The high prevalence of professional burnout syndrome among medical workers significantly actualizes the search for the most effective methods aimed at reducing the severity of the negative consequences of professional stress. A certain perspective in solving this problem is associated with the course use of non-drug technologies, the sanogenetic potential of which ensures the implementation of high efficiency in the correction of the main manifestations of professional burnout. The complex use of therapeutic physical factors allows achieving a pronounced clinical result due to their synergistic interaction.
OBJECTIVE
Comparative analysis of the efficiency of the course use of non-drug technologies (physical exercises, psychocorrection, general air cryotherapy, general magnetic therapy, hypoxic-hyperoxytherapy, hydrogen therapy and their combinations) in the correction of stress resistance and manifestations of professional burnout in medical workers.
MATERIAL AND METHODS
The studies were conducted on the basis of the Federal State Budgetary Scientific Institution Russian Scientific Center of Surgery named after academician B.V. Petrovsky with the participation of 150 patients from among medical personnel aged 30 to 60 years. Using the simple fixed randomization method, all patients were divided into 6 groups: control (n=25), comparison groups 1—4 (n=25 each), and the main group (n=25). Patients in all groups received a course of physical exercises and psychological correction. For the control group, this type of correction was exhaustive. In comparison group 1, a course of general air cryotherapy was additionally carried out; comparison group 2 additionally received a course of general magnetic therapy procedures; comparison group 3 additionally received a course of hypoxic-hyperoxytherapy; comparison group 4 additionally received a course of hydrogen therapy; in the main group, patients received a course of complex exposure to therapeutic physical factors. The study design provided for a double examination of patients in all groups using the MBI questionnaire and the DASS and PSM-25 scales.
RESULTS
Conducting a course of correction of the state of professional burnout made it possible to establish that its effectiveness was largely determined by the type of physical factor used. Less pronounced changes were noted in the control group with the use of physical exercises and psychological correction. Additional course application of therapeutic physical factors in the monofactorial impact mode (general air cryotherapy, general magnetic therapy, hypoxic-hyperoxytherapy and hydrogen therapy; respectively comparison groups 1—4) was accompanied by an increase in the positive dynamics of the assessed indicators by 12—23%. The complex use of all physiotherapeutic effects, implemented in the main group, caused the development of the most pronounced corrective effect.
CONCLUSION
The use of non-drug technologies allows achieving high efficiency in the correction of stress resistance and manifestations of professional achievement in medical workers. The maximum corrective effect, manifested with the complex use of physical factors, is the result of the synergistic interaction of various physiotherapeutic technologies, implemented in the form of potentiation of sanogenetic mechanisms aimed at normalizing the psycho-emotional status of individuals with an extreme profile of service activity.
