Hygiene of populated placesISSN: 2707-0441 eISSN: 2707-045X
Issue 72, 2022   -   Pages: 3-10
THE INFLUENCE OF THE LOCATION CONDITIONS OF BUILT-IN HEALTH CARE FACILITIES IN RESIDENTIAL BUILDINGS ON THE HEALTH OF NURSING WORKERS, PATIENTS' LOCATION CONDITIONS AND SANITARY AND HYGIENE CONDITIONS OF RESIDENTS
V.M. Makhniuk1, A.V. Chaika1, V.V. Chorna2, V.V. Makhniuk3, C.M. Mogilniy1, N.P. Pavlenko1, S.O. Melnichenko1, L.V. Pelekh1
1 STATE INSTITUTION O.M. MARZIEIEV INSTITUTE FOR PUBLIC HEALTH NAMSU
2 NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY
3 STATE TAX UNIVERSITY

: 613.5:725.5:728.2
https://doi.org/10.32402/hygiene2022.72.003

SUMMRY:
Topicality. According to the reform of the health care industry in Ukraine, provision of medi-cal services to the population by family doctors, most of whom conduct medical activities in offices located in residential buildings on the and floors, is provided [1,2].
Location of health care facilities in built-in non-residential premises of residential buildings is carried out according to individual projects, which are developed in order to adjust the construction volume of the residential building for their placement. Taking into account that, according to the city planning code, the specified medical offices of family practice are constructively connected with the residential part of the house and the adjacent territory and have the status of objects of daily service of the population, the hypothesis of conducting complex hygienic studies was the question of studying the impact of their functioning on working conditions (well-being, working capacity) of medical workers, stay of patients and sanitary and hygienic living conditions of residents [3, 4, 5].
The goal of the work. Study of the impact of direct and indirect indicative indicators of archi-tectural and planning decisions built into residential buildings of health care institutions on the well-being and working capacity of medical workers, the conditions of patients' stay, and the sanitary and hygienic conditions of residents of the residential part of the building.
Object and research methods. Three hundred people took part in the survey, of which 100 were medical workers, 100 were patients of the specified medical facilities, and 100 were residents of residential buildings with built-in health care facilities. Medical respondents were divided into two research groups: group I - family doctors (50 people), and group II - dentists (50 people).
Analytical, sociological and statistical research methods were used in the work.
Research results and their discussion. According to the research hypothesis, direct indicative indicators affecting the human body were determined, which include: the area of medical premises; height of medical premises; microclimate of medical premises (air temperature, air humidity, air movement speed), natural and artificial lighting of medical premises; sanitary and anti-epidemic re-gime in the premises of an integrated health care facility, etc.
The indirect indicative indicators included: architectural and planning decisions in terms of organization and arrangement of the surrounding (in this case, the adjacent) territory by creating pe-destrian paths with a hard asphalt surface, and their use by people with special needs; arrangement of temporary mini-parking lots for cars and bicycles of medical workers and patients on the premises; availability of a separate site for the collection of solid household waste for the needs of an integrated health care facility; planning organization of facilities for people with special needs of the entrance group, medical and auxiliary premises; adequacy of the set of auxiliary premises (hall, separate bath-rooms for medical personnel and for patients, rooms for rest, for eating, etc.); organization of the op-timal work regime for medical workers by introducing an electronic queue based on patients' prior appointment; availability of short-term breaks for medical workers to rest between patient appoint-ments; equipping built-in health care facilities with modern, high-quality computer equipment to op-timize the work process.
Conclusions. When studying the impact of built-in health care facilities on the well-being and work capacity of medical workers, it was established that there are numerous connections between direct and indirect indicators of architectural and planning decisions, and the well-being and work capacity of family doctors and dentists of built-in health care facilities: deterioration of well-being due to the lack of sufficient air exchange of the room (absence of artificial supply and exhaust ventilation), which was manifested by fatigue (desire to rest - go out into the fresh air, open the window) (p<0.001); lack of short-term rest breaks for both family doctors and dentists between patient ap-pointments and their working capacity, which was manifested by a decrease in attention, concentra-tion and irritation (p<0.001); lack of space (free territory) for storing family doctors' and dentists' own vehicles, which caused psychogenic stress and irritation (p<0.001); lack of a separate room for psychological relief (rest) of family doctors and dentists (p<0.001).
Based on the results of the research, it was established that for patients and residents, the most important issues that need to be resolved in the functioning of built-in health care facilities are - the absence of special parking lots on the premises (1st ranking place); lack of accessibility conditions for the entrance group to the health care facility for people with special needs (II rating place); narrow corridors (III ranking place).

KEYWORDS:
Questionnaires, health care facilities built into residential buildings, direct and indirect indicative in-dicators of architectural and planning decisions, well-being and working capacity of medical work-ers, conditions of patients' stay, sanitary and hygienic conditions of residents of residential buildings.

REFERENCES:
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2. Makhniuk VM, Serdyuk EA, Chorna VV, Garkavy SS, Laptev VE. [New hygienic approaches to modern urban planning in Ukraine]. Serdyuk AM, Polka NS (eds.). Kyiv: Medinform; 2021. Ukrainian.
3. Chorna VV, Makhniuk VM, Khlestova SS, Humenyuk NI, Chaika GV. [The attitude of medical workers in the field of mental health care to their own health]. Medicni perspektivi. 2021;26(2):188-96. Ukrainian. doi: https://doi.org/10.26641/2307-0404.2021.2.234733
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5. Byrne MJ, Tickle M, Glenny AM, Campbell S, Goodwin T, OMalley L. A systematic review of quality measures used in primary care dentistry. International Dental Journal. 2019;69(4):252-64. doi: https://doi.org/10.1111/idj.12453

FOR CITATION:
Makhniuk VM, Chaika AV, Chorna VV, Makhniuk VV, Mogilniy CM, Pavlenko NP, Melnichenko SO, Pelekh LV. The influence of the location conditions of built-in health care facilities in residential buildings on the health of nursing workers, patients' location conditions and sanitary and hygiene conditions of residents. Hygiene of populated places. 2022;72:3-10. Ukrainian.