Functional condition of the central nervous system of medical personnel of maternity hospitals
- Authors: Kotelevets E.P.1, Kiryushin V.A.1
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Affiliations:
- Ryazan State Medical University
- Issue: Vol 28, No 1 (2020)
- Pages: 37-43
- Section: Original study
- URL: https://journals.rcsi.science/pavlovj/article/view/17957
- DOI: https://doi.org/10.23888/PAVLOVJ202028137-43
- ID: 17957
Cite item
Abstract
Aim. Analysis of functional capacities of the central nervous system (CNS) of medical personnel of maternity hospitals in the dynamics of the work shift.
Materials and Methods. Using the WAM method, the functional condition of the central nervous system of doctors (obstetricians, gynecologists, neonatologists), nurses (midwives, anesthesiologists, ward nurses) in perinatal centers and maternity hospitals in the cities of Ryazan, Smolensk, Lipetsk, and Kolomna at the beginning and end of the work shift was studied.
Results. Analysis of parameters of operational self-assessment of the functional state of the central nervous system (well-being, activity, mood) revealed the dynamics of reducing the levels of well-being and activity of the main professional groups by the end of the work shift. Calculation of the W+A/M index in the dynamics of the working shift showed its reduction in obstetricians-gynecologists and neonatologists of perinatal centers by 5.0% (p=0.024174) and 10.6% (p=0.026637), respectively; by 10.6% in maternity hospitals in both professional groups (p=0.037452 and 0.039579). Among the nursing staff of perinatal centers, the index decreased in midwives and nurses anesthesiologists by 5.3% (p=0.000752) and 10.6% (p=0.000752), respectively. In groups of nursing staff of maternity hospitals, decrease in the index was determined in anesthesiologists, midwives and ward nurses by 16.7% (p=0.006566), 10.6% (p=0.003385) and 11.2% (p=0.001059), respectively.
Conclusion. Statistically significant differences were found in the analysis of well-being parameters of neonatologists and midwives of perinatal centers, in all the studied respondents of maternity hospitals; of activity – in obstetrician-gynecologists, neonatologists and midwives of perinatal centers, in all surveyed respondents of maternity hospitals; of W+A/N index – in obstetrician-gynecologists, neonatologists, midwives, in anesthesiologists of perinatal centers and in all studied professional groups of maternity hospitals. Reduction of the functional condition of the central nervous system by the end of the work shift may indicate developing fatigue.
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##article.viewOnOriginalSite##About the authors
Elena P. Kotelevets
Ryazan State Medical University
Author for correspondence.
Email: kotelevetse@mail.ru
ORCID iD: 0000-0001-7972-5861
SPIN-code: 1609-1183
ResearcherId: V-5975-2018
Assistant of the Department of Microbiology
Russian Federation, RyazanValery A. Kiryushin
Ryazan State Medical University
Email: v.kirushin@rzgmu.ru
ORCID iD: 0000-0002-1258-9807
SPIN-code: 2895-7565
ResearcherId: D-2971-2018
MD, PhD, Professor, Head of the Department of Specialized Hygienic Disciplines with the Course of Hygiene, Epidemiology and Organization of the State Sanitary and Epidemiological Service
Russian Federation, RyazanReferences
- Chernikova EF. Effect of shifts work on a rotational basis change in the nature of work on the health of workers. Hygiene & Sanitation. 2015;94(3):44-8. (In Russ).
- Yakovleva NV. Development of submissions about the subject of health psychology. Personality in a changing world: health, adaptation, development. 2019;7(1(24)):22-37. doi: 10.23888/humj2019122-37. Available at: http://humjournal.rzgmu.ru/art&id=360. Accessed: 2019 November 11). (In Russ).
- Mironova EE. Sbornik psikhologicheskikh testov. Moscow: ENVILA; 2005. (In Russ).
- Barkanova OV. Metodiki diagnostiki emotsional’noy sfery: psikhologicheskiy praktikum. Krasnoyarsk: Litera-print; 2009. (In Russ).
- Ryzhov BN, Smolovskaya LB. The technique for self-appraisal of emotional tone and activity SETA. Systems Psychology and Sociology. 2018;3(27):5-13. (In Russ).
- Sorokin GA, Frolova NM. Evaluating occupational risk in night shift work schedule. Russian Journal of Occupation-al Health and Industrial Ecology. 2014;(9):32-6. (In Russ).
- Kalaeva AA. Investigation of the condition of 10th grade students according to the SAN methodology. Scientific Almanac. 2019;1-2(51):198-201. (In Russ). doi: 10.17117/na.2019.01.02.198
- Mikhailova SV, Nasyrova LH, Krendal JE. Detection of the level of physical working viability of students with the methods of SAN. In: European Research. Penza; 2017. Р. 161-3. (In Russ).
- Filippov EV, Zaikina EV, Nikylina NN. Is existence of clinically significant anxiety and depression a new risk factor for chronic non-infectious diseases? Nauka Molodykh (Eruditio Juvenium). 2019;7(1): 28-37. (In Russ). doi: 10.23888/HMJ20197128-37
- Gholami Fesharaki M, Kazemnejad A, Zayeri F, et al. Historical cohort study of shift work and blood pressure. Oc-cupational Medicine. 2014;64(2): 109-12. doi: 10.1093/occmed/kqt156
- Kotelevets EP, Kiryushin VA. Change of the functional state of the organism of medical personnel of the perinatal center in the dynamics of the work shift. I.P. Pavlov Russian Medical Biological Herald. 2015;23(3):61-5. (In Russ).
- Bannai A, Tamakoshi A. The association between long working hours and health: A systematic review of epidemio-logical evidence. Scandinavian Journal of Work, Environment & Health. 2014; 40(1):5-18. doi: 10.5271/sjweh.3388
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