Possibilities of methods for assessing the severity of occupational stress and determining its role in the formation of individual cardiovascular risk in military personnel of the Navy
- Authors: Sobolev A.D.1, Cherkashin D.V.1, Vypritsky P.A.2, Kutelev G.G.1, Sukhoroslova I.E.1, Nikashin A.N.1, Tkachenko K.N.1, Pastukhov A.V.1, Matуushenko K.V.1, Khomina V.V.3
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Affiliations:
- Military Medical Academy
- 1469th Naval Clinical Hospital, branch No. 4
- North-Western State Medical University
- Issue: Vol 41, No 1 (2022)
- Pages: 31-42
- Section: Original articles
- URL: https://journals.rcsi.science/RMMArep/article/view/84013
- DOI: https://doi.org/10.17816/rmmar84013
- ID: 84013
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Abstract
The relevance of cardiovascular diseases among the military personnel of the Russian Navy is reflected, as well as the role of occupational stressful load in the formation of cardiovascular risk.
The results of a single-stage study were demonstrated, which included 86 men aged 23–40 years, in the course of the study they were divided into two groups corresponding to different professional loads. The profile of behavioral factors associated with cardiovascular risk (anthropometric indicators, adherence to smoking, amount of alcohol consumed, food preference), as well as morphological and functional indicators of the system, was studied in servicemen exposed to and not exposed to factors caused by staying in deep-sea technical means, blood circulation. The effectiveness of stress testing was assessed, which included the Reeder self-assessment scale for psychosocial stress, the hospital scale for anxiety and depression, a work stress questionnaire, and a differential assessment of the state of reduced performance.
It was revealed that the profile of cardiovascular risk in servicemen of both groups is low, however, there is a significant difference in a number of indicators (the amount of adipose tissue detected by bioimpedansometry, total cholesterol level, an increase in heart rate during psycho-mental test, values of vascular age and the scale of relative cardiovascular risk The most informative technique, which made it possible to identify significant differences between the study groups, is the questionnaire of work stress Ch. Spielberg 1989, adapted by A.B. Leonova and S.B. Velichkovskaya, 2000. It has been determined that the severity of occupational stress factors on the formation of cardiovascular risk in servicemen exposed to factors caused by their stay in deep-sea technical equipment is lower than among servicemen in the control group, which is expressed in lower values of additional methods for assessing stressful impact, as well as in the absence of significant associations between the indicators characterizing the occupational stress-generating load and the indicators of the circulatory system.
The importance of the formation of stress resistance is reflected, achieved by high requirements of professional selection, regular training of professional skills, as well as the creation of a favorable professional environment.
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##article.viewOnOriginalSite##About the authors
Alexey D. Sobolev
Military Medical Academy
Author for correspondence.
Email: sobolevvmeda@rambler.ru
ORCID iD: 0000-0003-1908-7954
SPIN-code: 3831-6584
lecturer at the Naval Therapy Department
Russian Federation, 6, Akademika Lebedeva str., Saint Petersburg, 194044Dmitry V. Cherkashin
Military Medical Academy
Email: cherkashin_dmitr@mail.ru
ORCID iD: 0000-0003-1363-6860
SPIN-code: 2781-9507
M.D., D.Sc. (Medicine), Professor, the Head of the Naval Therapy Department
Russian Federation, Saint PetersburgPavel A. Vypritsky
1469th Naval Clinical Hospital, branch No. 4
Email: PAV-SF-2021@yandex.ru
ORCID iD: 0000-0002-0360-6716
the Head of Branch
Russian Federation, ZaozerskGennady G. Kutelev
Military Medical Academy
Email: gena08@yandex.ru
ORCID iD: 0000-0002-6489-9938
SPIN-code: 5139-8511
M.D., Ph.D. (Medicine), doctoral student
Russian Federation, Saint PetersburgIrina E. Sukhoroslova
Military Medical Academy
Email: suhoroslova.irina.2016@gmail.com
ORCID iD: 0000-0002-8800-7017
the Head of the X-ray room of the naval therapy clinic
Russian Federation, Saint PetersburgAleksey N. Nikashin
Military Medical Academy
Email: a_nikashin@mail.ru
ORCID iD: 0000-0002-0834-6319
SPIN-code: 8970-9137
resident of the naval therapy clinic
Russian Federation, Saint PetersburgKonstantin N. Tkachenko
Military Medical Academy
Email: constantt@rambler.ru
ORCID iD: 0000-0002-3432-0278
SPIN-code: 7098-4783
Senior Lecturer of the Naval Therapy Department
Russian Federation, Saint PetersburgAleksey V. Pastukhov
Military Medical Academy
Email: a.v.pastukhov80@gmail.com
ORCID iD: 0000-0002-4083-5905
the Head of the Cardiology Department of the Clinic of Naval Therapy
Russian Federation, Saint PetersburgKonstantin V. Matуushenko
Military Medical Academy
Email: kvmat@mail.ru
ORCID iD: 0000-0002-7399-3694
SPIN-code: 8656-9671
M.D., D.Sc. (Medicine), Senior Lecturer of the Naval Therapy Department
Russian Federation, Saint PetersburgViktoria V. Khomina
North-Western State Medical University
Email: viktorian4@yandex.ru
ORCID iD: 0000-0002-8507-2649
6th year student of the faculty of training doctors in the specialty "General Medicine"
Russian Federation, Saint PetersburgReferences
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