COVERAGE OF ISSUES THE IMPACT OF STRESS ON HEALTH AND COUNTERMEASURES IN A PUBLIC HEALTH CURRICULUM
Authors: Gruzieva T.S. , Hrechyshkina N.V. , Inshakova H.V. , Vlasenko S.V. 
Published: March 2021

Aim: substantiation of educational content on the impact of stress on health and countermeasures in a public health curriculum.

Materials and methods: bibliographic, information and analytical methods and content analysis were used in the work. The study was carried out as part of the research work of the Bogomolets National Medical University on the topic «Medical and social substantiation of the optimization of the healthcare organization in the context of the public healthcare system development» (state registration number 0120U100807).

Sources of information included scientific literature on the research topic, strategic and policy documents of WHO and WHO / Europe, including the WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region, the Health 2020: the European policy for health and well-being, the European Action Plan for Strengthening Public Health Capacities and Services, educational standards for the preparation of Masters in Medicine and Public Health, an exemplary curriculum of the discipline «social medicine, public health» for the preparation of Masters of Medicine.

Results. A study of scientific sources of literature has shown the growing influence of psychological factors, including stress, on the formation of population health and the need for countermeasures, which requires, among other things, the training of health care professionals able to determine the impact of stresses on public health, assess their prevalence, justify countermeasures.

Justification of educational content on these issues was carried out on the basis of an analysis of the provisions of educational standards for the training of masters of health, an exemplary curriculum "social medicine, public health" for training masters of medicine, WHO documents, including the WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region, the Health 2020: the European policy for health and well-being, the European Action Plan for Strengthening Public Health Capacities and Services etc.

Learning content includes a statement of the purpose of the lesson on the topic «Stresses and Conflicts, mechanisms of protecting people from stress actions», its rationale, a list of basic concepts, educational target tasks, pre-classroom training issues, basic theoretical questions, typical examples of solving specific situational tasks, a list of recommended literature. The theoretical part of the lesson includes versatile questions of the prevalence of stressful situations in society, their causes, types and signs of stress, the impact of stressful situations on the health of the population, types of conflicts, their consequences, causes of conflicts, phases of their deployment and methods of settlement, measures to protect people from stress, psychoprophylaxis, strategies and measures to counter the negative impact of stress on public health.

Conclusions. Training of Masters of Health Care in countering the negative effects of stressful situations on health will contribute to improving the preventive component in health care, reducing the global burden of disease caused by stressful situations, maintaining and strengthening the health of the population.