RISK FACTORS OF OCCUPATIONAL DISEASES FOR MEDICAL STAFF (LITERATURE REVIEW)
DOI:
https://doi.org/10.11603/2415-8798.2018.2.8929Keywords:
medical workers, harmful and dangerous working conditions, occupational diseases.Abstract
The study of the risk factors of occupational diseases is a medical and social issue from a view point of practice and sociology, it is a theoretical basis for the development of methods for their prevention. The official statistical reports prove that in Ukraine, more than 60 % of 1.1 million health workers undergo harmful exposure and danger, and occupational disease occurrence among them is recorded at the level of 0.71 per 100 thousand working population. In the structure of occupational diseases, tuberculosis is first (80–100 %, on average – 87.7 %), diseases of musculoskeletal system are second (1.3–6.7 %, on average – 3.1 %), allergic diseases are third – 1.0–5.1 % (on average – 2.3 %).
The aim of the study – to learn and summarize the causes of professional diseases of medical workers in Ukraine.
Materials and Methods. Occupational morbidity of medical staff is caused by the influence of risk factors: mechanical, physical, chemical, biological, nervous-emotional. Medical workers under static work conditions are exposed to negative mechanical influences. The harmful effects of physical factor are considerably increased at present due to a widespread implementation of equipment with light, electromagnetic and radioactive radiation into medical and diagnostic processes. Due to the rapid development of chemical and pharmaceutical industries, the number of chemicals that cause not only the therapeutic effect on a patient but also have a negative impact on healthcare workers in cases of their systematic use has increased significantly.
Results and Discussion. A group of occupational diseases caused by pathogens of tuberculosis, toxoplasmosis, viral hepatitis, skin mycoses, syphilis, and HIV infection is an urgent matter of health care in Ukraine. The risk of HIV infection is about 0.3 % and reaches 10 % in cases of hepatitis C virus, and 30 % in hepatitis B virus. In Ukraine, according to the Ministry of Health, every year 30.0–50.0 thousand patients are diagnosed with this illness (84.1 per 100 thousand population). Manifestations of the emotional affection as a symptom complex of “professional burnout” have been revealed in almost 80 % of psychiatrists, psychotherapists, narcologists, in 61.8 % of dentists, and 60.6 % of medical nurses of oncology departments.
Conclusion. The analyses of occupational diseases cases among healthcare workers of various medical facilities of Ukraine in 2011–2017 has proved that the highest number of occupational diseases is registered in TB facilities – 70.1–95.5 %. 3.0–6.4 % of all occupational diseases in the healthcare have been registered in community hospitals, 1.5–10.2 – in psychoneurological hospitals, 1.9–3.0 % – in the Bureau of Forensic Medicine and 2.6–3.0 % – in research institutions.
References
Tymoshyna, D.P. & Lubyanova, I.P. (2015). Problemy zdorovia pratsivnykiv medychnoi haluzi v Ukraini [Problems of workers’ health in medical sector in Ukraine]. [in Ukrainian].
Nahorna, A.M., Sokolova, M.P. & Kononova, I.H. (2016). Profesiina zakhvoriuvanist medychnykh pratsivnykiv yak medyko-sotsialna problema [The professional morbidity of medical workers as a medical and social problem]. [in Ukrainian].
Horbliansky, Yu.Yu. (2003). Aktualnyie voprosy profesionalnoi zabolievaiemosti miedytsynskikh rabotnikov [Topical issues of professional morbidity of medical workers]. [in Russian].
Krushelnytska, Ya.V. (2003). Fiziolohiia i psykholohiia pratsi [Physiology and psychology of labor]. Kyiv: KNEU [in Ukrainian].
Buria, L.V., Katrushov, O.V. & Matviienko, T.M. (2005). Erhonomichna kharakterystyka rozvytku vtomy miazovoi systemy, shcho obumovlena osoblyvostiamy robochykh poz likariv-stomatolohiv [Ergonomic characteristic of the development of fatigue of the muscular system, due to the peculiarities of the working positions of dentists]. Dnipropetrovsk [in Ukrainian].
