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Dynamics of the mental condition among medical workers from the Volgograd region providing medical are to patients with new coronavirus infection COVID-19
- Authors: Yarygin O.A.1,2, Kozlov D.V.1, Raevsky A.A.1,2, Knyazhchenko A.A.1, Mironova A.P.1
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Affiliations:
- Clinical ambulance station
- Volgograd State Medical University
- Issue: No 81 (2022)
- Pages: 107-117
- Section: Medical psychology. Clinical Psycology
- URL: https://journals.rcsi.science/0132-182X/article/view/310675
- DOI: https://doi.org/10.25016/2782-652X-2022-0-81-107-117
- ID: 310675
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Abstract
Relevance. The COVID-19 pandemic is a major challenge to the global healthcare system. In the works of domestic and foreign authors, attention is focused on the need to provide psychological support to physicians in order to reduce the risks of professional burnout and emotional maladaptation. Intention – to assess the mental state of the medical staff of infectious disease hospitals in the Volgograd region in dynamics, to identify targets for psycho-correction and to evaluate the effectiveness of organizational measures for psycho-prophylactics in medical organizations converted into infectious disease hospitals. Methodology. Presented are materials from a two-stage empirical study of the mental state among 510 doctors and nurses working for 1 year during the COVID-19 pandemic in infectious disease hospitals of the Volgograd region: 279 and 231 persons at the 1st and 2nd stage, respectively. The methodological complex included “Questionnaire for identifying and assessing neurotic states” (K.K. Yakhin, D.M. Mendelevich) and “Methodology for measuring the level of mental burnout” (V.V. Boyko). Results and Discussion. It has been established that most medical workers have no neurotic manifestations. The following manifestations significantly decreased in severity over time: obsessive-phobic manifestations (p < 0.001) and asthenia (p < 0.05) in the doctors, and obsessive-phobic disorders (p < 0.01), autonomic disorders (p < 0.01), hysterical responses (p < 0.05) in the nurses. Indicators of the mental burnout decreased among doctors in the phases of “resistance” (p < 0.01) and “stress” (p < 0.05), and among nurses - in the phases of “resistance” (p < 0.05) and “exhaustion” (p < 0.05) according to the Boyko test. Conclusion. The results obtained indicate a positive trend in the level of mental maladaptation and burnout syndrome in medical workers of infectious disease hospitals in the Volgograd region. Both psychoprophylactic and organizational measures helped improve the mental state of physicians, thus indicating the need for comprehensive prevention of mental maladjustment among healthcare professionals.
About the authors
O. A. Yarygin
Clinical ambulance station; Volgograd State Medical University
Author for correspondence.
Email: alexraevskiy@gmail.com
74, Zemlyachki Str., Volgograd, 400138
D. V. Kozlov
Clinical ambulance station
Email: alexraevskiy@gmail.com
74, Zemlyachki Str., Volgograd, 400138
A. A. Raevsky
Clinical ambulance station; Volgograd State Medical University
Email: alexraevskiy@gmail.com
74, Zemlyachki Str., Volgograd, 400138
A. A. Knyazhchenko
Clinical ambulance station
Email: alexraevskiy@gmail.com
74, Zemlyachki Str., Volgograd, 400138
A. P. Mironova
Clinical ambulance station
Email: alexraevskiy@gmail.com
74, Zemlyachki Str., Volgograd, 400138
References
- Bachilo E.V. Psikhicheskoe zdorov’e meditsinskikh rabotnikov i vmeshatel’stva dlya ego sokhraneniya v period pandemii COVID-19 [Mental health of medical workers and intervention for its conservation during the COVID-19 pandemic period]. Psikhicheskoe zdorov’e [Mental Health]. 2020;(8):73–80. doi: 10.25557/2074-014X.2020.08.73- 80. (In Russ.)
- Boiko V.V. Psikhoenergetika [Psychoenergetics]. Sankt Peterburg. 2008. 416 p. (In Russ.)
- Verna V.V., Izzetdinova A.A. Profilaktika professional’nogo vygoraniya meditsinskikh rabotnikov v period rasprostraneniya pandemii koronavirusnoi infektsii COVID-19 [Prevention of professional burnout of medical workers during the Covid-19 coronavirus infection pandemic]. Azimut nauchnykh issledovanii: ekonomika i upravlenie [Azimuth of scientific research: economics and management]. 2020;(4):91–94. doi: 10.26140/anie-2020-0904-0019. (In Russ.)
