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1.
Cienc. enferm. (En línea) ; 26: 3, 2020. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1114712

ABSTRACT

Objetivo: Determinar a relação existente entre inteligência emocional e estresse académico dos estudantes de enfermagem. Material e Método: Estudo ex post facto, descritivo, transversal na Faculdade de Enfermagem de uma universidade peruana. De uma população de 320 estudantes de Enfermagem matriculados no semestre VII, foi obtida uma amostra não probabilística de 30 estudantes que foram informados e consentiram sua participação. Foram utilizados 2 instrumentos: Um preparado pelo Bar-On, validado para o Peru para medir Inteligência Emocional e o inventário SISCO para Estresse académico. Para medidas psicométricas foi usado o alfa de Cronbach, análise descritiva em tabelas de distribuição de frequências, medidas de tendência central e dispersão. Para encontrar uma associação entre Inteligência Emocional e Estresse acadêmico utilizou-se o Chi2 . O estudo foi aprovado pelo Comitê de Ética do Instituto de Pesquisa da Faculdade de Enfermagem. Resultados: Os estudantes têm pouca Inteligência emocional em relação às dimensões Intrapessoais e Adaptabilidade; a Inteligência interpessoal e as dimensões gerais do humor são as mais desenvolvidas. As cinco dimensões da Inteligência emocional estão relacionadas com episódios de estresse em estudantes que já apresentaram essa situação. Conclusões: Não foi encontrada associação entre as dimensões da Inteligência Emocional e o Estresse acadêmico em Estudantes de Enfermagem do semestre VII. É preciso trabalhar para melhorar a qualidade da educação durante o processo de formação profissional e considerar o aspecto emocional para desenvolver um processo abrangente de ensino-aprendizagem.


Objetivo: Determinar la relación que existe entre inteligencia emocional y estrés académico de los estudiantes de enfermería. Material y Método: Estudio ex post facto, descriptivo, transversal en una Facultad de Enfermería de una universidad peruana. De una población de 320 estudiantes de Enfermería, matriculados en VII semestre, se obtuvo una muestra no probabilística de 30 discentes que consintieron informadamente a participar. Se emplearon 2 instrumentos: Uno elaborado por Bar-On, validado en Perú para medir Inteligencia Emocional y el Inventario SISCO para Estrés académico. Para medidas psicométricas se empleó el alfa de Cronbach y análisis descriptivo en tablas de distribución de frecuencias, medidas de tendencia central y dispersión. Para buscar asociación entre Inteligencia emocional y Estrés académico se utilizó Chi-cuadrado (X2). El estudio fue aprobado por el Comité de Ética del Instituto de Investigación de la Facultad de Enfermería. Resultados: Los estudiantes poseen escaza inteligencia emocional en relación con las dimensiones Intrapersonal y Adaptabilidad; las dimensiones Inteligencia interpersonal y Estado de ánimo general son las más desarrolladas en ellos. Las cinco dimensiones de la Inteligencia emocional están relacionadas con episodios de estrés en estudiantes que alguna vez presentaron esta situación. Conclusiones: No se encontró asociación entre las dimensiones de la Inteligencia emocional y la frecuencia del Estrés académico en estudiantes de Enfermería del VII semestre. Es necesario trabajar por mejorar la calidad educativa durante el proceso de formación profesional y considerar el aspecto emocional para desarrollar un proceso enseñanza-aprendizaje integral.


Objective: To determine the relationship between emotional intelligence and academic stress among nursing students. Material and Method: Ex post facto, descriptive, cross-sectional study carried out in the Faculty of Nursing of a Peruvian University. A non-probabilistic sample of 30 students, who informedly consented to participate, was obtained from a population of 320 nursing students enrolled in the 7th semester. Two instruments were used: one prepared by Bar-On, validated for Peru to measure emotional intelligence and the SISCO Inventory for Academic Stress. For psychometric measurements, Cronbach's alpha, descriptive analysis in frequency distribution tables, central tendencies and dispersion measurements were used. To establish a relationship between emotional intelligence and academic stress, Chi-squared (X2) test was used. The study was approved by the Ethics Committee of the Research Institute of the Faculty of Nursing. Results: The students showed a lack of Emotional intelligence in relation to the Intrapersonal and Adaptability dimensions. The Interpersonal intelligence and general mood are the most developed. The five dimensions of Emotional intelligence are related to stress episodes of students who have been affected by this situation. Conclusions: There is no significant relationship between emotional intelligence and frequency of academic stress among nursing students in the 7th semester. Nevertheless, it is necessary to work in order to improve the educational quality during the process of professional training and to consider the emotional component to develop a comprehensive teaching and learning process.


Subject(s)
Humans , Stress, Psychological/epidemiology , Students, Nursing , Emotional Intelligence , Peru , Universities , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Compliance , Social Skills
2.
Rev. salud pública ; 21(2): 146-153, ene.-abr. 2019. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1094384

ABSTRACT

RESUMEN Objetivos a. Adaptar y validar el "Perfil de Estrés" para la población mexicana; b. Determinar la proporción de varianza que el instrumento es capaz de explicar de los datos originales a partir de un modelo factorial; c. Agrupar las variables en los factores en donde saturan con mayor claridad; d. Evaluar la validez de contenido del instrumento, y; e. Evaluar la consistencia interna del instrumento. Método La muestra de validación estuvo compuesta por 883 participantes, 58.3% mujeres y 41.7% hombres, con edades entre 15 y 76 años (M=21.40, DE=10.02). Para verificar la validez psicométrica de la escala se llevaron a cabo el procedimiento propuesto por Reyes-Lagunes y García-Barragán (2008), el cual consta de los siguientes pasos: a. Frecuencia incluyendo sesgo para la selección de reactivos; b. Discriminación de reactivos para grupos extremos con base en el cual se eliminarán los que no cumplen con el requisito; c. Confiabilidad interna, y; d. Validez. Resultados El "Perfil de Estrés" presenta características psicométricas adecuadas para la población mexicana (alfa de Cronbach de 0.65 a 0.93). Conclusión El "Perfil de estrés" fue adaptado y validado para la cultura mexicana. Se considera que se trata de un instrumento útil para estudios que se propongan evaluar los factores asociados con el estrés en general, incluyendo los hábitos de salud, los estilos de afrontamiento y bienestar psicológico.(AU)


ABSTRACT Objectives This work sees to a) adapt and validate the "Stress profile" for the Mexican population, b) determine the proportion of variance that the instrument is able to explain based on the original data of a factorial model, c) group the variables into factors where they saturate most clearly, d) evaluate the validity of the content of the instrument, and e) evaluate the internal consistency of the instrument. Methods The validation sample consisted of 883 participants, 58.3% women and 41.7% men, aged between 15 and 76 years (M=21.40, SD=10.02). To verify the psychometric validity of the scale, the procedure proposed by Reyes-Lagunes and García-Barragán (2008) was used. It consists of the following steps: a) frequency, including bias for the selection of reagents; b) discrimination of reagents for extreme groups, having in mind that those that do not comply with the requirement will be eliminated; c) internal reliability; and d) validity. Results The "Stress Profile" has adequate psychometric characteristics for the Mexican population (Cronbach's alpha of 0.65 to 0.93). Conclusion The "Stress Profile" was adapted and validated for the Mexican population. This is a useful tool for studies that aim to evaluate the factors associated with stress in general, including health habits, coping styles and psychological well-being.(AU)


Subject(s)
Humans , Social Support , Stress, Physiological , Stress, Psychological/epidemiology , Adaptation, Psychological , Students , Epidemiology, Descriptive , Mexico
3.
Rev. pesqui. cuid. fundam. (Online) ; 10(3): 889-899, jul.-set. 2018. tab
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-906851

