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АНАЛИЗ РАСПРОСТРАНЕННОСТИ ФАКТОРОВ РИСКА СЕРДЕЧНО-СОСУДИСТЫХ ЗАБОЛЕВАНИЙ СРЕДИ МУЖЧИН МЕДИЦИНСКИХ РАБОТНИКОВ КРУПНОЙ КЛИНИЧЕСКОЙ БОЛЬНИЦЫ ГОРОДА КРАСНОЯРСКА
Аннотация
Цель. Изучение распространенности факторов риска (ФР) сердечно-сосудистых заболеваний (CCЗ) среди мужчин медицинских работников крупной клинической больницы г. Красноярска.
Материалы и методы. Обследовано 251 мужчин медицинских работников в возрасте от 20 до 77 лет. Обследование включало анкетирование, клинические, инструментальные, функциональные и лабораторные методы исследования.
Результаты. По данным проведенного исследования, распространенность ФР ССЗ отмечается также часто, как и в других исследованиях, среди медицинских работников, проведенных в различных регионах РФ. Среди обследованных мужчин медицинских работников у 19% было диагностировано ожирение, отягощенная наследственность составила 49,0%, доля медицинских работников, ежедневно потребляющих табак составила 48,8%, с той или иной периодичностью употребляют алкогольные напитки 61,8% обследуемых. Согласно результатов исследования, среди мужчин медицинских работников, выявлен высокий риск сердечно-сосудистых осложнений, особенно это касается показателей очень высокого риска, при котором возможность развития осложнений в ближайшие десять лет составляет более 30%.
Заключение. Несмотря на достаточно высокую профессиональную информированность, выявлена близкая к популяционной, высокая распространенность основных факторов риска ССЗ среди мужчин медицинских работников крупной клинической больницы города Красноярска. Мужчины, медицинские работники, подвержены курению, злоупотреблению алкоголем, многие имеют избыточную массу тела и ожирение. Полученные данные о распространённости ФР среди мужчин медицинских работников определяют необходимость активного выявления среди них ФР ССЗ и повышения внимания к этой категории лиц в ходе диспансеризации.
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Литература
Alpatova N.S. Sotsiologicheskoe issledovanie tabakokureniya sredi vrachey g. Volgograda [Sociological study of smoking among doctors of Volgograd]. Vestnik Volgogradskogo gosudarstvennogo universiteta. Seriya 7: Filosofiya. Sotsiologiya i sotsial’nye tekhnologii [Bulletin of Volgograd State University. Series 7: Philosophy. Sociology and social technologies]. 2009. № 1, рр. 235–239.
Babanov S.A., Ivkina O.N., Ogarkova L.A. Tabakokurenie i drugie faktory riska, vliyayushchie na zdorov’e meditsinskikh rabotnikov [Tobacco smoking and other risk factors that affect the health of health workers]. Vestnik KGU im. N.A. Nekrasova [Vestnik KSU them. ON. Nekrasov]. 2010. № 1, рр. 9–12.
Balanova Yu.A., Kontsevaya A.V., Shal’nova S.A. i dr. Rasprostranennost’ povedencheskikh faktorov riska serdechno-sosudistykh zabolevaniy v rossiyskoy populyatsii po rezul’tatam issledovaniya ESSE-RF [The prevalence of behavioral risk factors for cardiovascular diseases in the Russian population according to the results of the ESSE-RF study]. Profilakticheskaya meditsina [Prophylactic medicine]. 2014. V. 17. № 5, рр. 42–52.
Vsemirnyy atlas profilaktiki serdechno-sosudistykh zabolevaniy i bor’by s nimi [World Atlas of Prevention and Control of Cardiovascular Diseases]. pod red.: Mendis S., Puska P., Norrving B. VOZ. Zheneva. 2013. 155 p.
Gatiyatullina L.L. Sostoyanie zdorov’ya meditsinskikh rabotnikov [State of health of medical workers]. Vestnik sovremennoy klinicheskoy meditsiny [Bulletin of modern clinical medicine]. 2016. V. 9. Issue 3, рр. 69–75.
