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1.
Ciênc. Saúde Colet ; 26(2): 757-764, fev. 2021. tab
Article in Portuguese | LILACS | ID: biblio-1153801

ABSTRACT

Resumo Objetivou-se analisar a relação entre a qualidade de vida, a fadiga e as lesões em bailarinos brasileiros profissionais de dança de salão. Participaram 320 profissionais das cinco regiões do Brasil, sendo a coleta de dados realizada por meio de um questionário online autoaplicável acerca das informações gerais, WHOQOL-bref, Questionário de Fadiga de Yoshitake e Questionário de Identificação de Lesões em Bailarinos. Para análise dos dados utilizou-se a estatística descritiva, seguida da análise inferencial e do teste de Regressão Linear Múltipla. Os resultados demonstram que uma maior fadiga está associada a uma qualidade de vida negativa, evidenciando-se que, a cada valor a mais na fadiga total, espera-se que a qualidade de vida diminuísse 0.218 pontos no domínio físico; 0.226 pontos no domínio psicológico; 0.420 pontos no domínio social; e 0.304 pontos no domínio ambiental. Em contrapartida, a incidência e a intensidade de lesões não foram associadas com a qualidade de vida. Conclui-se que o contexto da dança de salão profissional pode influenciar tanto na presença de fadiga quanto na qualidade de vida. Sugere-se aos profissionais de saúde que atuam com estes bailarinos através de intervenções multifatoriais objetivando diminuir a fadiga, atenuando os efeitos desta na qualidade de vida.


Abstract The scope of this study was to analyze the relationship between quality of life, fatigue and injuries among professional Brazilian ballroom dancers. A total of 320 professionals from the five regions of Brazil participated, and the data were collected through a self-administered online questionnaire concerning general information, WHOQOL-bref, Yoshitake Fatigue Questionnaire and Injury Identification in Dancers Questionnaire. For data analysis, descriptive statistics were used, followed by inferential analysis and the Multiple Linear Regression test. The results show that greater fatigue is associated with a negative quality of life, revealing that, for each additional increment in total fatigue, the quality of life is expected to decrease by 0.218 points in the physical domain; 0.226 points in the psychological domain; 0.420 points in the social domain; and 0.304 points in the environmental domain. In contrast, the incidence and intensity of injuries were not associated with quality of life. The conclusion drawn is that the context of professional ballroom dance can influence both the presence of fatigue and the quality of life. It is suggested that health professionals working with these dancers perform multifactorial interventions in order to reduce fatigue, attenuating its effects on quality of life.


Subject(s)
Humans , Quality of Life , Dancing , Brazil/epidemiology , Surveys and Questionnaires , Fatigue/epidemiology
2.
Arq. neuropsiquiatr ; 78(9): 556-560, Sept. 2020. tab, graf
Article in English | LILACS | ID: biblio-1131753

ABSTRACT

ABSTRACT Objective: To investigate the frequency of Comorbid Fibromyalgia Syndrome and its effects on quality of life and activities of daily living without any known psychiatric problem (schizophrenia or bipolar disorder) or severe disability, other than depression, in patients with multiple sclerosis, which is known to be a chronic disease in young adults. Methods: The study included 103 patients diagnosed with multiple sclerosis, following McDonald criteria, who had relapsing remitting disease. The Fibromyalgia Impact Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory, Pittsburgh Sleep Quality Index, Fatigue Severity Scale, and Multiple Sclerosis Quality of Life-54 were applied for all patients. Results were analyzed using statistical methods. Results: Mean age was 35.04±8.72 years in the study population. The Expanded Disability Status Scale (EDSS) score was 2.21±0.93. Comorbid Fibromyalgia Syndrome was detected in 20 patients (19.4%). The mean score of Multiple Sclerosis Quality of Life-54 was found to be significantly higher in multiple sclerosis patients with Comorbid Fibromyalgia Syndrome when compared to those without it (34.80±9.14 versus 71.67±13.95; p<0.05). Conclusion: These results indicate that increased frequency of Comorbid Fibromyalgia Syndrome in multiple sclerosis causes worsening in activities of daily living and quality of life, delayed diagnosis, disability progression, and increased admission rates. Questioning and appropriately managing Comorbid Fibromyalgia Syndrome in clinical practice are important to improve the quality of life in multiple sclerosis patients.


RESUMEN Objetivo: Investigar la frecuencia del Síndrome de Fibromialgia Comórbido y sus efectos sobre la calidad de vida y las actividades cotidianas sin problemas psiquiátricos conocidos o discapacidad grave en pacientes con esclerosis múltiple, que se conoce como una enfermedad crónica en adultos jóvenes. Métodos: El estudio incluyó a 103 pacientes diagnosticados con esclerosis múltiple, según los criterios de McDonald, que tenían enfermedad remitente recurrente. En todos los pacientes se completaron: el Cuestionario de Impacto de Fibromialgia, el Inventario de Ansiedad de Beck, el Inventario de Depresión de Beck, el Índice de Calidad del Sueño de Pittsburgh, la Escala de Gravedad de Fatiga y la Calidad de Vida de la Esclerosis Múltiple-54. Los resultados se analizaron mediante métodos estadísticos. Resultados: La edad media fue de 35,04±8,72 años en la población de estudio. La puntuación de la Expanded Disability Status Scale (EDSS) fue de 2,21±0,93. Se detectó el Síndrome de Fibromialgia Comórbido en 20 pacientes (19,4%). Se encontró que la puntuación media de la Calidad de Vida de la Esclerosis Múltiple-54 era significativamente más alta en pacientes de esclerosis múltiple con Síndrome de Fibromialgia Comórbido en comparación con aquellos sin él (34,80±9,14 versus 71,67±13,95; p<0,05). Conclusión: Esos resultados indican que el aumento de la frecuencia del Síndrome de Fibromialgia Comórbido en la esclerosis múltiple provoca empeoramiento de las actividades cotidianas y la calidad de vida, diagnóstico tardío, progresión de la discapacidad y mayores tasas de admisión. Cuestionar y manejar adecuadamente el Síndrome de Fibromialgia Comórbido en la práctica clínica son importantes para mejorar la calidad de vida en pacientes con esclerosis múltiple.


Subject(s)
Humans , Adult , Young Adult , Fibromyalgia/epidemiology , Multiple Sclerosis/epidemiology , Quality of Life , Activities of Daily Living , Depression/epidemiology , Fatigue/epidemiology
3.
Ciênc. Saúde Colet ; 25(1): 243-249, jan. 2020. tab
Article in Spanish | LILACS | ID: biblio-1055795

ABSTRACT

Resumen Esta investigación ignifi la asociación entre la fatiga y el absentismo en el trabajo en 110 asistentes de enfermería de un hospital altamente complejo en Chile. Se ignifi un cuestionario sociodemográfico y la escala Check Strength Individual Strength. Los resultados mostraron que el ignific de absentismo predominante fue de 11 a 29 días. Los mayores promedios de fatiga se presentaron en los mayores de 2 años, con más de 10 pacientes en el consultorio y con contrato annual. No hubo diferencias significativas entre la fatiga media en relación con el absentismo, pero hubo una asociación ignificative entre la fatiga física (p = 0,040; OR = 1,054) y la antigüedad en el trabajo (p = 0,001; OR = 1,084) con el absentismo laboral. Finalmente, se concluye que la fatiga física y la antigüedad en el servicio clínico representaron un factor de riesgo significativo para el absentismo.


Abstract This research examined the association between occupational fatigue and work absenteeism in 110 female assistant nurses of a high-complexity hospital in Chile. A sociodemographic questionnaire and the Checklist Individual Strength (CIS) scale were used. The results showed that the predominant absenteeism range was 11-29 days. The highest means of fatigue occurred in those with seniority above 2 years, with more than 10 patients in charge and an annual contract. No significant difference was observed between the fatigue means concerning absenteeism, but a significant association was observed between physical fatigue (p = 0.040, OR = 1.054) and service seniority (p = 0.001, OR = 1.084) with work absenteeism. Finally, we can conclude that physical fatigue and seniority in the clinical service are significant risk factors for the occurrence of absenteeism.


