SI «Institute for Occupational Health of NAMS of Ukraine», Kyiv
Shupyk National Medical Academy of Postgraduate Education, Kyiv
Work conditions in the sphere of health protection belong to categories of «harmful» and «dangerous», showing high risks of developing work-related diseases in medical workers. Studies on work conditions of physicians-ophthalmologists have not yet been conducted up to the present time.
Purpose: to assess work conditions of physicians-ophthalmologists in modern conditions of medical care provision.
Materials. An analysis of work conditions of physicians-ophthalmologists of five specialized (ophthalmological) institutions of medical care provision (city of Kyiv, Kharkiv, Odessa, Lviv oblasts, the Crimea) has been conducted, including rooms for in-patient and therapeutical aid, surgical in-patient department, room for microsurgery operations, room for laser treatment.
Results. It is found that main harmful factors in the work of physicians-ophthalmologists are: chemical factors (medicines, chemical substances for disinfection, sterilization, synthetic cleaning agents); biological factors (the most dangerous (HIV, TV) and dangerous – (pathogenic microorganisms, viruses, etc. causative agents of infectious diseases; physical factors – high level of the contact ultra sound, unfavorable microclimatic conditions, high levels of the lazar (III-IV levels of harmfulness) and ultra-violet (C-range) radiation, peculiarities of the light environment (low level of the general natural and artificial illumination, high intensity of the artificial local lightening, irregularity of light distribution, dazziness, direct and reflected glare), high static strain (long stay in uncomfortable and/or fixed posture, bending of the body for more than 30°), strained work (peculiarities of work, intellectual, sensor ( on eye analyzer) and emotional strain). The general assessment of work conditions is such: for workers of in-patient and out-patient and therapeutical departments – 3,3 Class of danger; for workers of the surgery (microsurgery) in-patient department, laser room – 3.4–4 Class of danger.
The work conditions of physicians-ophthalmologists are significantly worse than for physicians-therapeutists, promoting occurrence of high risk of development of work-related pathology in physicians-ophthalmologists.
Key words: ophthalmology, physicians, work conditions, harmful factors