<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">964</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2022-30-4-608-615</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The specifics of interaction with patients and their relatives as a factor of emotional condition of oncologists</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Dreneva</surname><given-names>A. A.</given-names></name><bio></bio><email>drenevaaa@zdrav.mos.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Pravednikov</surname><given-names>A. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Chistyakova</surname><given-names>D. P.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Goldman</surname><given-names>O. E.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Bogdan</surname><given-names>I. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">The State Budget Institution “The Research Institute of Health Care Organization and Medical Management of the Moscow Health Care Department”</aff><aff id="aff-2">The Autonomous Non-Profit Organization “Proekt SO-Deiystvie” (Service “Yasnoe Utro”)</aff><pub-date date-type="epub" iso-8601-date="2022-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2022</year></pub-date><volume>30</volume><issue>4</issue><fpage>608</fpage><lpage>615</lpage><history><pub-date date-type="received" iso-8601-date="2022-08-17"><day>17</day><month>08</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2022,</copyright-statement><copyright-year>2022</copyright-year></permissions><abstract>The paper considers issue of professional burnout of oncologists through the prism of their relationship with patients and their close relatives. The study was carried out using direct and online sociological survey method. The sample included 534 specialists being in constant contact with cancer patients. The results revealed pronounced prevalence of such main burnout domains as emotional exhaustion (55%), depersonalization (19%), reduction of professional achievements (22%). The most common methods of dealing with stress were recreation, sports, communication with immediate relatives, hobbies, walking (7-20%), 4% used alcohol. The high frequency of patient requests to oncologist for psychological support (88%) was established as well as difficulties in communication between doctor and patient because available communication skills are not always sufficient for 76% of oncologists. The majority of respondents support idea of patient need for psychological support and its effectiveness for their treatment and physical and emotional conditions. The similar trends were found in case of close relatives of patients. At the same time some oncologists expressed negative, stigmatizing attitudes towards patients in need of psychological support that requires additional educational work. In oncologists, even when need for psychological support is expressed by patient, willingness to seek it is low: a third of respondents are “rather not ready” to see psychologist even if they had this opportunity. The results meet data of other researches data and reveal that interaction with patients and their relatives is one of the main factors affecting the emotional state of oncologists. Based on study results as well as on publication analysis, comprehensive solution was proposed to implement psychological oncologic service in Russia, which, on one hand, will allow to provide support to cancer patients and their relatives, and on the other hand, will conduct specific training for oncologists concerning skills of psychologically safe communication with patients and coping with negative experiences.</abstract><kwd-group xml:lang="en"><kwd>oncologist</kwd><kwd>burnout</kwd><kwd>emotional state</kwd><kwd>cancer patient</kwd><kwd>relatives of cancer patients</kwd><kwd>coping strategies</kwd><kwd>psychological support</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>врач-онколог</kwd><kwd>профессиональное выгорание</kwd><kwd>эмоциональное состояние</kwd><kwd>онкологические пациенты</kwd><kwd>родственники онкологических пациентов</kwd><kwd>стратегии совладания</kwd><kwd>копинги</kwd><kwd>психологическая помощь</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Shanafelt T. D. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch.Intern. Med. 2012;172(18):1377-85.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Чулкова В. А., Комяков И. П. К исследованию эмоционального выгорания врачей-онкологов. Вопросы онкологии. 2010;56(1):79-82.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Чулкова В. А., Пестерева Е. В., Карпова Э. Б., Хрусталева Н. С., Семиглазова Т. Ю., Рогачев М. В., Беляев А. М. Эмоциональное выгорание и вопросы профессиональной психологической подготовки врачей-онкологов. Вопросы онкологии. 2020;66(2):127-34. doi: 10.37469/0507-3758-2020-66-2-127-134</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Demirci S., Yildirim Y. K., Ozsaran Z., Uslu R., Yalman D., Aras A. B. Evaluation of burnout syndrome in oncology employees. Med. Oncol. 2010;27(3):968-74.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Письмо Минздрава России от 17.08.2021 № 17-4/3549 «О направлении.,Методических рекомендаций по организации центров амбулаторной онкологической помощи в субъектах Российской Федерации“». Режим доступа: http://www.consultant.ru/document/cons_doc_LAW_393975/ (дата обращения 07.10.2021).</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Беляев А. М. Онкопсихология для врачей-онкологов и медицинских психологов. Руководство. СПб.: Издательство АНО «Вопросы онкологии», 2018. 436 с.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Семиглазова Т. Ю., Ткаченко Г. А., Чулкова В. А. Психологические аспекты лечения онкологических больных. Злокачественные опухоли. 2016;4(Спецвып. 1):54-8. doi: 10.18027/2224-5057-2016-4s1-54-58</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Carlson L. E., Zelinski E. L., Toivonen K. I., Sundstrom L., Jobin C. T., Damaskos P., Zebrack B. Prevalence of psychosocial distress in cancer patients across 55 North American cancer centers. J. Psychosoc. Oncol. 2019 Jan-Feb;37(1):5-21. doi: 10.1080/07347332.2018.1521490</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Harrison J., Haddad P., Maguire P. The impact of cancer on key relatives): a comparison of relative and patient concerns. Eur. J. Cancer. 1995 Oct;31A(11):1736-40. doi: 10.1016/0959-8049(95) 00389-z</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Tanriverdi O. A medical oncologist’s perspective on communication skills and burnout syndrome with psycho-oncological approach (to die with each patient one more time): the fate of the oncologists). Med. Oncol. 2013;30(2):530.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Чулкова В. А. Эмоциональное выгорание врачей-онкологов и медицинских сестер онкологической клиники. Учебное пособие для врачей-онкологов. СПб.: Изд-во ГБОУ ВПО СЗГМУ им. И. И. Мечникова; 2012. 30 с.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Guveli H. Oncology staff: burnout, job satisfaction and coping with stress. Psychooncology. 2015;24(8):926-31.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Wiederhold B. K.Intervention for physician burnout): a systematic review. Open Med. 2018;13(1):253-63.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Фонд общественного мнения. Ходят ли россияне к психотерапевтам? 2014. Режим доступа: https://fom.ru/Obraz-zhizni/11885 (дата обращения 06.10.2021).</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Razavi D., Delvaux N.Communication skills and psychological training in oncology. Eur. J. Cancer. 1997;33:15-21.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Холланд Д., Ватсон М. Psycho-Oncology. В кн.: Сб. статей и материалов Международной школы психосоциальной онкологии «Психосоциальный подход в клинической онкологии: от науки к практике». М.; 2013. C. 8-14.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Maslach C., Jackson S. E. The measurement of experienced burnout. J. Org. Behav. 1981;2(2):99-113.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>West C. P. Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals. J. Gen.Int. Med. 2009;24(12):1318-21.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Glajchen M. The emerging role and needs of family caregivers in cancer care. J. Support. Oncol. 2004;2(2):145-55.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Волканевский С. В. Рефлексивность как детерминанта синдрома «психического выгорания» личности. Ярославль; 2010. 193 с.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Yates M., Samuel V. Burnout in oncologists and associated factors: A systematic literature review and metaanalysis. Eur. J. Cancer Care. 2019;28(3):e13094.</mixed-citation></ref></ref-list></back></article>
