Uticaj profesionalnog stresa na povrede na poslu i radnu sposobnost medicinskog osoblja

Abstract

Introduction: Stress in the workplace in the health sector is in expansion. Objective: Assessment of the occupational stress index and types of stressors in certain areas of the health sector and their impact on the development of occupational injuries and at work ability. Methodology: The study group consisted of 448 health care personnel and control of 157 administrative workers. The application of the questionnaire were analyzed the presence and level of occupational stressors in their workplaces. The complete diagnostics of health status were performed. The data of the length of temporary incapacity for work, injuries at work and permanent work capacity were analyzed. Results: Total OSI was significantly higher in the examined group (69.24 ± 10.10) compared to the control group (39.38 ± 7.44) (t = 39.19, p <0.001). Total OSI was significantly higher among employees in institutions of secondary and tertiary health care levels (74.94 ± 7.43) compared to employees in institutions at the primary health care level (58.87 ± 4.47) (t = 24.891, p <0.001 ). Doctors are exposed to a significantly higher level of stress than the nurses (73.21 ± 10.13; 65.47 ± 8.52) (t = 8.725, p <0.001). Mental disorders, occupational disease and hypertension were significantly more present in the examined group compared to the controls (p = 0.043; Χ2 = 4.03; Χ2 = 31.30, p <0.001). Number of working days lost due to injuries at work, occupational and other diseases was significantly higher in the study than in the control group (p <0.001). Number of days lost due to illness, injury at work and occupational diseases was significantly higher among employees in institutions of secondary and tertiary health care levels in relation to employees in institutions at the primary health care level (z = 10.56, t = 6.44, t = 5.23; p <0.001). There was a significant correlation between OSI and workplace injuries, length of temporary work disability and complete permanent loss of working ability. The correlation is highly significant in health care personnel in surgical branches of medical activity. Conclusion: Professional stress have significantly effects on the development of the occupational injuries and at work ability of health care personnel, which needs the preventive measures.