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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nmp</journal-id><journal-title-group><journal-title xml:lang="ru">Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь»</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Sklifosovsky Journal "Emergency Medical Care"</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-9022</issn><issn pub-type="epub">2541-8017</issn><publisher><publisher-name>“N.V. Sklifosovsky Research Institute for Emergency Medicine”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.23934/2223-9022-2020-9-3-321-337</article-id><article-id custom-type="elpub" pub-id-type="custom">nmp-925</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НОВОЕ О COVID-19</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEW ABOUT COVID-19</subject></subj-group></article-categories><title-group><article-title>Профессиональное выгорание и его факторы у медицинских работников, участвующих в оказании помощи больным COVID-19 на разных этапах пандемии</article-title><trans-title-group xml:lang="en"><trans-title>Burnout and its Factors in Healthcare Workers Involved in Providing Health Care for Patients With COVID-19 at Different Stages of the Pandemic</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5194-0199</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Холмогорова</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Kholmogorova</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Холмогорова Алла Борисовна доктор психологических наук, профессор, декан факультета консультативной и клинической психологии, ФГБОУ ВО МГППУ, ведущий научный сотрудник отделения острых отравлений и соматопсихиатрических расстройств ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ»</p><p>129090, Москва, Б. Сухаревская пл., д. 3127051, Москва, ул. Сретенка, д. 29</p></bio><bio xml:lang="en"><p>Alla B. Kholmogorova Doctor of Psychology, Professor, Dean of the Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology and Education; Leading Researcher of the Department of Acute Poisoning and Psychosomatic Disorders N.V. Sklifosovsky Research Institute for Emergency Medicine</p><p>3 Bolshaya Sukharevskaya Square, Moscow 12909029 Sretenka St., Moscow 127051</p></bio><email xlink:type="simple">kholmogorova-2007@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3292-8789</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петриков</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrikov</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Петриков Сергей Сергеевич член-корреспондент РАН, доктор медицинских наук, директор</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Sergei S. Petrikov Corresponding Member of the Russian Academy of Sciences, Doctor of Medicine, Director</p><p>3 Bolshaya Sukharevskaya Square, Moscow 129090</p></bio><email xlink:type="simple">petrikovss@sklif.mos.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2616-8923</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Суроегина</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Suroyegina</surname><given-names>A. Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Суроегина Анастасия Юрьевна кандидат психологических наук, старший научный сотрудник отделения острых отравлений и соматопсихиатрических расстройств</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Anastasia Yu. Suroyegina Candidate of Psychological Sciences, Senior Researcher of the Department of Acute Poisoning and Psychosomatic Disorders</p><p>3 Bolshaya Sukharevskaya Square, Moscow 129090</p></bio><email xlink:type="simple">suroegina@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6697-1625</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Микита</surname><given-names>О. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikita</surname><given-names>O. Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Микита Олеся Юрьевна кандидат психологических наук, заведующая учебным центром, научный сотрудник отделения трансплантации почки и поджелудочной железы</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Olesya Yu. Mikita Candidate of Psychological Sciences, Head of the Department for Education, Researcher of the Department of Kidney and Pancreas Transplantation</p><p>3 Bolshaya Sukharevskaya Square, Moscow 129090</p></bio><email xlink:type="simple">mikita-o@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7870-402X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рахманина</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Rakhmanina</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рахманина Анастасия Алексеевна медицинский психолог приемно-диагностического отделения, младший научный сотрудник отделения острых отравлений и соматопсихиатрических