ABSTRACT

Objective: The chronic work-related stress can lead to Burnout syndrome development. Nurses working in nephrology are also predisposed to the occurrence of stress and Burnout. Objectives: The study's goal has been to identify the scientific production related to Burnout and stress in nephrology nursing workers; and also, discussing the risk factors with regards to Burnout and stress in nephrology nursing. Methods: This is an integrative review. The sampling was composed by 5,253 articles, which after refinement gave 13 complete articles. Results: From those 13 articles, 8 presented high levels of stress and/or Burnout among nurses in the hemodialysis sector, and 5 indicated that Burnout was either below the average of the origin countries or compared to other health care sectors. Conclusion: Given the results, it is expected to amplify the scientific vision toward the issues of stress and Burnout syndrome in nursing professionals working in nephrology by identifying the factors that may influence the health care


Objetivo: O estresse ocupacional crônico pode ocasionar o desenvolvimento da síndrome de Burnout. Enfermeiros atuantes na nefrologia também estão predispostos à ocorrência do estresse e Burnout. Objetivos: Identificar a produção científica relacionada à Burnout e estresse em trabalhadores de enfermagem da nefrologia; discutir os fatores de risco e os fatores relacionados ao Burnout e ao estresse em trabalhadores de enfermagem que atuam na nefrologia. Método: Trata-se de uma revisão integrativa. A amostra foi composta por 5253 artigos e após refinamento, foram obtidos 13 artigos completos. Resultados: Deste número, oito apresentaram altos níveis de estresse e/ou Burnout entre enfermeiros da hemodiálise e cinco apontaram o Burnout abaixo da média dos países de origem ou comparados a outros setores de cuidado em saúde. Conclusão: Com este resultado, espera-se ampliar a visão sobre o estresse e Burnout em enfermeiros que atuam em nefrologia identificando os fatores que podem influenciar na assistência


Objetivo: Estrés laboral crónico puede conducir al desarrollo del síndrome de quemarse pelo trabajo. Las enfermeras que trabajan en nefrología también están predispuestas a la aparición de estrés y agotamiento. Metas: Identificar la producción científica relacionada con el agotamiento y el estrés en los trabajadores de enfermería de nefrología; analizar los factores de riesgo y los factores relacionados con el agotamiento y el estrés en los trabajadores de enfermería que trabajan en nefrología. Método: Se trata de una revisión integradora. La muestra fue de 5253 artículos y después de refinamiento se obtuvieron 13 artículos completos. Resultados: De estos ocho presentada altos niveles de estrés y / o agotamiento en cinco enfermeras de hemodiálisis y el desgaste en punta por debajo de la media de los países de origen o en comparación con otros sectores. Conclusión: Con este resultado, esperamos visión más amplia del estrés y el agotamiento de las enfermeras que trabajan en nefrología identificar los factores que pueden influir en la asistencia


Subject(s)
Burnout, Professional/epidemiology , Nephrology Nursing/statistics & numerical data , Nurses/statistics & numerical data , Stress, Psychological/epidemiology , Occupational Health , Working Conditions
4.
Arch. argent. pediatr ; 116(2): 234-240, abr. 2018. tab
Article in English, Spanish | LILACS (Americas), BINACIS | ID: biblio-887465

ABSTRACT

Introducción. Los adolescentes asmáticos se enfrentan a problemas propios de la etapa a los que se añaden asumir el control de su enfermedad, el cumplimiento de un tratamiento diario y de los controles médicos periódicos. El posible rechazo que esto genere puede conducir a la no adherencia terapéutica y al mal control del asma, lo que ocasiona problemas en la dinámica familiar, agravados por el estrés o el malestar emocional que esta situación provoca en los cuidadores. Objetivo. Identificar perfiles de adaptación y detectar predictores de riesgo para el bienestar emocional de los cuidadores de pacientes pediátricos con asma bronquial. Material y métodos. 79 cuidadores familiares de pacientes pediátricos con asma bronquial. Se utilizan instrumentos para evaluar la clínica psicológica emocional (Hospital Anxiety and Depression, HADS) y el nivel de estrés percibido asociado al cuidado médico de un paciente pediátrico (Pediatric Inventory for Parents, PIP). Se analiza el papel de las variables médicas del paciente y las psicológicas del cuidador familiar relativas a su malestar emocional y estrés. Resultados. 34,8% de los cuidadores presenta sintomatología ansiosa y estrés percibido moderado. La sintomatología emocional se relaciona positiva y significativamente con el nivel de estrés. Los modelos que mejor predicen el malestar emocional de los cuidadores (4050% de varianza explicada) incluyen como predictores indicadores de estrés, tiempo desde el diagnóstico y carga terapéutica del paciente. Conclusiones. La presencia de estrés derivado del cuidado, el tiempo de exposición y la carga de los tratamientos asociados a la enfermedad se identificaron como los principales predictores de riesgos para el bienestar del cuidador.


Introduction. Adolescents with asthma face problems inherent to this stage in their development, to which the challenges of taking over control of their disease, complying with a daily treatment and regular medical followup are added. Any rejection generated by this may lead to treatment non-adherence and poor asthma control, which brings about problems in family dynamics, made worse by the stress or the emotional distress that this situation causes in caregivers. Objective. Identify adjustment profiles and predictors of risk for the well-being of caregivers of pediatric patients with bronchial asthma. Material and methods. Seventy-nine family caregivers of pediatric patients with bronchial asthma. Instruments were used to assess the emotional status (Hospital Anxiety and DepressionScale, HADS) and the perceived level of stress associated with medical care of a pediatric patient (Pediatric Inventory for Parents, PIP). We analyzed the patient's medical outcome measures and the family caregiver's psychological outcome measures regarding their emotional distress and stress. Results. Of all caregivers studied, 34.8% exhibit anxiety symptomatology and moderate perceived stress. Emotional symptomatology correlates positively and significantly with the stress level. The models that best predict emotional distress of caregivers (40-50% of explained variance) include time since diagnosis and patient's treatment burden as stress indicators. Conclusions. The presence of stress resulting from care, time of exposure and burden of treatments associated with the disease are identified as the main predictors of risk for the well-being of caregivers.


Subject(s)
Humans , Child , Adolescent , Adult , Middle Aged , Asthma , Stress, Psychological/etiology , Stress, Psychological/epidemiology , Family Health , Caregivers/psychology , Emotions , Cross-Sectional Studies , Risk Assessment
5.
Rev. chil. cir ; 70(2): 117-126, 2018. tab, graf
Article in Spanish | LILACS (Americas) | ID: biblio-959359

ABSTRACT

Resumen Objetivo: Evaluar el grado de Síndrome de Burnout en el quehacer de los médicos del Servicio de Cirugía Hospital Hernán Henríquez Aravena y Departamento de Cirugía de la Universidad de La Frontera, Temuco, Chile, valorando los niveles de agotamiento emocional, realización personal y despersonalización. Material y Método: Estudio de corte transversal. Se incluyeron 19 internos de medicina, 11 residentes de cirugía y 15 cirujanos pertenecientes al Servicio de Cirugía del Hospital Hernán Henríquez Aravena y Departamento de Cirugía de la Universidad de La Frontera. Instrumento aplicado: cuestionario MBI. Se realizó cálculo de medidas de tendencia central y porcentaje, así como comparación de variables a través de t de Student y valores de coeficientes de alfa de Cronbach. Resultados: Respecto a la escala de MBI, la prevalencia global del síndrome fue del 64,4%, mientras que, por dimensiones, el cansancio emocional mostró una prevalencia del 76%; la baja realización personal en el trabajo, el 55%, y la despersonalización el 62%. Se obtuvo diferencias estadísticamente significativas en cansancio emocional y despersonalización según variables sociodemográficas: hombres y mujeres, solteros y casados, sujetos sin hijos y con hijos, si hace o no turnos de urgencia, obteniendo niveles más altos en las mujeres, en solteros, en sujetos sin hijos y los que hacen turnos de urgencia. Conclusión: Se acepta que el factor central desencadenante es el excesivo agotamiento emocional que gradualmente lleva a un estado de distanciamiento emocional y cognitivo en sus actividades diarias, con la consecuente incapacidad de responder a las demandas del servicio. En este distanciamiento ocurre una despersonalización, indiferencia, y actitudes vinculadas al sarcasmo y la ironía hacia las responsabilidades o hacia las personas, una tendencia de no creer en la sinceridad del ser humano. Por tanto se deben tomar medidas para intentar reducir la prevalencia de este síndrome, principalmente en nuestros internos y residentes.


