Gestação de Substituição em Portugal: Orientações para a prática clínica

Introdução: A aprovação na Assembleia da República, em dezembro de 2021, da lei aplicável à Gestação de Substituição, suscita a reflexão acerca dos aspetos práticos em que o regime se concretizará e das orientações necessárias para os profissionais de saúde envolvidos. Por esse motivo, foram definidos como objetivos: analisar um conjunto de recomendações para a prática clínica no âmbito da Gestação de Substituição em países com experiência no procedimento e promover uma discussão com peritos na área da Procriação Medicamente Assistida. Material e Métodos: Foi realizada uma análise documental das publicações e documentos oficiais sobre o tema que serviu de base para o estudo de desenho qualitativo baseado em grupos focais com diferentes profissionais -médicos e psicólogos- com experiência em Procriação Medicamente Assistida. A discussão foi concretizada através de sessões via Zoom®, realizadas separadamente com os dois grupos focais. Resultados: Na discussão os peritos fizeram as suas apreciações e propostas de melhoria em relação à versão inicial do documento resultante da análise documental. Conclusão: Obteve-se uma versão consolidada do conjunto de orientações para os profissionais de saúde com as dimensões a avaliar e acompanhar junto da gestante e parte beneficiária na Gestação de Substituição.

Introducción : La aprobación por el Parlamento portugués, en diciembre de 2021, de la ley aplicable a la Gestación Subrogada, plantea la reflexión sobre los aspectos prácticos en los que se implementará el esquema y las directrices necesarias para los profesionales de la salud involucrados. Por este motivo, se definieron los siguientes objetivos: analizar un conjunto de recomendaciones para la práctica clínica en el ámbito de la gestación subrogada en países con experiencia en el procedimiento y promover un debate con expertos en el campo de la Reproducción Médicamente Asistida. Material y Métodos : Se realizó un análisis documental de publicaciones y documentos oficiales sobre el tema, que sirvió de base para el estudio de diseño cualitativo basado en focus group con diferentes profesionales -médicos y psicólogos- con experiencia en Reproducción Médicamente Asistida. La discusión se realizó a través de sesiones via Zoom®, celebradas por separado con los dos focus group. Resultados : En la discusión, los expertos realizaron sus apreciaciones y propuestas de mejora respecto a la versión inicial del documento resultante del análisis documental. Conclusión : Se obtuvo una versión consolidada del conjunto de directrices para los profesionales de la salud con las dimensiones para evaluar y dar seguimiento a la madre sustituta y a los beneficiarios en la Gestación Subrogada.

Introduction: The approval by the Portuguese Parliament, in December 2021, of the law applicable to Surrogate Pregnancy, raises reflection on the practical aspects in which the scheme will be implemented and the necessary guidelines for health professionals involved. For this reason, the following objectives were defined: to analyze a set of recommendations for clinical practice in surrogacy in countries with experience in the procedure and to promote a discussion with experts in Medically Assisted Reproduction. Material and Methods: A documental analysis of publications and official documents on the theme was conducted. This served as a basis for the qualitative design study based on focus groups with different professionals -physicians, and psychologists- with experience in Medically Assisted Reproduction. The discussion was realized through sessions via Zoom®, held separately with the two focus groups. Results : In the debate, the experts made their appreciation and proposals for improvement concerning the initial version of the document resulting from the document analysis. Conclusion : A consolidated version of the set of guidelines for health professionals was obtained with the dimensions to evaluate and follow up with the surrogate and beneficiaries in Surrogacy.

Occupational stress and coping strategies of nursing staff in times of Covid-19

Introduction: The increase in the workload of health professionals and the degree of complexity of patients, attribute greater risk to psychosocial stress. Objective: To evaluate the associations between occupational stress, quality of life at work, and coping strategies by the hospital nursing team during the COVID-19 pandemic. Methods: Cross sectional, quantitative study with convenience sampling, data collection from August to December 2020; in two units of the private hospital network, with sociodemographic, occupational and health questionnaires; visual analogue scale for assessing quality of life at work; Demand-Control-Support (DCS); Occupational Coping Scale. Results: The total sample consisted of 196 nursing professionals. There was significant certainty (negative, however, the dimension "Demand" of the DCS and QWL (<0.001, r=-0.367). Control over work-related work has a significant quality (but the "Control" dimension of the DCS and QWL (=0.025, r=0.160); and significantly negative, however, between the "Social Support" dimension of DCS and "Negative Equivalence" of Coping (p=0.003, r=-0.2013). Conclusion: The findings of this study allowed the correlation between occupational stress, coping and quality of life at work, showing that the lower the social support, the greater the use of avoidance strategies and consequently decline in quality of life at work. They also allowed us to identify the coping strategies used by the nursing staff and quality of life at work in the face of occupational stress during the COVID-19 pandemic.

