íàëà ïñèõèàòðè÷åñêîãî ïðîôèëÿ ïîçâîëèëè îïðåäåëèòü îñíîâíûå
ïñèõîëîãè÷åñêèå è ñîöèàëüíûå ðåàáèëèòàöèîííûå ïðîãðàììû äëÿ
ïåðñîíàëà «êðèòè÷åñêèõ» ïðîôåññèé.
Conducted clinical experimental researches of social psychological,
professional, living and complex factors, conditioning real psychological
and physical states of personality structure of oncologists (46 respon-
dents), oncological institutions and hospices middle line medical person-
nel (64 respondents). The complex study of psychological peculiarities
and types of personal attitudes of psychiatrists (102 respondents) thera-
peutics nurses (26 respondents), emerged by the following factors: work
injurious to the health, neurotic maladjustment depending on the depth
and level of acute chronicle stress has been undertaken.
Revealed personal characteristics in the state of chronicle and
acute stress among professionals-practitioners, constantly facing
oncopathology, in the number of cases of the «doomed patients», in
comparison with psychological maladjustment of psychiatric medical
personnel enabled to determine the major psychological and social
rehabilitation programs for the «extreme profession» personnel.
A iaeanoe iaeeeaoeaiie iiiiue iieieiae?aneei aieuiui n
?ani?ino?aiaiiuie oi?iaie iiaiia?aciaaiee ca iineaaiea
10 eao a ?innee ainoeaioou ii?aaaeaiiua ?acoeuoaou [16]. Iiei-
eiae?aneay eeeieea eiaao a naiai a?naiaea nia?aiaiiua iaoi-
au aeaaiinoeee e ea?aiey ceiea?anoaaiiuo iiooieae, aace?o?-
ueany ia iineaaieo ainoe?aieyo iaoee e oaoieee.
Aianoa n oai naaiaiy noaei niaa?oaiii i?aaeaiui, ?oi aanu
yoio a?naiae ia ii?ao auou eniieuciaai aac iaaea?auaai ine-
oieiae?aneiai iaania?aiey, aac o?aoa nioeaeuii-ineoieiae?a-
neeo e yiioeiiaeuiuo oaeoi?ia a i?ioanna ?aaaeeeoaoee iiei-
eiae?aneeo aieuiuo [5,7, 19,20,22].
Aiaeec iaiiiai?eneaiiie ioa?anoaaiiie e ca?oaa?iie eeoa-
?aoo?u naeaaoaeunoaoao i ia?anoa?uai eioa?ana e nioeaeuiui
e ineoieiae?aneei i?iaeaiai iieieiae?aneeo aieuiuo [2,3,4,8,
24,25].
Auaaey?ony o?e iai?aaeaiey, ii eioi?ui aaaoony enneaaiaa-
iey a iaeanoe iaaeei-ineoieiae?aneeo i?iaeai iieieiaee e iae-
eeaoeaiie iaaeoeiu: 1) ?ieu ineoinioeaeuiuo oaeoi?ia a aic-
ieeiiaaiee e iaieoanoaoee iieieiae?aneeo caaieaaaiee; 2) aeey-
iea ineoe?aneeo e nioeaeuiuo oaeoi?ia ia oa?aiea ?aea; 3) ine-
oiniiaoe?aneay naycu ia?ao ineoinioeaeuiuie oaeoi?aie, ee?-
iinou? aieuiiai e ceiea?anoaaiiuie iiaiia?aciaaieyie [13].
Niaoeoeea nioeaeuiuo, iaaeoeineeo, ineoieiae?aneeo i?i-
aeai o iieieiae?aneeo aieuiuo i?aanoaaeyaony aieaa nei?iie,
ii?ao auoiaeou ca ?aiee ia?a?eneaiiuo auoa iai?aaeaiee;
oi?ie?oaony oaeay nenoaia iiaoiaia n aio?iiieiae?aneeo iice-
oee [23,26]; ?ac?aaaouaa?ony aioenoeoeaaeuiua oaoiieiaee ine-
oiaeaaiinoeee, ineoiei??aeoeiiiua iai?aaeaiey [15,17] e ine-
oioa?aiaaoe?aneea i?ia?aiiu [9,21].
