METHODOLOGICAL APPROACHES TO THE ESTIMATION OF INDIVIDUAL OCCUPATIONAL RISK TAKING INTO ACCOUNT INDICATORS OF LIFE QUALITY

Authors offer to make changes to technique of the estimation of life quality with three blocks of professional and nonprofessional risk factors: index of observance of requirements of sanitary legislations; index of way of life and index of social well-being. The index of observance of requirements of sanitary legislations pays off by result of an expert estimation of a workplace taking into account aggravating (absence of certification of workplaces, industrial inspection; insufficiency of the area and volume of premises; absence of ventilation, repairs, work and rest modes; neediness of good-quality potable water, sanitary-household premises, first-aid sets of the first medical aid; absence of system of informing of workers about an existing professional risk and ways of its decrease etc.) and normalizing factors (presence of complexes intrareplaceable and after a labor shift medical rehabilitations etc.). The index of way of life is offered to be counted taking into account major individual behavioral and biological factors of risk of death rate and invalidity in Russia: smoking, abusing alcohol, irrational food (in particular, the uses less than 400 g vegetables and fruit in day), insufficient physical activity, raised index of weight of a body, psychoemotional stress, raised levels of cholesterol and glucose in whey of blood, arterial pressure, burdened heredity. The index of social well-being pays off as the one-numerical indicator considering social and economic and socially-psychological factors: indicator of size of wages, indicator of satisfaction health, working conditions, work as a whole, life as a whole, an indicator of the individual importance of factors of psychological overload. Authors of article suggest to add an existing technique of an estimation of an indicator of the individual importance of psychological overload factors with indicators actual in modern industrial conditions: socially-psychological adaptation, degree of emotional burning out, quality of life. The estimation of quality of life can serve in this system to one of the most significant after experience medical and biologic criteria of an estimation of an individual professional risk.

risk factors, individual occupational risk

1. Величковский Б.Т. Жизнеспособность нации. Покупательская способность и здоровье населения. -М.: РАМН, 2012. - 38 с.

2. Методика расчета индивидуального профессионального риска в зависимости от условий труда и состояния здоровья работника: метод. рек. - М.: НИИ Медицины труда РАМН, 2011. - 19 с.

3. Методология менеджмента риска в медицине труда: гигиеническая оценка условий труда, прогнозирование и каузация профзаболеваний и болезней, связанных с работой: гармонизированный свод. метод. матер. - М.: НИИ медицины труда РАМН, 2012. - 24 с.

4. Новик А.А., Ионова Т.И. Руководство по оценке качества жизни в медицине. - СПб.: Издательский дом «Нева» - М.: ОЛМА ПРЕСС, Звездный мир, 2002. - 320 с.

5. Оценка значимости психосоциальных факторов для формирования здоровья работников: метод. рек. - М.: НИИ медицины труда РАМН, 2006. - 29 с.

6. Практическая психодиагностика: Методика и тесты. - Самара: Издательский дом «БАХРА-М», 2006. - 672 с.

7. Руководство по профилактике в первичном здравоохранении: Адаптированный вариант рекомендаций ВОЗ «Prevention in primary care» / Под ред. И.С. Глазунова, Р.Г. Органова, Н.В. Перовой, Р.А. Потемкиной. - М.: ГНИЦ профилактической медицины Минздрава РФ, 2000. - 217 с.

8. Эрисман Ф.Ф. Избранные труды. - М., 1959. -Т. 1. - 552 с.