Govorin N.V., Bodagova E.A., Sakharov A.V. Alkogol’nye i nevroticheskie rasstroystva sredi vrachey: dannye kliniko-epidemiologicheskogo issledovaniya [Alcoholic and neurotic disorders among doctors: clinical and epidemiological study data]. Rossiyskiy meditsinskiy zhurnal [Russian Medical Journal]. 2013. №4, рр. 29–32.
Gur’yanov M.S. Nekotorye osobennosti obraza i usloviy zhizni meditsinskikh rabotnikov i ikh vliyanie na zdorov’e [Some features of the image and living conditions of medical workers and their impact on health]. Vestnik Nizhegorodskogo universiteta im. N.I. Lobachevskogo [Bulletin of the Nizhny Novgorod University. N.I. Lobachevsky]. 2010. № 4 (20), рр. 138–142.
Davydov E.L., Yaskevich R.A., Kusaev V.V. i dr. Problemy priverzhennosti k lecheniju pacientov starshih vozrastnyh grupp s arterial’noj gipertoniej v g. Krasnojarske v ramkah organizacionno-funkcional’noj modeli mediko-social’noj pomoshhi [Problems of adherence to treatment of patients of older age groups with arterial hypertension in Krasnoyarsk within the framework of the organizational and functional model of medical and social care]. Mezhdunarodnyj zhurnal jeksperimental’nogo obrazovanija [International Journal of Experimental Education]. 2016. № 5–3, рр. 285–289.
Derevyannykh E.V., Balashova N.A., Yaskevich R.A. Rasprostranennost’ kureniya sredi muzhchin meditsinskikh rabotnikov krupnoy klinicheskoy bol’nitsy goroda Krasnoyarska [Prevalence of smoking among men of medical workers in a large clinical hospital in the city of Krasnoyarsk]. Mezhdunarodnyy zhurnal prikladnykh i fundamental’nykh issledovaniy [International Journal of Applied and Fundamental Research]. 2016. № 12–2, рр. 252–256.
Derevyannykh E.V., Polikarpov L.S., Petrova M.M. Analiz faktorov riska arterial’noy gipertonii sredi zhenshchin – meditsinskikh rabotnikov krupnoy klinicheskoy bol’nitsy goroda Krasnoyarska [The analysis of risk factors for arterial hypertension among women – medical workers of a large clinical hospital in the city of Krasnoyarsk]. Sibirskoe meditsinskoe obozrenie [Siberian Medical Review]. 2011. № 1 (67), рр. 57–61.
Derevyannykh E.V., Polikarpov L.S., Petrova M.M. Chastota arterial’noy gipertonii sredi zhenshchin – meditsinskikh rabotnikov krupnogo promyshlennogo goroda [The frequency of arterial hypertension among women - medical workers of a large industrial city]. Sibirskoe meditsinskoe obozrenie [Siberian Medical Review]. 2008. № 4 (52), рр. 89–92.
Derevyannykh E.V., Yaskevich R.A. Rasprostranennost’ kureniya sredi zhenshchin meditsinskikh rabotnikov krupnoy klinicheskoy bol’nitsy goroda Krasnoyarska [Prevalence of smoking among women of medical workers in a large clinical hospital in the city of Krasnoyarsk]. V mire nauchnykh otkrytiy [In the world of scientific discoveries]. 2016. № 12 (84), рр. 10–27. doi: 10.12731/wsd-2016-12-10-27.
Derevyannykh E.V., Yaskevich R.A., Balashova N.A., Moskalenko O.L. Rasprostranennost’ izbytochnoy massy tela sredi zhenshchin meditsinskikh rabotnikov krupnoy klinicheskoy bol’nitsy goroda Krasnoyarska [The prevalence of overweight among women medical workers of a major clinical hospital in the city of Krasnoyarsk]. V mire nauchnykh otkrytiy [In the world of scientific discoveries]. 2016. № 7 (79), рр. 26–46. doi: 10.12731/wsd-2016-7-2.