Iniiaiie aeoaio ineoieiae?aneie ?aaiou iieieiae?aneeo o?-
?a?aaiee e oinienia i?eoiaeony ia ia?ii?eyoey, oeo?oa?uea
ea?anoai ?ecie ?aeiauo aieuiuo. Yoiio aii?ino auee iinayua-
iu enneaaiaaiey, a i?ioanna eioi?uo auyaeaiu ineoieiae?a-
neea ia?ooaiey aiea?ueo ?aeii e iauaaeiaiu a iiiyoea «?a-
eiaay ee?iinou». Nouanoaoao eiiieaen ia?ii?eyoee, i?iaiae-
iuo iieieiae?aneeie neo?aaie, iai?aaeaiiue ia ?aaioo n oa-
eeie iaoeaioaie. Iniaay ?ieu a ieo i?eiaaea?eo iaaeoeinei-
io ia?niiaeo. I?e yoii iniiaiia aieiaiea ia?auaaony ia ee?-
iinou a?a?a, aai i?ioanneiiaeuii-yoe?aneea ea?anoaa [9,10,11].
Naienoaa ee?iinoe iaaeoeineiai ?aaioieea iniaaiii aa?iu,
oae eae eiioaeo n aieuiuie e eo ?ianoaaiieeaie ?anoi cao?oaiai
aaeao oiai, ?oi ana iie iaoiayony iia aicaaenoaeai no?anna.
I?aaeeuiue iiaoia e aieuiiio oaaee?eaaao oainu ia oniao
i?ioeaiiiooieaaie oa?aiee, oae eae oeo?oaao nioeaeuii-ineoi-
eiae?aneo? ianoaiiaeo aie?oa iaoeaioa. Yoi iaiaoiaeii o?eou-
aaou ii i?e?eia oiai, ?oi i?iaeaiu yoiai o?iaiy ?anoi aaaoo e
ioeaco io ea?aiey. Eiaiii iiyoiio e iaaeoeineiio ia?niiaeo
iieieiae?aneeo o??a?aaiee e oinienia i?aauyaey?ony e?aeia
aunieea ii?aeuiua o?aaiaaiey: ie?o?a?uea ?aoo io ieo oaeeo
ea?anoa, eae aia?ioa, ?ooeinou, oiieinou yiioeiiaeuiiai ain-
i?eyoey ninoiyiey, niiniaiinou acyou ia naay ioaaonoaaiiinou
ca ?eciu aieuiiai.
Aa?iui iai?aaeaieai a ?aoaiee i?eeeaaiuo i?ia?aii ii
ineoieiae?aneei i?iaeaiai iieieiaee e oinienia yaeeinu eo
eco?aiea a aeaaa «a?a?-aieuiie» e o?eaaa «a?a?-aieuiie-naiuy
aieuiiai» [3,4,11,12].
Iniaaiiinoe i?ioanneiiaeuiie aayoaeuiinoe ia?niiaea ii-
eieiae?aneeo o??a?aaiee e oinienia; cia?aiea nioeaeuii-
no?anniauo oaeoi?ia a oi?ie?iaaiee eciaiaiey ee?iinoe a?a-
?ae iieieiaia e n?aaiaai iaaeoeineiai ia?niiaea; oneiaey i?i-
oanneiiaeuiie aayoaeuiinoe e aicii?iia eo aeeyiea ia ia?a-
iao?u oaiia?aiaioa e oa?aeoa?a; aicii?iinou ?acaeoey ineoi-
niiaoe?aneeo ?aaeoee; oi?ie?iaaiea ineoieiae?aneie aaca-
aaioaoee e ineoiaaiee; eco?aiea oaeoi?ia ?enea a ?aaeecaoee
io?eoaoaeuiuo ineoieiae?aneeo ?aaeoee e oaeue ?ya aa?iuo
i?iaeai — inoa?ony aia noa?u aeoaieiai aieiaiey iaaeoei-
neeo ineoieiaia. Iaainoaoi?ii ?ac?aaioaiu eiaeaeaoaeuiua,
i?eaioe?iaaiiua, e a?oiiiaua i?ia?aiiu aey ?acee?iuo a?oii
ia?niiaea iieieiae?aneeo o??a?aaiee e oinienia. Iu ia ano?a-
oeee a eeoa?aoo?a niaoeaeuiuo naaaaiee, eana?ueony icai?ia-
eaiey e ineoinioeaeuiie ?aaaeeeoaoee iieieiaia, ia?niiaea
iieieiae?aneeo o??a?aaiee e oinienia.
