Physiological and psychophysiological indicators in the diagnosis of occupational maladaptation of doctors from oncology hospital
Keywords:
adults, cancer, oncologists, professional adaptation, psycho-oncology, rehabilitation, symptoms.
Abstract
Objectives: To study the development of professional deformity in oncological hospital doctors under the influence of professional activity factors. To consider the issues of professional adaptation of medical workers from the perspective of their development of psychoemotional burnout in combination with the problem of physiological and psychophysiological aspects of professional maladaptation. Methods: The analysis of the features of maladaptive reactions of the cardiovascular system of oncological hospital doctors that occur in the course of their professional activities is based on the analysis of changes in three groups of indicators of adaptive response of the cardiovascular system of oncologists, characteristics of blood pressure, heart activity indicators, and the state of peripheral vascular tone. Calculations of the values of psychophysiological indices that integrally characterize the functional state of their body are made. All of the doctors participating in the survey gave informed consent on the acquisition and processing of data. Results: It was found that a significant number (75%) of the tested oncologists have reduced adaptive capabilities of the circulatory system. A significant number of individuals with low stroke (40%) and minute blood volume (30%) were identified. In most cases (up to 68.4%) the examined specialists of the oncological hospital are in a state of impaired professional adaptation according to psychophysiological criteria. Conclusions: It is proposed to use the physiological and psychophysiological indicators used in the study as psychophysiological correlates of the formation and development of professional maladaptation in doctors of different specialties, as well as to control the dynamics of their condition during medical and social rehabilitation of medical institutions.
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References
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Sheikh-Zade, Y.R., & Sheikh-Zade, K.Y. (2000). The way to determine the level of stress (patent). Inventions. Utility models, 12, 2147831.
Stucky, E.R., Dresselhaus, T.R., Dollarhide, A., Shively, M., Maynard, G., Jain, S., Wolfson, T., Weinger, M.B., & Rutledge, T. (2009). Intern to attending: Assessing stress among physicians. Academic Medicine, 84(2), 251–257.
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Tilett, R. (2003). The Patient within – Psychopathology in the Helping Professions. Advances in Psychiatric Treatment, 9(4), 272–279.
Toker, S., Melamed, S., Berliner, S., Zeltser, D., & Shapira, I. (2012). Burnout and risk of coronary heart disease: A prospective study of 8838 employees. Psychosomatic Medicine, 74(8), 840–847.
Van Dam, A., Keijsers, G., Verbraak, M., Eling, P., & Becker, E. (2015). Level and appraisal of fatigue are not specific in burnout. Clinical Psychology & Psychotherapy, 22(2), 133–141.
Van der Hulst, M. (2003). Long workhours and health. Scandinavian Journal of Work Environment & Health, 29(3), 171–188.
White, C. (2002). Doctors under fire. BMJ, 324(7328), 55.
Williams, B. (2002). Physician stress & burnout. Tennessee Medicine: Journal of the Tennessee Medical Association, 95(11), 445-51.
Yates, S.W. (2020). Physician stress and burnout. The American Journal of Medicine, 133(2), 160–164.
Yates, M., & Samuel, V. (2019). Burnout in oncologists and associated factors: A systematic literature review and meta-analysis. European Journal of Cancer Care, 28(3), е13094.
Zasyadko, K.I. (2019). The psychological and psychophysiological issues of professional maladaptation of oncologists. Journal of Human Sport and Exercise, 14(5proc), 2339–2348.
Baevsky, R.M., & Berseneva, A.P. (2011). Introduction to prenosological diagnostics. Moscow: Slovo, 228.
Baevsky, R.М., Berseneva, A.P., Baevsky, P.A., & Master, M. (2015). Application of principles of space medicine to health monitoring of the aging population. Cardiometry, 6, 22–29.
Baevsky, R.М., & Berseneva, A.P. (2017). Рre-nosology diagnostics. Cardiometry, 10, 55–63.
Banerjee, S. (2019). Reply to ‘physician burnout: Let’s avoid unsubstantiated claims’. Nature Reviews Clinical Oncology, 16(2), 137.
Berniell, I., & Bietenbeck, J. (2020). The effect of working hours on health. Economics & Human Biology, 39, 100901.
