LAUSR

OBJECTIVE The aim: To study the stages and diseases of occupational and emotional burnout syndromes and characterize the changes in the psychophysiological state of the medical staff of health care institutions. PATIENTS AND METHODS Materials and methods: Manifestations and levels of predictors of the development of emotional burnout (PDEB), motivation of medical workers in the Vinnytsia region, and preventive measures of PDEB to improve the motivational component of medical workers. Statistical processing of the research results was performed in the licensed standardized package "Statistica 6.1 for Windows", and included the analysis of the nature of the distribution of characteristics using the Shapiro-Wilk's W test, and the analysis of di"erences using the Mann-Whitney test. The content analysis of domestic and foreign scienti#c sources and biblio-semantic and analytical research methods were used in the work. A sociological study was conducted on the dynamics of changes in the psycho-physiological state of health of medical staff of psychiatric hospitals and medical sta" of general health care facilities (CHP) in the Vinnytsia region, depending on gender and positions. RESULTS Results: A survey has been conducted using psychodiagnostic methods of emotional burnout by Boyko V.V. and the adapted approach of Vodopyanova N.E. According to the results of K. Zamfir's method in A. Rean's modification, it was established that external negative motivation exceeds external positive motivation in health care staff, as in male doctors and female doctors from 3,2±0,8 to 2,7±1,0 score and the average medical staff of psychiatric profile in men 3,2±1,8 and 3,0±1,3 and the average medical staff of general pro#le 3,6±1,0 and 3,2±1,1, respectively, which re$ects the negative attitude of the medical staff at the present stage to the implementation of professional activities. CONCLUSION Conclusions: Predictors of the development of emotional burnout are noted in the average female medical workers working in psychiatric institutions: "Stress" - 41.3±19.2 points versus 33.6±22.2 points (p>0.05), "Resistance " - 56.6±21.4 points against 40.5±16.6 points (p<0.05), "Exhaustion" - 41.5±21.4 points against 39.4±27.4 points (p >0.05) compared to men, who may be at risk of transition from a pre-morbid state (mild, moderate form of SPV) to a severe form of chronic psychosomatic or psychovegetative disorder.