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
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