Psychological health of participants of obstetrical process
Psychological health of gynecologists in the course of rendering assistance to pregnant women and lying-in women of obstetrical establishments of St.-Petersburg is investigated, and also the analysis of a condition of satisfaction is carried out by health services of patients of maternity hospitals and female consultations. Conditions at which at doctors the syndrome of emotional burning out promoting decrease of professional skill develops are studied. The factors causing in patients a dissatisfaction by quality of medical aid are revealed, their reasons are investigated. It is established that 81,2±4,6% of obstetricians have the average level of burning out; 9,7±2,3% - high; low extent of emotional depletion is revealed among9,1±2,1% of examined people. Studying of expressiveness of separate symptoms of EBS (emotional burnout syndrome ) has found the high level of emotional depletion among 10±3,6% of doctors, the considerable level of depersonalization among5±1,8%, essential degree of a reduction of personal achievements is diagnosed in 5±1,6% of cases. It is revealed, that patients face a number of the factors complicating receipt of obligatory medical care since registration in antenatal clinic in 54,8±5,2% of cases(a queue in consultations, absence of specialists, etc.). Only paid medical services are available and this fact causes frustration and stressful reactions among 12,8±1,6% of pregnant women. The complex of actions is developed for preventive maintenance and correction of a syndrome of emotional burning out among doctors of accoucheurs and motivation increase to qualitative work, and also the measures directed on optimisation of medical aid in obstetrical establishments are offered.