СОСТОЯНИЕ ЗДОРОВЬЯ МЕДИЦИНСКИХ СЕСТЁР В ОРЕНБУРГСКОЙ ОБЛАСТИ

Abstract

Middle-level medical personnel have the most unfavorable health indicators, their incidence is higher than that of doctors and workers in other sectors of the national economy. In this regard, the issues of strengthening and preserving the health of this contingent are becoming especially relevant. The purpose of the study is to study the morbidity of nurses according to medical examinations. To investigate the level of anxiety and depression among them. Materials and methods. A sample study of the "Medical records of a patient receiving outpatient medical care" of nurses working in medical organizations of the Orenburg region who underwent a medical examination in 2022 was conducted. The nurses were also surveyed using the questionnaire "Hospital scale of anxiety and depression". The material was developed on a personal computer using Statistica 10.0 and MS Excel programs. The results obtained. The incidence of nurses was 147.8%. The leading classes of diseases are diseases of the eye and its accessory apparatus, diseases of the circulatory system, diseases of the genitourinary system, diseases of the musculoskeletal system and connective tissue, mental disorders and behavioral disorders. The association of morbidity with age, length of service, and qualification category has been established. More than a third of the nurses experienced a state of anxiety. The presence of significant symptoms of depression was determined in 11.7 ± 2.4%. The causes of anxiety and depression in nurses were more personal than organizational in nature. An average positive relationship has been determined between the increase in symptoms of anxiety and depression with an increase in morbidity. In their presence, the risk of disease for related classes of diseases increases by 2.6 – 6.6 times in the presence of anxiety, and by 4 – 9 times in the presence of depression. In general, the incidence of all classes of diseases among nurses due to anxiety was 10.8%, which is 7.3% of the total incidence, and the incidence due to depression was 3%, which is 2% of the total incidence. Conclusion. An evidence-based approach based on a comprehensive assessment is needed to make informed decisions on improving the health of nurses. The present study revealed a fairly high incidence of nurses, as well as a high level of anxiety and depression. Although no cases of occupational disease have been identified, a link has been found between morbidity and age, experience, and qualifications. About half of the nurses need follow-up dynamic monitoring, more than half need further follow-up and treatment in a polyclinic.