Aim: To assess the degree of emotional exhaustion, personal accomplishment and depersonalization in the work of physicians of the Hospital Hernán Henríquez Aravena surgery service and department of surgery of the Universidad de La Frontera, Temuco, Chile. Material and Method: Cross-sectional study. 19 medical interns, 11 surgical residents and 15 surgeons of Hernán Henríquez Aravena Hospital and surgery department of Universidad de La Frontera were included. Applied instrument: MBI questionnaire in its adaptation of the Spanish population. Calculation of measures of central tendency and percentage, as well as comparison of variables through t Student and values of Cronbach's alpha coefficients were performed. Results: Regarding the MBI scale, the overall prevalence of the syndrome was 64.4%, whereas, by dimensions, emotional exhaustion showed a prevalence of 76%; Low personal accomplishment at work, 55%, and depersonalization 62%. Statistically significant differences were found in emotional exhaustion and depersonalization according to socio-demographic variables: men and women, single and married, subjects without children and with children, whether or not they take emergency room shifts, obtaining higher levels in women, unmarried, subjects without children and those who take emergency shifts. Conclusions: It is accepted that the central triggering factor is the high emotional exhaustion that gradually leads to a state of emotional and cognitive distancing in their daily activities, with the consequent inability to respond to demands of the service. In this distancing occurs depersonalization, indifference and cynical attitudes toward responsibilities or towards people. Therefore, measures should be taken to try to reduce the prevalence of this syndrome in our medical interns and residents, mainly.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Physicians/psychology , Surgery Department, Hospital , Burnout, Professional/epidemiology , Stress, Psychological/epidemiology , Chile , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Shift Work Schedule , Hospitals, Teaching , Internship and Residency , Medical Staff, Hospital/psychology
6.
Rev. paul. pediatr ; 35(3): 316-321, jul.-set. 2017. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-902861

ABSTRACT

RESUMO Objetivo: Verificar a prevalência de má qualidade de sono e sua associação com características pessoais e sintomas de depressão, ansiedade e estresse em adolescentes atletas amadores. Métodos: Foram avaliados 309 adolescentes atletas, entre 10 e 19 anos. Para a coleta de dados foram utilizados: questionário estruturado, contendo informações pessoais; Índice de Qualidade do Sono de Pittsburgh (PSQI); e Escala de Ansiedade, Depressão e Stress de 21 itens (EADS-21). Na análise descritiva foram calculados a média e o desvio padrão das variáveis numéricas e as frequências absolutas e relativas das variáveis categóricas. Para a análise inferencial foram realizados teste t de Student e teste do qui-quadrado, além de regressão de Poisson, sendo calculadas as razões de prevalência (RP) em um intervalo de confiança de 95% (IC95%). Resultados: A média de idade dos participantes foi de 14,1±2,1, sendo 13,8±2,0 para o grupo de adolescentes com boa qualidade do sono e 15,0±2,1 para o grupo com má qualidade do sono. A má qualidade do sono foi registrada em 28,2% (n=87), a depressão, em 26,9% (n=83) e a ansiedade/estresse, em 40,1% (n=124) da amostra. A má qualidade do sono se associou à faixa etária de 15 a 19 anos (RP 1,24; IC95% 1,14-1,37), a adolescentes com sobrepeso (RP 1,12; IC95% 1,01-1,24) e com sintomas de depressão (RP 1,23; IC95% 1,08-1,40) e de ansiedade/estresse (RP 1,16; IC95% 1,04-1,28). Conclusões: A presença de sobrepeso e sintomas psicológicos, bem como a idade superior a 15 anos, se mostraram fatores de risco para aumentar a chance da má qualidade do sono em adolescentes atletas.


ABSTRACT Objective: To verify the prevalence of poor sleep quality and its association with personal characteristics and symptoms of depression, anxiety and stress in amateur adolescent athletes. Methods: 309 adolescent athletes aged between 10 and 19 years were enrolled. Data collection included: a structured questionnaire, with personal information; the Pittsburgh Sleep Quality Index (PSQI); and the Depression, Anxiety and Stress Scale (DASS-21). Results are described in mean and standard deviation (numeric variables) and absolute and relative frequencies (categorical variables). For the inferential analysis, Student's t-test and chi-square test were performed, in addition to Poisson regression. Prevalence ratios (PR) were calculated in a 95% confidence interval (95%CI). Results: The mean age of participants was 14.1±2.1, being 13.8±2.0 and 15.0±2.1, respectively, for those with good and poor sleep quality. Poor sleep quality was recorded in 28.2% (n=87), depression in 26.9% (n=83) and anxiety/stress in 40.1% (n=124). Poor sleep quality was associated with ages between 15 and 19 years (PR 1.24; 95%CI 1.14-1.37), overweight (PR 1.12; 95%CI 1.01-1.24) and psychological symptoms of depression (PR 1.23; 95%CI 1.08-1.40) and anxiety/stress (PR 1.16; 95%CI 1.04-1.28). Conclusions: The presence of overweight and psychological symptoms and the age over 15 years were risk factors for increasing the likelihood of poor sleep quality in adolescent athletes.


Subject(s)
Humans , Male , Female , Child , Adolescent , Young Adult , Anxiety/epidemiology , Sleep Wake Disorders/epidemiology , Sports/psychology , Stress, Psychological/epidemiology , Depression/epidemiology , Cross-Sectional Studies
7.
Educ. med. super ; 31(3): 110-123, jul.-set. 2017. graf
Article in Spanish | LILACS (Americas) | ID: biblio-953091

ABSTRACT

Introducción: los profesionales de la salud están expuestos a situaciones estresantes, las cuales generan importantes consecuencias negativas para la salud; incluso durante el periodo de formación. El adecuado afrontamiento de las situaciones que generan estrés durante las prácticas puede dificultar el aprendizaje y el futuro desarrollo profesional.Objetivos: evaluar el nivel de estrés en estudiantes de enfermería durante el período de formación práctica, su significación y su posible relación con el año académico cursado. Métodos: los instrumentos de medida utilizados fueron la escala de estrés percibido (PSS-14) y el cuestionario KEZKAK que mide los estresores en las prácticas clínicas. De los 744 estudiantes matriculados, se recogió una muestra compuesta por 289 estudiantes (39 porciento) pertenecientes al área de enfermería de la Universidad Alfonso X el Sabio (Madrid-España) en el periodo de los 3 cursos de formación de dicha disciplina. La media de edad de los alumnos evaluados fue de 21 años. Resultados: a lo largo de todos los cursos las mujeres sufren más estrés que los hombres. El segundo curso en el que se produce una mayor percepción de estrés. En cuanto a las situaciones que producen mayor nivel de estrés, se describen algunos componentes significativos: "Estrés por competencia profesional"," Estrés por interacción con el paciente"," Estrés por confrontación con el sufrimiento" y" Estrés por relación profesional". Conclusión: el nivel de estrés se relaciona con el año académico cursado(AU)


