The results of the pilot project to create a system for monitoring the health and rehabilitation of employees of JSC "Russian Railways" with sensorineural hearing loss

Abstract

The activity of employees of locomotive crews is characterized by the presence of a number of production factors adversely affecting the state of health, which include noise. It provokes the development of hearing loss. The study aims to evaluate the effectiveness of rehabilitation of railway workers with sensorineural hearing loss. 70 employees of locomotive crews with sensorineural hearing loss took part in the work. Before and after the course of preventive treatment, all participants in the pilot study underwent a medical examination at the Russian Railways-Medicine healthcare facilities, including an examination by an otorhinolaryngologist, and tonal audiometry was performed. Patients received rehabilitation according to an individual program. Upon completion of the course of treatment, all participants of the pilot project noted a decrease in noise in the head and ears, a decrease in headache, normalization of sleep. When analyzing the dynamics of the audiometric picture 43 employees (61.4%) showed positive dynamics. The conducted research shows the effectiveness of the pilot project on the implementation of preventive measures for employees who are at risk for the development of occupational diseases. This project contributes to the preservation of the professional longevity of the company's employees. Ethics. The researchers conducted this study in accordance with the principles of good clinical practice. The Interuniversity Ethics Committee approved the study by decision (Protocol No. 09-21 of 10/21/2021).