medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2023-071medsovet-7518Research ArticleПРАКТИКАPRACTICEОценка условий труда и риски, обусловленные пандемией COVID-19: результаты онлайн-опроса персонала медицинских организацийAssessment of working conditions and risks caused by the COVID-19 pandemic: results of an online survey of personnel of medical organizationshttps://orcid.org/0000-0001-5870-8042КорнеенковА. А.KorneenkovA. A.

Корнеенков Алексей Александрович, д.м.н., профессор, заведующий научно-исследовательской лаборатории клинической информатики и биостатистики 

190013, Россия, Санкт-Петербург, ул. Бронницкая, д. 9 

Aleksei A. Korneenkov, Dr. Sci. (Med.), Professor, Head of the Research Laboratory of Clinical Informatics and Biostatistics

9, Bronnitskaya St., St Petersburg, 190013, Russia 

korneyenkov@gmail.comhttps://orcid.org/0000-0002-5235-085XОвчинниковП. А.OvchinnikovP. A.

Овчинников Павел Александрович, к.м.н., начальник 60-го оториноларингологического отделения 

143409, Россия, Московская обл., Красногорск, ул. Светлая, д. 11 

Pavel A. Ovchinnikov, Cand. Sci. (Med.), Head of the 60th Otorhinolaryngological Department

11, Svetlaya St., Krasnogorsk, Moscow Region, 143409, Russia 

generallor@mail.ruhttps://orcid.org/0000-0002-4141-2226ВяземскаяЕ. Э.VyazemskayaE. E.

Вяземская Елена Эмильевна, инженер научно-исследовательской лаборатории клинической информатики и биостатистики 

190013, Россия, Санкт-Петербург, ул. Бронницкая, д. 9 

Elena E. Vyazemskaya, Engineer, Research Laboratory of Clinical Informatics and Biostatistics

9, Bronnitskaya St., St Petersburg, 190013, Russia 

vyazemskaya.elena@gmail.comhttps://orcid.org/0000-0002-0925-7596ДворянчиковВ. В.DvoryanchikovV. V.

Дворянчиков Владимир Владимирович, д.м.н., профессор, заслуженный врач России, директор 

190013, Россия, Санкт-Петербург, ул. Бронницкая, д. 9 

Vladimir V. Dvoryanchikov, Dr. Sci. (Med.), Professor, Honored Doctor of Russia, Director

9, Bronnitskaya St., St Petersburg, 190013, Russia 

3162256@mail.ruhttps://orcid.org/0000-0003-1710-3092РязанцевС. В.RyazantsevS. V.

Рязанцев Сергей Валентинович, д.м.н., профессор, заместитель директора по научно-координационной работе 

190013, Россия, Санкт-Петербург, ул. Бронницкая, д. 9 

Sergey V. Ryazantsev, Dr. Sci. (Med.), Professor, Deputy Director for Scientific and Coordination Work

9, Bronnitskaya St., St Petersburg, 190013, Russia 

3162852@mail.ruhttps://orcid.org/0000-0001-9195-128XЯновЮ. К.YanovYu. K.

Янов Юрий Константинович, академик РАН, д.м.н., профессор 

191015, Россия, Санкт-Петербург, ул. Кирочная, д. 41 

Yuri K. Yanov, Acad. RAS, Dr. Sci. (Med.), Professor

41, Kirochnaya St., St Petersburg, 191015, Russia 

9153864@mail.ruhttps://orcid.org/0000-0002-1110-7087ФантаИ. В.FantaI. V.

Фанта Иван Васильевич, к.м.н., заведующий организационно-методическим отделом 

190013, Россия, Санкт-Петербург, ул. Бронницкая, д. 9 

Ivan V. Fanta, Cand. Sci. (Med.), Head of the Organizational and Methodological Department

