Avaliação da capacidade para o trabalho da equipe de enfermagem que atua em um hospital de grande porte na região do Triângulo Mineiro ­ MG / Work ability assessment for nursing team working at a large hospital in the region of Triângulo Mineiro ­ MG / Evaluación de capacidad del trabajo del personal de enfermería de un gran hospital del Triángulo Mineiro ­ MG

OBJETIVO: este estudo objetivou obter e analisar o índice de capacidade para o trabalho (ICT) e a relação com os aspectos individuais e contextuais ao trabalho. MÉTODO: estudo transversal com abordagem quantitativa e caráter descritivo, com 164 profissionais da equipe de Enfermagem de um hospital de grande porte do Triângulo Mineiro, MG, no ano de 2018. Aplicou-se o questionário do ICT acrescido de variáveis sociodemográficas e epidemiológicas. E no tratamento estatístico adotou-se o software Statistical Package for the Social Sciences (SPSS). Para a análise do escore do ICT utilizou-se a análise de variância de medidas repetitivas (ANOVA), e no pós-teste aplicou-se de Tukey e teste de regressão linear. RESULTADOS: houve prevalência do sexo feminino (135, 81%), faixa etária entre 31 e 40 anos (46%) e função atual como técnicos de Enfermagem (74, 45%). No escore geral do ICT, 89 (54%) apresentaram-se com boa capacidade para o trabalho (CT), obtendo entre 37 e 43 pontos. Houve significância entre 41 e 60 anos (p=0,002) e na variável "capacidade de apreciar a vida em relação aos recursos mentais" (p=0,0045). CONCLUSÃO: a idade e os recursos mentais apresentaram-se como as principais variáveis que incidiram diretamente sobre a CT dos trabalhadores de Enfermagem. Assim, as conclusões apresentadas por meio do escore do ICT indicam que quantificar a CT permite a construção de medidas que contribuam para manter e restaurar a saúde do trabalhador, frente ao seu âmbito de trabalho.(AU)

Objective: this study aimed to obtain and analyze the work ability index (WAI) and the relationship with the individual and contextual aspects to work. Method: cross-sectional study with quantitative approach and descriptive character, with 164 nursing staff professionals of a large hospital in Triângulo Mineiro, MG, in the year 2018. The WAI questionnaire plus sociodemographic and epidemiological variables was applied. The statistical treatment adopted the Statistical Package for Social Sciences (SPSS) software. For the analysis of the WAI score, the analysis of variance (ANOVA) of repetitive measures was used, followed by the Tukey test and linear regression were applied. Results: there was a prevalence of females (135.81%), age between 31 and 40 years (46%) and current role as nursing technicians (74.45%). In the overall WAI score, 89 (54%) presented good work ability (WA), obtaining between 37 and 43 points. There was significance between 41 and 60 years (p = 0.002) and in the variable "ability to enjoy life in relation to mental resources" (p = 0.0045). Conclusion: age and mental resources were the main variables that directly affected the WC of nursing personnel. Thus, the conclusions presented through the WAI score indicate that quantifying the WA allows the elaboration of measures that contribute to maintain and restore personnel's' health, in front of their work scope.(AU)

Objetivo: obtener y analizar el índice de capacidad de trabajo (ICT) y la relación con los aspectos individuales y contextuales para trabajar. Método: estudio transversal de enfoque cuantitativo y carácter descriptivo, con 164 profesionales del personal de enfermería de un gran hospital del Triângulo Mineiro, MG, en 2018. Se aplicó el cuestionario del ICT con variables sociodemográficas y epidemiológicas. Para el tratamiento estadístico se adoptó el software Statistical Package for the Social Sciences (SPSS). Para el análisis de la puntuación del ICT utilizamos el análisis de varianza de medidas repetitivas (ANOVA), en la prueba posterior y en la prueba de Tukey y en la prueba de regresión lineal. Resultados: prevalencia de mujeres (135, 81%), edad entre 31 y 40 años (46%) y función actual como técnicos de enfermería (74, 45%). En el puntaje general del ICT, 89 (54%) presentaron buena capacidad de trabajo (CT), con entre 37 y 43 puntos. Hubo significación entre 41 y 60 años (p = 0,002) y en la variable "capacidad de disfrutar la vida en relación con los recursos mentales" (p = 0,0045). Conclusión: la edad y los recursos mentales fueron las principales variables que afectaron directamente la CT del personal de enfermería. Por lo tanto, las conclusiones presentadas a través del puntaje del ICT indican que la cuantificación de la CT permite la construcción de medidas que contribuyen a mantener y restaurar la salud de los trabajadores ante el ambiente laboral.(AU)

Number of leprosy reactions during treatment: clinical correlations and laboratory diagnosis

Abstract INTRODUCTION: The occurrence of leprosy reactions, a common event during treatment, may be mostly related to the action of multidrug therapy on Mycobacterium leprae. The clinical and laboratory monitoring of patients with reactions is important, since collecting data that assists in predicting the risk of reactions may help to prevent disability. METHODS: This was a sectional study, in order to correlate clinical and laboratory diagnosis with the number of reactions during treatment. Spearman's correlation was used to verify the degree of association between the assessed variables. RESULTS: This study was conducted with 211 patients with leprosy reactions during treatment of M. leprae. The borderline tuberculoid group was the most prevalent clinical form (74/211; 35.1%) and the type one reaction showed the highest frequency (136/211; 64.5%). It was observed that 73.5% (155/211) of reactions occurred within 3 months of the initiation of multidrug therapy. The diagnostic values, including the bacterial indices (BIs) of dermal smears (r = 0.21, p < 0.05) and skin biopsies (r = 0.20; p < 0.05), showed a positive correlation with the number of reactions during treatment. CONCLUSIONS: This research showed a positive correlation between bacillary load markers and the number of leprosy reactions. This study provided scientific support to future research aiming to elucidate the influence of antigenic load on the number of leprosy reactions during treatment.

Identification of clinical, epidemiological and laboratory risk factors for leprosy reactions during and after multidrug therapy

This cross-sectional retrospective study evaluated 440 leprosy patients; 57% (251/440) had leprosy reactions during and/or after multidrug therapy, 80.5% (202/251) of whom presented with multibacillary leprosy. At diagnosis, positive bacterial index (BI) [odds ratio (OR) = 6.39; 95% confidence interval (CI): 4.1-10.1)] or polymerase chain reaction (PCR) (OR = 9.15; 95% CI: 5.4-15.5) in skin smears, anti-phenolic glycolipid-1 (anti-PGL-1) ELISA (OR = 4.77; 95% CI: 2.9-7.9), leucocytosis (OR = 9.97; 95% CI: 3.9-25.7), thrombocytopenia (OR = 5.72; 95% CI: 2.3-14.0) and elevated lactate dehydrogenase (OR = 2.38; 95% CI: 1.4-4.0) were potential markers for the development of reactions during treatment. After treatment, positive BI (OR = 8.47; 95% CI: 4.7-15.3) and PCR (OR = 6.46; 95% CI: 3.4-12.3) in skin smears, anti-PGL-1 ELISA (OR = 2.25; 95% CI: 1.3-3.9), anaemia (OR = 2.36; 95% CI: 1.2-4.5), leucocytosis (OR = 4.14; 95% CI: 1.5-11.6) and thrombocytopenia (OR = 3.70; 95% CI: 1.3-2.2) were risk factors for the occurrence of reactions during the study period. The identification of groups with an increased risk for developing reactions will allow for the timely development of a treatment plan to prevent nerve damage and, therefore, the appearance of the disabling sequelae associated with the stigma of leprosy.