Drozdova L.Yu., Martsevich S.Yu., Voronina V.P. Odnovremennaya otsenka rasprostranennosti i effektivnosti korrektsii faktorov riska serdechno–sosudistykh zabolevaniy sredi vrachey i ikh znaniya sovremennykh klinicheskikh rekomendatsiy. Rezul’taty proekta «Zdorov’e i obrazovanie vracha» [Simultaneous assessment of the prevalence and effectiveness of correction of cardiovascular risk factors among physicians and their knowledge of current clinical recommendations. Results of the project “Health and education of a doctor”]. Ratsional’naya farmakoterapiya v kardiologii [Rational pharmacotherapy in cardiology]. 2011. №7(2), рр. 137–144.
Dubel’ E.V., Unguryanu T.N. Otsenka povedencheskikh faktorov riska meditsinskikh rabotnikov mnogoprofil’nogo statsionara [Assessment of behavioral risk factors for medical workers in a multidisciplinary hospital]. Analiz riska zdorov’yu [Health risk analysis]. 2016. № 2(14), рр. 60–67.
Ermolina T.A., Martynova N.A., Kalinin A.G., Krasil’nikov S.V. Sostoyanie zdorov’ya meditsinskikh rabotnikov. Obzor literatury [Health status of health workers. Review of literature]. Vestnik novykh meditsinskikh tekhnologiy [Bulletin of new medical technologies]. 2012. № 3, рр. 197–200.
Karamnova N.S., Kalinina A.M., Grigoryan Ts.A. i dr. Rasprostranennost’ faktorov, formiruyushchikh summarnyy kardiovaskulyarnyy risk sredi meditsinskikh rabotnikov pervichnogo zvena zdravookhraneniya [The prevalence of factors forming the total cardiovascular risk among primary health care providers]. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention]. 2009. V. 8. № 6, рр. 54–58.
Kobalava Zh.D., Kotovskaya Yu.V., Shal’nova S.A. Serdechno-sosudistyy risk u vrachey raznykh spetsial’nostey. Rezul’taty Rossiyskoy mnogotsentrovoy nauchno-obrazovatel’noy programmy «Zdorov’e vrachey Rossii» [Cardiovascular risk in doctors of different specialties. Results of the Russian multicenter scientific and educational program “Health of Russian doctors”]. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention]. 2010. № 4, рр. 12–24.
Levina T.V., Krasnova Yu.N. Epidemiologiya tabakokureniya [Epidemiology of tobacco smoking]. Sibirskiy meditsinskiy zhurnal (Irkutsk) [Siberian Medical Journal (Irkutsk)]. 2013. V. 121. № 6, рр. 5–8.
Martsevich S.Yu., Drozdova L.Yu., Voronina V.P. Zdorov’e i obrazovanie vracha: dve sostavlyayushchie uspekha [Health and education of a doctor: two components of success]. Ratsional’naya farmakoterapiya v kardiologii [Rational pharmacotherapy in cardiology]. 2010. V. 6. № 1, рр. 73–76.
Naydenova N.E., Lobykina E.N. Rasprostranennost’ faktorov riska neinfektsionnykh zabolevaniy u meditsinskikh rabotnikov pervichnogo zvena zdravookhraneniya Tomskoy oblasti [Prevalence of non-infectious disease risk factors among primary health care providers in Tomsk Oblast]. Profilakticheskaya meditsina [Preventive Medicine]. 2015. V.18. № 2, рр. 38–42.
Nevrycheva E.V., Zhmerenetskiy K.V., Nozdrina N.S. Zdorov’e meditsinskikh rabotnikov [Health of medical workers]. Zdravookhranenie Dal’nego Vostoka [Health of the Far East]. 2016. № 1 (67), рр. 72–82.
Oganov R.G., Maslennikova G.Ya. Epidemiyu serdechno-sosudistykh zabolevaniy mozhno ostanovit’ usileniem profilaktiki [The epidemic of cardiovascular diseases can be stopped by the intensification of prophylaxis]. Profilakticheskaya meditsina [Prophylactic medicine]. 2009. №6 (12), рр. 3–7.
Petrova L.E., Pavlenko E.V. Tabakokurenie v srede meditsinskikh rabotnikov: problemy i vozmozhnye puti ikh resheniya [Tobacco smoking in the environment of medical workers: problems and possible ways to solve them]. Glavnyy vrach: Khozyaystvo i pravo [Chief physician: Economy and law]. 2012. № 3, рр. 48–53.