Subject(s)
Humans , Female , Adult , Absenteeism , Fatigue/epidemiology , Nursing Assistants/psychology , Occupational Diseases/epidemiology , Chile , Cross-Sectional Studies , Hospitals
4.
Ciênc. Saúde Colet ; 24(7): 2593-2599, jul. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1011832

ABSTRACT

Resumo Avaliar a satisfação profissional e a sobrecarga de trabalho dos enfermeiros atuantes em serviços de saúde mental e realizar uma comparação em relação aos demais profissionais do serviço. Estudo transversal, com amostragem por critério de conveniência, realizado em 2016 com 61 profissionais da área de saúde mental dos Centros de atenção psicossocial de um município localizado no extremo sul do Brasil. Para coleta de dados foi aplicado um questionário sociodemográfico e as Escalas de avaliação do impacto do trabalho (Impacto-Br) e de satisfação da equipe (Satis-Br). A análise dos dados foi realizada através do programa SPSS 21.0.O nível de sobrecarga global dos enfermeiros foi de 2,92 ± 0,42 e de satisfação global de 3,38 ± 0,51. Quando avaliado os escores na escala Satis-Br, houve uma diminuição estatisticamente significativa nos níveis de satisfação dos enfermeiros (3,36 ± 0,77) em relação aos demais profissionais atuantes no serviço (3,78 ± 0,56) no escore qualidade dos serviços oferecido (p = 0,04). O fator que promoveu maior nível de sobrecarga de trabalho entre os enfermeiros estão relacionados ao sentimento de se sentir fisicamente cansado (2,99 ± 0,92). Já o fator que promoveu maior satisfação profissional está relacionado ao bom relacionamento com a equipe (4,06 ± 0,65).


Abstract This study assessed job satisfaction and work overload among doctors, nurses, psychologists, and nursing technicians working in community mental health services and conducted a comparison between nurses and other healthcare professionals. Using convenience sampling, a cross-sectional study was conducted with 61 healthcare professionals working in psychosocial care centers in a municipality located in the South Region of Brazil. Data was collected using a sociodemographic questionnaire, work impact assessment scale (Impacto - Br), and mental health professional satisfaction scale (Satis - Br). Data analysis was performed using the statistical software package SPSS 21.0. The average overall work overload score of nurses was 2.92 ± 0.42 and the average overall job satisfaction score was 3.38 ± 0.51. The level of satisfaction of nurses with the quality of services provided was lower than that of other professionals (3.36 ± 0.77 compared to 3.78 ± 0.56, respectively; p = 0.04). The factor that had the greatest negative influence on work overload among nurses was feeling physically tired (2.99 ± 0.92), while the factor that had the greatest positive influence on job satisfaction was good working relationships (4.06 ± 0.65).


Subject(s)
Humans , Male , Female , Adult , Aged , Young Adult , Health Personnel/psychology , Job Satisfaction , Mental Health Services/organization & administration , Nurses/psychology , Brazil , Cross-Sectional Studies , Surveys and Questionnaires , Workload/psychology , Fatigue/epidemiology , Middle Aged
5.
Fisioter. Pesqui. (Online) ; 26(1): 91-100, Jan.-Mar. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1002009

ABSTRACT

RESUMO O objetivo foi caracterizar o ambiente de trabalho por meio da Norma Regulamentadora 17 do Ministério do Trabalho (NR-17); avaliar a fadiga residual e estimar o risco da sua exposição e a presença de desconforto musculoesquelético de profissionais da saúde que atuam em um hospital público. Trata-se de estudo transversal composto por duas etapas: (1) observação do ambiente de trabalho por meio da NR-17, adaptada em checklist; e (2) avaliação do desconforto e fadiga por meio de questionários. Os dados foram analisados descritivamente. A associação entre fadiga e desconforto foi verificada pelo qui-quadrado e o teste de Mann-Whitney comparou a idade, tempo de instituição e carga horária (horas/semana) entre os grupos estratificados (com fadiga/sem fadiga e com desconforto/sem desconforto). Foram avaliados 20 setores, dos quais a Farmácia teve a maior frequência de inadequação (83%) e a UTI Adulto mostrou-se o mais adequado (24% de itens inadequados). Verificou-se uma alta prevalência de desconforto, principalmente na coluna. A fadiga estava presente em mais de 70% dos profissionais. Indivíduos com maior idade apresentaram mais queixas de desconforto. O presente estudo demonstrou uma alta frequência de inadequações ergonômicas em ambiente de trabalho hospitalar, principalmente no setor da Farmácia e Ambulatório. A alta prevalência de desconforto na coluna e a fadiga demonstram a relevância de ações preventivas no ambiente hospitalar.


RESUMEN El objetivo fue caracterizar el ambiente laboral por medio de la Norma Reguladora n.º 17 del Ministerio de Trabajo (NR-17); evaluar la fatiga residual y también estimar el riesgo de exposición y la presencia de incomodidad musculoesquelética de profesionales de la salud que actúan en un hospital público. Este estudio transversal consta de dos fases: (1) la observación del entorno de trabajo por la NR-17, lista de control adaptada; y (2) la evaluación de la incomodidad y la fatiga por medio de cuestionarios. Los datos se analizaron de forma descriptiva. La asociación entre fatiga y molestia se verificó mediante el test chi-cuadrado, y la prueba de Mann-Whitney se utilizó para comparar la edad, el tiempo de institución y la carga horaria (horas/semana) entre los grupos estratificados (con fatiga/sin fatiga y con incomodidad/sin molestias). Se evaluaron 20 sectores, de los cuales la Farmacia tuvo la mayor frecuencia de inadecuación (83%) y la UCI Adulto se mostró la más adecuada (un 24% de ítems inadecuados). Se observó una alta prevalencia de incomodidad, principalmente en la columna. La fatiga estaba presente en más del 70% de los profesionales. Los individuos de mayor edad presentaron más quejas de malestar. El presente estudio demostró una alta frecuencia de inadecuaciones ergonómicas en el ambiente laboral hospitalario, principalmente en el sector de la Farmacia y del Ambulatorio. La alta prevalencia de incomodidad en la columna y la fatiga demuestran la relevancia de acciones preventivas en el ambiente hospitalario.


ABSTRACT This study's objective was to employ Regulation-17 (NR-17) of Brazil's Ministry of Labor to describe the work environment of health professionals of a public hospital, while also evaluating fatigue and estimating their risk of exposure to it, as well as the presence of musculoskeletal discomfort. This was a cross-sectional study consisting of two phases: 1) Observation of the work environment by means of the NR-17, adapted as a checklist; 2) Evaluation of discomfort and fatigue by means of questionnaires. Data were analyzed descriptively. The association between fatigue and discomfort was assessed using the chi-square test, while the Mann-Whitney test was used to compare age, service time at the institution and weekly working hours across the stratified groups (with fatigue/without fatigue, with discomfort/without discomfort). Twenty sectors were evaluated. The sector with the highest frequency of inadequacy was Pharmacy (83% inadequate items), while the Adult ICU was the most adequate (only 24% inadequate items). There was a high prevalence of discomfort, especially in the spine. Fatigue was present in more than 70% of professionals. Older individuals presented more complaints of discomfort. This study demonstrates a high frequency of ergonomic inadequacies in the hospital's work environment, mainly in the Pharmacy and Ambulatory sectors. The high prevalence of spine discomfort and fatigue emphasizes the relevance of preventive actions in the hospital environment.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Occupational Exposure , Health Personnel , Fatigue/epidemiology , Musculoskeletal Pain/epidemiology , Occupational Risks , Prevalence , Cross-Sectional Studies , Back Pain/epidemiology , Hospitals, Public , Ergonomics
6.
Rev. saúde pública (Online) ; 53: 16, jan. 2019. tab
Article in English | LILACS | ID: biblio-985831

ABSTRACT

ABSTRACT OBJECTIVE: Analyze the association of work organization and sleep aspects with work ability in regular aviation pilots. METHODS: This is a cross-sectional epidemiological study with 1,234 regular aviation pilots who worked domestic and international flights, affiliated with the Brazilian Association of Civil Aviation Pilots. Data collection employed online questionnaire. We compared proportions using Pearson's Chi-squared or Fisher's exact hypothesis tests. Then, we conducted Poisson analysis, with robust variance, to test factors associated with moderate or low work ability. RESULTS: The prevalence of moderate or low work ability was 43.3%. We found that self-perception of insufficient sleep (PR = 1.29; 95%CI 1.06-1.57), increased perception for fatigue (PR = 1.51; 95%CI 1.24-1.84), more than 65 flight hours per month (PR = 1.22; 95%CI 1.01-1.46), less than 10 days of time off per month (PR = 1.27; 95%CI 1.04-1.55), and frequent operational delays (PR = 1.23; 95%CI 1.02-1.48) were factors associated with moderate or low work ability. CONCLUSIONS: Work organization was a determining factor for decreased work ability, especially concerning aspects related to rest and its influence on the sleep of pilots.