Introduction: Health professionals are exposed to stressful situations, which produce important negative consequences for their health, even during the training period. The appropriate way they cope with the situations that produce stress during the practices can make learning and future professional development difficult. Objective: To evaluate the level of stress in Nursing students during the period of their practical training, its significance and its possible relation with the academic year in course. Methods: The measurement instruments used were the perceived stress scale (PSS-14) and the KEZKAK questionnaire that measures stressors in clinical practice. Out of the 744 students enrolled, a sample of 289 students (39 percent) belonging to the Nursing area of ​​the Alfonso X el Sabio University (Madrid-Spain) was chosen during the three training courses of this discipline. The mean age of the students evaluated was 21 years. Results: Throughout the academic years, women suffer more stress than men. The second year is the one in which there is a greater perception of stress. As for the situations that produce a greater level of stress, some significant components are described: stress by professional competence, stress by interaction with the patient, stress by confrontation with suffering, and stress by professional relation. Conclusion: the level of stress is related to the academic year in course(AU)


Subject(s)
Humans , Stress, Psychological/epidemiology , Students, Nursing
8.
Ciênc. saúde coletiva ; 22(5): 1589-1600, maio 2017. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-839985

ABSTRACT

Resumo Estressores do trabalho afetam a capacidade para o trabalho (CT) e o aumento da idade associa-se ao envelhecimento funcional. Foi avaliado se diferentes estressores afetam a CT de profissionais de enfermagem jovens e em envelhecimento. Uma coorte (2009-2011) de 304 trabalhadores de um hospital de São Paulo respondeu aos questionários Desequilíbrio Esforço-Recompensa (ERI), Escala Estresse no Trabalho (EET), Atividades que contribuem para dor/lesão (WRAPI) e Índice de Capacidade para o Trabalho (ICT). Mudanças na exposição aos estressores nos grupos etários (< 45 anos e ≥ 45anos) foram comparadas ao delta-ICT (diferença na pontuação inicial e final) pelo teste Mann-Whitney. Houve piora no delta-ICT (p = 0,609), sem diferença entre os dois grupos etários. Nos jovens a intensificação dos estressores ERI (p = 0,004), excesso de comprometimento (p = 0,002), apoio social (p = 0,014) e WRAPI (p = 0,004) associou-se à diminuição da CT e nos mais velhos apenas o ERI (p = 0,047). A CT dos jovens sofreu efeito da intensificação de vários estressores, enquanto a CT dos mais velhos recebeu influência apenas do desequilíbrio esforço-recompensa, indicando que ações de intervenção devem ser diferenciadas para os grupos etários.


Abstract Work stressors influence work ability – WA - and increasing age is associated with functional aging. We sought to establish whether work stressors differentially influence WA in young and aging nursing professionals. A cohort (2009-2011) composed of 304 workers at a hospital in Sao Paulo responded questionnaires Effort-Reward Imbalance (ERI), Job Stress Scale (JSS), Work-Related Activities That May Contribute To Job-Related Pain and/or Injury (WRAPI) and Work Ability Index (WAI). Changes in perceived exposure to stressors in each age group (< 45 and ≥ 45 years old) were compared to delta-WAI (difference between initial and final WAI score) by means of the Mann-Whitney test. There was a worsening in WAI (p = 0.609) without difference between the groups. WA impairment was associated with intensification of stressors ERI (p = 0.004), overcommitment (p = 0.002), social support (p = 0.014) and WRAPI (p = 0.004) among the younger workers, but with poorer ERI (p = 0.047) only among the older ones. While among the younger workers WA was influenced by the intensification of various stressors, in the case of the older ones it was influenced by effort-reward imbalance only, indicating that interventions should be differentiated according to age groups.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Nursing Staff, Hospital/psychology , Occupational Diseases/epidemiology , Reward , Stress, Psychological/epidemiology , Age Factors , Cohort Studies , Follow-Up Studies , Occupational Diseases/psychology , Social Support , Statistics, Nonparametric , Surveys and Questionnaires , Workload
9.
Clinics ; 72(4): 224-230, Apr. 2017. tab, graf
Article in English | LILACS (Americas) | ID: biblio-840067

ABSTRACT

OBJECTIVE: Insulin resistance is characterized by the failure of target cells to respond to normal levels of circulating insulin, and this condition is related to cardiovascular disease. This study sought to evaluate the prevalence of insulin resistance and its association with markers of metabolic abnormalities and metabolic syndrome in bank employees. METHODS: A cross-sectional study was performed on 498 working men and women aged ≥20 years old. The Homeostasis Model Assessment (HOMA-IR) was used to determine the presence of insulin resistance based on cut-off values of ≤2.71 for normal insulin levels and >2.71 for insulin resistance, as established for the adult Brazilian population. RESULTS: It was observed that the 52 (10.4%) overweight individuals with insulin resistance were 4.97 times (95%CI 1.31-18.83) more likely to have high HOMA-IR values than the normal-weight participants; among those who were obese, the likelihood increased to 17.87 (95%CI 4.36-73.21). Individuals with large waist circumferences were 3.27 times (95%CI 1.03-10.38) more likely to develop insulin resistance than those who were within normal parameters. The HOMA-IR values differed between subjects with and without metabolic syndrome, with values of 2.83±2.5 and 1.10±0.81 (p=0.001), respectively. The levels of insulin, ultrasensitive C-reactive protein and uric acid were also associated with insulin resistance. CONCLUSION: The prevalence of insulin resistance among bank employees is high, and insulin resistance is associated with and serves as a marker of metabolic syndrome. Cardiovascular disease and metabolic syndrome-associated metabolic abnormalities were observed, and insulin resistance may be a risk factor in this group of professionals.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Young Adult , Insulin Resistance , Metabolic Syndrome/epidemiology , Occupational Diseases/epidemiology , Occupations , Blood Pressure , Brazil/epidemiology , C-Reactive Protein/analysis , Cross-Sectional Studies , Insulin/blood , Metabolic Syndrome/blood , Occupational Diseases/blood , Overweight/blood , Prevalence , Risk Factors , Stress, Psychological/blood , Stress, Psychological/epidemiology , Uric Acid/blood , Waist Circumference
10.
Medisan ; 21(4)abr. 2017. tab
Article in Spanish | LILACS (Americas) | ID: biblio-841687

ABSTRACT

Se realizó un estudio descriptivo y transversal de 236 estudiantes desaprobados en la asignatura Morfofisiología III de primer año de medicina, pertenecientes a la Facultad de Ciencias Médicas No 2 de Santiago de Cuba, desde enero hasta mayo del 2016, con el propósito de determinar algunos aspectos psicosociales asociados al bajo rendimiento académico en dichos alumnos. Se aplicó una encuesta, la escala de estrés de Holmes y Rahe, los inventarios de ansiedad rasgo-estado y depresión de Beck. También se tuvieron en cuenta las notas de las evaluaciones frecuentes y parciales, el examen final integrador teórico y práctico, así como la trayectoria del estudiante en la asignatura. En la serie predominaron los estilos de vida inadecuados, el divorcio, la desmotivación y los altos niveles de estrés