Black, S.E., Devereux, P.J., & Salvanes, K.G. (2015). Losing heart? The effect of job displacement on health. ILR Review, 68(4), 833–861.
Britt, H.R., Koranne, R., & Rockwood, T. (2017). Statewide improvement approach to clinician burnout: Findings from the baseline year. Burnout Research, 7, 29–35.
Consoli, S.M. (2015). Occupational stress and myocardial infarction. La Presse Médicale, 44(7-8), 745–751.
Corrigan, L., O’Leary, C., Kroes, J., Farooq, A.R., Horgan, A., Calvert, P., & O’Connor, M. (2019). Professional burnout, work patterns and career satisfaction in medical oncologists in Ireland. Irish Journal of Medical Science, 189(2): 711–718.
Crane, M.F., Kho, M., Kangas, M., Griffin, B., Karin, E., Earl, J., & Harris, C. (2020). Strengthening resilience in over 50's: A nested clustered-randomized controlled trial of adaptive systematic self-reflection. Anxiety Stress, and Coping, 33(6), 623–641.
Edwards, N., Kornacki, M.J., & Silversin, J. (2002). Unhappy doctors: What are the causes and what can be done? BMJ, 324(7341), 835–838.
Farber, B.A. (2000). Treatment strategies for different types of teacher burnout. Journal of Clinical Psychology, 56(5), 675–689.
Fernández-Sánchez, J.C., Pérez-Mármol, J.M., Santos-Ruiz, A.M., Pérez-García, M., & Peralta-Ramírez, M.I. (2018). Burnout and executive functions in palliative care health professionals: Influence of burnout on decision making. Anales del Sistema Sanitario de Navarra, 41(2), 171–180.
Freudenberger, H.J. (1974). Staff burnout. Journal of Social Issues, 30(1), 159–165.
Gardner, R.L., Cooper, E., Haskell, J., Harris, D.A., Poplau, S., Kroth, P.J., & Linzer, M. (2019). Physician stress and burnout: The impact of health information technology. Journal of the American Medical Informatics Association, 26(2), 106–114.
Gômez-Urquiza, J.L., Monsalve-Reyes, C.S., San Luis-Costas, C., Fernández-Castillo, R., Aguayo-Estremera, R., & Cañadas-de la Fuente, G.A. (2017). Risk factors and burnout levels in Primary Care nurses: A systematic review. Aten Primaria, 49(2), 77–85.
Grensman, A., Acharya, B., Wändell, P., Nilsson, G., Falkenberg, T., Sundin, Ö., & Werner, S. (2018). Effect of traditional yoga, mindfulness–based cognitive therapy, and cognitive behavioral therapy, on health related quality of life: A randomized controlled trial on patients on sick leave because of burnout. BMC Complementary and Alternative Medicine, 18(1), 80.
Hariharan, T.S., & Griffin, B. (2019). A review of the factors related to burnout at the early-career stage of medicine. Medical Teacher, 41(12), 1380–1391.
Harma, M.I. (2003). Are long workhours a health risk? Scandinavian Journal of Work Environment & Health, 29(3), 167–169.
Lee, F.J., Stewart, M., & Brown, J.B. (2008). Stress, burnout, and strategies for reducing them: What's the situation among Canadian family physicians? Canadian Family Physician, 54(2), 234–235.
Maslach, C., & Leiter, M. (2008). The Truth About Burnout: How Organizations Cause Personal Stress and What to Do About It. Hoboken, NJ: John Wiley & Sons.
Maslach, C., Leiter, M., & Jackson, S. (2018). MBI: The Maslach Burnout Inventory Manual. 4th edn. Menlo Park: Mind Garden, Inc.
Maslach, C., Schaufeli, W.B., & Leiter, M.P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422.
Medscape. (2020). Medscape National Physician Burnout & Suicide Report 2020. https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460?faf=1#2 (Accessed 25.03.2021)
Murali, K., & Banerjee, S. (2018). Burnout in oncologists is a serious issue: What can we do about it? Cancer Treatment Reviews, 68, 55–61.