Covid-19 e as condições de saúde de fisioterapeutas baianos atuantes na linha de frente: um estudo observacional / COVID-19 and the health conditions of frontline physical therapists in Bahia: an observational study / COVID-19 y las condiciones de salud de los fisioterapeutas de primera línea de Bahía: un estudio observacional

Durante a pandemia de covid-19, os profissionais de saúde que atuaram na linha de frente viveram um cenário desafiador, com constante risco de infecção pelo SARS-CoV-2, uma demanda de trabalho aumentada e muitas incertezas. O objetivo deste estudo foi analisar as repercussões da covid-19 na saúde de fisioterapeutas baianos atuantes na linha de frente no ambiente hospitalar. Fisioterapeutas baianos participaram deste estudo, respondendo questões referentes aos seus dados sociodemográficos, à qualidade do sono e aos sintomas de ansiedade e depressão, através de um formulário eletrônico (Google Forms). Responderam ao formulário 38 fisioterapeutas residentes em Salvador (BA). A metade deles atua em Unidades de Terapia Intensiva (UTI) e, destes, 65% são trabalhadores do setor privado. Além disso, 68% foram infectados pelo SARS-CoV-2 uma ou mais vezes. O constante medo de infectar seus familiares foi declarado por 77,3% deles e, após o expediente, 36% dos profissionais apresentavam exaustão emocional; 34,2%, estresse psicológico; e 26%, cansaço físico. Os fisioterapeutas baianos relataram que durante a pandemia de covid-19 houve grandes desafios no local de trabalho, como o medo de adoecer e de transmitir a doença e, sobretudo, o medo da morte. O cansaço e o estresse psicológico foram constantes na prática profissional, mas, apesar disso, a maioria dos fisioterapeutas sentiu satisfação por ter atuado de forma tão indispensável em um momento delicado e único.

During COVID-19, health services and professionals who worked on the front line experienced a challenging scenario with a constant risk of infection by SARS-CoV-2, an increased demand for work, and many uncertainties. This study analyzed the repercussions of COVID-19 on the health of Bahian physical therapists working on the hospital front line. Bahian physical therapists participated in this study, answering questions related to their sociodemographic data, sleep quality, and symptoms of anxiety and depression by an electronic form (Google Forms). Overall, 38 physiotherapists living in Salvador (Bahia) answered this form. In total, 50% worked in Intensive Care Units (ICUs); 65%, in the private sector, and 68% suffered infection from SARS-CoV-2 one or more times. This study found that 77.3% of participants reported the constant fear of infecting their family members and 36% showed emotional exhaustion after working hours; 34.2%, psychological stress; and 26%, physical fatigue. Bahian physical therapists reported that COVID-19 brought major confrontations in the workplace, such as the fear of getting sick and transmitting the disease and, above all, death. Fatigue and psychological stress remained constant in the professional practice, but, despite this, most physical therapists felt satisfied for having acted in such an indispensable way in a delicate and unique moment.

