ASSESSMENT OF STRESS IN PRIMARY HEALTH CARE WORKERS IN KAZAKHSTAN

Abstract

Introduction: Primary health care workers play a key role in providing patient care and keeping them healthy. However, work in this field is often associated with stress and overload, which can negatively affect the physical and mental health of the specialists themselves. In this regard, the problem of stress among primary health care workers is becoming increasingly relevant. Aim: determine stress level in primary health care workers and assess the degree of its severity. Materials and methods. Data were obtained through an online survey of doctors and nurses in primary health care organizations. The level and structure of stress were assessed using the PSM-25 scale in two languages: Russian and Kazakh Settings: Medical centers in urban and rural areas of eight regions of Kazakhstan. Target: 612 urban and 244 rural primary health care workers. Statistical data processing was performed using the SPSS-20 program. Using the calculation of skewness and kurtosis, the normality of the distribution was checked. Descriptive statistics were used. An analysis of variance was conducted on the available data with nominal scales and using Pearson's chi-square tests, all data for ordinal scales were processed with the Kruskal-Wallis H test and the Mann-Whitney U test, while data for interval cabinets were analyzed using ANOVA. All indicators were calculated for groups between which there was a difference and the significance level was P ≤ 0.05. Results. The data obtained indicate an average level of stress among medical workers. It was found that the level of stress is higher among doctors compared to nurses. Installed that among general practitioners, symptoms associated with higher levels of anxiety and physical distress are more prevalent. Conclusion. The results obtained allow us to formulate practical recommendations that will contribute to their resistance to stress. To develop and strengthen stress resistance, it is necessary to carry out targeted, comprehensive work.