Uticaj profesionalnog stresa na morbiditet radnika
Occupational stress impact on morbidity of workers
aUniverzitet u Prištini sa privremenim sedištem u Kosovskoj Mitrovici, Medicinski fakultet bDom zdravlja Zvečan cPIO fond, Beograd dElektromreža Srbije, Beograd eBeograd
Projekat: Profesionalni stres i morbiditet radnika zaposlenih na radnim mestima sa povećanim rizikom po zdravlje Severnog dela Kosova i Metohije
Sažetak
Istraživanja usmerena na utvrđivanje štetnosti i opasnosti na radnom mestu i u radnoj okolini koje mogu da uzrokuju povredu na radu i/ili profesionalno oboljenje su uvek aktuelna. Navedena istraživanja moraju biti kontinuirana jer se o nekim štetnostima ne zna dovoljno, štetnosti na radnom mestu se menjaju, a pojavljuju se i neke nove u skladu sa aktuelnim uslovima na radu, zastupljenom modernom tehnologijom i sl. Jedna od najaktuelnijih štetnosti na radnom mestu je stres. Cilj rada je da ukaže na uticaj profesionalnog stresa na morbiditet radnika. Metod rada: Analizirani su podaci i literatura u oblasti medicine rada, interne medicine, psihologije, neuropsihijatrije, javnog zdravlja, kvaliteta života i zdravstvene statistike u delu koji se odnosi na uticaj stresa na zdravlje čoveka, sa posebnim akcentom na uticaj profesionalnog stresa na morbiditet radnika. Rezultati rada i diskusija: Stres na radu je specifična vrsta stresa čiji je izvor u radnoj sredini i u većini zanimanja prisutni su opšti stresori, a u pojedinim zanimanjima uz njih pojavljuju se i specifični stresori, koji su karakteristični upravo za to zanimanje. Neki od najopasnijih zdravstvenih problema koji nastaju usled prevelikog izlaganja stresu su srčani i moždani udar. Kardiovaskularni sistem pod stresom prolazi kroz niz promena, ubrzava se rad srca, diže se krvni pritisak i može da dođe do pojave srčanog i moždanog udara. Stres na radu može predstavljati psihičku, emocionalnu traumu i usloviti razvoj psihičkog poremećaja i rizik obolevanja od psihijatrijskih bolesti je potvrđen u istraživanjima. Najčešće psihijatrijske dijagnoze u vezi sa stresom na radu su poremećaj prilagođavanja, poremećaji vezani za traumu (PTSP, akutna reakcija na stres), poremećaji raspoloženja (major depresija, distimija), anksiozni poremećaji (panični, generalizovani anksiozni) i poremećaji ličnosti (opsesivno-kompulzivni, paranoidni, granični). Stres izaziva i pad imunološkog sistema, čineći organizam podložnim mnogobrojnim infekcijama. Pored toga mogu da se jave i razni problemi sa digestivnim traktom, zapaljenje želuca, čir na želucu i dvanaestopalačnom crevu, zapaljenje sa čirevima na debelom crevu, nadraženo debelo crevo. Razne promene u ustima (afte, ranice), zategnutost nekih mišića (leđnih i u ramenima), promene na koži (ekcem, perutanje) i polnim organima (amenoreja, impotencija i dr.), kao i česta potreba za mokrenjem, gubitak kose, nagle promene u telesnoj težini, takođe mogu biti posledica velikog izlaganja stresu. Pušenje, prekomerno ispijanje alkohola i kafe, uzimanje droge, slab apetit, velika potreba za hranom, fizička pasivnost, preterana sportska aktivnost i preteran rad su posledica pogrešne reakcije na stres. Stres na radu izaziva oboljenja i povrede radnika, povećava apsentizam i smanjuje produktivnost. Zaključak: Neke profesije su nešto više izložene stresu i već duže vreme su predmet istraživanja: njihovi radni uslovi, pojava stresa i njegov uticaj na njihovo zdravlje. Spisak profesija kod kojih postoji uticaj stresa na zdravlje radnika nije konačan, jer je proces dokazivanja o prisustvu profesionalnog stresa i njegovom štetnom uticaju na zdravlje u nekim profesijama u toku. Radnici koji su pod stresom se teže koncentrišu, češće prave greške i podložniji su nezgodama na radnom mestu. Produženi psiholološki pritisak može imati posledice u vidu ozbiljnih zdravstvenih problema, koji dovode do oslabljenog radnog učinka, kao i do češćeg izostajanja s posla. Stresom se može i mora upravljati, a poslodavci i organizacije zaposlenih moraju da sarađuju, kako bi zaštitili i unapredili zdravlje na radu. Borba protiv stresa podrazumeva pre svega primenu mera prevencije.
Abstract
The research focused on identifying the harms and dangers in the workplace and working environment, which could cause injury at work and/or professional disease are always interesting. The research must be monitored continuously, because some harms are not researched enough, hazards in the workplace are changing, and there are also some new ones in accordance with the actual conditions at work, represented by modern technology. One of the most damaging effects at workplace is stress. The aim is to highlight the impact of professional stress on morbidity of workers. Methods: We analyzed the data and literature in the field of occupational medicine, internal medicine, psychology, neuropsychiatry, public health, quality of life and health statistics in the part relating to the impact of stress on human health, with particular emphasis on the impact of professional stress on morbidity of workers. Results and discussions: Stress at work is a specific type of stress, which source is at the working environment. Common stressors are present in most occupations, and in some occupations specific stressors that are typical for that occupation are also present. Some of the most dangerous health problems that result from overexposure to stress are heart attack and stroke. Cardiovascular system goes through a series of changes under stress, heart rate accelerates, blood pressure raises and heart attack and stroke can occur. Stress at work can present a mental, emotional trauma and be a condition for development of mental disorders and the risk of psychiatric illness, which has been confirmed in studies. The most common psychiatric diagnosis in conjunction with stress at work are adjustment disorder, trauma-related disorders (PTSD, acute stress reaction), mood disorders (major depression, dysthymia), anxiety disorders (panic, generalized anxiety) and personality disorders (obsessive-compulsive, paranoid, borderline). Stress also causes the decline of the immune system, making the body susceptible to many infections. In addition, various problems can occur in the digestive tract, stomach inflammation, gastric and duodenal ulcers, inflammation with ulcers on the colon, irritated colon. Various changes in the mouth (ulcers, sores), tightness of some muscles (of the back and shoulders), skin (eczema, lichen) and genitals (amenorrhea, impotence, etc.), as well as the frequent need to urinate, hair loss, sudden changes in body weight, may also occur due to the large exposure to stress. Smoking, excessive drinking of alcohol and coffee, drug use, poor appetite, a great need for food, physical passivity, excessive sporting activity and excessive work are the result of wrong reactions to stress. Stress at work causes diseases and injuries of workers, increases absenteeism and reduced productivity. Conclusion: Some professions are somewhat more exposed to stress and their working conditions, occurrence of stress and its impact on health have been a research subject for a long time. The list of professions in which there is an influence of stress on the health of workers is not final because the process of proving the presence of occupational stress and its harmful effects on health in certain professions are in progress. Workers who are stressed are more difficult to concentrate, make mistakes more often and are more prone to accidents in the workplace. Extended psychological pressure can have consequences in a way of serious health problems, which lead to impaired performance and an increased incidence of absenteeism from work. Stress can and must be managed, and employers and employee organizations must cooperate to protect and improve health at work. Action against stress involves primarily the implementation of preventive measures.
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