Durante la pandemia de la COVID-19, los profesionales de la salud que trabajaban en primera línea vivieron un escenario desafiante, con un riesgo constante de infección por SARS-CoV-2, una mayor demanda de trabajo y muchas incertidumbres. El objetivo de este estudio fue analizar las repercusiones de la COVID-19 en la salud de los fisioterapeutas de Bahía, Brasil, que trabajan en primera línea en el ambiente hospitalario. En este estudio participaron 38 fisioterapeutas residentes en Salvador (Bahía, Brasil) que respondieron a un cuestionario electrónico (Google Forms) con preguntas relacionadas a sus datos sociodemográficos, calidad del sueño y síntomas de ansiedad y depresión. El 50% de ellos trabajan en Unidades de Cuidados Intensivos (UCI) y, de estos, el 65% pertenecen al sector privado. El 68% se ha infectado con el SARS-CoV-2 una o más veces. El miedo constante a contagiar a sus familiares fue declarado por el 77,3% de ellos, y después de la jornada laboral, el 36% de los profesionales presentaron agotamiento emocional; el 34,2%, estrés psicológico; y el 26%, fatiga física. Los fisioterapeutas de Bahía relataron que durante la pandemia de la COVID-19 hubo grandes retos en el lugar de trabajo, como el miedo a enfermarse y transmitir la enfermedad y, sobre todo, el miedo a la muerte. Aunque el cansancio y el estrés psicológico fueron constantes en la práctica profesional, la mayoría de los fisioterapeutas sintieron satisfacción por haber actuado de manera tan indispensable en un momento delicado y único.

Fatores correlacionados a Síndrome de Burnout entre acadêmicos: estudo transversal / Factors correlated with Burnout Syndrome among academic students: cross-sectional study / Factores correlacionados con el Síndrome de Burnout en estudiantes académicos: estudio transversal

Apesar de predominante no ambiente de trabalho, a Síndrome de Burnout (SB) torna-se cada vez mais frequente no ambiente universitário. Com objetivo de verificar a prevalência da SB entre acadêmicos e correlacionar essa variável com aspectos sociodemográficos e de saúde, esse estudo transversal foi conduzido com uma amostra composta por 72 participantes. O protocolo de avaliação foi composto por um questionário sociodemográfico, avaliação da Síndrome de Burnout, de sintomas depressivos, saúde geral, aspectos sociais e sintomas osteomusculares. A correlação de Spearman foi utilizada para análise estatística. Houve predomínio da SB entre a amostra (65,2%). Observou-se correlações significativas entre aspectos sociais e descrença (p=0.016; r=-0.283), eficácia estudantil (p=<0.001; r=-0.399) e sintomas depressivos (p=<0.001; r=-0.547), bem como entre a saúde geral e sintomas depressivos (p=0.012; r=-0.295). Estabelecer esse tipo de medida permite planejar ações voltadas à assistência estudantil, priorizando intervenções e práticas preventivas que colaborem com a promoção da saúde no ambiente universitário.

Despite being predominant in the workplace, Burnout Syndrome (BS) is becoming more and more frequent in the university environment. With the objective of verifying the prevalence of BS among students and correlating this variable with sociodemographic and health aspects, this cross-sectional study was conducted with a sample of 72 participants. The evaluation protocol consisted of a sociodemographic questionnaire, evaluation of Burnout Syndrome, depressive symptoms, general health, social aspects, and musculoskeletal symptoms. Spearman's correlation was used for statistical analysis. There was a predominance of BS among the sample (65.2%). Significant correlations were observed between social aspects and disbelief (p=0.016; r=-0.283), student efficacy (p=<0.001; r=-0.399) and depressive symptoms (p=<0.001; r=-0.547), as well as between general health and depressive symptoms (p=0.012; r=-0.295). Establishing this type of measure allows planning actions aimed at student assistance, prioritizing interventions and preventive practices that collaborate with health promotion in the university environment.

A pesar de ser prevalente en el ámbito laboral, el Síndrome de Burnout (SB) es cada vez más frecuente en el ámbito universitario. Con el objetivo de verificar la prevalencia de SB entre los estudiantes y correlacionar esta variable con aspectos sociodemográficos y de salud, este estudio transversal se realizó con una muestra de 72 participantes. El protocolo de evaluación consistió en un cuestionario sociodemográfico, evaluación del Síndrome de Burnout, síntomas depresivos, salud general, aspectos sociales y síntomas musculoesqueléticos. Para el análisis estadístico se utilizó la correlación de Spearman. Hubo predominio de SB en la muestra (65,2%). Se observaron correlaciones significativas entre los aspectos sociales y la incredulidad (p=0.016; r=-0.283), la eficacia acadêmica (p=<0.001; r=-0.399) y síntomas depresivos (p=<0.001; r=-0.547), así como entre la salud general y los síntomas depresivos (p=0.012; r=-0.295). Establecer este tipo de medidas permite planificar acciones dirigidas a la asistencia estudiantil, priorizar intervenciones y prácticas que colaboren con la promoción de la salud en el ámbito universitario.

