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Hygienic assessment of working conditions and temporary disability rates among surgeons in multidisciplinary hospitals

Year: 2024, volume 20 Issue: №4 Pages: 457-462
Heading: Hygiene Article type: Original article
Authors: Bochkov M.M., Lutsevich I.N., Ruta A.V., Migacheva A.G., Zaitseva M.R., Anohina T.V.
Organization: Saratov State Medical University
Summary:

Objective: hygienic assessment of working conditions and health status of surgeons based on the rates of morbidity with temporary disability. Material and methods. Assessment of working environment was done in accordance with the Guideline R 2.2.2006-05. Assessment of occupational risk was done in accordance with Guideline R 2.2.1766-03. The incidence of temporary disability was studied on the basis of sick leave certificates. Observation group — 493 surgeons. The comparison group was 353 men. The observation and comparison groups were divided into those with up to 10 years of experience and those with more than 10 years of experience. Results. According to the cause of morbidity the 1st places were occupied by acute respiratory viral infections (J00-J06), hypertension (110-115), dorsopathies (M40-M43). The increase in somatic morbidity due to hypertension by 5.4%; dorsopathies by 5.8%; varicose veins by 1.3% was revealed in workers with length of service. The analysis of morbidity with temporary disability in the comparison group showed significant differences in the proportion of incapacity for work due to early pregnancy in both seniority groups (15.9 and 7.8%, at p=0.025; 21.7 and 13.6%, at p=0.042, respectively), as well as varicose veins in the first stage group (8.5 and 2.9%, atp=0.019), and hypertension in the second stage group (24 and 16.6%, atp=0.048). Conclusion. The working conditions of surgeons corresponded to harmful 3-4 degrees (cl. 3.3-3.4). Statistically significant differences in the character of disability cases depending on the length of service were revealed. Diseases of the musculoskeletal system and diseases of the circulatory system were more frequently observed in workers with more than 10 years of service, which may indicate the industrial causation of these pathologies.

Keywords: morbidity with temporary disability, occupational morbidity of surgeons, working conditions

Bibliography:
1. Andreeva IL, Gurov AN, Katuntseva NA. Towards the assessment of health indicators and labour conditions of medical workers. Health Care Manager. 2013; (8): 51-5.
2. Gatiyatullina LL. State of health of medical workers. Bulletin of modern clinical medicine. 2016; 9 (3): 69-75. DOI: 10.20969/VSKM.2016.9(3).69-75
3. Ratushnaya NS. Integral assessment in the differentiated approach to the study of harmful and hazardous working conditions of medical workers in a number of specialties. Saratov Journal of Medical Scientific Research. 2024; 20 (1): 56-60 DOI: 10.15275/ssmj2001056
4. Garipova RV. Improvement of the system of monitoring of health status of medical workers. Kazan medical Journal. 2011; 92 (1): 78-82.
5. Medvedeva OV, Litvinova Nl. Preservation of health of average medical workers in the conditions of standardisation of medical activity. Problems of Standardisation in Healthcare. 2012; (3-4): 56-8.
6. Eselevich SA. Actual problems of professional morbidity of medical workers. In: Materials of IX All-Russian Congress "Profession and Health" and IV All-Russian Congress of doctors-profpatologists, 24-26 November. Moscow: Delta, 2010.
7. Dubl EV Prevalence of different classes of diseases among medical personnel of a large hospital. Population health and habitat. 2015; 268 (7): 17-21.
8. Bektasova MV Causes of health disorders in medical workers of medical and preventive institutions of Vladivostok. Labour Medicine and Industrial Ecology. 2006; (12): 21-3.
9. Kosarev VV, Babanov SA. Occupational morbidity of medical workers. Medical Almanac. 2010; (3): 18-20.
10. Guide on Hygienic Assessment of Factors of Working Environment and Work Load. Criteria and Classification of Working Conditions: Guide G 2.2.2006-05 (approved by the Chief State Sanitary Doctor of the Russian Federation on 07/29/2005). URL: https://normativ.kontur.ru/document?moduleld=1&docume ntld=92758 (07 Oct 2024).
11. Guidelines on occupational risk assessment for workers' health. Organizational and methodological aspects, principles and criteria: Guideline G 2.2.1766-03 (approved by the Chief State Sanitary Doctor of the Russian Federation on 11.01.2003). URL: https://normativ.kontur.ru/document?moduleld=1 Sdocum entld=364401 (07 Oct 2024).
12. Notkin EL. In-depth data analysis of morbidity with temporary disability. Gigiena i sanitariya. 1979; (5): 40-6.
13. Karamova LM, Vlasova NV, Gizatullina LG, Masyaguto-va LM. Haematological and bacteriological predictors of occupational^ and industrially caused diseases in medical workers. Hygiene and Sanitation. 2020; 99 (1): 125-8. DOI: 10.33029/0016-9900-2020-99-1-125-128
14. Karamova LM, Valeeva ЕТ, Vlasova NV, et al. Patho-morphosis of health disorders in medical workers. Labour Medicine and Human Ecology. 2020; 24 (4): 45-55. DOI: 10.24411/2411-3794-2020-10407
15. Pochtareva ES, Stepanov SA, Pilishenko VA. On occupational morbidity of health care workers in the Russian Federation. Population Health and Habitat. 2007; (1): 3-7.
16. Valeeva ЕТ, Akhmetshina VT, Karamova LM, et al. Occupational risk of health disorders of medical workers of infectious disease service of the Republic of Bashkortostan. Sanitary Doctor. 2020; (5): 32-9. DOI: 10.33920/med-08-2005-03
17. Karamova LM, Shaykhlislamova ER, Nafikov RG, et al. Risk of professional burnout syndrome in medical workers. In: Hygiene, occupational pathology and risks to public health: Proceedings of the scientific conference. 5-6 October, 2016. Ufa, 2016; p. 436-41.
18. Kondrova NS, Shaikhlislamova ER, Sandakova IV, et al. On the issue of occupational diseases of healthcare workers and their detection during periodic medical examinations. Hygiene and sanitation. 2018; (4): 325-331.
19. Yurt A, Cavusoglu В, Gunay Т. Evaluation of awareness on radiation protection and knowledge about radiological examinations in healthcare professionals who use ionized radiation at work. Mol Imaging Radionucl Ther. 2014; 23 (2): 48-53. DOI: 10.4274/mirt.00719

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All articles of the authors: Anohina T.V. , Bochkov M.M., Lutsevich I.N., Migacheva A.G., Ruta A.V., Zaitseva M.R.

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