Psychological support algorithms for underground miners to assess hypertension development risk

Abstract

Objective. To study the psychovegetative status of underground miners and form psychological support algorithms to identify the risk for developing hypertension. Hypertension occupies a leading place in the structure of cardiovascular diseases, and determining the risk of its development is of great preventive importance for professional longevity. The study of the psychovegetative status to identify the risk of this pathology corresponds to modern diagnostic approaches within the framework of industrial corporate programs.

Materials and methods. There were examined 109 male underground miners of the enterprise for the extraction of chromium ore. The patients were divided into two groups: the main group – 60 men working in underground conditions, whose work is classified as "harmful" (class 3.3–3.4); the comparison group – 49 men engaged in ground works, the conditions of which are classified as class 3.2. The main group was divided into two subgroups: I – workers under 45 years old (n = 20, age 38.45 ± 2.95 years), II – over 45 years old (n = 40, age 50.90 ± 1.46 years.); the comparison group was divided accordingly (23 employees, aged 38.0 ± 2.8 years, experience – 9.3 ± 1.5 years; comparison group <45 years and 26 employees, aged 49.2 ± 2.1 years, experience – 24.0 ± 1.8 years; comparison group >45 years). A complex of research methods was used: analytical (analysis of special assessment cards of working conditions, sociodemographic questionnaires), psychophysiological, functional and clinical and laboratory diagnostics, mathematical statistics (ROC analysis, multivariate logistic regression).

Results. In two subgroups, two phenotypes were identified; in group I, there was a correlation of psychovegetative indicators with age and experience, and in group II – a negative correlation. It has been proved that, depending on age, the psychologically realized adaptive phenotype is transformed into a psychosomatic one.

Conclusions. Diagnostics of phenotype transformation formed the basis of the developed algorithms for psychological support, which makes it possible to assess the risk for developing arterial hypertension.

Keywords

Psychovegetative status / underground work / functional changes / psychovegetative phenotype / hypertension / psychosocial factors / algorithm / risk of development

References

[1] Fedina I.N. Occupational and general morbidity of workers in mining enterprises. Proceedings of the III All-Russian Forum "Health of the Nation – the Basis for the Prosperity of Russia" (section "Health of the Nation and Health Care"). Ed. G.G. Onishchenko, A.I. Potapov. Moscow 2007; 127–129 (in Russian).

[2] Федина И.Н. Профессиональная и общая заболеваемость рабочих горнодобывающих предприятий. Материалы III Всероссийского форума «Здоровье нации – основа процветания России» (раздел «Здоровье нации и здравоохранение»). Под ред. Г.Г. Онищенко, А.И. Потапова. М. 2007; 127–129.

[3] Romasenko L.V., Makhov V.M., Chichkova N.V. Functional (psychosomatic) disorders in general medical practice. Neurology, neuropsychiatry, psychosomatics 2019; 11 (3): 69–73.

[4] Kuzmina S.V., Garipova R.V., Yakhin K.K. Features of the formation of mental maladjustment among workers in the production of gunpowder. Perm Medical Journal 2020; 37 (6): 111–122 (in Russian).

[5] Кузьмина С.В., Гарипова Р.В., Яхин К.К. Особенности формирования психической дезадаптации у работников производства порохов. Пермский медицинский журнал 2020; 37 (6): 111–122.

[6] Van Dijk M.R., Utens E.M., Dulfer K., Al-Qezweny M.N., van Geuns R.J., Daemen J., van Domburg R.T. Depression and anxiety symptoms as predictors of mortality in PCI patients at 10 years of follow-up. Eur J Prev Cardiol. 2016; 23 (5): 552–8.

[7] Van Dijk M.R., Utens E.M., Dulfer K., Al-Qezweny M.N., van Geuns R.J., Daemen J., van Domburg R.T. Depression and anxiety symptoms as predictors of mortality in PCI patients at 10 years of follow-up. Eur J Prev Cardiol. 2016; 23 (5): 552–558.

[8] Kulkybaev G.A., Ismailova A.A. Evaluation of the psychological status of miners exposed to noise load. Hygiene and sanitation 2003; 4: 98–105 (in Russian).

[9] Кулкыбаев Г.А., Исмаилова А.А. Оценка психологического статуса горнорабочих, подвергающихся воздействию шумовой нагрузки. Гигиена и санитария 2003; 4: 98–105.

[10] Malyutina N.N., Sedinin A.L., Luzina S.V., Sedinina N.S. Features of the emotional state of railway workers. Health and Education Millennium 2017; 19 (7): 97–98 (in Russian).

[11] Малютина Н.Н., Сединин А.Л., Лузина С.В., Сединина Н.С. Особенности эмоционального состояния работников железнодорожного транспорта. Health and Education Millenium 2017; 19 (7): 97–98.

[12] Malyutina N.N., Paramonova S.V. Psychovegetative markers of arterial hypertension syndrome in miners. Safety and Health at Work 2022; 13 (Suppl.): S98.

[13] Jood K., Karlsson N., Medin J., Pessah-Rasmussen H., Wester P., Ekberg K. The psychosocial work environment is associated with risk of stroke at working age. Scand J Work Environ Health 2017; 43 (4): 367–374.

[14] Fatkhutdinova L.M., Leontieva E.A. Monitoring of work stress as an integral part of the labor protection management system. Occupational medicine and industrial ecology 2018; (1): 28–32 (in Russian).