Análisis sociodemográfico, metodológico y diagnóstico de los informes periciales en psiquiatría y psicología para la toma de decisiones legales en el Centro de Estudios en Derecho y Salud (Medellín, Colombia) / Socio-demographic, methodological and diagnostic analysis of expert reports in psychiatry and psychology for legal decision-making Centro de Estudios en Derecho y Salud (Medellín, Colombia) / Análise sociodemográfica, metodológica e diagnóstica de relatórios de especialistas em psiquiatria e psicologia para tomada de decisões legais no Centro de Estudios en Derecho y Salud (Medellín, Colombia)

El objetivo del presente estudio fue analizar las características sociodemográficas, metodológicas y diagnósticas de los informes periciales en psiquiatría y psicología realizados en el Centro de Estudios en Derecho y Salud entre 2011 y 2020. Se optó por un enfoque cuantitativo, descriptivo con intención analítica, transversal, con diseño retrospectivo. Se analizó la información obtenida en 145 peritajes. Se adelantó un análisis univariado para todas las variables sociodemográficas, metodológicas y diagnósticas de los informes periciales, según su naturaleza cualitativa o cuantitativa, y un análisis bivariado a través de tablas de contingencia para las variables mencionadas, con intervalos de confianza del 95 % para cada una de las medidas de prevalencia. Se encontró que la mayoría de peritajes fueron solicitados por el área del derecho contencioso-administrativo. Los diagnósticos más prevalentes fueron el trastorno adaptativo, el trastorno por estrés postraumático y el trastorno depresivo. Si bien los informes revisados cumplen con los lineamientos mínimos de ley, se encontraron algunas falencias relacionadas con la ausencia de información. Se espera que estos hallazgos permitan la reflexión por parte de los auxiliares de la justicia sobre los requerimientos de los informes periciales con miras a la humanización de la justicia y el apoyo a la toma de decisiones legales.

The aim of this study was to analyse the socio-demographic, methodological and diagnostic characteristics of the expert reports in psychiatry and psychology carried out at the Centre for Law and Health Studies between 2011 and 2020. We opted for a quantitative, descriptive approach with analytical, cross-sectional, retrospective design. The information obtained from 145 expert opinions was analysed. A univariate analysis was carried out for all sociodemographic, methodological and diagnostic variables in the expert reports, according to their qualitative or quantitative nature, and a bivariate analysis through contingency tables for the aforementioned variables, with confidence intervals of 95 % for each of the prevalence measures. It was found that the majority of expert opinions were requested by the area of contentious-administrative law. The most prevalent diagnoses were adjustment disorder, post-traumatic stress disorder and depressive disorder. Although the reports reviewed comply with the minimum legal guidelines, there were some shortcomings related to the absence of information. It is hoped that these findings will allow for reflection on the part of justice officials on the requirements of expert reports with a view to the humanisation of justice and support for legal decision-making.

O objetivo deste estudo foi analisar as características sociodemográficas, metodológicas e diagnósticas dos laudos periciais em psiquiatria e psicologia realizados no Centro de Estudos em Direito e Saúde entre 2011 e 2020. Optou-se por uma abordagem quantitativa e descritiva com desenho analítico, transversal e retrospectivo. Foram analisadas as informações obtidas de 145 pareceres de especialistas. Foi realizada uma análise univariada para todas as variáveis sociodemográficas, metodológicas e diagnósticas dos laudos periciais, de acordo com sua natureza qualitativa ou quantitativa, e uma análise bivariada por meio de tabelas de contingência para as variáveis mencionadas, com intervalos de confiança de 95 % para cada uma das medidas de prevalência. Verificou-se que a maioria dos pareceres foi solicitada pela área de direito contencioso-administrativo. Os diagnósticos mais prevalentes foram transtorno de ajustamento, transtorno de estresse pós-traumático e transtorno depressivo. Embora os relatórios analisados estejam em conformidade com as diretrizes legais mínimas, houve algumas deficiências relacionadas à ausência de informações. Espera-se que esses resultados permitam uma reflexão por parte dos envolvidos no sistema judiciário sobre os requisitos dos laudos periciais, com vistas à humanização da justiça e ao apoio à tomada de decisões legais.

