In light of the ongoing COVID-19 pandemic, it is becoming increasingly important to address the problem of resourcefulness in the healthcare personnel of COVID-19 red zones. The aim of this study was to assess hardiness and the state of vital resources in physicians continuously working in red zones and to test a hypothesis that that long-term work in a COVID-19 red zone adversely affects the resourcefulness, reducing resistance to stress. Group 1 (n = 94) consisted of physicians with a history of employment in a COVID-19 red zone between May 2020 and June 2021; group 2 (n = 77) comprised physicians who were not involved in managing COVID-19 patients. The tests showed that hardiness and its components (commitment, control and challenge) were at high levels in group 2 (59.7%; 67.5%; 61.0%; 20.9%, respectively). The index of resourcefulness (RI; 1.24) reflected the prevalence of personal gains over losses in group 1 over the past year. In this group, there were no sex differences in the results. By contrast, hardiness was significantly reduced in 31.9% of the respondents in group 1 (red zone). Working in the red zone had a devastating effect on all hardiness components: the ratio of the percentages of high to low values was 8.5/27.7 for commitment, 9/6/34.0 for control and 10.6/35.1 for challenge. RI was reduced (0.77). The most pronounced loss of resources was observed in female physicians. The study found a significant mutual impact between challenge and the state of personality resources in red zone staff, which may indicate activation of proactive coping strategies and the acceptance of new professional experience.
Краснодарский краевой клинический онкологический диспансер, Краснодар ■ Рак шейки матки (РШМ) -полиэтиологическое заболевание, факторами риска которого выступают раннее на-чало половой жизни, сексуальная активность, перенесенные травмы шейки матки, дисфункции яичников, уроге-нитальные инфекции, гиповитаминоз, курение; основная роль, безусловно, отводится ВПЧ. Остаются дискуссион-ными вопросы длительного приема оральных контрацептивных препаратов. В обзоре рассматриваются результаты современных исследований по проблемам РШМ. Несмотря на широкое распространение РШМ в мире и в нашей в стране в частности, факторы риска его возникновения остаются предметами споров. Причины возникновения и развития заболеваний шейки матки окончательно не установлены, но ряд факторов внешней и внутренней среды имеет существенное значение в патогенезе патологических процессов слизистой оболочки шейки матки. Аналити-ческий обзор публикаций по проблеме этиопатогенеза цервикальных неоплазий свидетельствует о важной роли в данном процессе экзогенных факторов, их совокупности и сочетаний с эндогенными факторами. В представлен-ном обзоре приводятся данные и результаты современных исследований о наиболее значимых факторах риска в раз-витии бластом шейки матки.■ Ключевые слова: рак шейки матки (рШМ); факторы риска; ВПЧ (вирус папилломы человека); КОК (комбинированные оральные контрацептивы). RISk FACTORS FOR CERVICAL CANCER © L. V. PokulKrasnodar regional clinical Oncology center, Krasnodar, Russia ■ Cervical cancer -polietiologic disease risk factors which are early sexual debut, sexual activity, injure of the cervix, ovarian dysfunction, urogenital infections, vitamin deficiencies, Smoking; the main role, of course, given HPV. Remain controversial issues for a long period of taking oral contraceptive pills. The review presents the results of modern research on cervical cancer. Despite the prevalence of cervical cancer in the world and in our country in particular, the risk factors for its occurrence remain subjects of controversy. The reasons of occurrence and development of cervical disease has not been established, but a number of factors external and internal environment is essential in the pathogenesis of pathological processes of the mucous membrane of the cervix. Analytical review of publications on the problem of the etiopathogenesis of cervical neoplasia suggests an important role in this process, exogenous factors, their combination and the combination with endogenous factors. In the present review data and results of current research on the most significant risk factors in the development of cervix blastom.■ Keywords: cervical cancer (cervical cancer); risk factors; HPV (human papilloma virus); COCS (combined oral contraceptives).УдК: 618.146-006 обзоры ситуация в мире в сфере онкологии, к сожа-лению, далека от благоприятной. Заболеваемость раком шейки матки в россии среди женщин детородного возраста составляет 11,2 случая на 100 000 населения, занимая 2-е место по-сле рака молочной железы [9]. Представленные на сегодняшний день ста...
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