Intra-shift and Inter-shift Dynamics of Stress Index of Regulatory Systems in Medical Personnel of Mobile Emergency Medical Teams in Modern Conditions
- 作者: Bolobonkina T.1, Dement’yev A.1, Minaeva N.1, Lapkin M.1, Kulagin P.1
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隶属关系:
- Ryazan State Medical University
- 期: 卷 30, 编号 4 (2022)
- 页面: 489-496
- 栏目: Original study
- URL: https://journals.rcsi.science/pavlovj/article/view/252587
- DOI: https://doi.org/10.17816/PAVLOVJ106170
- ID: 252587
如何引用文章
详细
INTRODUCTION: In conditions of spread of the new coronavirus infection SARS-CoV-2 (COVID-19), the work regimen and working conditions of the mobile emergency medical teams have changed, the range of occupational hazards has expanded, which led to unfavorable alterations in the functional state of the nervous system of workers.
AIM: To study the influence of the professional activity on the functional state of an organism of medical workers of mobile emergency medical teams in conditions of COVID-19 pandemic.
MATERIALS AND METHODS: Parameters of the functional state of an organism of medical workers of mobile emergency medical teams were studied before, after the work and between shifts in the period from May to October 2021. The extent of centralization of the heart rhythm control was evaluated by use of strain index (SI) of regulatory systems. The sample included 67 workers of mobile teams (21 men and 46 women), 16 doctors and 51 paramedics. The average age of workers participating in the study was 36.28 ± 2.82 years.
RESULTS: By the end of shift, in more than half the medical workers of mobile EMT, SI grew by 74.75 units (p = 0,021). The age (÷2 = 6.467; р = 0.040) and length of service (÷2 = 6.069; р = 0.049) influenced the distribution of workers with different SI dynamics on the basis of the results of the work shift. By the beginning of the next shift, in 60.71% of workers included into the study, a significant increase in SI was recorded on average by 74.02 (р = 0.001) compared to the beginning of the previous shift. The influence of length of service on the distribution of workers with different dynamics of SI in the successive shifts into groups was recorded (÷2 = 7.313; р = 0.026).
CONCLUSIONS: The dynamics of the growth of the strain index of regulatory systems indicates low effectiveness of recovery of the functional state of an organism of workers in the period of scheduled rest. The greatest influence on the growth of parameters was exerted by length of service, which indicates the negative impact of working conditions on the functional state of an organism of workers.
作者简介
Tatyana Bolobonkina
Ryazan State Medical University
编辑信件的主要联系方式.
Email: bolobonkina@bk.ru
ORCID iD: 0000-0003-1796-6023
SPIN 代码: 2251-0350
俄罗斯联邦, Ryazan
Aleksey Dement’yev
Ryazan State Medical University
Email: dementiev_a@mail.ru
ORCID iD: 0000-0003-3038-5530
SPIN 代码: 3797-9108
MD, Dr. Sci. (Med.), Associate Professor
俄罗斯联邦, RyazanNatalya Minaeva
Ryazan State Medical University
Email: shatrnat@gmail.com
ORCID iD: 0000-0003-0599-924X
SPIN 代码: 2965-2704
MD, Cand. Sci. (Med.)
