Neurovegetative responses in medical staff of maternity institutions

Abstract

Introduction. Factors of the labour process influence on the adaptive capabilities of the cardiovascular and autonomic nervous systems in workers. Purpose of the study. The study of the possible relationship between the indicator of adaptation of regulatory systems of heart rate variability and the intensity of the labour process in doctors and nurses in obstetric institutions of the second and third levels. Materials and methods. The intensity of the labour process was determined by the method of timing. To calculate the adaptation index in the trend in the work shift, the hardware-software complex “Varicard 2.51” was used. Two hundred twenty eight doctors and nurses were examined. The studies were carried out on the basis of obstetric institutions of the second and third levels of the cities of the Central Federal District: Ryazan, Kolomna, Lipetsk, Smolensk. Statistical processing of research results was carried out using standard methods (p<0.05). Results. The studies were carried out on the basis of obstetric institutions of the second and third level in some cities of the Central Federal District: Ryazan, Kolomna, Lipetsk, Smolensk. The data obtained in the study of the peculiarities of the regulatory potential in medical workers of various occupational groups made it possible to get an idea of ​​the influence of the factors of the labour process on the adaptive resources, assessed by the indicators of the temporal analysis. The data obtained made it possible to identify a direct correlation between the intensity of the labour process and the developing neurovegetative responses of the organism, which were reflected in the adaptation index in ccupational groups of obstetrician-gynecologists, nurse anesthetists, and midwives of perinatal centers. Limitations. The studies were carried out in small groups taking into account the trend in the work shift, which opens up the prospect of studying the issue in the age aspect in large groups. Conclusion. The results of the study can be used to develop evidence-based recommendations for the prevention of occupationally conditioned overstrain of the organism’s adaptive systems.