Assessment of the Influence of Blood Pressure on Psychophysiological Adaptation of Employees of the Rosatom State Corporation
Authors:   A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia, Tukov A.R. , Orlov Yu.V. ,   A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia, Kalinina M.Yu. ,   Medical and Biological University of Innovations and Continuing Education, Moscow, Russia, Novikova T.M. ,   FGBUZ TsMSCH No. 91 FMBA of Russia, Lesnoy, Russia
Published: July 2022

Purpose: Establishing cause-and-effect relationships between psychophysiological adaptation (PFA) and the health status of employees of the enterprise of the State Corporation Rosatom. Material and methods: The materials of the study were data on 591 employees of the enterprise of the State Corporation Rosatom who underwent a psychophysiological examination. To analyze the impact of an employee’s health on the level of psychophysiological adaptation (PFA), a methodology was developed for assessing the cause-and-effect relationships between PFA and the level of blood pressure of employees of the Rosatom State Corporation. The methodology is based on the assessment of the relative risk of influence on the PFA of blood pressure in employees of the Federal State Unitary Enterprise Combine Elektrokhimpribor. In this methodology, risk is defined as the probability of assigning employees of enterprises to one of the three PFA groups. The age heterogeneity of the PFA groups was taken into account, and standardization was carried out for this indicator. Results: This technique was tested on the database of 591 workers who underwent a psychophysiological examination and had information about systolic blood pressure (SBP), diastolic blood pressure (DBP). The possibility of the developed methodology for assessing the relative risk of the influence of blood pressure on the PFA of the employees of the enterprise is shown. The constant increase in the relative risk from group to group of PFA indicates the likelihood of the influence of SBP, DBP on the psychophysiological adaptation of workers who underwent PFA. Conclusion: The use of this methodology for assessing the risk of damage to health as a tool for medical examination and substantiation of effective management decisions allows: to carry out correct medical and social measures for the rehabilitation of workers with low PFA; develop mechanisms and strategies for various medical and social measures to reduce risk; to obtain quantitative characteristics of the impact of illnesses of employees of enterprises on PFA; to reduce the uncertainties of the analysis in the decision-making process to preserve the health of the serviced contingent of workers; identify under specific conditions the groups of workers who are most likely to be classified in a group with a low PFA; determine the priorities of medical and social measures in the field of health protection at the level of a healthcare institution; qualitatively and quantitatively characterize the levels of risk that have persisted after the application of measures to reduce it. When carrying out rehabilitation measures for this group of people, it is necessary to pay serious attention to workers with high rates of SBP, DBP.