RESUMO OBJETIVO: Analisar a associação da organização do trabalho e dos aspectos do sono com a capacidade para o trabalho entre pilotos da aviação regular. MÉTODOS: Foi realizada uma pesquisa epidemiológica transversal, com 1.234 pilotos da aviação regular, que realizavam voos de rotas nacionais e internacionais, afiliados à Associação Brasileira de Pilotos da Aviação Civil. A coleta de dados foi feita através de questionário on-line. Para comparação entre as proporções foram realizados os testes de hipóteses qui-quadrado de Pearson ou Exato de Fisher. Posteriormente, foi efetuada a análise de Poisson, com variância robusta, para testar os fatores associados à capacidade moderada ou baixa para o trabalho. RESULTADOS: A prevalência de capacidade para o trabalho moderada ou baixa foi de 43,3%. Verificou-se que autopercepção de sono insuficiente (RP = 1,29; IC95% 1,06-1,57), maior percepção para fadiga (RP = 1,51; IC95% 1,24-1,84), jornada de voo maior que 65 horas por mês (RP = 1,22; IC95% 1,01-1,46), menos de 10 dias de folga por mês (RP = 1,27; IC95% 1,04-1,55) e atrasos operacionais frequentes (RP = 1,23; IC95% 1,02-1,48) foram fatores associados à capacidade moderada ou baixa para o trabalho. CONCLUSÕES: A organização do trabalho foi um fator determinante para a diminuição da capacidade para o trabalho, em especial quanto aos aspectos relacionados ao descanso e suas repercussões no sono de pilotos.


Subject(s)
Humans , Male , Female , Adult , Sleep Deprivation , Aviation/statistics & numerical data , Work Schedule Tolerance , Fatigue/epidemiology , Pilots/psychology , Brazil/epidemiology , Poisson Distribution , Cross-Sectional Studies , Interviews as Topic , Qualitative Research , Pilots/statistics & numerical data
7.
Cad. Saúde Pública (Online) ; 35(3): e00086918, 2019. tab, graf
Article in English | LILACS | ID: biblio-989521

ABSTRACT

Abstract: This study aims to describe the prevalence of sleep disturbances and daytime fatigue and their association with socio-demographic and behavioral factors. Data from the Brazilian National Health Survey conducted in 2013 with 60,202 adults (≥ 18 years old) were used. The outcomes evaluated were self-reported sleep disturbances and daytime fatigue in the last two weeks. Sleep disturbance was defined as the presence of difficulty to fall asleep, frequently waking up during the night or sleeping more than usual; daytime fatigue was defined as the presence of not feeling rested and motivated during the day, feeling tired and lacking energy. Sociodemographic, lifestyle and chronic health aspects were explored as exposures for both outcomes. Prevalence of sleep disturbances and daytime fatigue were 14.9% (14.4-15.4) and 11.9% (11.4-12.3), respectively. Both outcomes were more common in women, older people, people with no formal education, smokers and among physically inactive individuals. The association with education was inverse (the highest the level of education the lower the prevalence ratio - PR - of sleep disturbances and daytime fatigue; adjusted p-value for trend < 0.001). Prevalence of sleep disturbances combined with daytime fatigue was 6.7% (6.4-7.1) and was about 6 times higher among those with three or more chronic health disturbances (PR = 6.2; 95%CI: 5.3-7.2). Strategies to decrease the prevalence of sleep disturbances and daytime fatigue should be encouraged and focused on chronically ill individuals that share other modifiable risk factors.


Resumo: O objetivo deste estudo foi descrever a prevalência de distúrbios de sono e fadiga durante o dia e sua associação com fatores sociodemográficos e comportamentais. Dados da Pesquisa Nacional de Saúde realizada no Brasil em 2013 com 60.202 adultos (≥ 18 anos) foram usados. Os desfechos avaliados foram relatos de distúrbios de sono e fadiga durante o dia nas últimas duas semanas. Distúrbios do sono foram definidos como a presença de dificuldade em cair no sono, acordar com frequência durante a noite ou dormir mais do que o usual e a fadiga durante o dia foi definida como presença de não se sentir descansado e motivado durante o dia, se sentir cansado e falta de energia. Aspectos sociodemográficos, de estilo de vida e aspectos crônicos de saúde foram explorados como exposições para ambos os desfechos. As prevalências de distúrbios de sono e fadiga durante o dia foram 14,9% (14,4-15,4) e 11,9% (11,4-12,3), respectivamente. Ambos os desfechos foram mais comuns em mulheres, idosos, pessoas sem educação formal, fumantes e pessoas que não praticam atividade física. A associação com educação foi reversa (quanto maior a escolaridade, menor a razão de prevalência - RP - de distúrbios de sono e fadiga durante o dia; valor de p ajustado para tendência < 0,001). A prevalência de distúrbios de sono simultaneamente combinados com fadiga durante o dia foi de 6,7% (6,4-7,1) e foi em torno de seis vezes maior para os que tinham três ou mais distúrbios crônicos de saúde (RP = 6,2; IC95%: 5,3-7,2). Deve-se encorajar estratégias para reduzir a prevalência de distúrbios de sono e fadiga durante o dia direcionadas a indivíduos com doenças crônicas que compartilham outros fatores de risco modificáveis.


Resumen: El objetivo de este estudio fue describir la prevalencia de los trastornos de sueño y fatiga diurna, y su relación con factores sociodemográficos y de comportamiento. Se manejaron datos de la Encuesta Nacional de Salud que se llevó a cabo en Brazil en 2013 con 60.202 adultos (≥ 18 años de edad). En los resultados evaluados se autoinformaron trastornos del sueño y fatiga diurna al menos durante dos semanas. El trastorno del sueño se definió como presencia o dificultad en quedarse dormido, despertarse frecuentemente durante la noche o dormir más de lo normal y sufrir fatiga diurna, así como la sensación de no haber descansado y estar inactivo de día, sintiéndose cansado y falto de energía. Se investigaron aspectos sociodemográficos, estilo de vida y dolencias crónicas como la exposición a ambos resultados. La prevalencia de trastornos de sueño y fatiga diurna fueron 14,9% (14,4-15,4) y 11,9% (11,4-12,3), respectivamente. Ambos resultados fueron más comunes en mujeres, personas con edad avanzada, sin educación formal, fumadores e individuos físicamente inactivos. La asociación con la educación fue inversa (cuanto más alto era el nivel de educación, más bajo era la PR de trastornos del sueño y fatiga diurna; valor de p ajustado para tendencia < 0,001). La prevalencia de trastornos del sueño, combinada concomitantemente con la fatiga diurna, fue 6,7% (6,4-7,1) y casi 6 veces superior entre quienes sufrían tres o más trastornos crónicos de salud (PR = 6,2; 95%CI: 5,3-7,2). Las estrategias para disminuir la prevalencia de los trastornos del sueño y fatiga diurna deberían estar promovidas y centradas en personas enfermas crónicamente que compartan otros factores de riesgo modificables.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Sleep Wake Disorders/epidemiology , Fatigue/etiology , Fatigue/epidemiology , Sleep Wake Disorders/complications , Socioeconomic Factors , Brazil/epidemiology , Exercise , Residence Characteristics , Sex Factors , Epidemiologic Methods , Risk Factors
8.
Ciênc. Saúde Colet ; 24(1): 67-75, ene. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-974802

