The development risk assessing of hypertension in underground workers during the psychological support

Abstract

Introduction. For the purpose of studying the psychovegetative state, predictors of hypertension and the risk of its development, including in the age aspect, we have examined sixty underground workers of a chromium ore mining enterprise (the main group), whose working conditions belong to the classes 3.3-3.4. Scientists divided the main group into two subgroups: <45 years (n=20, age 38.45±2.95 years), and >45 years (n=40, age 50.90±1.46 years). The comparison group consists of 49 ground workers whose working conditions belong to the class 3.2. We formed two subgroups from the comparison group: 23 employees aged 38.0±2.8 years, (comparison group <45 years); and 26 employees aged 49.2±2.1 years, (comparison group >45 years). The study aims to research and substantiate the predictors of the development of hypertension of underground workers, depending on age and psychovegetative status. Materials and methods. Experts have investigated the state of the cardiovascular system by clinical, functional and laboratory diagnostics. We have investigated the psychovegetative status with an assessment of the level of neuropsychiatric tension, anxiety, attention, subjective reflection of psychovegetative distress. Results. Experts have identified the decreased attention (OR 7.50; 95% CI - 2.39-23.58), increased personal anxiety (OR 11.06 95% CI - 4.35-28.10) and an increase in the number of psychovegetative complaints (OR 22.50; 95% CI - 7.09-71.41) in the patient group with arterial hypertension syndrome. We identified the identified predictors of arterial hypertension in the analysis of ROC in the psychosomatic module: age >44 years, experience >15 years, number of psychovegetative complaints >1, increased serum uric acid >298 μmol/l, pulse pressure >41 mm Hg.st. The module confirms the inversion of psychovegetative adaptation into psychosomatic disorders with an increased risk of hypertension with increasing age. Limitations. The data obtained are specific to a specific group of miners, the methodological approach of this study can be used in other professional groups. Conclusion. When identifying a psychosomatic module, it is advisable to include employees in the risk group for hypertension. Within the framework of corporate programs for the preservation of health and the prevention of production-related diseases, it is advisable to carry out psychological support for employees of dangerous professions with the study of psychovegetative status. Ethics. The scientists have conducted research in compliance with ethical principles and with the voluntary informed consent of the participants.