INFLUENCE OF ORGANIZATIONAL FACTORS ON THE FORMATION OF MENTAL MALADAPTATION IN MEDICAL WORKERS DURING THE PANDEMIC OF A NEW CORONAVIRUS INFECTION COVID-19

The aim of the study is to analyze the modern foreign and domestic scientific literature devoted to the influence of pro-duction factors on the formation of mental maladaptation in medical workers, as well as possible methods of its prevention and curing. Materials and research methods. Scientific studies of negative psychological reactions and manifestations of mental disorders in medical workers of various profiles in the COVID-19 pandemic were analyzed. The search protocol included the use of various databases, including PubMed;Russian information and analytical portal in science, technology, medicine, and education — eLIBRARY.ru;open-access statistical reporting data;and official websites of scientific journals on the subjects under study. Study results and their analysis. The results of the study showed that most medical professionals experienced stress caused by organizational factors such as a lack of personal protective equipment (PPE), fears of not being able to receive quality medical care if they were sent to work elsewhere, fears of rapidly changing context, lack of access to current information and communication, lack of special medications, shortage of ventilators and beds in intensive care units In the conditions of regular health care work, most of the professionals noted tension in the process of performing professional duties, exceeding their physical and mental capacities, which was one of the main reasons for anxiety, nervousness or stress at work. © Burnasyan FMBC FMBA.

OCCUPATIONAL RISK FACTORS AND CONSEQUENCES OF MENTAL DISADAPTATION IN MEDICAL SPECIALISTS AND RESCUERS IN EMERGENCY SITUATIONS: CURRENT STATE OF THE PROBLEM

The purpose of the study is to analyze modern domestic and foreign publications, devoted to the study of factors of professional risk and consequences of mental disadaptation in rescuers and medical workers in emergency situations. Materials and research methods. The publications' analysis was performed using the PubMed database, electronic scientific library eLIBRARY.RU, open access statistical reporting data, as well as official websites of relevant scientific journals. Combinations of specific terms related to emergency services, post-traumatic stress disorder, mental maladaptation and professional risk factors of extreme professions, including medical ones, were used. Results of the study and their analysis. While performing their service duties, rescuers and medical workers, acting in conditions of emergency with numerous human and material losses, being exposed to the threat to their own life, health or psycho-emotional condition, face a variety of critical incidents. As the number of lived traumatic situations and events increases, individuals involved in rescue operations are at higher risk of developing the pathology known as post-traumatic stress disorder. Throughout the relevant scientific literature, there is a consensus that health care workers in emergencies are at increased risk for high-level stress, anxiety, depression, burnout, addiction, and PTSD, which can have long-term psychological consequences. The specialists developed and implemented new methods and approaches to support medical specialists participating in the liquidation of medical and sanitary consequences of emergencies;substantiated the need for normative legal regulation of psychophysiological examination of personnel during periodic medical examinations, which will allow to maintain "health of the healthy". © Burnasyan FMBC FMBA.