ABSTRACT

Resumo Queda recorrente representa alto risco de morbidade e mortalidade em idosos, principalmente institucionalizados, dado ao seu quadro de fragilidade e declínio funcional evidentes. O objetivo deste estudo é determinar a incidência e os fatores de risco relacionados a quedas recorrentes em idosos institucionalizados. Estudo longitudinal tipo coorte no período de um ano. Foram avaliados indivíduos com 60 anos ou mais residentes em 10 Instituições de Longa Permanência para Idosos, que deambulassem e possuíssem capacidade cognitiva preservada. Foi questionada a ocorrência de quedas nos últimos doze meses, considerando recorrentes a ocorrência de dois ou mais episódios neste período. Foram ainda coletadas variáveis referentes à instituição, condições sócio demográficas e de saúde do idoso através de questionários. Do total de 364 idosos, 130 foram incluídos. A incidência de quedas recorrentes foi de 26.9% (IC 95% = 22.4 - 31.5). A partir do Qui-quadrado e Regressão Logística, considerando o nível de significância de 5%, foi encontrada fadiga como fator de risco (p = 0.001; RR = 2.9) e uso de betabloqueadores como fator de proteção (p = 0.010; RR = 0.1). Conclui-se que queda recorrente é comum nas Instituições de Longa Permanência para Idosos e a fadiga representa fator de risco.


Abstract Recurrent falls constitute a high risk for morbidity and mortality among older people, especially institutionalized individuals, due to greater frailty and functional decline in this group. The aim of this study was to identify risk factors associated with recurrent falls among institutionalized older persons. A longitudinal cohort study was conducted over a one-year period with a study sample consisting of individuals aged 60 years and over living in 10 Nursing homes (NH) who were able to walk and had preserved cognitive ability. The older persons and carers were asked about the occurrence of falls over the last twelve months. The older persons were considered recurrent fallers if they had had two or more falls during this period. Institutional, sociodemographic and health data was also collected using questionnaires and the residents' medical records. One hundred and thirty individuals were included in the sample out of a total of 364 older people living in the NH. The incidence of recurrent falls was 26.9% (CI95% = 22.4 - 31.5). The results of the chi-square test and logistic regression adopting a significance level of 0.05 showed that fatigue was a risk factor for recurrent falls(p = 0.001; RR = 2.9) and that the use of beta blockers was a protective factor (p = 0.010; RR = 0.1). It was concluded that recurrent falls are common in NH and that fatigue constitutes an important risk factor.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Accidental Falls/statistics & numerical data , Fatigue/epidemiology , Frailty/epidemiology , Nursing Homes/statistics & numerical data , Recurrence , Logistic Models , Incidence , Surveys and Questionnaires , Risk Factors , Cohort Studies , Longitudinal Studies , Adrenergic beta-Antagonists/administration & dosage , Protective Factors , Middle Aged
9.
Arch. argent. pediatr ; 116(6): 730-735, dic. 2018. tab
Article in English, Spanish | LILACS, BINACIS | ID: biblio-973687

ABSTRACT

Introducción. Las compresiones cardíacas (CC) de alta calidad son el principal componente de la reanimación cardiopulmonar (RCP). Objetivos: Evaluar la profundidad de las CC durante las maniobras de RCP realizadas sobre un simulador pediátrico. Secundariamente, explorar la asociación entre la profundidad de las CC con respecto al género, nivel de formación, índice de masa corporal y entrenamiento físico periódico. Material y métodos. Trabajo prospectivo de observación experimental. Se incluyeron médicos residentes de Pediatría, pediatras, enfermeros y otros profesionales capacitados en RCP que asistían a niños. Se registró, mediante un software, la profundidad de las CC mientras realizaban maniobras de RCP durante 2 minutos. Se definió como equivalente a cansancio el deterioro en el número de CC adecuadas en profundidad (> 50 mm) mayor de 3 entre el primero y el último ciclo. Resultados. Participaron 137 sujetos (85,4 % de mujeres). Solamente 48 (35,8 %) presentaron un desempeño adecuado en cuanto a la profundidad. Se observaron diferencias significativas en favor del género masculino (p < 0,0001) y de los pediatras formados por sobre el resto (p 0,038). El 36,5 % de los participantes empeoraron su desempeño en cuanto a la profundidad a los dos minutos. No se observaron diferencias significativas en cuanto al índice de masa corporal y actividad física. Conclusiones. Las CC disminuyeron en profundidad al cabo de dos minutos. No hubo asociación con el índice de masa corporal ni la actividad física habitual de los reanimadores, pero sí en cuanto a género y nivel de formación.


Introduction. High-quality chest compressions (CCs) are the main component of cardiopulmonary resuscitation (CPR). Objectives. T o assess the depth of CCs during CPR using a pediatric patient manikin. A secondary objective was to explore the association between CC depth and sex, level of training, body mass index, and periodic physical training. Material and methods. Prospective study with experimental observation. Pediatric residents, pediatricians, nurses, and other health care providers trained in CPR and who attended children were included. A software program was used to record the depth of CCs while performing CPR during 2 minutes. Tiredness was defined as a deterioration in the number of adequately deep CCs (> 50 mm) by more than 3 CCs between the first and the last cycles. Results. A total of 137 subjects participated (85.4 % were women). Only 48 participants (35.8 %) showed an adequate performance in terms of depth. Significant differences were observed for men (p < 0.0001) and trained pediatricians compared to the rest (p = 0.038). A worsening was observed in performance in terms of depth after 2 minutes in 36.5 % of participants. No significant differences were observed in relation to body mass index and physical activity. Conclusions. Depth rate reduced after 2 minutes. No association was observed with the body mass index or regular physical activity of resuscitators but with their sex and level of training.


Subject(s)
Humans , Male , Female , Adult , Clinical Competence , Cardiopulmonary Resuscitation/standards , Health Personnel/standards , Fatigue/epidemiology , Time Factors , Body Mass Index , Sex Factors , Prospective Studies
10.
Rev. chil. obstet. ginecol. (En línea) ; 83(2): 161-169, abr. 2018. graf
Article in Spanish | LILACS | ID: biblio-959500

ABSTRACT

RESUMEN En el postparto surgen una serie de cambios físicos y psicosociales los que convierten esta etapa en un momento de mayor vulnerabilidad a problemas de salud para las mujeres. Uno de estos cambios es en la calidad y cantidad de sueño nocturno, el que trae consigo la fatiga postparto. En todos los estudios, las características propias de la fatiga en el postparto son asociadas a la enfermedad mental, dejando invisibilizada su relación con el bienestar de la mujer durante este periodo. El objetivo de este estudio es realizar una actualización en fatiga relacionada a la salud mental de la mujer durante el periodo postparto. Método: Se revisaron 34 estudios en inglés, publicados en los últimos cinco años, en PubMed y Web of Sciencie. Resultados: Los estudios demuestran que entre 60% a 65% de las mujeres durante el postparto tiene un sueño de corta duración, durmiendo menos de 6 horas, refiriendo la fatiga como uno de los síntomas más serios después del parto. Diversos estudios han confirmado la relación entre fatiga y depresión postparto, incluso algunos destacan la relación bidireccional entre ambas, donde la fatiga predice síntomas depresivos y viceversa. La fatiga, además, se ha relacionado a alteraciones en el funcionamiento diurno de la mujer, peso materno y construcción del vínculo madre-hijo. Conclusión: La presente revisión reafirma la necesidad de profundizar en los efectos de la fatiga postparto en el bienestar materno y de esta forma, realizar intervenciones que potencien la salud mental positiva durante el periodo postparto.