Moroz, V.M., Serheta, I.V., Feshchuk, N.M. & Oliinyk, M.P. (2005). Okhorona pratsi v medytsyni i farmatsii [Labor protection in medicine and pharmacy]. Vinnytsia: Nova knyha [in Ukrainian].
Denysiuk, L.I. & Varyvonchyk, D.V. (2014). Osoblyvosti umov pratsi, yak faktor ryzyku profesiinoi zakhvoriuvanosti likariv-oftalmolohiv [Peculiarities of working conditions, as a risk factor for professional morbidity of ophtalmologists]. [in Ukrainian].
Kundiiev, Yu.I., Nahorna, A.M., Varyvonchyk, D.V. & Sokolova, M.P. (2010). Zakhvoriuvanist medychnykh pratsivnykiv na professiinyi tuberkuloz [Morbidity of medical workers on professional tuberculosis]. [in Ukrainian].
Kundiiev, Yu.I., Nahorna, A.M. & Varyvonchyk, D.V. (2014). Profesiini infektsiini khvoroby [Professional infectious diseases]. Kyiv: VD “Avitsena” [in Ukrainian].
Sokolova, M.P. (2004). Profesiini zakhvoriuvannia medychnykh pratsivnykiv Ukrainy [Professional disease of Ukrainian medical workers]. [in Ukrainian].
Larentsova, L.I., Maksimovskii Yu.M. & Sokolova Ye.D. (2002). Sindrom “emotsyonalnoho vyhoraniia” (burnout) u vrachiei-stomatolohov [Syndrome of “emotional burnout” (burnout) of dentists]. [in Russian].
Maliar-Hazda, N.M. (2015). Emotsiine vyhoriannia – aktualna problema medytsyny sohodennia [Emotional burnout – the actual problem of medicine of the present]. [in Ukrainian].
Navakatikian, A.O. & Kalnish, V.V. (1998). Izmienieniie vzaimosviaziei fiziolohicheskikh funktsyi TsNS u operatorov EVM pod vliianiiem professionalnoho stressa [Change of interconnections of physiological functions of CNS of ECM operators under the influence of professional stress]. [in Russian].
Baks, Ya., Luss, I.Yu. & Sprudzha, D.R. (2002). Faktory riska zdorovia miedytsynskikh rabotnikov [Health risk factors of medical workers]. [in Russian].
Mikhailov, B.V. & Havrilenko, M.A. (2001). Sindrom “vyhoraniia”, yeho prichiny i sposoby korriektsyiy [“Burnout” syndrome, its causes and ways of correction]. [in Russian].
Havrilenko, M.A. (2002). K voprosu o razvitii sindroma “vyhoraniia” u vrachei psikhiatrov-psikhotierapievtov [To the question of the development of “burnout” syndrome among psychiatrists and psychotherapists]. [in Russian].
Karpov, A.V. (2000). Psikholohichieskaia struktura dieiatielnosti: riealnost i kontseptualizatsiia [Psychological structure of activity: reality and conceptualization]. Psikholohiia subiekta professionalnoi dieiatielnosti – psychology of subject of professional activity. V.A. Barabanshchikova (Ed.). Moskow: Yaroslavl [in Russian].
Kravchuk, V.V., Kalnysh, V.V. & Yena, A.I. (2005). Syndrom “profesiinoho vyhorannia” yak indykator porushennia zdorovia pratsivnykiv okremykh spetsialnostei [“Emotional burnout” syndrome as an indicator of health disturbance of employees of certain specialties]. [in Ukrainian].
Tsiborovskii, O.M. (2015). Zdorovia naselennia i factory ryzyku, shcho vplyvaiut na yoho stan, yak obiekt upravlinnia (ohliad literatury) [Population health and risk factors that affect its condition as an object of management (literature review)]. [in Ukrainian].
Kundiiev Yu.I. & Nahornaia A.M. (2007). Professionalnoie zdorovie v Ukrainie. Epidemiolohicheskii analiz [Professional health in Ukraine. Epidemiological analysis]. Kyiv: Avitsenna [in Russian].
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