俄罗斯联邦, RyazanMihail Lapkin
Ryazan State Medical University
Email: m.lapkin@rzgmu.ru
ORCID iD: 0000-0003-1826-8307
SPIN 代码: 5744-5369
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, RyazanPavel Kulagin
Ryazan State Medical University
Email: zu.pavel@gmail.com
ORCID iD: 0000-0002-5284-0875
SPIN 代码: 3623-3309
俄罗斯联邦, Ryazan
参考
- Dekker JM, Crow RS, Folsom AR, et al. Low heart rate variability in a 2-minute rhythm strip predicts risk of coronary heart disease and mortality from several causes: the ARIC Study. Atherosclerosis Risk In Communities. Circulation. 2000;102(11):1239–44. doi: 10.1161/01.cir.102.11.12397
- Bolobonkina TA, Dementyev AA, Shatrova NV, et al. Factors of biological nature in work of mobile teams of emergency medical care station on the eve of pandemics of new coronavirus infection (COVID-19). I.P. Pavlov Russian Medical Biological Herald. 2020;28(3):283–9. (In Russ). doi: 10.23888/PAVLOVJ2020283283-289
- Bolobonkina TA, Dementiev AA, Shatrova NV, et al. Influence of work under the conditions of the COVID-19 pandemic on the functional state of the central nervous system of medical workers of the emergency station. Journal of New Medical Technologies, e-Edition. 2020;(6):81–6. Available at: http://www.medtsu.tula.ru/VNMT/Bulletin/E2020-6/2-1.pdf. (In Russ). doi: 10.24411/2075-4094-2020-16744
- Kwon J–W, Lee S–B, Sung S, et al. Which Factors Affect the Stress of Intraoperative Orthopedic Surgeons by Using Electroencephalography Signals and Heart Rate Variability? Sensors. 2021;21(12):4016. doi: 10.3390/s21124016
- Stapelberg NJ, Hamilton-Craig I, et al. Mind and heart: heart rate variability in major depressive disorder and coronary heart disease — a review and recommendations. The Australian and New Zealand Journal of Psychiatry. 2012;46(10):946–57. doi: 10.1177/0004867412444624
- Sammito S, Böckelmann I. Analyse der Herzfrequenzvariabilität. Herz. 2015;40(Suppl 1):76–84. doi: 10.1007/s00059-014-4145-7
- Järvelin–Pasanen S, Sinikallio S, Tarvainen MP. Heart rate variability and occupational stress-systematic review. Industrial Health. 2018;56(6): 500–11. doi: 10.2486/indhealth.2017-0190
- Nazarenko MA, Gubin DG, Durov AM, et al. The daily dynamics of heart rate variability in women engaged in regular work schedules versus shift-workers. Tyumen Medical Journal. 2018;20(3):16–22. (In Russ).
- Baevsky RM, Chernikova AG. Heart Rate Variability Analysis: Physiological Foundations and Main Methods. Cardiometry. 2017;(10):66–76. doi: 10.12710/cardiometry.2017.10.6676
- Voss A, Heitmann A, Schroeder R, et al. Short-term heart rate variability — age dependence in healthy subjects. Physiological Measurement. 2012;33(8):1289–311. doi: 10.1088/0967-3334/33/8/1289
- Thielmann B, Pohl R, Böckelmann I. Heart rate variability as a strain indicator for psychological stress for emergency physicians during work and alert intervention: a systematic review. Journal of Occupational Medicine and Toxicology. 2021;16(1):24. doi: 10.1186/s12995-021-00313-3
- Jarczok MN, Koenig J, Wittling A, et al. First Evaluation of an Index of Low Vagally-Mediated Heart Rate Variability as a Marker of Health Risks in Human Adults: Proof of Concept. Journal of Clinical Medicine. 2019;8(11):1940. doi: 10.3390/jcm8111940
- Schöniger C, Pyrc J, Siepmann M, et al. Continuous HRV analysis of HEMS emergency physicians to specify the work load over the different working days. International Archives of Occupational and Environmental Health. 2020;93(4):525–33. doi: 10.1007/s00420-019-01507-3
- Borchini R, Veronesi G, Bonzini M, et al. Heart Rate Variability Frequency Domain Alterations among Healthy Nurses Exposed to Prolonged Work Stress. International Journal of Environmental Research and Public Health. 2018;15(1):113. doi: 10.3390/ijerph15010113
- Cauwenberghs N, Cornelissen V, Christle JW, et al. Impact of age, sex and heart rate variability on the acute cardiovascular response to isometric handgrip exercise. Journal of Human Hypertension. 2021;35(1):55–64. doi: 10.1038/s41371-020-0311-y