ABSTRACT A series of physical and psychosocial changes arise in the postpartum. This make a moment of great vulnerability for different problems for women. One of these changes is in the quality and quantity of nocturnal sleep, which brings a postpartum fatigue. In all studies, the characteristics of fatigue in the postpartum period are associated with mental illness, and not with women wellbeing during this period. The objective of this study is to have an update on fatigue related to the mental health of women during the postpartum period. Method: We reviewed 34 studies in English, published in the last five years, in PubMed and Web of Science. Results: Studies show that between 60% to 65% of women during postpartum have a short sleep time, they slept less than 6 hours. This show us fatigue as one of the most serious symptoms after childbirth. Several studies have confirmed the relationship between fatigue and postpartum depression, where even some highlight the bidirectional relationship between them, where fatigue predicts depressive symptoms and vice versa. Moreover, fatigue has been related to alterations in the diurnal functioning of the woman, maternal weight and construction of the mother-child bond. Conclusion: This review reaffirms the need to deepen the effects of postpartum fatigue on maternal wellbeing and, in this way, to carry out interventions that promote positive mental health during the postpartum period.


Subject(s)
Humans , Female , Pregnancy , Sleep , Postpartum Period/psychology , Fatigue/epidemiology , Parents/psychology , Mental Health , Depression, Postpartum/epidemiology , Depression/epidemiology
11.
Rev. eletrônica enferm ; 20: 1-9, 2018. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-964700

ABSTRACT

Este estudo objetivou descrever a prevalência de fadiga e identificar os fatores associados à fadiga em pacientes no pré-operatório de cirurgia oncológica. Pesquisa transversal, desenvolvida com 117 pacientes com câncer em pré-operatório (idade média= 51,2 anos; 76,9% mulheres; 65,8% viviam com companheiro; 70,9% não realizaram tratamento prévio para câncer). Instrumentos utilizados foram Escala de Fadiga de Piper ­ Revisada; Escala de Estresse Percebido; Escala Hospitalar de Ansiedade e Depressão; Escala Numérica de Dor; Escala Numérica de Sono e Escala de Karnofsky (KPS). Realizou-se teste de qui-quadrado, teste t-Student, ANOVA oneway. Constatamos que a prevalência da fadiga pré-operatória foi de 25,6% e a intensidade foi moderada/intensa. A dimensão afetiva de fadiga apresentou escore mais alto comparado às dimensões comportamental e sensorial/psicológica. Ansiedade, depressão, estresse, dor, sono e performance status se associaram à fadiga pré- operatória.


This study aimed to describe the prevalence of fatigue and to identify factors associated with fatigue in patients in the pre-operative phase for oncologic surgery. We conducted a cross-sectional study with 117 pre-operative cancer patients (mean age = 51.2 years; 76.9% women; 65.8% lived with a partner; 70.9% did not have previous cancer treatment). We used the instruments Piper Fatigue Scale-Revised; Perceived Stress Scale; Hospital Anxiety and Depression Scale; Pain Numerical Scale; Numerical Sleep Scale and Karnofsky Performance Status Scale. We conducted Chi-Square test, Student's t-test, and one-way ANOVA. We found a 25.6% prevalence of pre-operative fatigue and the intensity was moderate/severe. The affective fatigue dimension presented higher score compared to behavioral and sensorial/psychological dimensions. Anxiety, depression, stress, pain, sleep and performance status were associated with pre-operative fatigue.


Subject(s)
Humans , Male , Female , Middle Aged , Perioperative Nursing , Fatigue/surgery , Fatigue/etiology , Fatigue/epidemiology , Neoplasms/surgery , Neoplasms/complications
12.
Rev. bras. reumatol ; 57(5): 431-437, Sept.-Oct. 2017. tab, graf
Article in English | LILACS | ID: biblio-899443

ABSTRACT

Abstract Objective: To assess the prevalence of fatigue in a Brazilian population with early rheumatoid arthritis using multiple instruments, and the predictors of these instruments by differents independent variables. Methods: Cross-sectional study with direct interview and medical records review. Fatigue, dependent variable, was assessed using eight instruments: Profile of Mood States (POMS), Multidimensional Assessment of Fatigue scale (MAF), Fatigue Severity Scale (FSS), Bristol Rheumatoid Arthritis Fatigue Multidimensional Questionnaire (BRAF-MDQ), Numerical Rating Scales (BRAF-NRS), Short-form Survey 36 (SF-36), Functional Assessment of Chronic Illness Therapy Fatigue Scale (FACIT-F) and Visual Analogic Scale for Fatigue (VASf). Independent variables: sociodemographic, clinical and serological, were measured using medical records and direct interview. Disability and disease activity were assessed using the Health Assessment Questionnaire (HAQ) and disease activity assessed using the Disease Activity Score 28 joints (DAS28). The scores of scales demonstrated the level of fatigue and multiple linear regression method used in statistical analysis to demonstrate prediction models. Results: A total of 80 patients was assessed, and 57 reported clinically relevant fatigue (VASf > 2), representing 71.25% prevalence point (51 women [89.5%], mean age 48.35 ± 15 years, and mean disease duration of 4.92 ± 3.8 years). Eight predictive models showed statistical significance, one for each fatigue instrument. The highest coefficient of determination (R 2) was 56% for SF-36 and the lowest (R 2 = 21%) for FSS. The HAQ was the only independent variable to predict fatigue on all instruments. Conclusion: Clinically relevant fatigue is a highly prevalent symptom and is mostly predicted by disability and age in the population assessed.


Resumo Objetivo: Avaliar a prevalência de fadiga em uma coorte brasileira de pacientes com artrite reumatoide em fase inicial com múltiplos instrumentos e os preditores desses instrumentos de acordo com diferentes variáveis independentes. Métodos: Estudo transversal com entrevista direta e revisão de prontuários. A fadiga, a variável dependente, foi avaliada por meio de oito instrumentos: Profile of Mood States (POMS), Multidimensional Assessment of Fatigue Scale (MAF), Fatigue Severity Scale (FSS), Bristol Rheumatoid Arthritis Fatigue Multidimensional Questionnaire (BRAF-MDQ), Numerical Rating Scales (BRAF-NRS), Short-form Survey 36 (SF-36), Functional Assessment of Chronic Illness Therapy Fatigue Scale (Facit-F) e Escala Visual Analógica de fadiga (VASf). Variáveis independentes: mensuraram-se dados sociodemográficos, clínicos e sorológicos por meio da análise de prontuários e entrevista direta. A incapacidade e a atividade da doença foram avaliadas com o Health Assessment Questionnaire (HAQ). A atividade da doença foi avaliada com o Disease Activity Score 28 joints (DAS-28). As pontuações das escalas mostraram o nível de fadiga e usou-se o método de regressão linear múltipla na análise estatística para demonstrar os modelos de predição. Resultados: Avaliaram-se 80 pacientes; 57 relataram fadiga clinicamente relevante (VASf > 2), representaram uma prevalência de 71,25% (51 mulheres [89,5%], média de 48,35 ± 15 anos e duração média da doença de 4,92 ± 3,8 anos). Oito modelos preditivos mostraram significância estatística, um para cada instrumento de fadiga. O maior coeficiente de determinação (R2) foi de 56% para o SF-36 e o menor (R2 = 21%) foi para a FSS. O HAQ foi a única variável independente que predisse a fadiga em todos os instrumentos. Conclusão: A fadiga clinicamente relevante é um sintoma altamente prevalente e é principalmente predita pela incapacidade e idade na população avaliada.