Beneficios psicológicos de la práctica de la esgrima en edades tempranas, en la provincia de Artemisa

El deporte es un fenómeno social de gran interés público que tiene un importante papel en el bienestar físico-mental, en el crecimiento y en el desarrollo integral de las personas. El presente estudio tuvo como objetivo analizar los beneficios psicológicos de la práctica de la esgrima en edades tempranas, en la provincia de Artemisa. Se utilizaron métodos de investigación teóricos como el histórico-lógico, analítico-sintético e inducción-deducción y empíricos como la entrevista que permitió conocer la opinión especializada en la práctica de la esgrima en Artemisa; el análisis de documentos para explorar el contenido de los documentos normativos que rigen la esgrima y la medición aplicada en los test de concentración de la atención de Tolouse-Pierón y el test de rapidez de pensamiento de Torrance para medir particularidades individuales del pensamiento. Se efectuó, además, una consulta a especialistas para resaltar la importancia y beneficios psicológicos de la esgrima. La muestra estuvo representada por diez niños de nueve años, de la Escuela Primaria "Gabino Labrador" ubicada en el municipio San Cristóbal, se seleccionaron de manera intencional cinco niños que llevaban dos años en la práctica de la esgrima y cinco que no. Los resultados demostraron que los niños practicantes tuvieron un mayor desarrollo de las variables analizadas, ello confirmó los beneficios psicológicos que propicia la práctica de este deporte en edades tempranas.

O esporte é um fenômeno social de grande interesse público que desempenha um papel importante no bem-estar físico-mental, no crescimento e no desenvolvimento integral das pessoas. O objetivo deste estudo foi analisar os benefícios psicológicos da esgrima em uma idade precoce na província de Artemisa. Foram utilizados métodos teóricos de pesquisa, como os métodos histórico-lógico, analítico-sintético e de indução-dedução, bem como métodos empíricos, como a entrevista, que nos permitiu conhecer a opinião especializada sobre a prática da esgrima em Artemisa; a análise de documentos para explorar o conteúdo dos documentos normativos que regem a esgrima e a medição aplicada no teste de concentração de atenção de Tolouse-Pieron e no teste de velocidade de pensamento de Torrance para medir as particularidades individuais do pensamento. Além disso, foram consultados especialistas para destacar a importância e os benefícios psicológicos da esgrima. A amostra consistiu em dez crianças de nove anos de idade da Escola Primária "Gabino Labrador", no município de San Cristóbal, cinco crianças que praticavam esgrima há dois anos e cinco que não praticavam. Os resultados mostraram que as crianças que praticaram esgrima tiveram um maior desenvolvimento das variáveis analisadas, o que confirmou os benefícios psicológicos da prática desse esporte em idade precoce.

Sport is a social phenomenon of great public interest that has an important role in the physical-mental well-being, growth and comprehensive development of people. The present study had as objective to analyze the psychological benefits of practicing fencing at an early age, in the province of Artemisa. Theoretical research methods such as historical-logical, analytical-synthetic and induction-deduction were used, as well as the empirical ones as the interview that allowed to know the specialized opinion on the practice of fencing in Artemisa; the analysis of documents to explore the content of the normative documents that govern fencing and the measurement applied in the Tolouse-Pieron attention concentration test and the Torrance quick thinking test to measure individual particularities of thinking. A consultation with specialists was also carried out to highlight the importance and psychological benefits of fencing. The sample was represented by ten nine-year-old children from the "Gabino Labrador" Primary School located in the San Cristóbal municipality. Five children who had been practicing fencing for two years and five who had not were intentionally selected. The results showed that the practitioners had a greater development of the variables analyzed, this confirmed the psychological benefits that practicing this sport at an early age provides.