A descriptive and cross-sectional study of 236 students who did not pass the test in the matter Morphophysiolgy III in the first year of Medicine career was carried out. They belonged to the Medical Sciences Faculty 2 in Santiago de Cuba, from January to May, 2016, with the purpose of determining some psychosocial aspects associated with the poor performance of these students. A survey, Holmes and Rahe stress scale, the anxiety feature-state and Beck depression stockchecks were carried out. The frequent and partial evaluation marks, the theoretical and practical integrating final exam as well as the experience of the student in the matter were taken into account. In the series there was a prevalence of inadequate life styles, divorce, lack of motivation and high levels of stress


Subject(s)
Humans , Male , Female , Adolescent , Adult , Stress, Psychological/epidemiology , Students, Medical , Underachievement , Education, Medical, Undergraduate , Academic Performance , Epidemiologic Factors , Cross-Sectional Studies , Life Change Events
11.
Journal of Epidemiology and Global Health. 2017; 7 (3): 169-174
in English | IMEMR (Eastern Mediterranean) | ID: emr-188641

ABSTRACT

Introduction: Medical students tend to reduce their sleep, in an effort to adjust and cope with their work-load and stressful environment. This study estimated the prevalence of and the relationship between poor sleep quality and stress among medical students


Methods: This cross-sectional study was conducted using a stratified random sample of male and female medical students in King Saud bin Abdulaziz University for Health Sciences in Riyadh, Saudi Arabia. A self-administered questionnaire was distributed to assess sleep quality using the Pittsburgh Sleep Quality Index, and the stress level by using the Kessler Psychological Distress Scale. Results: A high prevalence of poor sleep quality [76%] and stress [53%] were found, with a statistically significant association [p < 0.001]. Logistic regression indicated that students who are not suffering from stress are less likely to have poor sleep quality [OR = 0.28, p < 0.001], and the risk of having poor sleep quality is almost four times higher in students whose cumulative grade point average [GPA] is less than 4.25 [OR = 3.83, p = 0.01]


Conclusion: The study documents a statistically significant association between stress and poor sleep quality. A recommendation for the management of medical college is to establish academic counseling centers focusing in promoting good sleep hygiene and strengthening students' study skills and coping with their stressful environment


Subject(s)
Humans , Female , Male , Adolescent , Young Adult , Stress, Psychological/epidemiology , Sleep , Prevalence , Cross-Sectional Studies , Counseling , Psychiatric Status Rating Scales , Surveys and Questionnaires
12.
Rev. chil. neuro-psiquiatr ; 54(4): 272-281, dic. 2016. ilus, graf, tab
Article in Spanish | LILACS (Americas) | ID: biblio-844466

ABSTRACT

Introduction: The quality of sleep refers to the fact that we sleep well at night and daytime functioning. Thus, influences health and quality of life. Sleep loss is one of the most striking problem of modern society especially in medical students. This is related to the constant academic demands causing mental health problems and high levels of stress. Methods: A cross-sectional study. We evaluated 1,040 medical students in 8 universities of Peru from the first to the sixth year of study. Of these, 892 surveys were used. Mental health were evaluated according to the scale of Depression, Anxiety and Stress (DASS-21) and "poor sleepers" students were established with a score > 5 according to the Pittsburgh Sleep Quality Index (PSQI). Results: It was found that 693 (77.69%) students were poor sleepers. About mental health was found that 290 (32.51%) suffered from depression, 472 (52.91%) of anxiety and 309 (34.64%) stress. A significant association (p < 0.05) was found between poor sleep quality and female sex (OR = 1.13, CI = 1.05 to 1.21); depression (OR = 1.23, CI = 1,15-1,31); anxiety (OR = 1.32, CI = 1.23 to 1.43); and stress (OR = 1.26, CI = 1.19 to 1.35). Conclusion: We observed a high frequency of poor sleepers in medical students from eight universities of Peru. The poor quality of sleep was associated with anxiety, depression and stress in students of second and third year, respectively.


Introducción: La calidad de sueño nos hace referencia al hecho de dormir bien durante la noche y el rendimiento diurno. De esa forma, influye en salud y la buena calidad de vida. La pérdida de sueño es uno de los problemas de la sociedad moderna más llamativos especialmente en estudiantes de medicina humana. Esto se relaciona a la constante y creciente exigencia académica ocasionando problemas de salud mental y altos niveles de estrés. Métodos: Estudio transversal analítico. Se evaluaron 1.040 estudiantes de medicina humana obtenidos en forma equitativa de 8 universidades del Perú desde el primer al sexto año de estudios. De ellos, se usaron 892 encuestas. Se evaluó la salud mental según la escala de Depresión, Ansiedad y Estrés (DASS-21) y se estableció a los estudiantes "malos dormidores" como aquellos con una puntuación > 5 según el índice de calidad de sueño de Pittsburgh (ICSP). Resultados: Se encontró que 693 (77,69%) alumnos fueron malos dormidores. Con respecto a la salud mental se halló que 290 (32,51%) sufrían de depresión, 472 (52,91%) de ansiedad y 309 (34,64%) de estrés. Se halló asociación significativa (p < 0,05) entre la mala calidad de sueño y el sexo femenino (RP = 1,13; IC = 1,051,21); depresión (RP = 1,23; IC = 1,15-1,31); ansiedad (RP = 1,32; IC = 1,23-1,43); y estrés (RP = 1,26; IC = 1,19-1,35). Conclusión: Se observa una frecuencia elevada de malos dormidores en estudiantes de medicina de ocho universidades del Perú. La mala calidad de sueño se asoció con la ansiedad, depresión y estrés en los estudiantes de segundo y tercer año, respectivamente.


Subject(s)
Humans , Male , Female , Young Adult , Anxiety , Depression/epidemiology , Sleep , Stress, Psychological/epidemiology , Students, Medical/psychology , Cross-Sectional Studies , Mental Health , Multivariate Analysis , Peru/epidemiology , Sex Factors , Surveys and Questionnaires
13.
J. oral res. (Impresa) ; 5(8): 320-327, Dec. 2016. tab, graf
Article in English | LILACS (Americas) | ID: biblio-907696

ABSTRACT

Abstract: Objective: dental students are particularly affected by stress, which can lead to ‘burnout syndrome’ by association with other psychological factors. The aim of this study was to analyse the effect of perceived stress, coping strategies, and vocational satisfaction on the severity of burnout in Chilean dental students in the clinical years. Method: The study population was comprised of clinical dental students of five Chilean dental schools. The following variables were considered: age, gender, year of study, burnout, coping strategies, perceived stress, and vocational satisfaction. Statistical analysis included descriptive measures, correlation tests, and stepwise multiple regression analysis. Results: The final sample included 244 students. Three (1.23 percent) students did not have burnout in any of its factors and 38 (15.57 percent) had severe levels in all three factors. There was a statistically significant greater ‘emotional exhaustion’ in 4th year students. There was a statistically significant correlation of the three factors of burnout with ‘social withdrawal’ coping strategy, high levels of perceived stress, and low levels of present and future vocational satisfaction. Conclusion: Most students presented moderate and high levels of burnout. This situation is associated with dysfunctional coping strategies, high levels of perceived stress, and low levels of present and future vocational satisfaction.