Subject(s)
Humans , Male , Female , Adult , Aged , Arthritis, Rheumatoid/complications , Severity of Illness Index , Fatigue/diagnosis , Fatigue/etiology , Brazil , Prevalence , Cross-Sectional Studies , Prospective Studies , Risk Factors , Decision Support Techniques , Age Factors , Disability Evaluation , Fatigue/epidemiology , Middle Aged
13.
Rev. bras. reumatol ; 57(1): 1-7, Jan.-Feb. 2017. tab
Article in English | LILACS | ID: biblio-844213

ABSTRACT

ABSTRACT Objective: To determine the impact of postpolio-syndrome on quality of life in polio survivors. Methods: Forty polio survivors were included in the study. Twenty-one patients fulfilling the Halstead's postpolio-syndrome criteria participated in postpolio-syndrome group. The remaining nineteen patients formed non-postpolio-syndrome group. Control group was composed of forty healthy subjects. Quality of life was evaluated by Nottingham Health Profile, depression by Beck Depression Scale and fatigue by Fatigue Symptom Inventory. Isometric muscle strength was measured by manual muscle testing. Results: Total manual muscle testing score was 26.19 ± 13.24 (median: 29) in postpolio-syndrome group and 30.08 ± 8.9 (median: 32) in non-postpolio-syndrome group. Total manual muscle testing scores of non-postpolio-syndrome group were significantly higher than that of postpolio-syndrome group. Patients with postpolio-syndrome reported significantly higher levels of fatigue and reduced quality of life in terms of physical mobility, pain and energy when compared with patients without postpolio-syndrome and control group. It was not reported a statistically significant difference in social and emotional functioning and sleep quality between postpolio-syndrome, non-postpolio-syndrome and control groups. Also it was not found any statistically significant difference in Beck Depression Scale scores among the groups. Conclusions: Postpolio-syndrome has a negative impact on quality of life in terms of functional status, severity of pain and energy. The identification, early recognition and rehabilitation of postpolio-syndrome patients may result in an improvement in their quality of life.


RESUMO Objetivo: Determinar o impacto da síndrome pós-pólio na qualidade de vida nos sobreviventes da pólio. Métodos: Quarenta sobreviventes da pólio foram incluídos no estudo. Participaram do grupo de síndrome pós-pólio 21 pacientes que atenderam aos critérios de síndrome pós-pólio de Halstead. Os 19 restantes formaram o grupo não síndrome pós-pólio. O grupo controle foi composto por 40 indivíduos saudáveis. A qualidade de vida foi avaliada pelo Nottingham Health Profile, a depressão pela Escala de Depressão de Beck e a fadiga pelo Inventário de Sintomas de Fadiga. A força muscular isométrica foi medida por teste muscular manual. Resultados: O escore total do teste muscular manual foi 26,19 ± 13,24 (mediana: 29) no grupo de síndrome pós-pólio e 30,08 ± 8,9 (mediana: 32) no grupo não síndrome pós-pólio. Escores totais de teste muscular manual de grupo não síndrome pós-pólio foram significativamente maiores do que os do grupo de síndrome pós-pólio. Os pacientes com síndrome pós-pólio relataram níveis significativamente maiores de fadiga e qualidade de vida reduzida em termos de mobilidade física, dor e energia quando comparados com pacientes sem síndrome pós-pólio e grupo controle. Não se relatou uma diferença estatisticamente significativa no funcionamento social e emocional e na qualidade do sono entre grupos de síndrome pós-pólio, não síndrome pós-pólio e controle. Além disso, não se encontrou diferença estatisticamente significativa nos escores da Escala de Depressão de Beck entre os grupos. Conclusões: A síndrome pós-pólio tem um impacto negativo na qualidade de vida em termos de estado funcional, gravidade da dor e energia. A identificação, o reconhecimento precoce e a reabilitação dos pacientes com síndrome pós-pólio podem resultar em uma melhoria da qualidade de vida.


Subject(s)
Humans , Male , Female , Adult , Pain/psychology , Poliomyelitis/physiopathology , Quality of Life , Social Behavior , Postpoliomyelitis Syndrome/psychology , Survivors/psychology , Depression/psychology , Fatigue/psychology , Pain/epidemiology , Poliomyelitis/psychology , Poliomyelitis/rehabilitation , Poliomyelitis/epidemiology , Turkey/epidemiology , Severity of Illness Index , Activities of Daily Living/psychology , Follow-Up Studies , Health Surveys , Postpoliomyelitis Syndrome/physiopathology , Postpoliomyelitis Syndrome/rehabilitation , Postpoliomyelitis Syndrome/epidemiology , Depression/epidemiology , Disability Evaluation , Fatigue/epidemiology , Interpersonal Relations , Middle Aged
14.
Ciênc. saúde coletiva ; 21(11): 3483-3492, Nov. 2016. tab
Article in Portuguese | LILACS | ID: biblio-828499

ABSTRACT

Resumo O fenótipo de fragilidade é uma ferramenta utilizada para avaliação da fragilidade em idosos, composto pelos itens perda de peso, exaustão, baixo nível de atividade física, fraqueza muscular e lentidão na marcha. O objetivo deste estudo foi avaliar a participação de cada item na determinação da fragilidade em idosos brasileiros. A análise foi feita pela Regressão Logística Multinomial. A amostra total de 5532 idosos, selecionados aleatoriamente em diversas cidades brasileiras entre dezembro de 2008 e setembro de 2009, foi avaliada pelo fenótipo de fragilidade. Os itens mais frequentes na amostra foram o nível de atividade física, seguido da fraqueza muscular e lentidão da marcha. Os itens que apresentaram maior chance para o desenvolvimento da fragilidade foram a lentidão na marcha (OR = 10,50, IC95%8,55-12,90, p < 0,001) e a fraqueza muscular (OR = 7,31, IC95%6,02-8,86, p < 0,001). O modelo com os cinco itens explicou 99,6% da fragilidade na amostra. Tais resultados sugerem que o nível de atividade física, fraqueza muscular e lentidão na marcha são os itens que mais influenciam na determinação da fragilidade, mas a aplicação de todos os itens do fenótipo em conjunto é a melhor forma para a avaliação.


Abstract The phenotype of frailty is used to assess frailty among the elderly by examining the following items: weight loss; exhaustion; low level of physical activity; weakness; and slow gait speed. The aim of the study was to evaluate the contribution of each item to determine the frailty syndrome among elderly Brazilians. The analysis was done using Multinomial Logistic Regression. The total sample of 5532 randomly selected elderly people in many cities in Brazil between December 2008 and September 2009 was assessed using the phenotype of frailty. The most frequent items were level of physical activity, followed by muscular weakness and slow gait speed. Items that were more likely to develop frailty, when positive, were slow gait speed (OR = 10.50, 95%CI 8.55 - 12.90, p <0.001) and muscular weakness (OR = 7.31, 95%CI 6,02 - 8,86, p <0.001). The final model with five items explained 99.6% of frailty in the sample. These results suggested that the level of physical activity, weakness and slow gait speed were the items that most influence the determination of frailty, however the application of all items of the phenotype of frailty is the best way to assess frailty.


Subject(s)
Humans , Male , Female , Aged , Exercise/physiology , Fatigue/epidemiology , Frail Elderly/statistics & numerical data , Frailty/epidemiology , Brazil/epidemiology , Cross-Sectional Studies , Gait/physiology , Logistic Models , Muscle Weakness/epidemiology , Phenotype , Risk Factors , Weight Loss
15.
Rev. bras. psiquiatr ; 38(2): 91-97, Apr.-June 2016. tab
Article in English | LILACS | ID: lil-784300

ABSTRACT

Objective: To assess the prevalence of common mental disorders (CMD) and the association of CMD with sociodemographic characteristics in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort. Methods: We analyzed data from the cross-sectional baseline assessment of the ELSA-Brasil, a cohort study of 15,105 civil servants from six Brazilian cities. The Clinical Interview Schedule-Revised (CIS-R) was used to investigate the presence of CMD, with a score ≥ 12 indicating a current CMD (last week). Specific diagnostic algorithms for each disorder were based on the ICD-10 diagnostic criteria. Prevalence ratios (PR) of the association between CMD and sociodemographic characteristics were estimated by Poisson regression. Results: CMD (CIS-R score ≥ 12) was found in 26.8% (95% confidence intervals [95%CI] 26.1-27.5). The highest burden occurred among women (PR 1.9; 95%CI 1.8-2.0), the youngest (PR 1.7; 95%CI 1.5-1.9), non-white individuals, and those without a university degree. The most frequent diagnostic category was anxiety disorders (16.2%), followed by depressive episodes (4.2%). Conclusion: The burden of CMD was high, particularly among the more socially vulnerable groups. These findings highlight the need to strengthen public policies aimed to address health inequities related to mental disorders.