9, Bronnitskaya St., St Petersburg, 190013, Russia 

3165429@mail.ruСанкт-Петербургский научно-исследовательский институт уха, горла, носа и речиРоссияSaint Petersburg Research Institute of Ear, Throat, Nose and SpeechRussian Federation3-й Центральный военный клинический госпиталь им. А.А. ВишневскогоРоссия3rd Central Military Clinical Hospital named after A.A. VishnevskyRussian FederationСеверо-Западный государственный медицинский университет имени И.И. МечниковаРоссияNorth-Western State Medical University named after I.I. MechnikovRussian Federation20231005202307160169Copyright © Корнеенков А.А., Овчинников П.А., Вяземская Е.Э., Дворянчиков В.В., Рязанцев С.В., Янов Ю.К., Фанта И.В., 20232023Корнеенков А.А., Овчинников П.А., Вяземская Е.Э., Дворянчиков В.В., Рязанцев С.В., Янов Ю.К., Фанта И.В.Korneenkov A.A., Ovchinnikov P.A., Vyazemskaya E.E., Dvoryanchikov V.V., Ryazantsev S.V., Yanov Y.K., Fanta I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/7518

Введение. В условиях пандемии врачи и другой работающий вместе с ними персонал входят в число тех, кто подвергается ежедневному риску заражения.Цель. Определить аспекты пандемии COVID-19, значимые для работников системы здравоохранения.Материалы и методы. Проведен онлайн-опрос среди работников организаций здравоохранения. В исследование включены 269 чел., анализ проводился в программной среде R. В первую группу входили медицинские сотрудники, имевшие непосредственный контакт с больными COVID-19; вторая группа – работники, контакт которых с инфицированными не был зафиксирован.Результаты и обсуждение. Результаты опроса анализировались как по выборке в целом, так и по группам. В опросе 84,8% респондентов выразили обеспокоенность пандемией, а среди контактирующих беспокойство было в 3 раза чаще, чем среди не контактирующих (ОШ 3,07 [1,14; 10,43]). Свою информированность о SARS-CoV-2 респонденты оценивали высоко: группа контактирующих была более уверена в полноте доводимой информации, чем не контактирующих. Готовность клиник к пандемии оценивалась невысоко. Высокий риск заражения на рабочих местах ощущали контактирующие – 84%, не контактирующие – 71%. Более выраженный недостаток средств защиты ощущали респонденты из группы контактирующих работников. Самоограничение социальных контактов не стало популярной и статистически значимой мерой: медработники ограничивали свои контакты в 37,9% случаев, среди них контактирующих – 55,4%, не контактирующих – 44,6%. Было предложено оценить, что вызывает беспокойство: риск изоляции от семьи и социального окружения отметили 76,2% опрошенных; страх перед опасностью самой болезни – 36,2%; последствия собственного заражения для благополучия семьи и профессиональной деятельности, а также общества в целом –34,8%; риск заразить членов семьи – 33,0%.Заключение. Данные исследования могут оказать существенное влияние при планировании медицинской помощи для отражения будущих угроз подобного рода.

Introduction. In a pandemic, doctors and other staff working alongside them are among those at risk of infection on a daily basis.Aim. To identify aspects of the COVID-19 pandemic that are relevant to healthcare workers.Materials and methods. An online survey was conducted among employees of healthcare organizations. The study included 269 people, the analysis was carried out in the R software environment. The first group included medical workers who had direct contact with patients with COVID-19; the second group – workers whose contact with the infected was not recorded.Results and discussion. The results of the survey were analyzed both for the sample as a whole and for groups. In the survey, 84.8% of respondents expressed concern about the pandemic, and among contacts, anxiety was 3 times more common than among non-contacts (OR = 3.07 [1.14; 10.43]). Respondents rated their awareness of SARS-CoV-2 highly: the contact group was more confident in the completeness of the information provided than the non-contact group. The preparedness of clinics for a pandemic was not highly rated. Contact persons – 84%, non-contact persons – 71% felt a high risk of infection at the workplace. A more pronounced lack of protective equipment was felt by respondents from the group of contact workers. Self-restriction of social contacts did not become a popular and statistically significant measure: health workers limited their contacts in 37.9% of cases, among them contacting – 55.4%, non-contacting – 44.6%. In the survey, it was proposed to assess what causes concern: the risk of isolation from the family and social environment was noted by 76.2% of respondents; fear of the danger of the disease itself - 36.2%; the consequences of one’s own infection for the well-being of the family and professional activities, as well as society as a whole - 34.8%; the risk of infecting family members and relatives is 33.0%.Conclusions. These studies can provide significant assistance in planning health care to repel future threats of a similar nature.

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