Resumen: Objetivo: los estudiantes de odontología se ven particularmente afectados por el estrés, que puede conducir al síndrome de burnout por asociación con otros factores psicológicos. El objetivo de este estudio fue analizar el efecto del estrés percibido, las estrategias de afrontamiento y la satisfacción vocacional en la severidad del burnout en los estudiantes de odontología chilenos en los años clínicos. Método: La población estudiada estaba compuesta por estudiantes de odontología en etapa clínica de cinco escuelas dentales chilenas. Se consideraron las siguientes variables: edad, sexo, año de estudio, burnout, estrategias de afrontamiento, estrés percibido y satisfacción vocacional. El análisis estadístico incluyó estadísticas descriptivas, pruebas de correlación y análisis de regresión múltiple. Resultados: La muestra final incluyó a 244 estudiantes. Tres (1.23 por ciento) estudiantes no presentaron burnout en ninguno de sus factores y 38 (15.57 por ciento) tuvieron niveles severos en los tres factores. Hubo un mayor "agotamiento emocional" estadísticamente significativo en los estudiantes de cuarto año. Hubo una correlación estadísticamente significativa de los tres factores de burnout con la estrategia de "retirada social", altos niveles de percepción de estrés y bajos niveles de satisfacción vocacional presente y futura. Conclusión: La mayoría de los estudiantes presentaron niveles moderados y altos de burnout. Esta situación se asocia con estrategias de afrontamiento disfuncionales, altos niveles de estrés percibido y bajos niveles de satisfacción vocacional presente y futura.


Subject(s)
Male , Female , Humans , Adult , Young Adult , Burnout, Professional/epidemiology , Stress, Psychological/epidemiology , Students, Dental/psychology , Adaptation, Psychological , Burnout, Professional/psychology , Chile , Logistic Models , Mental Health , Personal Satisfaction , Sex Factors , Stress, Psychological/psychology
14.
Ciênc. saúde coletiva ; 21(11): 3499-3508, Nov. 2016. tab
Article in English | LILACS (Americas) | ID: biblio-828479

ABSTRACT

Abstract Exposure to high levels of cortisol and self-reported stress, as well as cognitive reserve, have been linked to Alzheimer’s disease pathology. However, there are no studies on the interaction of these variables. The present study aims to assess the associations of measures of cortisol, self-reported stress, and cognitive reserve with neuropsychological performance in healthy elderly people; besides, to test the interactions between these variables. Cross-sectional analyzes were conducted using data on stress, cognitive reserve and clinical conditions in 145 healthy elderly adults. A neuropsychological battery was used to assess executive functions, verbal memory and processing speed. Measurement of salivary cortisol at the circadian nadir was taken. A negative association between different stress measures and performance on tasks of memory, executive functions and processing speed was observed. Elderly people with higher cognitive reserve showed superior performance on all neuropsychological measures. No significant interaction between stress and cognitive reserve to neuropsychological performance was observed. These results indicate that older adults with high levels of stress and reduced cognitive reserve may be more susceptible to cognitive impairment.


Resumo A exposição a níveis elevados de cortisol e de estresse psicológico, assim como à reserva cognitiva, têm sido relacionadas a sintomas da Doença de Alzheimer. Contudo, não há estudos sobre a interação dessas variáveis. Objetivamos examinar as associações de medidas de cortisol e estresse psicológico e de reserva cognitiva com o desempenho neuropsicológico de idosos saudáveis, além de analisar a existência de interações entre essas variáveis. Análises transversais foram conduzidas usando dados sobre estresse, reserva cognitiva e condições clínicas em 145 idosos saudáveis. Usamos uma bateria neuropsicológica para medir as funções executivas, memória verbal e velocidade de processamento. Utilizamos uma medida de cortisol salivar para o nadir circadiano. Encontramos uma associação negativa entre diferentes medidas de estresse e o desempenho em tarefas de memória, funções executivas e velocidade de processamento. Idosos com elevada reserva cognitiva apresentaram um desempenho superior em todas as medidas neuropsicológicas. Não houve interação significativa entre estresse e Reserva Cognitiva para o desempenho neuropsicológico. Estes resultados sugerem que idosos com níveis elevados de estresse e reduzida reserva cognitiva podem ser mais suscetíveis ao comprometimento cognitivo.


Subject(s)
Humans , Male , Middle Aged , Aged , Cognition Disorders/diagnosis , Cognitive Reserve/physiology , Hydrocortisone/metabolism , Stress, Psychological/epidemiology , Brazil/epidemiology , Cognition Disorders/epidemiology , Cross-Sectional Studies , Executive Function , Memory/physiology , Neuropsychological Tests
15.
Rev. bras. ter. intensiva ; 28(3): 323-329, jul.-set. 2016. tab
Article in Portuguese | LILACS (Americas) | ID: lil-796160

ABSTRACT

RESUMO Objetivo: Identificar e estratificar os principais fatores estressores para os familiares de pacientes internados na unidade de terapia intensiva adulto de um hospital escola. Métodos: Estudo transversal descritivo com familiares de pacientes internados na unidade de terapia intensiva no período de abril a outubro de 2014. Foi utilizado questionário contendo identificação e dados demográficos dos familiares, dados clínicos dos pacientes, bem como 25 fatores estressores adaptados da Escala de Estressores em Unidade de Terapia Intensiva. O grau de estresse de cada fator foi determinado por uma escala de valores pontuando de 1 a 4. Os fatores estressores foram ranqueados conforme média dos pontos obtida. Resultados: A principal causa de admissão na unidade de terapia intensiva foi clínica em 36 (52,2%) casos. Os principais fatores estressores foram a presença do estado de coma (3,15 ± 1,23), o paciente não conseguir falar (3,15 ± 1,20) e o motivo da internação (3,00 ± 1,27). Quando retirados da análise os 27 (39,1%) pacientes em coma, os fatores de maior estresse para os familiares foram o motivo da internação (2,75 ± 1,354), ver o paciente na unidade de terapia intensiva (2,51 ± 1,227) e o paciente não conseguir falar (2,50 ± 1,269). Conclusão: A dificuldade na comunicação e na relação com o paciente internado na unidade de terapia intensiva foi apontada como os maiores estressores por seus familiares, com destaque para o estado de coma. Por outro lado, o ambiente, as rotinas de trabalho e a relação entre familiar e equipe da unidade de terapia intensiva tiveram menor impacto como fatores estressores.


ABSTRACT Objective: To identify and stratify the main stressors for the relatives of patients admitted to the adult intensive care unit of a teaching hospital. Methods: Cross-sectional descriptive study conducted with relatives of patients admitted to an intensive care unit from April to October 2014. The following materials were used: a questionnaire containing identification information and demographic data of the relatives, clinical data of the patients, and 25 stressors adapted from the Intensive Care Unit Environmental Stressor Scale. The degree of stress caused by each factor was determined on a scale of values from 1 to 4. The stressors were ranked based on the average score obtained. Results: The main cause of admission to the intensive care unit was clinical in 36 (52.2%) cases. The main stressors were the patient being in a state of coma (3.15 ± 1.23), the patient being unable to speak (3.15 ± 1.20), and the reason for admission (3.00 ± 1.27). After removing the 27 (39.1%) coma patients from the analysis, the main stressors for the relatives were the reason for admission (2.75 ± 1.354), seeing the patient in the intensive care unit (2.51 ± 1.227), and the patient being unable to speak (2.50 ± 1.269). Conclusion: Difficulties in communication and in the relationship with the patient admitted to the intensive care unit were identified as the main stressors by their relatives, with the state of coma being predominant. By contrast, the environment, work routines, and relationship between the relatives and intensive care unit team had the least impact as stressors.