Polikarpov L.S., Khamnagadaev I.I., Ivanova E.B. i dr. Chastota serdechno–sosudistoy patologii, soderzhanie mikroelementov v razlichnykh sredakh v usloviyakh Severa [The frequency of cardiovascular pathology, the content of trace elements in various environments in the North]. Sibirskiy meditsinskiy zhurnal (g. Tomsk) [Siberian Medical Journal (Tomsk)]. 2005. V.20. № 2, рр. 55–57.
Polikarpov L.S., Khamnagadaev I.I. i dr. Sotsial’no-epidemiologicheskaya kharakteristika arterial’noy gipertonii v usloviyakh Severa i Sibiri [Socio-epidemiological characteristics of arterial hypertension in the conditions of the North and Siberia]. Sibirskoe meditsinskoe obozrenie [Siberian Medical Review]. 2008. № 4(52), рр. 92–95.
Polikarpov L.S., Khamnagadaev I.I., Yaskevich R.A., Derevyannykh E.V. Arterial’naya gipertoniya (rasprostranennost’, profilaktika, adaptatsiya i readaptatsiya k razlichnym ekologicheskim usloviyam [Arterial hypertension (prevalence, prophylaxis, adaptation and adaptation to various environmental conditions]. Krasnoyarsk: Izdatel’stvo KrasGMU. 2010. 289 p.
Svetlichnaya T.G., Smirnova E.A. Zdorov’e i obraz zhizni meditsinskikh rabotnikov psikhiatricheskikh uchrezhdeniy [Health and lifestyle of medical workers in psychiatric institutions]. Sotsial’naya i klinicheskaya psikhiatriya [Social and Clinical Psychiatry]. 2015. V. 25. № 2, рр. 106–111.
Telkova I.L. Professional’nye osobennosti truda i serdechno-sosudistye zabolevaniya: risk razvitiya i problemy profilaktiki. Kliniko-epidemiologicheskiy analiz [Professional features of labor and cardiovascular diseases: developmental risk and prevention problems. Clinical and epidemiological analysis]. Sib. med. Zhurn [Siberian Medical Journal]. 2012. V. 27. №1, рр. 17–26.
Terent’ev V.P., Chesnikova A.I., Levitskaya E.S., Khliyan K.G. Gendernye osobennosti sostoyaniya zdorov’ya vrachey: kogortnoe issledovanie (na primere g. Rostova-na-donu i oblasti) [Gender features of the state of health of doctors: cohort study (on the example of Rostov-on-Don and the region)]. Problemy zhenskogo zdorov’ya [Problems of women’s health]. 2011. V. 6. № 2, рр. 5–9.
Filimonova L.A., Davydov E.L., Yaskevich R.A. Psihosomaticheskie problemy pacientov starshih vozrastnyh grupp s arterial’noj gipertoniej [Psychosomatic problems of patients of older age groups with arterial hypertension]. Sovremennye problemy nauki i obrazovanija [Modern problems of science and education]. 2016. № 3. P. 106.
Khamnagadaev I.I., Yaskevich R.A., Polikarpov L.S., Novgorodtseva N.Ya. Rasprostranennost’ arterial’noy gipertonii i izbytochnoy massy tela sredi sel’skogo naseleniya severnykh regionov [The prevalence of arterial hypertension and overweight among rural population of northern regions]. Sibirskiy meditsinskiy zhurnal (g. Tomsk) [Siberian Medical Journal (Tomsk)]. 2004. V.19. №4, рр. 94–96.
Shal’nova S.A., Oganov R.G., Deev A.D., Kukushkin S.K. Zdorov’e rossiyskikh vrachey. Kliniko-epidemiologicheskiy analiz [The health of Russian doctors. Clinical and epidemiological analysis]. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention]. 2008. V. 7. № 6, рр. 28–32.
Shcherbakova E.M. Rossiya: predvaritel’nye demograficheskie itogi 2016 goda (chast’ II) [Russia: preliminary demographic results of 2016 (Part II)]. Demoskop Weekly [Demoscope Weekly]. 2017. № 717–718.