Educational intervention on perceived stress among adults with type 2 diabetes and metabolic syndrome: a non-randomized clinical trial / Intervención educativa sobre el estrés percibido en adultos con diabetes tipo 2 y síndrome metabólico: ensayo clínico no aleatorizado / Intervenção educativa sobre o estresse percebido de adultos com diabetes tipo 2 e síndrome metabólica: ensaio clínico não-randomizado

Objective.To assess the effectiveness of an educational intervention on perceived stress and metabolic syndrome parameters among adults with type 2 diabetes mellitus. Method. Fifty-one adults (aged 48.73±7.84; 86.3% of women) were included in a non-randomized clinical trial performed in a healthcare unit for six months (Brazilian Clinical Trial Registry: RBR-43K52N). All participants were diagnosed with type 2 diabetes mellitus and metabolic syndrome (intervention group, n=26; control group, n=25). The intervention consisted of a nurse-led educational health-promoting program with a multidisciplinary approach organized in seven workshops. The primary outcome was decreased perceived stress, and the secondary outcome was improvement in metabolic syndrome parameters according to perceived stress levels. These outcomes were assessed at two points in time, at the baseline and follow-up. Results. Participation in the intervention program resulted in a significant decrease in perceived stress (p=0.028). The stressed participants in the intervention group experienced a significant decrease in blood glucose levels (p=0.001) and a significant increase in high-density lipoprotein-cholesterol (p=0.003) concentrations after the six-month intervention. Conclusion.The nurse-led educational health-promoting program decreased perceived stress among adults with type 2 diabetes mellitus and metabolic syndrome, improving fasting blood glucose and high-density lipoprotein cholesterol among the stressed participants in the intervention group.

Objetivo. Evaluar la efectividad de una intervención educativa sobre el estrés percibido y los componentes del síndrome metabólico en adultos con diabetes mellitus tipo 2. Métodos. Se incluyeron 51 adultos (48.73±7.84 años; 86.3% mujeres) de un estudio no-ensayo aleatorizado realizado en una unidad de salud durante seis meses, con Registro Brasileño de Ensayos Clínicos: RBR-43K52N, todos los participantes fueron diagnosticados con diabetes mellitus tipo 2 y síndrome metabólico (grupo intervención, n=26; grupo control, n=25). La intervención consistió en un programa educativo de promoción de la salud con enfoque multidisciplinario, liderado por una enfermera, estructurado en siete talleres grupales. El resultado primario fue la reducción del estrés percibido y el secundario, la mejora de los componentes del síndrome metabólico influenciados por el nivel de estrés percibido, evaluado en dos momentos, al inicio y después del seguimiento. Resultados. La participación en el programa de intervención resultó en una reducción significativa del estrés percibido en comparación con el grupo control (p=0.028). Los participantes estresados en el grupo de intervención tuvieron, respectivamente, una disminución y un aumento significativos en las concentraciones séricas de glucosa (p=0.001) y lipoproteínas de alta densidad-colesterol (p=0.003) después de seis meses de intervención. Conclusión. Un programa educativo de promoción de la salud liderado por enfermeras fue eficiente para reducir el estrés percibido entre adultos con diabetes mellitus tipo 2 y síndrome metabólico, además de mejorar la glucemia en ayunas y el colesterol unido a lipoproteínas de alta densidad en los participantes del grupo estresado de intervención.

Objetivo. Avaliar a efetividade de uma intervenção educativa sobre o estresse percebido e os componentes da síndrome metabólica em adultos com diabetes mellitus tipo 2. Métodos. Foram incluídos 51 adultos (48.73±7.84 anos de idade; 86.3% mulheres) em um ensaio clínico não-randomizado realizado em uma unidade de saúde durante seis meses, com Registro de Ensaio Clínico Brasileiro: RBR-43K52N.Todos os participantes apresentavam diagnóstico de diabetes mellitus tipo 2 e síndrome metabólica (grupo intervenção, n=26; grupo controle, n=25). A intervenção consistiu em um programa educativo de promoção da saúde com abordagem multidisciplinar, liderado por enfermeiro, estruturado em sete oficinas em grupo. O desfecho primário foi a redução do estresse percebido, e o secundário, a melhora dos componentes da síndrome metabólica conforme influência do nível de estresse percebido, avaliados em dois momentos, na condição basal e após o acompanhamento. Resultados. A participação no programa de intervenção resultou na redução significativa do estresse percebido em comparação com o grupo controle (p=0.028). Os participantes estressados do grupo intervenção tiveram, respectivamente, diminuição e aumento significativos das concentrações séricas de glicose (p=0.001) e da lipoproteína-colesterol de alta densidade (p=0.003) após seis meses de intervenção. Conclusão. Um programa educativo de promoção da saúde liderado por enfermeiros foi eficiente para reduzir estresse percebido entre adultos com diabetes mellitus tipo 2 e síndrome metabólica, além de causar melhora da glicemia de jejum e e da lipoproteína-colesterol de alta densidade dos participantes estressados do grupo intervenção.