Subject(s)
Humans , Male , Adult , Stress, Psychological/epidemiology , Family/psychology , Intensive Care Units , Interpersonal Relations , Patient Care Team/organization & administration , Professional-Family Relations , Cross-Sectional Studies , Surveys and Questionnaires , Communication , Middle Aged
16.
Rev. bras. epidemiol ; 19(3): 645-657, Jul.-Set. 2016. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-829883

ABSTRACT

RESUMO: Objetivo: Avaliar a contribuição da análise de modelos combinados de estresse psicossocial no trabalho e sua associação com transtornos mentais comuns (TMC) entre trabalhadores da saúde. Métodos: Trata-se de estudo transversal conduzido com amostra representativa de trabalhadores da atenção básica de cinco municípios do estado da Bahia. A variável desfecho - os TMC - foi avaliada pelo SRQ-20. As variáveis de exposição foram os modelos demanda-controle e desequilíbrio esforço-recompensa. Resultados: Foram avaliados os desempenhos dos modelos parciais e completos e a combinação dos modelos parciais. As razões de prevalência ajustadas foram obtidas pelo método de regressão de Poisson com variância robusta. A prevalência global de TMC foi de 21,0% e esteve associada à alta exigência e ao alto desequilíbrio esforço-recompensa. Os resultados demonstraram melhor desempenho do modelo de desequilíbrio esforço-recompensa completo e da combinação dos modelos parciais para predizer o evento. Conclusão: Modelos combinados são capazes de proporcionar melhores estimativas dos efeitos das experiências estressantes no ambiente de trabalho e seus resultados sobre a saúde, oferecendo maiores contribuições para este campo do conhecimento.


ABSTRACT: Objectives: The objective was to evaluate the contribution of the combined analysis of psychosocial stress at work and its association with common mental disorders (CMD) among health workers. Methods: A cross-sectional study was conducted on a representative sample of primary care workers from five counties in the state of Bahia, Brazil. The outcome variable - CMD - was assessed by the SRQ-20. The exposure models were the demand-control and effort-reward imbalance. Results: The partial and complete performance of the models and the combination of partial models were evaluated. The adjusted prevalence ratios were obtained by Poisson regression with robust variance method. The overall prevalence of CMDs was 21.0% and was associated with high strain and high effort-reward imbalance (ERI). The results demonstrated improved performance of the full ERI and the combination of partial models to predict the event. Conclusion: Thus, combined models are able to provide better estimates of the effects of stressful experiences in the work environment and the consequences on workers' health, offering greater contributions to this field of knowledge.


Subject(s)
Humans , Male , Female , Adult , Health Personnel/psychology , Mental Disorders/epidemiology , Models, Statistical , Occupational Diseases/epidemiology , Brazil , Cross-Sectional Studies , Stress, Psychological/epidemiology
17.
An. bras. dermatol ; 91(4): 446-454, July-Aug. 2016. tab
Article in English | LILACS (Americas) | ID: lil-792430

ABSTRACT

Abstract: Background: Psoriasis is a chronic dermatosis of unknown etiology with a tendency to relapse after treatment. The disease is frequently linked to psychological stress due to the embarrassment caused by the lesions. Objective: To analyze the stress level presented by psoriasis patients followed at the Dermatology Service of a public hospital in Salvador, Bahia state, Brazil. Methods: A cross-sectional study of a consecutive convenience sample composed of 60 participants. We used Lipp's Stress Symptoms Inventory for Adults to assess stress levels. The questionnaire identifies and classifies physical and psychological symptoms according to three stages of stress: alarming, resistance, and exhaustion. We also collected socio-demographic and clinical data that could be associated with psoriasis. Results: 85% of the participants presented stress. Lipp's questionnaire results revealed that 48% were in the resistance stage and 37% in the exhaustion stage. Women presented higher levels of stress. Of the total 28 women, 64% were in exhaustion stage, 29% in the resistance stage, and only 7% presented no stress symptoms. Of the total 32 men, 44% were in resistance stage, 34% in exhaustion stage, and 22% presented no stress symptoms. Regarding physical and psychological symptoms, psychological symptomatology was prevalent (55%). Conclusions: Based on the number of patients in exhaustion stage, we can conclude that stress levels of the participants were high regardless the type of psoriasis and treatment duration.


Subject(s)
Humans , Male , Female , Adult , Aged , Young Adult , Psoriasis , Stress, Psychological/diagnosis , Hospitals, Public , Socioeconomic Factors , Stress, Psychological/epidemiology , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Sex Distribution , Age Distribution , Self Report
18.
Ciênc. saúde coletiva ; 21(7): 2089-2100, Jul. 2016. tab
Article in Portuguese | LILACS (Americas) | ID: lil-785921

ABSTRACT

Resumo O artigo tem como objetivo analisar as condições de saúde mental dos presos e custodiados do estado do Rio de Janeiro e sua relação com o aprisionamento, através da análise de escala de depressão e do Inventário de Sintomas de Estresse. Amostra: 1573 indivíduos, obtidos por amostragem estratificada proporcional ao tamanho. População estudada: mais da metade possui até 29 anos; 70,6% têm cor da pele preta/parda; 80% têm religião, 77,4% com bom vínculo familiar; 42,9% têm menos de um ano de prisão; 22,9% trabalham no presídio. Estresse: 35,8% dos homens e 57,9% das mulheres. Fatores associados ao estresse entre homens: tempo de prisão e vínculo familiar. Presos com 1 a 9 anos de prisão possuem uma chance igual a 0,55 a daqueles com menos de 1 ano de reclusão; aqueles com vínculo regular e ruim possuem chance maior em relação àqueles com bom vínculo. Entre as mulheres, o vínculo regular/ruim representa maior chance de desenvolvimento dos problemas de saúde mental; trabalho representou proteção contra o estresse. Depressão: 7,5% das mulheres e 6,3 % dos homens apresentam sintomas depressivos graves. Entre os homens, praticar alguma religião, ter bom vínculo familiar e trabalhar na prisão são fatores protetores. Entre mulheres, apenas vínculo familiar associou-se com sintomas depressivos.


Abstract The aim of this article is to assess the mental health status of inmates and people in custody in the state of Rio de Janeiro and the association between mental health and imprisonment using the Beck Depression Inventory and the Lipp Stress Symptom Inventory for Adults. Sample: 1,573 individuals, via stratified sampling with probability proportional to size. Study population: more than half have up to 29 years old; 70.6% were black/brown; 77.4% had strong family ties; 42.9% had been incarcerated for under a year; and 22,9% performed work tasks in prison. Stress: 35.8% of men and 57.9% of women. Factors associated with stress among men: length of time in prison and family ties. Male prisoners who had been in prison for between 1 and 9 years are 0.55 times less likely to experience stress symptoms than those who had been in prison for less than a year; those with regular/weak family ties are more likely to experience stress than those with strong ties. Women with only regular/weak family ties are more likely to experience stress; work tasks performed in prison was a protective factor. Depression: 7.5% of women and 6.3% of men. Among men, practicing a religion, maintaining strong family ties, and performing prison work tasks are protective factors. Among women, an association was found between depression and family ties.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Depression/epidemiology , Health Status , Mental Health , Prisons , Stress, Psychological/epidemiology , Brazil , Cross-Sectional Studies
19.
Rev. cuba. enferm ; 32(2): 182-195, abr.-jun. 2016. ilus, tab
Article in Spanish | LILACS (Americas) | ID: lil-797726