расстройств</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Anastasia A. Rachmanina Clinical Psychologist, Junior Researcher of the Department of Acute Poisoning and Psychosomatic Disorders</p><p>3 Bolshaya Sukharevskaya Square, Moscow 129090</p></bio><email xlink:type="simple">rakhmanina.a@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7070-4973</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рой</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Roy</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рой Анита Пранабовна медицинский психолог приемно-диагностического отделения, младший научный сотрудник отделения острых отравлений и соматопсихиатрических расстройств</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Anita P. Roy Clinical Psychologist, Junior Researcher of the Department of Acute Poisoning and Psychosomatic Disorders</p><p>3 Bolshaya Sukharevskaya Square, Moscow 129090</p></bio><email xlink:type="simple">anita010101@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского ДЗМ»; ФГБОУ ВО «Московский государственный психолого-педагогический университет»<country>Россия</country></aff><aff xml:lang="en">N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department; Moscow State University of Psychology and education<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского ДЗМ»<country>Россия</country></aff><aff xml:lang="en">N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>21</day><month>10</month><year>2020</year></pub-date><volume>9</volume><issue>3</issue><fpage>321</fpage><lpage>337</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Холмогорова А.Б., Петриков С.С., Суроегина А.Е., Микита О.Ю., Рахманина А.А., Рой А.П., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Холмогорова А.Б., Петриков С.С., Суроегина А.Е., Микита О.Ю., Рахманина А.А., Рой А.П.</copyright-holder><copyright-holder xml:lang="en">Kholmogorova A.B., Petrikov S.S., Suroyegina A.Y., Mikita O.Y., Rakhmanina A.A., Roy A.P.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.jnmp.ru/jour/article/view/925">https://www.jnmp.ru/jour/article/view/925</self-uri><abstract><sec><title>Введение</title><p>Введение. Особую актуальность в условиях пандемии, когда медицинский персонал вынужден работать в условиях экстремальной нагрузки и повышенной угрозы заражения, во всем мире приобретают исследования профессионального выгорания и эмоциональной дезадаптации медицинских работников.</p></sec><sec><title>Цель исследования</title><p>Цель исследования. Оценить выраженность симптомов депрессии и тревоги, профессионального выгорания и эмоционального дистресса у сотрудников НИИ СП им. Н.В. Склифосовского, оказывающих помощь пациентам с COVID-19 в текущий период (июль). Сопоставить их с показателями смешанной выборки медицинских работников из разных учреждений и регионов, обследованных в первые месяцы пандемии (март–апрель), а также выделить основные факторы дистресса и факторыпротекторы.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. Методики исследования были объединены в гугл-форму, участие в исследовании было анонимным. Из 175 человек, которым были разосланы опросники, полностью заполнили форму 120 человек (69%) выборки, из них 43 мужчины и 77 женщин, 54,2% — врачи разных специальностей; 40% — средний медицинский персонал, остальные категории составили 5,8% выборки. Средний возраст респондентов составил 36,1 года (от 21 до 61 года).</p></sec><sec><title>Результаты</title><p>Результаты. Полученные данные по показателям психического неблагополучия в целом соотносятся с международными: 8,3% обследованных демонстрируют симптомы депрессии средней и выраженной степени тяжести по шкале депрессии Бека; 6,7% отметили наличие суицидальных мыслей; 29,3% — симптомы тревоги, умеренной и выраженной тяжести по шкале тревоги Бека; у 35% зафиксирован высокий уровень эмоционального истощения согласно данным опросника профессионального выгорания Маслач. Тем не менее полученные данные свидетельствуют о большем психическом благополучии сотрудников НИИ СП им. Н.В. Склифосовского по сравнению со смешанной выборкой специалистов, обследованных в марте–апреле. Указаны ограничения такого сопоставления, связанные с различиями в организационной принадлежности и составе специалистов. Наиболее часто в качестве важного фактора дистресса во всей выборке из 120 человек назывались беспокойство за членов семьи (отметили 54,7%) и страх заражения (отметили 38,3%). В качестве наиболее значимых факторов-протекторов (снижающих уровень дистресса), отмеченных более чем половиной сотрудников, были выделены: информация со стороны руководства о текущей ситуации и задачах, поддержка семьи и коллег, материальное поощрение и возможность делать перерывы для отдыха. На основании данных регрессионного анализа делается вывод о важности проведения мероприятий по психологической разгрузке, обеспечению персонала средствами защиты, снижению уровня физического дискомфорта, связанного с использованием средств индивидуальной защиты и нехваткой сна, объяснения персоналу смысла всех предпринимаемых мер и решений и коллегиального обсуждения организации работы. Качество поддержки со стороны близких, коллег и администрации способствует сохранению у медицинского персонала чувства значимости своей профессии и самоуважения к себе как профессионалу.