology]. 2018; 2: 26–30. (in Russian)
  23. Mesters P. Professional fatigue syndrome (burnout): Part 2. From therapeutic management. Rev Med Liege 2017; 72 (6): 301–7.
  24. Nafikov R.G., Akhmetshina V.T., Shayakhmetov A.R., Shaykhlislamova E.R., Urmantseva F.A. Formation of professional burnout syndrome in health care workers. General principles of reflexotherapy and psychosomatic disorders. Posobiye dlya vrachey [Manual for Doctors]. Ufa; 2012: 41. (in Russian)
  25. Ehte K.A. Scientific substantiation of measures to optimize the medical and social conditions of the professional activities of the Russian doctor based on the materials of the Tver region. Autoabstract of Diss. Moscow; 2013: 46. (in Russian)
  26. Manual P2.2.2006-05 “Guidelines for the hygienic assessment of factors working environment and labor process. Criteria and classification of working conditions”. Moscow: Federal’nyy tsentr gigieny i epidemiologii Rospotrebnadzora; 2005; 142. (in Russian)
  27. Manual P2.2.1766-03 “Guidelines for assessing occupational health risk for workers. Organizational and methodological foundations, principles and evaluation criteria”. Moscow: Federal’nyy tsentr Gossanepidnadzora Minzdrava Rossii; 2004: 24. (in Russian)
  28. Boyko V.V. Psychology and management in dentistry. Vol. 1. Klinika – pod klyuch [Clinic – turnkey]. Saint Petersburg; 2009: 1008. (in Russian)

Қосымша файлдар

Қосымша файлдар
Әрекет
1. JATS XML
Жүктеу

© Valeyeva E.T., Karamova L.M., Shaikhlislamova E.R., Krasovskiy V.O., Vlasova N.V., 2024


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 37884 от 02.10.2009.