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Edition of the journal is supported partially by the grant of the Fogarty International Center (FIC) of the National Institute of Health and Illinois University, Chicago.

JOURNAL

ISSN 2077-7477 (Print)
ISSN 2077-7485 (Online)

A journal "Dovkillia ta zdorovia" (Environment & Health) publishes the articles on the problems in the field of medical ecology, hygiene, health protection and ecological safety.

Founder of the Journal:
State Institution "O.M. Marzeiev Institute for Hygiene and Medical Ecology of the National Academy of Medical Sciences of Ukraine"

Frequency of publication:
quarterly

Environment & HealthISSN: 2077-7477 eISSN: 2077-7485
No: 3 (83)   -   2017   -   Pages: 42-45
Development of the measures for prevention and correction of the nervous system disorders related to stress in the underground train drivers
Dumk I.V.1, Tkachyshyn V.S.2, Tkachyshyna N.Yu.3
1 " Ukrainian Medical Center for Traffic Safety and Information Technologies, MPH of Ukraine, Kyiv
2 O.O. Bohomolets National Medical University, Kyiv
3 SI Road Clinical Hospital No.2, Kyiv Station, NTBA SWRR

: 613.62 : 656.071.2 : 616.8

ABSTRACT:
Objective: We examined the stress resistance and the level of anxiety in the underground train drivers (UTD) and developed the scheme for treatment of the vegetative dysfunction.

Materials and methods: We examined two groups of individuals: 26 - UTD (main group), 26 - employees of the engineering unit (control group). All examined persons of main and control groups were men. Spielberger test was used to study the stress resistance and anxiety level.

Results and discussion: Analysis of the study results showed that medium and high levels of anxiety were mentioned in the majority of UTD (88.5%), in contrast to the personnel of engineering unit (23.19%, respectively). There is a significant difference (p <0.05) between similar values in both groups. This indicates that the majority of drivers suffer from the constant impact of stress factor in the workplaces, taking into account the specificity of their work, it leads to a decrease of stress resistance and increase of the level of situational anxiety among the UTD. There was no such a tendency in the control group, this indicated that their work is not connected with excessive impact of the stress factor on nervous system of the engineering personnel. By Spielberger test results, it may be noted that the UTD who have a low resistance to stress and a high level of anxiety, may be proned to imbalance, lack of attention, low self-control, it is dangerous for their profession, taking into account that they provide safe movement of trains. According to the medical histories collected in 26 underground train drivers (100%), above pathological states arose as a result of stress situations (in medical history it is the hitting on a person with a fatal outcome). For the correction of identified disorders a treatment scheme was proposed, its main task was a recovery of the normal functioning of nervous system in general and a disappearance of its somatoform symptoms. Thus at the beginning of the treatment the percentage of the persons with a depressive syndrome was 84.61 7.07%. At the end of treatment this index made up 3.84 3.77% that was significantly less (p <0.01) in comparison with the same index at the beginning of the treatment. At the beginning of the treatment the percentage of the persons with the asthenovegetative syndrome made up 92.30 5.22%. At the end of treatment, this index was 7.69 5.22% that was significantly less (p <0.01) in comparison with the same index.

Conclusions: In a survey of the UTD and identification of the psychophysiological vegetative dysfunction risk factors we established medium and high levels of anxiety in the majority of UTD (88.5%), in contrast to the engineering personnel (23.19%, respectively). The difference of values has a reliable (p <0.05) character. Developed scheme for the correction of pathological changes of nervous system in the UTD, due to stresses, can be used effectively for the recovery of the functioning of nervous system, a positive dynamics of the state of health of the drivers before and after treatment indicates it.

KEYWORDS:
Drivers of electric underground trains, unfavorable production factors, stress resistance, general-somatic pathology.
REFERENCES:
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2. Vakulenko L.O., Prylutska G.V. and Vakulenko D.V. Likuvalnyi masazh. Ternopil (Ukraine) : Ukrmedknyha ; 2005 : 448 p. (in Ukrainian).
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