Artyukhov I.P., Grinshtein Y.I., Petrova M.M. et al. Prevalence of arterial hypertension in the Krasnoyarsk Krai (Siberia, Russia). BMC Cardiovascular Disorders. 2017. 17:138.
Bolbrinker J., Zaidi Touis L., Gohlke H., Weisser B., Kreutz R. European guidelines on lifestyle changes for management of hypertension: Awareness and implementation of recommendations among German and European physicians. Herz. 2017 May 22. doi: 10.1007/s00059-017-4575-0.
Dayoub E, Jena AB. Chronic Disease Prevalence and Healthy Lifestyle Behaviors Among U.S. Health Care Professionals. Mayo Clinic proceedings. 2015. №90(12), рр. 1659–1662.
Elmer P.J., Obarzanek E., Vollmer W.M. et al. Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann. Intern. Med. 2006. Vol.144, рр. 485–495.
Frisoli T.M., Schmieder R.E., Grodzicki T., Messerli F.H. Beyond salt: lifestyle modifications and blood pressure. Eur. Heart J. 2011. Vol.32, рр. 3081–3087.
Lerssrimongkol C., Wisetborisut A., Angkurawaranon C. et al. Active commuting and cardiovascular risk among health care workers. Occup Med (Lond). 2016 Aug. 66(6):483-7.
Pulikov A.S., Moskalenko O.L. Osobennosti ekologicheskoy morfologii yunoshey Sibiri v usloviyakh gorodskogo antropotekhnogennogo zagryazneniya [Environmental Features of morphology Siberian youths in city antropotehnogennogo pollution]. V mire nauchnykh otkrytiy [Siberian Journal of Life Sciences and Agriculture]. 2015. № 6.1 (66), рр. 393–407. doi: 10.12731/wsd-2015-6.1-7.
Moskalenko O.L. Vliyanie gorodskogo tekhnogennogo zagryazneniya na morfofunktsional’noe sostoyanie yunoshey [Influence of urban anthropogenic pollution on the morphofunctional state of youth]: avtoref. diss. kand. biol. Nauk. Krasnoyarsk, 2014. 18 p.
Moskalenko O.L., Pulikov A.S. Osobennosti adaptatsii organizma yunoshey v usloviyakh gorodskogo antropotekhnogennogo zagryazneniya okruzhayushchey sredy [Features of adaptation of an organism of young men in city antropotehnogennogo pollution]. Fundamental’nye issledovaniya [Basic Research]. 2014. № 10-4, рр. 705–709.
Yaskevich R.A., Moskalenko O.L. Antropometricheskie osobennosti i komponentnyy sostav massy tela u muzhchin migrantov kraynego severa s arterial’noy gipertoniey [Anthropometric features and component composition of body weight in men of migrants of the extreme north with arterial hypertension]. V mire nauchnykh otkrytiy [Siberian Journal of Life Sciences and Agriculture]. 2016. № 10 (82), рр. 10–34. doi: 10.12731/wsd-2016-10-10-34.
Pulikov A.S., Moskalenko O.L. Konstitutsional’nye osobennosti kardio-respiratornoy sistemy i adaptatsionnye vozmozhnosti yunoshey [Constitutional features of cardiorespiratory system and the adaptive capacity of youths]. V mire nauchnykh otkrytiy [Siberian Journal of Life Sciences and Agriculture]. 2012. № 5.3(29), рр. 87–111.
Moskalenko O.L., Pulikov A.S. Vliyanie antropotekhnogennogo zagryazneniya na psikhosomaticheskoe sostoyanie yunoshey [The influence of anthropotechnogenic pollution on the psychosomatic state of young men]. Vestnik Krasnoyarskogo gosudarstvennogo agrarnogo universiteta [Bulletin of Krasnoyarsk State Agrarian University]. 2014. № 5, рр. 163–170.
DOI: https://doi.org/10.12731/wsd-2017-4-10-33
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(c) 2017 Evgeny Valeryevich Derevyannich, Natalia Arlenovna Balashova, Roman Anatolyevich Yaskevich, Olga Leonidovna Moskalenko
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