Ecology
COMPARATIVE ASSESSMENT OF HEALTH DOCTORS AND NURSES (ACCORDING TO
QUESTIONNAIRE)
Toguzbayeva
K.K., Bekmagambetova Z.D., Karakushikova A.S., Dzhumasheva R.T., Kaynarbaeva
M.S., Madigulov A.R., Niyazbekova L.S., Seyduanova L.B., Saylybekova A.K.,
Nurshabekova A.B.
Kazakh National Medical University (KazNMU) named after S.D.
Asfendiyarov
Course of Occupational
Health, Almaty, Kazakhstan
Abstract. The results of studying the health status of doctors and nurses of one
of the clinics Almaty, according to the questionnaire. Doctors are more likely
than average health care workers, believe their health as satisfactory, while
the average health care providers often find it good. Chronic illness in
doctors more often than in nursing. In general, we can assume that the health
status of doctors is somewhat worse than average health care workers.
Keywords: doctors, nurses, acute diseases, chronic diseases, the frequency of
diseases.
I. Introduction. Examine the health status of contingent workers according to the
questionnaire gives a general idea of how healthy considers himself one of the
interviewees. Assessment of the health of medical personnel in this case will
give more complete information by virtue of training of respondents in the
survey than those of other professions.
II. Formulation
of the problem. At present a large spread was to
study the health of workers of different specialties according to the
questionnaire.
We conducted a questionnaire survey of doctors and
paramedical staff of one of the clinics in Almaty. In the group of doctors
surveyed were 40 people in the group of nurses surveyed 36 people. Among the
issues contained in the questionnaire were "How do you assess the state of
his health," "The presence of chronic diseases", "The
frequency of acute illnesses." These questions were related to the health
of the respondents.
The results were expressed as a percentage of
respondents.
III. Results. Table 1 shows the data obtained on the question "How do you assess
the state of his health."
Table 1.
Evaluation of health care workers of their health (as% of respondents).
|
Health
Assessments |
Doctors |
Nurses |
The degree of difference
indicators |
|
1 |
2 |
3 |
4 |
|
good |
17,5 |
41,7 |
Р<0.001 |
|
Satisfactory |
70,0 |
36,1 |
Р<0.001 |
|
Bad |
7,5 |
5,6 |
Р>0,05 |
|
Vague
answers |
5 |
16,7 |
|
The calculation of the difference of using the value
φ Fisher revealed a high degree of difference between the number of
doctors and nurses who evaluate their health as good (P <0.001), and as
satisfactory (P <0.001). Thus, their health as good estimates 17.5% of
physicians and 41.7% of secondary health care providers, and satisfactorily
assess the state of his health 70% of physicians and 36.1% of secondary health
care workers. Number of physicians rate their health as good was significantly
(P <0.001) lower than doctors rated their health as satisfactory. Among
nurses of assessing their health as good, does not differ from that of
evaluating health as satisfactory. Number of persons in one or the other group
rated their health as poor, much lower than rated their health as good or
satisfactory.
Among the questions in the questionnaire item was
"Having a chronic illness." Responses received on this item (in% of
respondents) are listed in Table 2.
In the table includes the disease, occurring in two or
more physicians.
Table 2. The
presence of chronic diseases (% of respondents).
|
Disease |
Doctors |
Average health care workers |
The degree of difference
indicators |
|
1 |
2 |
3 |
4 |
|
Chronic pyelonephritis |
30 |
16,6 |
Р>0,05 |
|
Chronic bronchitis |
12,5 |
2,8 |
Р>0,05 |
|
Chronic gastritis |
10 |
2,8 |
Р>0,05 |
|
Hypertension |
7,5 |
8,3 |
Р>0,05 |
|
Chronic
gastroduodenitis |
5 |
- |
Р>0,05 |
|
Chronic cholecystitis |
5 |
2,8 |
Р>0,05 |
As can be seen from Table 2, most often as among
doctors and among health personnel found a chronic pieloinefrit. Despite the
excess number of episodes of the percentage among doctors of almost 2-fold
compared with the average health-care workers, to prove the authenticity of the
difference between these figures is not possible. The frequency of
pyelonephritis among doctors was significantly greater frequency of all other
chronic illnesses they have.
In general, among the doctors (according to the
survey) suffer from chronic diseases 66.6%, and among nurses - 33,4% of
respondents. The difference between these two indicators are statistically
significant (P <0.05). Consequently, among the doctors more persons
suffering from chronic illnesses than among the middle medical staff.
Two or more chronic diseases were 27.5% of physicians
and 22.2% of secondary health care workers. Significant difference between
these two indicators is not proved.
Data obtained on the "frequency of acute
illnesses are given in Table 3.
Table 3. The
frequency of acute illnesses in health-care workers (in% of respondents).
|
The frequency of
acute illnesses
in a year |
Doctors |
Average health care workers |
The degree of difference
indicators |
|
1 |
2 |
3 |
4 |
|
1-3
times |
57,5 |
58,0 |
Р>0,05 |
|
4-7
times |
15 |
нет |
- |
|
often |
2,5 |
2,8 |
Р>0,05 |
|
Rarely |
нет |
2,8 |
- |
|
Data not available or is not sick |
25 |
36,1 |
- |
Thus, acute illness within a year suffer 75% of
physicians and 63.6% of nursing staff. Statistically, these figures are
identical.
Analyzing presented in this paper, the material should
first be recalled that a questionnaire survey of health workers regarding their
health, provide the most reliable results compared with data obtained from
members of other professions. Therefore, data obtained by questionnaire from
medical personnel about the state of health, of great interest.
Among the chronic diseases of no disease that could be
considered professional or professionally qualified if to take into account the
harmful and dangerous factors of production, whose effects in this case are
health care workers, although doctors have a tendency to increase the incidence
chronic gastritis, chronic bronchitis and chronic pyelonephritis. This can be
explained by the irregularity of supply, to which pointed in questioning
doctors, as well as the fact that men who do not smoke now, previously smoked,
assured itself of chronic bronchitis. The reason for the high incidence of
chronic pyelonephritis due, probably, hydrogeological features of the region of
residence.
The incidence of chronic diseases doctors in general
was significantly higher than that of nurses.
With regard to acute illnesses, it is at the doctors
and health workers almost the same.
It is worth noting that both among doctors and among
health care workers have average person is not suffering (according to
questionnaire), no chronic diseases. This argues that the working and living
conditions in a number of examinees rather favorable. Confirmation of this
follows from the obtained in the course of the survey responses of health
workers.
All of the above work are summarized in the following
conclusions:
IV. Conclusions. Average health care providers often
assess their health as good than the physicians, while physicians are more
likely than average health care workers, believe their health as satisfactory.
Chronic illness in doctors in general occur more often
than nurses, although the frequency of certain diseases in these contingents
statistical difference.
Chronic pyelonephritis is more common for other
chronic diseases such as doctors and health workers at secondary, although the
latter no significant difference in these rates was not found.
Two or more chronic diseases doctors and paramedics
have the same frequency.
The frequency of acute illnesses during the year from
doctors and health workers is the same.
In general, we can assume that the doctors at the time
of experiencing great emotional stress, which is reflected in the
above-mentioned differences in body reactions in doctors and health workers.
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