INFLUENCE OF WORK UNDER THE CONDITIONS OF THE <i>COVID-19</i> PANDEMIC ON THE FUNCTIONAL STATE OF THE CENTRAL NERVOUS SYSTEM OF MEDICAL WORKERS OF THE EMERGENCY STATION
At the risk of occupational infection, direct contact with COVID-19 sources increased the neuropsychiatric stress and labor intensity of emergency workers. The research purpose aim was to study the impact of working in a pandemic on the functional state of the central nervous system and the development of professional burnout syndrome in emergency medical workers. Materials and research methods. A differentiated self - assessment of the functional state of the central nervous system was conducted, which was attended by 27 paramedics and 6 doctors of the state medical institution "City clinical ambulance station" in Ryazan. There was also a two - stage comparative study of the development of professional burnout syndrome using the Maslach Burnout Inventor test in the spring of 2019 among 32 paramedics and 7 doctors, and in the spring of 2020among 13 paramedics and 7 doctors. To compare the average values, we used the Wilcoxon T - test and the Mann - Whitney U - test. Statistical processing was performed using Microsoft Excel 2007 software packages. The results of the study showed a decrease in the dynamics of work shift indicators of well - being and activity in paramedics by 1.7 times, mood by 1.3 times (p = 0.01), activity and well - being of doctors - by 1.5 times, mood - by 1.1 times (p = 0.05). When comparing data for 2019 and 2020 (before and during the COVID-19 pandemic), the statistically significant increase in the professional burnout index was 34% (p = 0.0005), it was more pronounced among paramedics (40%, p = 0.0076) and was due to an increase in the level of emotional exhaustion and depersonalization. Conclusions. At the end of the work shift, fatigue develops in workers of mobile teams of an ambulance station. Working during the COVID-19 pandemic resulted in a significant increase in the burnout index for these employees.