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Abstract</title><p>Abstract. In the context of the pandemic, when healthcare professionals are forced to work under extreme stress and an increased threat of infection, research on professional burnout and emotional maladjustment of medical workers is gaining particular relevance around the world.</p></sec><sec><title>Aim of study</title><p>Aim of study. To assess the severity of symptoms of depression and anxiety, professional burnout and emotional distress among the employees of the N.V. Sklifosovsky Research Institute for Emergency Medicine, providing care to patients with COVID-19 in the current period (July). To compare them with the indicators of a mixed sample of medical workers from different institutions and regions surveyed in the first months of the pandemic (March–April), and also to highlight the main factors of distress and protective factors.</p></sec><sec><title>Material and methods</title><p>Material and methods. The research methods were combined into a Google form, and participation in the research was anonymous. Of the 175 people who were sent questionnaires, filled out the form completely 120 people (69% samples), of which 43 men and 77 women, 54.2% were doctors of different specialties; 40% were nurses, the rest of the categories accounted for 5.8% of the sample. The mean age of the respondents was 36.1 years (from 21 to 61 years).</p></sec><sec><title>Results</title><p>Results. The data obtained on the indicators of mental distress are generally consistent with international data: 8.3% of the surveyed demonstrate symptoms of depression of moderate and severe severity according to the Beck’s Depression Scale; 6.7 % noted the presence of suicidal thoughts; 29.3% had symptoms of anxiety of moderate and high severity according to the Beck’s Anxiety Scale. And 35% had high level of emotional exhaustion according to the Maslach Burnout Inventory. Nevertheless, the data obtained indicate a greater mental well-being of employees of the N.V. Sklifosovsky Research Institute in comparison with a mixed sample of specialists surveyed in March - April. The limitations of such a comparison are indicated, which are associated with differences in organizational affiliation and the composition of specialists. Anxiety for family members (noted by 54.7%) and fear of infection (noted by 38.3%) were most often named as an important factor of distress in the entire sample of 120 people. The most significant protective factors (reducing the level of distress), noted by more than half of the employees, were information about the current situation and tasks from the management, support from family and colleagues, material incentives and the opportunity to take breaks for rest. Based on the data of the regression analysis, it is concluded that it is important to take measures for psychological relief, provide personnel with protective equipment, reduce the level of physical discomfort associated with the use of personal protective equipment and lack of sleep, explain to the staff the meaning of all measures and decisions taken, and collegial discussion of the organization of work. The quality of support from relatives, colleagues and administration helps maintain a sense of the importance of their profession and self-respect for themselves as a professional among medical personnel.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>пандемия COVID-19</kwd><kwd>медицинские работники</kwd><kwd>профессиональное выгорание</kwd><kwd>депрессивная симптоматика</kwd><kwd>тревожная симптоматика</kwd><kwd>эмоциональный дистресс</kwd><kwd>эмоциональное истощение</kwd><kwd>деперсонификация</kwd><kwd>профессиональная успешность</kwd><kwd>факторы дистресса</kwd><kwd>факторы-протекторы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19 pandemic</kwd><kwd>healthcare workers</kwd><kwd>professional burnout</kwd><kwd>depressive symptoms</kwd><kwd>anxiety symptoms</kwd><kwd>emotional distress</kwd><kwd>emotional exhaustion</kwd><kwd>depersonification</kwd><kwd>professional efficacy</kwd><kwd>distress factors</kwd><kwd>protective factors</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">1.Houlihan C, Vora N, Byrne T, Lewer D, Kelly G, Heaney J, et al. 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