The impact of occupational conditions on the health status in medical staff at the Central District Hospital of the Baksan city and Baksan Municipal District of the Kabardino-Balkarian Republic

Introduction. The occupational activities of healthcare workers are associated with constant exposure to stress factors, including neuropsychic overload, work monotony, and high responsibility. These factors increase the risk of psychosomatic disorders, highlighting the critical importance of occupational safety for medical personnel.

The purpose of the study. To assess the extent to which workplace stress factors impact on the attention and productivity. As well as to identify psychophysiological impairments among employees at “Central District Hospital” in the Baksan City.

Materials and methods. The study involved one hundred fifty healthcare workers (75 men and 75 women, mean age 39.1 ± 8.2 years) at the outpatient, therapeutic, and surgical departments. The study employed the following methodologies: Collection of anamnestic data; Assessment of the intensity of regulatory mechanisms: Calculation of heart rate (HR) and measurement of blood pressure (diastolic and systolic); Ruffier test — to evaluate the adaptive capacity of the cardiovascular system; Spielberg Scale (adapted into Russian by Yu.L. Khanin, 1977) for assessing anxiety levels; Anfimov’s correction test to measure the degree of concentration and attention stability.

Results. Healthcare workers demonstrated moderate resilience to stress factors within their work environment. The highest blood pressure levels were recorded among staff in the outpatient department (124.5 ± 2.52/80.1 ± 1.85). By the end of the workday, a moderate decline in productivity and attention concentration was observed across all participants. Anxiety levels were notably higher among surgical department employees (52.5 ± 1.4) compared to those in the outpatient clinic (49.3 ± 1.2). The majority of medical personnel reported increased irritability and fatigue as the workday completed.

Research limitations. Cross-sectional design, restricted sample size, reliance on subjective assessment scales.

Conclusion. The study revealed significant psycho-emotional strain among healthcare workers, which may adversely affect their occupational performance and health.

Compliance with ethical standards. This study does not require the conclusion of a biomedical ethics committee or other documents.

Contribution of the authors:
Dygova D.R. — research design development, article structure formulation, data collection and analysis, manuscript drafting, statistical data processing, editing, final approval of the manuscript;
Shaova A.Kh. — research design development, article structure formulation, final approval of the manuscript;
Eshtrekov M.S. — research design development, article structure formulation, final approval of the manuscript.

Funding. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: April 6, 2025 / Revised: April 30, 2025 / Accepted: October 8, 2025 / Published: December 17, 2025

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