[15] Фатхутдинова Л.М., Леонтьева Е.А. Мониторинг рабочего стресса как составная часть системы управления охраной труда. Медицина труда и промышленная экология 2018; (1): 28–32. DOI: 10.31089/1026-9428-2018-1-28-32

[16] Backe E.M,. Seidler A., Latza U., Rossnagel K., Schumann B. The role of psychosocial stress at work for the development of cardiovascular diseases: a systematic review. Int Arch Occup Environ Health 2012; 85 (1): 67.

[17] Backe E.M., Seidler A., Latza U., Rossnagel K., Schumann B. The role of psychosocial stress at work for the development of cardiovascular diseases: a systematic review. Int Arch Occup Environ Health 2012; 85 (1): 67.

[18] Panev N.I., Korotenko O.Yu., Zakharenkov V.V., Shavtsova G.M., Matveeva O.V., Popova E.V., Paneva N.Ya., Evseeva N.A., Panev R.N. The frequency of diseases of the cardiovascular system in workers in the coal industry. Occupational Medicine and Industrial Ecology 2016; 5: 16–20 (in Russian).

[19] Панев Н.И., Коротенко О.Ю., Захаренков В.В., Шавцова Г.М., Матвеева О.В., Попова Е.В., Панева Н.Я., Евсеева Н.А., Панев Р.Н. Частота заболеваний сердечно-сосудистой системы у работников угольной промышленности. Медицина труда и промышленная экология2016; 5: 16–20.

[20] Bukhtiyarov I.V., Matyukhin V.V., Rubtsov M.Yu. Occupational stress in the light of the implementation of the global action plan for the health of workers. International Research Journal 2016; 3 (45): 53–55 (in Russian).

[21] Бухтияров И.В., Матюхин В.В., Рубцов М.Ю. Профессиональный стресс в свете реализации глобального плана действий по здоровью работающих. Международный научно-исследовательский журнал 2016; 3 (45): 53–55.

[22] On approval of the Strategy for the formation of a healthy lifestyle of the population, prevention and control of non-communicable diseases for the period up to 2025: Priсaz Ministry of Health of the Russian Federation dated January 15, 2020 N 8. Garant: information and legal portal, available at: https://www.garant.ru/products/ipo/prime/doc/73421912/ (in Russian).

[23] Об утверждении Стратегии формирования здорового образа жизни населения, профилактики и контроля неинфекционных заболеваний на период до 2025 года: Приказ Министерства здравоохранения РФ от 15 января 2020 г. № 8. Гарант: информационно-правовой портал, available at: https://www. garant.ru/products/ipo/prime/doc/73421912/.

[24] One hundred years since the founding: Onishchenko congratulated the employees of Rospotrebnadzor on the anniversary, available at: https://riafan.ru/23634549-sto_let_so_dnya_osnovaniya_onischenko_pozdravil_s_yubileinoi_datoi_sotrudnikov_rospotrebnadzora (in Russian).

[25] Сто лет со дня основания: Онищенко поздравил с юбилейной датой сотрудников Роспотребнадзора, available at: https:// riafan.ru/23634549-sto_let_so_dnya_osnovaniya_onischenko_pozdravil_s_yubileinoi_datoi_ sotrudnikov_rospotrebnadzora

[26] Sin N.L., Kumar A.D., Gehi A.K., Whooley M.A. Direction of Association Between Depressive Symptoms and Lifestyle Behaviors in Patients with Coronary Heart Disease: the Heart and Soul Study. Ann Behav Med 2016; 50 (4): 523–32.

[27] Sin N.L., Kumar A.D., Gehi A.K., Whooley M.A. Direction of Association Between Depressive Symptoms and Lifestyle Behaviors in Patients with Coronary Heart Disease: the Heart and Soul Study. Ann Behav Med. 2016; 50 (4): 523–32.

[28] Kobalava Zh.D., Konradi A.O., Nedogoda S.V. et al. Arterial hypertension in adults. Clinical guidelines 2020. Russian Journal of Cardiology 2020; 25 (3): 3786 (in Russian).

[29] Кобалава Ж.Д., Конради А.О., Недогода С.В. и др. Артериальная гипертензия у взрослых. Клинические рекомендации 2020. Российский кардиологический журнал 2020; 25 (3): 3786.

[30] Gromova E.A. Psychosocial risk factors for cardiovascular diseases (literature review). Siberian Medical Journal 2012; 27 (2); 22–29 (in Russian).

[31] Громова Е.А. Психосоциальные факторы риска сердечно-сосудистых заболеваний (обзор литературы). Сибирский медицинский журнал 2012; 27 (2): 22–29.

[32] Oraeva B.N., Ataev O.G., Korotenko T.I. Pulse pressure as a predictor of the formation of hypertension. Scientific result. Series Medicine and Pharmacy 2015; 1 (3): 50–54 (in Russian).

[33] Ораева Б.Н., Атаев О.Г., Коротенко Т.И. Пульсовое давление как предиктор формирования гипертензии. Научный результат. Серия Медицина и фармация 2015; 1 (3): 50–54.

[34] Ostroumova O.D., Kochetkov A.I., Ostroumova T.M. Pulse arterial pressure and cognitive impairments. Russian Journal of Cardiology 2021; 26 (1): 4317 (in Russian).

[35] Остроумова О.Д., Кочетков А.И., Остроумова Т.М. Пульсовое артериальное давление и когнитивные нарушения. Российский кардиологический журнал 2021; 26 (1): 4317.

RIGHTS & PERMISSIONS

Eco-Vector