medlitГигиена и санитарияHygiene and Sanitation0016-99002412-0650Federal Scientific Center of Hygiene named after F.F. Erisman10.47470/0016-9900-2023-102-11-1182-1185temyrkmedlit-3526Research ArticleМЕДИЦИНА ТРУДАOCCUPATIONAL HEALTHРаспространённость рабочего стресса и эмоционального выгорания среди медицинских работниковThe prevalence of working stress and emotional burnout among health workershttps://orcid.org/0000-0003-2351-658XСибгатуллинИскандер ЯгфаровичSibgatullinIskander Y.

Ассистент кафедры гигиены, медицины труда. ФГБОУ ВО "Казанский государственный медицинский университет" Министерства здравоохранения РФ, 420012, Казань, Россия

e-mail: kgmua@mail.ru

Assistant of the Department of Hygiene, Occupational Medicine, Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan, 420012, Russian Federation.

e-mail: kgmua@mail.ru

kgmua@mail.ruhttps://orcid.org/0000-0001-9506-563XФатхутдиноваЛилия МинвагизовнаFatkhutdinovaLilia M.

Доктор медицинских наук, профессор, заведующий кафедрой гигиены, медицины труда. ФГБОУ ВО "Казанский государственный медицинский университет" Министерства здравоохранения РФ, 420012, Казань, Россия

noemail@neicon.ruhttps://orcid.org/0000-0003-0088-6422БадамшинаГульнара ГалимяновнаBadamshinaGulnara G.

Доктор медицинских наук, доцент кафедры гигиены, медицины труда. ФГБОУ ВО "Казанский государственный медицинский университет" Министерства здравоохранения РФ, 420012, Казань, Россия

noemail@neicon.ruФГБОУ ВО «Казанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияKazan State Medical University of the Ministry of Health of the Russian FederationRussian FederationФБУЗ «Центр гигиены и эпидемиологии в Республике Татарстан (Татарстан)»РоссияCenter of Hygiene and Epidemiology in the Republic of Tatarstan (Tatarstan)Russian Federation2023131220231021111821185Copyright © Сибгатуллин И.Я., Фатхутдинова Л.М., Бадамшина Г.Г., 20232023Сибгатуллин И.Я., Фатхутдинова Л.М., Бадамшина Г.Г.Sibgatullin I.Y., Fatkhutdinova L.M., Badamshina G.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rjhas.ru/jour/article/view/3526Введение

Введение. В своей профессиональной деятельности медицинские работники испытывают огромную нагрузку, что часто приводит к развитию стресса, эмоциональному выгоранию и изменениям в состоянии здоровья.

Цель исследования — изучить распространённость рабочего стресса и степень эмоционального выгорания медицинских работников с различным уровнем рабочего стресса.

Материалы и методы

Материалы и методы. Обследованы 210 медицинских работников амбулаторно-поликлинических учреждений г. Казани с использованием опросника РАМИС («Рабочее место и стресс») и опросника эмоционального выгорания К. Маслач (в адаптации Н.Е. Водопьяновой).

Результаты

Результаты. Повышенный уровень стресса у медицинских работников регистрировался во всех возрастных группах (в молодом возрасте — 31,6%, в среднем — 35%, в пожилом — 42,4%). В структуре факторов рабочего стресса среди медицинских работников амбулаторно-поликлинических учреждений ведущим является низкий уровень социальной поддержки (54,2%) и низкий уровень контроля (43,1%). Высокая степень эмоционального выгорания в равной степени регистрируется во всех исследуемых возрастных группах (в молодом возрасте — 35,9%, в среднем — 40%, в пожилом — 42,3%). Определена достоверная взаимосвязь рабочего стресса и эмоционального выгорания.

Ограничения исследования

Ограничения исследования. Не были включены медицинские работники стационаров и частных медицинских клиник, а также не давшие информированного согласия на участие в данном исследовании.

Заключение

Заключение. Высокий уровень рабочего стресса и эмоционального выгорания регистрировался в каждой изучаемой возрастной группе, связь между возрастом и уровнем рабочего стресса и эмоциональным выгоранием не была выявлена. Было выявлено, что медицинские работники с высоким уровнем стресса чаще страдают от эмоционального выгорания, чем лица с низким рабочим стрессом.

Соблюдение этических стандартов. Исследование прошло этическую экспертизу и одобрено локальным этическим комитетом ФГБОУ ВО «Казанский ГМУ» Минздрава России (протокол заседания № 1 от 02.03.2021 г.).

Участие авторов

Участие авторов:Сибгатуллин И.Я. — сбор и статистическая обработка материалов, написание и оформление текста;Бадамшина Г.Г. — концепция исследования, редактирование;Фатхутдинова Л.М. — концепция и дизайн исследования, редактирование.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Конфликт интересов

Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.

Финансирование

Финансирование. Исследование выполнено за счёт средств гранта № 2/22-9 от 2.08.2022 г. ФГБОУ ВО «Казанский ГМУ» МЗ РФ, выделенного на проведение НИР в рамках Программы развития университета.

Поступила

Поступила: 26.10.2023 / Принята к печати: 15.11.2023 / Опубликована: 08.12.2023

Introduction

Introduction. In the course of their occupational activities, health workers experience a huge burden, which often leads to the development of stress, emotional burnout, and changes in health status.

Goal — to study the prevalence of working stress and the degree of emotional burnout in health workers with different levels of work stress.

Material and methods

Material and methods. Two hundred ten health workers of outpatient polyclinic institutions of Kazan were examined using the questionnaire “RAMIS” (Workplace and stress) and the questionnaire of emotional burnout by K.Maslach (adapted by N.E. Vodopyanova).

Results

Results. There was recorded an increased level of stress among health workers in all age groups (31.6% at a young age, 35% on average, 42.4% in the elderly). Low level of social support (54.2%) and low level of control (43.1%) are the leading factors in the structure of working stress among health workers of outpatient clinics. A high degree of emotional burnout is equally recorded in all the age groups studied (35.9% at a young age, 40% on average, 42.3% in the elderly). A reliable relationship between working stress and emotional burnout has been determined.

Limitations

Limitations. Health workers in hospitals and private medical clinics were not included, as well as those who did not give informed consent to participate in this study.

Conclusion

Conclusion. A high level of working stress was recorded in each age group studied, the relationship between age and the level of work stress was not revealed. Also, the burnout syndrome was detected in all age groups and had no connection with age. Health workers with a high level of stress were found to be much more likely to suffer from emotional burnout than people with low working stress.

Compliance with ethical standards. The study passed an ethical examination and was approved by the local ethics committee of the Kazan State Medical University of the Ministry of Health of Russia. (Minutes of the meeting № 1 dated 02.03.2021).

Contribution

Contribution:Sibgatullin I.Ya. — collection and processing of materials, writing and formatting of the text;Badamshina G.G. — research concept and design, editing;Fatkhutdinova L.M. — research concept, editing.All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement

Acknowledgement. The study was carried out at the expense of grant No. 2/22-9 dated 2.08.2022 of the Kazan State Medical University of the Ministry of Health of the Russian Federation, allocated for research within the framework of the University Development Program.

Received

Received: October 26, 2023 / Accepted: November 15, 2023 / Published: December 8, 2023

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The authors declare that there are no conflicts of interest present.