Характеристика психических состояний врачей анестезиологов-реаниматологов в экстремальных условиях деятельности

Abstract

Anesthesiologists and intensive care physicians, performing their professional duties in tense and often extreme conditions of work (with risks to life and health), can be assigned to the risk group for various negative mental states. The professional activities of an anesthesiologists impose significant requirements on their personality. In order to identify and describe the characteristics the mental states of anesthesiologists and intensive care specialists, 49 physicians of the Arkhangelsk region were examined (average age 34.6 ± 13.6 years). The study used questionnaires, psychological testing (McLin’s scale of organizational stress, methodology for determining the dominant state by L. V. Kulikov, multi-level personality questionnaire «Adaptability» (MLO-AM) by A. G. Maklakov and S. V. Chermyanin, the questionnaire «Attitude to work and professional burnout» by V. A. Vinokur, the Lusher color test, the questionnaire by Ch.D. Spilberger — Yu.A. Khaninand) and statistical processing of empirical results. It has been established that in the course of fulfilling their professional duties, more than 79.6 % of anesthesiologists and intensive care physician often encounter stressful situations; every third specialist is at risk of life or danger of injury, injury during work. More than half of the respondents have a high level of organizational stress, 67.3 % have a burnout syndrome, 35.3 % are characterized by fatigue, lack of mood, lethargy, inertia, low working capacity, and 1/3 have a high rate of situational anxiety. 1/2 of anesthesiologists and intensive care physicians have reduced level of adaptive abilities, asthenic are expressed in 14.2 %, and psychotic reactions and conditions — in 24.4 %. The article offers recommendations for the prevention of negative mental states of anesthesiologists and intensive care physicians.