Oaeu?
ianoiyuaai enneaaiaaiey yaeeinu eco?aiea ineoiei-
ae?aneeo iniaaiiinoae a?a?ae-iieieiaia e n?aaiaai iaaeoei-
neiai ia?niiaea iieieiae?aneeo o??a?aaiee e oinienia, i?aau-
aa?ueo a oneiaeyo o?iie?aneiai no?anna, eioi?ue ii?ao i?e-
aanoe e eciaiaie? ee?iinoe e ?acaeoe? ineoiniiaoe?aneeo ?a-
aeoee, ineoiaaieyi a caaeneiinoe io o?iaiy no?anna. I?aaia-
oii enneaaiaaiey noaee oae?a aii?inu ineoioece?aneiai cai-
?iauy; iiieiaiea e auaaeaiea oaeoi?ia i?ioanneiiaeuiie
a?aaiinoe; ?aaioiniiniaiinou — i?iaeaia nioeaeuiiai oa?ae-
oa?a io nioeaeuiie aaaioaoee ai i?ioanneiiaeuiie e ee?iino-
iie aacaaaioaoee.
Caaa?e enneaaiaaiey.
1. Eco?eou iniaaiiinoe ee?iinoe e aa
eciaiaiey o i?ioanneiiaeia-iieieiaia e n?aaiaai iaaia?ni-
iaea a caaeneiinoe io aicaaenoaey i?ioanneiiaeuiuo a?aaii-
noae, nioeaeuii-no?anniauo oaeoi?ia.
2. Auyaeou ei??aeoee i?ioanneiiaeuiie e ee?iinoiie aaca-
aaioaoee, ?acaeoea ineoiaaiee e ineoiniiaoe?aneeo ?an-
no?ienoa o ia?niiaea iieieiae?aneeo e ineoeao?e?aneeo o??a?-
aaiee (iaeaieaa eco?aii) aey iineaao?uae ioaiee ainoiaa?ii-
noe auyaeaiiuo oaiiiaiia.
3. ?ac?aaioaou ineoieiae?aneea e nioeaeuiua aeaaiinoeee,
ei??aeoeiiiua e ?aaaeeeoaoeiiiua i?ia?aiiu aey ia?niiaea
iieio??a?aaiee e oinienia.
Iaoa?eae e iaoiau.
Ineoiaeaaiinoe?aneea enneaaiaaiey
i?iaaaaiu n?aae 46 a?a?ae e 64 iaaeoeineeo nanoa? Oeuyiia-
neiai iaeanoiiai iieieiae?aneiai aeniaina?a e oinienia Oeuy-
iianea e Aeieo?iaa?aaa Oeuyiianeie iaeanoe; 102 a?a?ae-ine-
oeao?ia, noa?e?iaaaoeony ia aaca eaoaa? ineoeao?ee e ia?ei-
eiaee Kacaineie ainoaa?noaaiiie iaaeoeineie aeaaaiee iinea-
aeieiiiiai ia?aciaaiey a?a?ae, e 26 iaaeoeineeo nanoa? oaia-
iaaoe?aneiai noaoeiia?a Oeuyiianea.
N?aaiee aic?ano iieieiaia e iaaeoeineeo nanoa? iieieiae-
?aneeo o??a?aaiee niioaaonoaaiii ninoaaee 41,7±1,79 e
34,3±1,78 aiaa. Ineoeao?u auee a aic?anoa 46,1±1,3, iaaeoei-
neea nano?u — 32,3±1,78 aiaa. N?aae a?a?ae-iieieiaia auei
54,3% io??ei e 45,7% ?aiuei; a?a?ae-ineoeao?ia — 39% io?-
?ei e 61% ?aiuei. N?aaiee iaaeoeineee ia?niiae aue i?aa-
noaaeai ?aiueiaie.
A i?ioanna enneaaiaaiee eniieuciaaiu nioeiineoiaeaaii-
noe?aneea iaoiaeee:
— aiiieiiia aieaoe?iaaiea, aee??a?uaa ineoiaeaaiinoe-
?aneee ee?iinoiue ii?iniee (31 aii?in), iiaaioiaeaiiue
ia eaoaa?a iaaeoeineie ineoieiaee, iaa?ieiaee e ineoe-
ao?ee iaaeoeineiai oaeoeuoaoa Oeuyiianeiai ainoaa?no-
aaiiiai oieaa?neoaoa (i?eei?aiea).
— NIEE (nie?auaiiue iiiaioaeoi?iue ii?iniee enneaai-
aaiey ee?iinoe).
— naoe?e?aneea ?enoiee O. Aeano?oia (a ea?anoaa iaoiaeee,
iicaiey?uae auyaeou ieieiece?iaaiiua ioeeiiaiey a
yiioeiiaeuiie noa?a).
Auaaeaiiua iieacaoaee, oa?aeoa?enoeea e ea?anoaa ioaie-
aaeenu iaie ia ainoiaa?iinou ?acee?ee ii e?eoa?e? Nou?-
aaioa.
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