Hygienic assessment of psychophysiological changes in health care workers in terms of their health status in peacetime and martial law

Author:

Chorna V. V.ORCID

Abstract

Annotation. Many scientists point out that the most harmful factors in the work of medical personnel are mental and neuro-emotional stress, which is a risk of emotional disorders, emotional exhaustion, and professional burnout in institutions that do not provide safe living conditions for patients and safe working conditions for medical workers, especially in wartime. The article conducts a hygienic assessment of psychophysiological changes in medical workers of psychiatric health care institutions in peacetime and during martial law through a comprehensive sociological/psychological study of medical workers of the Vinnytsia Regional Clinical Psychoneurological Hospital named after Academician O.I. Yushchenko of Vinnytsia Regional Council and medical workers of the general health care institutions (GHCI) (Vinnytsia) in peacetime before the COVID-19 pandemic and during martial law. The following methods were used: bibliosemantic, analytical, content analysis, comparative analysis and systematization of the research material. During martial law, the number of health-related visits to doctors by MHCFs' doctors decreased by 11.2% of the total WII (War Impact Index) and by 13.0% among NS of MHCF. The highest changes in the deterioration of the emotional component compared to peacetime were found among men in MHCFs: “I feel confident” by 12.8% of the WII, “I feel free” by 11.4% of the ІВВ (p<0.05). The index of psychic overload in MHCF doctors during martial law increased by 5.9%, fatigue by 4.8% compared to the NS- the index of monotony increased by 4.6%, fatigue – by 4.4%. The psychophysiological state of men in MHFs during martial law deteriorated, as evidenced by an increase in fatigue by 13.7%; mental exhaustion by 13.5%; monotony by 11.9% of the WII (p<0.05) compared to peacetime. The increase in the “emotional deficit” WII among doctors by 24.9% and among NS of MHCFs in the Eastern Ukraine by 25.0% (p<0.05) shows their devastation, the development of emotional sensitivity against the background of overworking the body in the performance of professional duties. Symptoms of depersonalization (personal alienation, detachment) are more pronounced in men in the conditions of GHCI compared to women employees (p<0.05). During martial law, the emotional exhaustion, personal alienation (depersonalization) indicators in doctors increased negatively by 53.8% and 41.5%, the same trend was observed in the NS of MHCF by 37.9% and 38.7% (p<0.05), respectively.

Publisher

Vinnytsia National Pyrogov Memorial Medical University

Reference10 articles.

1. Chorna, V. V. (2020). Реформування охорони здоров’я для зміцнення психічного здоров’я населення України та досвід країн ЄС [Reforming heal thcare to strengthen the ment al heal th of the popula tion of Ukraine and the xperience of eu countries]. Вісник Вінницького національного медичного університету – Reports of Vinnytsia National Medical University, 24(3), 447-456. DOI: https://doi.org/10.31393/reports-vnmedical-2020-24(3)-11

2. Chorna, V. V., Lototska, L. В., Karimulin, R., Hubar, A., & Khliestova, I. (2023). Risk factors of in-hospital infections occurrence in healthcare institutions in Ukraine and EU countries. Georgian Medical al News, 3(336), 17-21. https://geomednews.com/Articles/2023/3_2023/17-21.pdf

3. Cassini, A., Plachouras, D., Eckmanns, T., & Sixtenssom, M. (2016). Burden of six healthcare-associated infections on European population healht: estimating incidence-based disability adjusted life years through a population prevalence-based modelling study. PLoS Med., (13), e1002150. doi: 10.1371/journal.pmed.1002151

4. Governmental portal. (March 11, 2024). Від початку війни росія пошкодила або зруйнувала 1740 об’єктів медзакладів в Україні. МОЗ України, опубліковано 11 березня 2024 р. [Since the beginning of the war, Russia has damaged or destroyed 1,740 medical facilities in Ukraine. Ministry of Health of Ukraine, published on March 11, 2024.] URL: https://www.kmu.gov.ua/news/

5. Lyashko, V. K. (2023). Міністр охорони здоров’я України: “Система охорони здоров’я впевнено тримає медичний фронт” [Health Ukraine minister: “The system of health protection holds medical front confidently”]. Укрінформ – Ukrinform. https://www.ukrinform.ua/rubric-society/3668211-viktor-lasko-ministr-ohoroni-zdorova-ukraini.html. (12.02.2023).

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3