- Dolgova E.M., Polidanov M.A., Eroshina O.D. [et al.]. Rezul’taty anketirovaniya meditsinskikh rabotnikov, rabotayushchikh s koronavirusnoii nfektsiei v razlichnykh regionakh rossiiskoi federatsii [Results of a survey of medical workers working with coronavirus infection in various regions of the Russian Federation]. Psikhosomaticheskie i integrativnye issledovaniya [Psychosomatic and integrative studies]. 2020;(3):301. (In Russ.)
- Evdokimov V.I., Esaulenko I.E., Gubin A.I., Popov V.I. Otsenka professional’nogo vygoraniya u meditsinskikh rabotnikov [Evaluation of professional burnout in medical workers]. Sankt Peterburg. 2009. 82 p. (In Russ.)
- Pervichko E.I., Konyukhovskaya Yu.E. Psikhologicheskoe blagopoluchie vrachei i meditsinskogo personala v usloviyakh pandemii COVID-19: obzor zarubezhnykh issledovanii [Psychological well-being of doctors and healthcare providers during the Covid-19 pandemic: overview of foreign studies]. Psikhiatriya, psikhoterapiya i klinicheskaya psikhologiya [Psychiatry, psychotherapy and clinical psychology]. 2020;(3):595–608. DOI: 10.34883/ PI.2020.11.3.016. (In Russ.)
- Kholmogorova A.B., Petrikov S.S., Suroyegina A.Yu [et al.]. Professional’noe vygoranie i ego faktory u meditsinskikh rabotnikov, uchastvuyushchikh v okazanii pomoshchi bol’nym COVID-19 na raznykh etapakh pandemii [Burnout and its factors in healthcare workers involved in providing health care for patients with COVID-19 at different stages of the pandemic]. Neotlozhnaya meditsinskaya pomoshch’. Zhurnal imeni N.V. Sklifosovskogo [Russian Sklifosovsky journal of emergency medical care]. 2020;(3):321–337. doi: 10.23934/2223-9022-2020-9-3-321-337. (In Russ.)
- Khudova I.Yu., Ulumbekova I.Yu. «Vygoranie» u meditsinskikh rabotnikov: diagnostika, lechenie, osobennosti v epokhu COVID-19 [Healthcare workers “burn-out”: diagnostic, treatment, particularities during epidemic of COVID-19]. ORGZDRAV: novosti, mneniya, obucheniya. Vestnik VShOUZ [Healthcare management: news. Views. Education. Bulletin of VSHOUZ]. 2021;(1):42–62. doi: 10.33029/2411-8621-2021-7-1-42-62. (In Russ.)
- Yarygin O.A., Kozlov D.V., Raevskii A.A. Otsenka i korrektsiya psikhologicheskogo sostoyaniya meditsinskikh rabotnikov infektsionnykh gospitalei g. Volgograda, pereprofilirovannykh dlya lecheniya bol’nykh COVID-19 [Assessment and correction of the psychological state of medical workers of infectious hospitals in Volgograd, repurposed for the treatment of COVID-19 patients]. Meditsina katastrof [Disaster Medicine]. 2021;(1):41–44. doi: 10.33266/2070-1004-2021-1-41-44. (In Russ.)
- Yakhin K.K., Mendelevich D.M. Klinicheskii oprosnik dlya vyyavleniya i otsenki nevroticheskikh sostoyanii [Clinical Questionnaire for Identification and Evaluation of Neurotic Conditions]. Klinicheskaya i meditsinskaya psikhologiya [Clinical and Medical Psychology]. Moskva. 2005. Pp. 545–552. (In Russ.)
- Blake H., Bermingham F., Johnson G., Tabner A. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package. International Journal Environmental Research Public Health. 2020;17(9):2997. doi: 10.3390/ijerph17092997.
- Cacchione P.Z. Moral Distress in the Midst of the COVID-19 Pandemic. Clinical Nursing Research. 2020;29(4):215– 216. doi: 10.1177/1054773820920385.
- Chaban O., Khaustova O., Mishyiev V. [et al.]. Resilience Influence to Healthcare Professionals’ Emotional State During COVID-19 Quarantine. Psychiatry, psychotherapy and clinical psychology. 2021;12(1):150–157. doi: 10.34883/PI.2021.12.1.013.
- Kisely S., Warren N., McMahon L. [et al.]. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ. 2020;369:m1642. doi: 10.1136/bmj.m1642.
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