Subject(s)
Humans , Male , Female , Adult , Aged , Anxiety Disorders/epidemiology , Sociological Factors , Mental Disorders/epidemiology , Sleep Wake Disorders/epidemiology , Brazil/epidemiology , Sex Factors , Prevalence , Cross-Sectional Studies , Age Distribution , Educational Status , Fatigue/epidemiology , Interview, Psychological , Middle Aged
16.
Rev. gaúch. enferm ; 36(2): 42-49, Apr-Jun/2015. graf
Article in English | LILACS, BDENF | ID: lil-752578

ABSTRACT

OBJECTIVE: To evaluate the work context, job satisfaction and suffering from the perspective of workers in primary health care. METHOD: This cross-sectional study was conducted with 242 employees of a municipality of Rio Grande do Sul, Brazil, from May to July 2012. The adopted instruments were the Work Context Assessment Scale (EACT) and the Job Satisfaction and Suffering Indicators Scale (EIPST). Research also included descriptive and inferential statistical analysis. RESULTS: Organization (91.3%) and work conditions (64%) received the worst scores in terms of context. The indicators of job satisfaction were related to professional achievement (55.8%), freedom of expression (62.4%) and recognition (59.9%). However, 64.5% presented professional exhaustion, which had an inverse association with age and years in the institution (p<0.05). CONCLUSION: The workers evaluated their work context as inappropriate and complained of exhaustion, although they claimed their work affords some satisfaction. .


OBJETIVO: Evaluar el contexto de trabajo y los indicadores de placer y el sufrimiento desde la perspectiva de los trabajadores de la atención primaria de salud. MÉTODO: Se trata de un estudio transversal que utilizó la Escala de Evaluación del Contexto Trabajo (EACT) y la Escala de Indicadores placer y el sufrimiento en el Trabajo (EIPST) con 242 trabajadores en una ciudad de Rio Grande do Sul, Brasil, mayo y julio 2012. El análisis estadístico fue descriptivo e inferencial. RESULTADOS: La organización (91,3 %) y las condiciones de trabajo (64%) tuvieron las peores evaluaciones en el EIPST. Indicadores de placer en el trabajo estaban relacionadas con la satisfacción laboral (55,8 %), la libertad de expresión (62.4%) y reconocimiento (59,9%), sin embargo, el 64,5 % presentaba agotamiento profesional, que obtuvo asociación negativa con la edad y el tiempo de trabajo (p< 0,05). CONCLUSIÓN: El trabajador evalúa su contexto de trabajo como no apropiado y está agotado, sin embargo tiene fuentes de placer en el trabajo. .


OBJETIVO: Avaliar o contexto de trabalho e os indicadores de prazer e sofrimento na perspectiva de trabalhadores da atenção básica em saúde. MÉTODO: Estudo transversal, que utilizou a Escala de Avaliação do Contexto de Trabalho (EACT) e a Escala de Indicadores de Prazer e Sofrimento no Trabalho (EIPST) com 242 trabalhadores de um município do Rio Grande do Sul, Brasil, de maio e julho de 2012. Fez-se análise estatística descritiva e inferencial. RESULTADOS: A organização (91,3%) e as condições de trabalho (64%) obtiveram as piores avaliações quanto ao contexto. Os indicadores de prazer no trabalho estiveram relacionados à realização profissional (55,8%), liberdade de expressão (62,4%) e reconhecimento (59,9%). Entretanto, 64,5% apresentaram esgotamento profissional, o qual obteve associação inversa com a idade e o tempo de trabalho (p<0,05). CONCLUSÃO: O trabalhador avalia seu contexto de trabalho como impróprio e encontra-se esgotado, contudo possui fontes de prazer no trabalho. .


Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult , Employment , Health Personnel/psychology , Job Satisfaction , Primary Health Care , Stress, Psychological , Achievement , Brazil , Burnout, Professional/epidemiology , Burnout, Professional/psychology , Community Health Services , Cross-Sectional Studies , Fatigue/epidemiology , Fatigue/etiology , Fatigue/psychology , Health Personnel/statistics & numerical data , Occupational Diseases/epidemiology , Occupational Diseases/etiology , Occupational Diseases/psychology , Personal Autonomy , Pleasure , Surveys and Questionnaires
17.
Rev. bras. ginecol. obstet ; 37(3): 119-126, 03/2015. tab
Article in English | LILACS | ID: lil-741856

ABSTRACT

PURPOSE: To assess fatigue and quality of life in disease-free breast cancer survivors in relation to a sample of age-matched women with no cancer history and to explore the relationship between fatigue and quality of life. METHODS: A cross-sectional study was conducted in a sample of 202 consecutive disease-free Brazilian breast cancer survivors, all of whom had completed treatment, treated at 2 large hospitals. The patients were compared to age-matched women with no cancer history attending a primary health care center. The Piper Fatigue Scale-Revised and the World Health Organization Quality of Life Instrument (WHOQOL-BREF) were used to measure the fatigue and quality of life, respectively. Socio-demographic and clinical variables were also obtained. The χ2 test, generalized linear model, and Spearman correlation coefficient were used for statistical purposes. The adopted level of significance was 5%. RESULTS: Breast cancer survivors experienced significantly greater total and subscale fatigue scores than comparison group (all p-values<0.05). In addition, survivors reported a poorer quality of life in physical (p=0.002), psychological (p=0.03), and social relationships (p=0.03) domains than comparison group. No difference was found for the environmental domain (p=0.08) for both groups. For survivors of breast cancer and for comparison group, the total and subscale fatigue scores were related to lower quality of life (all p-values<0.01). CONCLUSION: The findings of this study highlight the importance of assessing fatigue and quality of life in breast cancer survivors. .


OBJETIVO: Avaliar a fadiga e a qualidade de vida de sobreviventes de câncer de mama, livres da doença, em relação a uma amostra de mulheres da mesma idade, sem histórico de câncer, e explorar a relação entre fadiga e qualidade de vida. MÉTODOS: Estudo transversal realizado com uma amostra consecutiva de 202 pacientes brasileiras, sobreviventes de câncer de mama e livres da doença, que haviam completado o tratamento em 2 grandes hospitais. As pacientes foram comparadas com mulheres da mesma idade, sem história de câncer, acompanhadas em uma Unidade Básica de Saúde. A Escala de Fadiga de Piper-Revisada e o World Health Organization Quality of Life Instrument (WHOQOL-BREF) foram usados para avaliar a fadiga e a qualidade de vida, respectivamente. Dados sociodemográficos e clínicos também foram obtidos. O teste do χ2, modelo linear generalizado e coeficiente de correlação de Spearman foram utilizados para fins estatísticos. Foi adotado o nível de significância de 5%. RESULTADOS: As sobreviventes de câncer de mama apresentaram significativamente maiores escores de fadiga total e das subescalas do que o grupo controle (todos os valores de p<0,05). Além disso, as sobreviventes relataram pior qualidade de vida nos domínios físico (p=0,002), psicológico (p=0,03) e relações sociais (p=0,03) do que o grupo controle. Nenhuma diferença foi encontrada para o domínio ambiental (p=0,08) entre os 2 grupos. Para as sobreviventes de câncer de mama e para o grupo controle, os escores de fadiga total e das subescalas estavam relacionados à baixa qualidade de vida (todos os valores de p<0,01). CONCLUSÃO: Os resultados deste estudo destacam a importância de avaliar a fadiga e a qualidade de vida em pacientes sobreviventes de câncer de mama. .