Murali, K., & Banerjee, S. (2019). Let’s address burnout in oncologists and reimagine the way we work. Nature Reviews Clinical Oncology, 16(1), 1–2.
Myznikov, I.L., Gliko, L.I., & Payusov, Y.A. (2008). Methodology for Monitoring the Functional State of Seafarers. Diagnostic Indices and Physiological Stress Tests. Murmansk: Sever.
Oosterholt, B.G., Van der Linden, D., Maes, J.H., Verbraak, M.J., & Kompier, M.A. (2012). Burned out cognition – cognitive functioning of burnout patients before and after a period with psychological treatment. Scandinavian Journal of Work, Environment & Health, 38(4), 358–369.
Pirogova, E.A., Ivashchenko, L.Y., & Strapko, N.P. (1986). The Influence of Physical Activity on Performance and Human Health. Kiev: Health. https://spblib.ru/en/catalog/-/books/3358741-vlianie-fiziceskih-upraznenij-na-rabotosposobnost-i-zdorov-e-celoveka; http://library.ngmu.ru/search/view?mfn=15872&irbisBase=WORK2
Raphael, M.J., Fundytus, A., Hopman, W.M., Vanderpuye, V., Seruga, B., Lopes, G., Hammad, N., Sengar, M., Brundage, M.D., & Sullivan, R. (2019). Medical oncology job satisfaction: Results of a global survey. Seminars in Oncology, 46(1), 73–82.
Robinson, B.F. (1967). Relation of heart rate and systolic blood pressure to the onset ofpain in angina pectoris. Circulation, 35(1), 1073–1083.
Sheikh-Zade, Y.R., & Sheikh-Zade, K.Y. (2000). The way to determine the level of stress (patent). Inventions. Utility models, 12, 2147831.
Stucky, E.R., Dresselhaus, T.R., Dollarhide, A., Shively, M., Maynard, G., Jain, S., Wolfson, T., Weinger, M.B., & Rutledge, T. (2009). Intern to attending: Assessing stress among physicians. Academic Medicine, 84(2), 251–257.
Swetz, K.M., Harrington, S.E., Matsuyama, R.K., Shanafelt, T., & Lyckholm, L. (2009). Strategies for avoiding burnout in hospice and palliative medicine: Peer advice for physicians on achieving longevity and fulfillment. Journal of Palliative Medicine, 12(9), 773–777.
Tilett, R. (2003). The Patient within – Psychopathology in the Helping Professions. Advances in Psychiatric Treatment, 9(4), 272–279.
Toker, S., Melamed, S., Berliner, S., Zeltser, D., & Shapira, I. (2012). Burnout and risk of coronary heart disease: A prospective study of 8838 employees. Psychosomatic Medicine, 74(8), 840–847.
Van Dam, A., Keijsers, G., Verbraak, M., Eling, P., & Becker, E. (2015). Level and appraisal of fatigue are not specific in burnout. Clinical Psychology & Psychotherapy, 22(2), 133–141.
Van der Hulst, M. (2003). Long workhours and health. Scandinavian Journal of Work Environment & Health, 29(3), 171–188.
White, C. (2002). Doctors under fire. BMJ, 324(7328), 55.
Williams, B. (2002). Physician stress & burnout. Tennessee Medicine: Journal of the Tennessee Medical Association, 95(11), 445-51.
Yates, S.W. (2020). Physician stress and burnout. The American Journal of Medicine, 133(2), 160–164.
Yates, M., & Samuel, V. (2019). Burnout in oncologists and associated factors: A systematic literature review and meta-analysis. European Journal of Cancer Care, 28(3), е13094.
Zasyadko, K.I. (2019). The psychological and psychophysiological issues of professional maladaptation of oncologists. Journal of Human Sport and Exercise, 14(5proc), 2339–2348.
Published
2021-04-12
How to Cite
Zasyadko, K., Shinkarev, S., Dankovtsev, O., Tafintseva, L., & Maskalyanova, S. (2021). Physiological and psychophysiological indicators in the diagnosis of occupational maladaptation of doctors from oncology hospital. Amazonia Investiga, 10(38), 59-69. https://doi.org/10.34069/AI/2021.38.02.6
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