ABSTRACT

Introducción: el Environmental Stress Questionnaire es la última versión de un instrumento de medida utilizado para la determinación del grado de estrés y factores estresantes que afectan a las personas adultas durante la hospitalización en cuidado intensivo. Su uso para la clasificación del fenómeno ha sido avalado en inglés, chino, basaha, portugués y turco, con validez facial, de contenido, de constructo y confiabilidad demostradas. En la literatura no se dispone de una versión en español. Objetivo: establecer una versión equivalente, válida y confiable del Environmental Stress Questionnaire en español. Métodos: estudio cuantitativo de tipo metodológico, realizado desde enero de 2014 a enero de 2015. Para la adaptación transcultural se utilizó la técnica de traducción y retrotraducción. La validez facial se calculó con el índice de concordancia simple, la validez de contenido con el índice modificado de Lawshe. Resultados: se realizó la versión transcultural en español del Environmental Stress Questionnaire. La validez facial determinada por expertos modificó el título; los cuantificadores lingüísticos trasformaron 19 ítems y eliminaron 2. La validez de contenido adicionó 3 ítems y eliminó 10 que resultaron redundantes. La validez facial establecida por pacientes ratificó la claridad, comprensión, precisión y forma del instrumento. La escala tiene una solución de cuatro factores con una varianza explicada del 32,248 por ciento, un Alfa de Cronbach de 0,877, un coeficiente de Spearman de 0,811 y un coeficiente de Guttman de 0,810. Conclusión: la Escala de factores estresantes experimentados por los pacientes en la unidad de cuidados intensivos es la versión válida en español del Environmental Stress Questionnaire, antes de su uso rutinario se recomienda continuar con su refinamiento(AU)


Introduction: the Environmental Stress Questionnaire is the latest version of a measuring instrument used for determining the degree of stress and stressors that affect adults during hospitalization in intensive care units. Its use for the classification of the phenomenon has been supported in English, Chinese, Basaha, Portuguese and Turkish, with facial validity, of content, construct and proven reliability. The literature does not have any Spanish version available. Objective: to establish a Spanish equivalent, valid and reliable version of the Environmental Stress Questionnaire. Methods: methodological quantitative study conducted from January 2014 to January 2015. Technical and back-translation was used for transcultural adaptation. The facial validity was calculated with the simple concordance index; the content validity, Lawshe modified index. Results: the transcultural Spanish version of the Environmental Stress Questionnaire was produced. The facial validity determined by experts modified the title; linguistic quantifiers transformed nineteen items and deleted two. Content validity added three items and eliminated ten which were redundant. The facial validity set by patients ratified clarity, understanding, accuracy and form of the instrument. The scale has a four-factor solution with an explained variance of 32.248 percent, a Cronbach's alpha of 0.877, a Spearman coefficient of 0.811 and a Guttman coefficient of 0.810. Conclusion: the scale of stressing factor experienced by patients in the intensive care unit is the validated Spanish version of the Environmental Stress Questionnaire, before using it routinely, it is recommended to continue with its refinements(AU)


Subject(s)
Humans , Stress, Psychological/epidemiology , Reproducibility of Results , Measurement Equipment , Validation Study , Intensive Care Units
20.
Rev. latinoam. enferm. (Online) ; 24: e2751, 2016. graf
Article in English | LILACS (Americas) | ID: biblio-960978

ABSTRACT

ABSTRACT Objective: to analyze the relationship between the distress of the family caregiver and the presence of neuropsychiatric symptoms in elderly patients with Alzheimer's disease or mixed dementia. Method: a descriptive, cross-sectional study conducted in the Geriatric and Dementias Clinic of a general tertiary hospital, with 96 elderly people with Alzheimer's disease or mixed dementia and their family caregivers. Questionnaires to characterize the elderly and caregivers, and the Neuropsychiatric Inventory were used. Descriptive statistics and Pearson correlation test were performed. Results: 68.7% of the elderly were women, average age 80.8 years, 56.2% had Alzheimer's disease and 43.7%, mixed dementia. Among caregivers, 90.6% were women, average age 56, 70.8% took care of parents and 64.6% lived with the elderly. There was a strong (r = 0.82) and significant (p <0.01) correlation between the total score on the Neuropsychiatric Inventory and the total score on the Neuropsychiatric Inventory-Distress and strong (r = 0.80) and significant (p <0 01) correlation between the total score on the Neuropsychiatric Inventory Distress and the number of neuropsychiatric symptoms, i.e., the higher the number, frequency and severity of these symptoms in the elderly, the more intense is the caregiver distress. Conclusion: the presence of neuropsychiatric symptoms in the elderly was related to increased distress in caregivers.


RESUMO Objetivo: analisar a relação entre o desgaste do cuidador familiar e a presença de sintomas neuropsiquiátricos em idosos com doença de Alzheimer ou demência mista. Método: estudo descritivo, transversal, realizado no Ambulatório de Geriatria e Demências de um Hospital Geral Terciário, com 96 idosos com doença de Alzheimer ou demência mista e seus cuidadores familiares. Foram utilizados o questionário para caracterização dos idosos e cuidadores e o Inventário Neuropsiquiátrico. Foram realizadas estatísticas descritivas e o teste de correlação de Pearson. Resultados: 68,7% dos idosos eram mulheres, média de idade 80,8 anos, 56,2% possuíam doença de Alzheimer e 43,7%, demência mista. Dos cuidadores, 90,6% eram mulheres, média de idade 56 anos, 70,8% cuidavam do pai/mãe e 64,6% moravam com o idoso. Houve correlação forte (r=0,82) e significativa (p<0,01) entre o escore total do Inventário Neuropsiquiátrico e o escore total do Inventário Neuropsiquiátrico Desgaste e correlação forte (r=0,80) e significativa (p<0,01) entre o escore total do Inventário Neuropsiquiátrico Desgaste e o número de sintomas neuropsiquiátricos, ou seja, quanto maiores o número, a frequência e a gravidade destes sintomas nos idosos maior é o desgaste do cuidador. Conclusão: a presença dos sintomas neuropsiquiátricos nos idosos apresentou relação com maior desgaste nos cuidadores.


RESUMEN Objetivo: analizar la relación entre el desgaste del cuidador familiar y la presencia de síntomas neuropsiquiátricos en pacientes ancianos con enfermedad de Alzheimer o demencia mixta. Método: estudio descriptivo, transversal, realizado en la clínica de Geriatría y Demencias de un hospital general terciario, con 96 ancianos con enfermedad de Alzheimer o demencia mixta y sus cuidadores familiares. Se utilizaron cuestionarios para caracterizar los ancianos y cuidadores y el Inventario Neuropsiquiátrico. Se realizaron estadísticas descriptivas y prueba de correlación de Pearson. Resultados: el 68,7% de los ancianos eran mujeres, con una edad promedio de 80,8 años, el 56,2% tenían enfermedad de Alzheimer y el 43,7%, demencia mixta. Entre los cuidadores, el 90,6% eran mujeres, con una media de 56 años, el 70,8% se hacía cargo del padre / madre y el 64,6% vivía con los ancianos. Hubo una fuerte (r = 0,82) y significativa (p <0,01) correlación entre la puntuación total en el Inventario Neuropsiquiátrico y la puntuación total en el Inventario Neuropsiquiátrico-Desgaste y fuerte correlación (r = 0,80) y significativa (p <0 01) entre la puntuación total en el Inventario Neuropsiquiátrico-Desgaste y el número de síntomas neuropsiquiátricos, es decir, cuanto mayor sea el número, la frecuencia y la severidad de estos síntomas en los ancianos, mayor es el desgaste del cuidador. Conclusión: la presencia de síntomas neuropsiquiátricos en los ancianos estaban relacionados con un mayor desgaste en los cuidadores.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Stress, Psychological/epidemiology , Brain Diseases/etiology , Caregivers/psychology , Alzheimer Disease/complications , Mental Disorders/etiology , Cross-Sectional Studies
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