Subject(s)
Humans , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Breast Neoplasms , Fatigue/epidemiology , Quality of Life , Breast Neoplasms/therapy , Cross-Sectional Studies , Self Report , Survivors
18.
Cad. saúde pública ; 31(3): 555-564, 03/2015. tab, graf
Article in Portuguese | LILACS | ID: lil-744839

ABSTRACT

O objetivo deste estudo foi investigar a estrutura latente da depressão em uma amostra não clínica de idosos, utilizando a análise taxométrica. Essa análise é uma família de procedimentos estatísticos concebidos para testar se um determinado construto é mais bem representado por categorias ou por dimensões nas quais os sujeitos variam. A amostra foi composta por 570 idosos, com média de idades de 71,90 anos (DP = 7,45), que responderam à Escala de Depressão Geriátrica, a um teste de rastreio cognitivo e a questões demográficas. Foram utilizados três procedimentos taxométricos: o Mean Above Minus Below a Cut (MAMBAC), o Maximum Eigenvalue (MAXEIG) e o Latent Model (L-Mode). Foram analisados conjuntos de dados categóricos e dimensionais simulados, assim como os índices de ajuste CCFI. Os resultados encontrados nas três técnicas apontaram para um melhor ajuste ao formato dimensional em detrimento do taxônico, ou seja, a depressão parece ser mais bem representada como uma síndrome, na qual os sujeitos estão distribuídos em um contínuo e não em uma entidade discreta de diagnóstico.


This study aimed to investigate the latent structure of depression with a non-clinical sample of elderly, using taxometric analysis. The latter consists of a family of statistical procedures conceived for testing whether a given psychological construct is best represented by categories or dimensions in which individuals vary. The sample consisted of 570 elderly with a mean age of 71.9 years (SD = 7.45), who answered the Brazilian version of the Geriatric Depression Scale, a cognitive test, and demographic questions. Three taxometric procedures were used: Mean Above Minus Below A Cut (MAMBAC), Maximum Eigenvalue (MAXEIG), and Latent Mode (L-mode). Sets of simulated categorical and dimensional data, along with the comparison curve fit indices (CCFI), oriented the study data's interpretation. The results with the three techniques pointed to a better fit with the dimensional format as opposed to the taxonic one, that is, depression represented better as a syndrome in which subjects are distributed along a continuum rather than as a discrete diagnostic entity.


Este estudio ha investigado la estructura latente de la depresión en una muestra de una clínica geriátrica, mediante un análisis taxométrico, que es una familia de procedimientos estadísticos diseñados para probar si un constructo es representado mejor por categorías o dimensiones en el que los sujetos varían. La muestra estuvo conformada por 570 ancianos, con una edad media de 71,90 años (DS = 7,45) que respondieron a la Escala de Depresión Geriátrica, una prueba de screening cognitivo y a cuestiones demográficas. Se utilizaron tres procedimientos taxométricos: Mean Above Minus Below a Cut (MAMBAC), Maximum Eigenvalue (MAXEIG) y Latent Mode (L-Mode). Se usaron conjuntos de datos simulados categóricos y dimensionales, así como los índices de ajuste CCFI (Comparison Curve Fit Index). Los resultados mostraron en las tres técnicas un mejor ajuste para el modelo dimensional, en detrimento de la solución taxónica. O sea, depresión parece estar mejor representada como un síndrome, donde los sujetos se distribuyen en un continuum, en lugar de como una entidad discreta de diagnóstico.


Subject(s)
Adult , Female , Humans , Male , Middle Aged , Leisure Activities , Occupational Diseases/epidemiology , Occupational Diseases/etiology , Sleep Initiation and Maintenance Disorders/epidemiology , Sleep Initiation and Maintenance Disorders/etiology , Work Schedule Tolerance , Cohort Studies , Cross-Sectional Studies , Fatigue/epidemiology , Fatigue/etiology , Health Surveys , London , Prospective Studies , Risk Factors , Statistics as Topic , Workload
19.
Salud pública Méx ; 57(supl.1): s62-s69, 2015. ilus, tab
Article in English | LILACS | ID: lil-751539

ABSTRACT

Objective. To describe the characteristics and prognosis of subjects classified as frail in a large sample of Mexican community-dwelling elderly. Materials and methods. An eleven-year longitudinal study of 5 644 old adults participating in the Mexican Health and Aging Study (MHAS). Frailty was defined by meeting at least three of the following criteria: weight loss, weakness, exhaustion, slow walking speed and low physical activity. The main outcomes were incident disability and death. Multiple covariates were used to test the prognostic value of frailty. Results. Thirty-seven percent of participants (n= 2 102) met the frailty criteria. Frail participants were significantly older, female, less educated, with more chronic disease, lower income, and poorer self-reported health status, in comparison with their non-frail counterparts. Frailty was a predictor both for disability activities of daily living and for mortality. Conclusion. After a follow-up of more than ten years, the phenotype of frailty was a predictor for adverse health-related outcomes, including ADL disability and death.


Objetivo. Describir las características y el pronóstico de una muestra representativa de ancianos de la comunidad clasificados como frágiles. Material y métodos. Estudio longitudinal de 11 años de seguimiento a 5 644 sujetos mayores de 60 años, participantes de la Encuesta Nacional sobre Salud y Envejecimiento en México (Enasem). Fragilidad se definió con, al menos, tres de los siguientes criterios: pérdida de peso, debilidad, extenuación, enlentecimiento de la marcha y baja actividad física. Los desenlaces de ésta fueron incidencia de discapacidad y muerte. Se construyeron modelos multivariados para probar el valor pronóstico de la fragilidad. Resultados. Del total de participantes, 37% reunió los criterios de fragilidad (n= 2 102). Estos, en comparación con los clasificados como no frágiles, fueron significativamente más ancianos y mujeres; asimismo tuvieron menor nivel educativo, más enfermedades crónicas, bajos ingresos y mala autopercepción de salud. La fragilidad fue un predictor de discapacidad para las actividades básicas de la vida diaria y mortalidad. Conclusión. El fenotipo de fragilidad fue un predictor de discapacidad y muerte después de un seguimiento de más de 10 años.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Activities of Daily Living , Frail Elderly/statistics & numerical data , Weight Loss , Health Status , Chronic Disease/epidemiology , Prospective Studies , Follow-Up Studies , Health Surveys , Mortality/trends , Muscle Weakness/epidemiology , Mobility Limitation , Fatigue/epidemiology , Income , Mexico/epidemiology
20.
Article in English | WPRIM | ID: wpr-198122

ABSTRACT

This study investigated gender differences in symptom profiles of major depressive disorder (MDD) in the Korean general population. Data were pooled from the series of nationwide Korean Epidemiologic Catchment Area surveys conducted in 2001, 2006 and 2011, respectively. Of the 18,807 participants, 507 (397 women and 110 men) were diagnosed with MDD within the prior 12 months. In agreement with previous studies, women with MDD appeared to be more vulnerable to experiencing atypical depressive episodes defined as depression with two or more symptoms of fatigue, increased appetite and hypersomnia (P < 0.001). In terms of individual symptoms, female gender was significantly related with higher prevalence of fatigue (P = 0.008), hypersomnia (P = 0.001), noticeable psychomotor retardation (P = 0.029) and suicidal attempts (P = 0.016) with adjustment for birth cohort effect, partner status, and employment status. In the same analysis, men with MDD appeared more vulnerable to decreased libido than women (P = 0.009). This is the first report to demonstrate gender differences in symptomatology of MDD in the general Korean population, and the results are comparable to previous investigations from western societies. Assumingly, the intercultural similarity in female preponderance to atypical depression might reflect the common biological construct underlying the gender difference in mechanism of MDD. In clinical settings, gender differences of MDD should be carefully considered, because these features could be related with treatment response and drug side effects.


Subject(s)
Adult , Aged , Aged, 80 and over , Depression/diagnosis , Depressive Disorder, Major/diagnosis , Employment/psychology , Fatigue/epidemiology , Female , Health Surveys , Humans , Male , Middle Aged , Prevalence , Reproducibility of Results , Republic of Korea/epidemiology , Risk Assessment , Sensitivity and Specificity , Sex Distribution , Sex Factors , Spouses/psychology , Symptom Assessment/statistics & numerical data , Young Adult
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