Percepção dos enfermeiros sobre condições de trabalho na atenção primária durante a pandemia de sars-cov-2 / Nurses perception of working conditions in primary care during the sars cov-2 pandemic / Percepción de las enfermeras sobre las condiciones de trabajo en atención primaria durante la pandemia por sars-cov-2

Objetivo: Analisar a percepção do enfermeiro acerca das condições de trabalho no contexto da Atenção Primária à Saúde (APS) durante a pandemia de SARS-CoV-2. Métodos: Trata-se de um estudo descritivo, transversal, de abordagem qualitativa, recorte de um estudo multicêntrico e de abrangência nacional. Os dados apresentados neste estudo correspondem aos obtidos no estado do Rio Grande do Norte, onde foram entrevistados 45 enfermeiros da APS no período de dezembro de 2020 a abril de 2021. Após as entrevistas, as narrativas gravadas foram transcritas e analisadas através da Análise de Conteúdo de Bardin. Resultados: A partir da fala dos enfermeiros, evidenciou-se que a utilização de Equipamentos de Proteção Individual, a organização e desenvolvimento de novos protocolos e fluxos assistenciais trouxeram sofrimento psíquico aos profissionais, tanto pelas condições de trabalho inadequadas, quanto pela proximidade com o sofrimento de pacientes e o medo de contágio. Conclusão: Mesmo com tantas dificuldades, os enfermeiros lotados na atenção primária à saúde tiveram que reconstruir suas práticas na perspectiva de garantir, dentro dos limites impostos pela situação adversa, a melhor assistência possível, mostrando a força e resiliência das equipes da APS nos mais diversos contextos. (AU)

Objective: To analyze the perception of nurses about working conditions in the context of PHC during the COVID-19 pandemic. Methods: This is a descriptive, cross-sectional study with a qualitative approach, part of a multicenter study with a national scope. The data presented in this study correspond to those obtained in the state of Rio Grande do Norte, in which 45 nurses from primary health care were interviewed from December 2020 to April 2021. After the interviews, the recorded narratives were transcribed and analyzed through the Bardin's Content Analysis. Results: The collective discourse showed that the use of Personal Protective Equipment, the organization and development of new protocols and care flows brought psychic suffering to professionals, both due to inadequate working conditions and the proximity to the suffering of patients and the fear of Contagion. Conclusion: Even with so many difficulties, nurses working in primary health care had to rebuild their practices in order to guarantee, within the limits imposed by the adverse situation, the best possible assistance, showing the strength and resilience of PHC teams in the most diverse contexts. (AU)

Objetivo: Analizar la percepción de los enfermeros sobre las condiciones de trabajo en el contexto de la APS durante la pandemia de COVID-19. Métodos: Se trata de un estudio descriptivo transversal con enfoque cualitativo, parte de un estudio multicéntrico de alcance nacional. Los datos presentados en este estudio corresponden a los obtenidos en el estado de Rio Grande do Norte, en el que fueron entrevistados 45 enfermeros de atención primaria de salud entre diciembre de 2020 y abril de 2021. Después de las entrevistas, las narraciones grabadas fueron transcritas y analizadas a través de la escala de Bardin. Análisis de contenido. Resultados: El discurso colectivo mostró que el uso de Equipos de Protección Individual, la organización y desarrollo de nuevos protocolos y flujos de atención trajeron sufrimiento psíquico a los profesionales, tanto por las inadecuadas condiciones de trabajo como por la proximidad al sufrimiento de los pacientes y el miedo al Contagio. Conclusión: Incluso con tantas dificultades, los enfermeros que actúan en la atención primaria de salud tuvieron que reconstruir sus prácticas para garantizar, dentro de los límites impuestos por la situación adversa, la mejor asistencia posible, mostrando la fortaleza y resiliencia de los equipos de APS en los más diversos contextos. (AU)

Efecto de la deuda económica sobre el bienestar psicológico de los residentes de cirugía: Resultados de un estudio nacional en Colombia / Effect of financial debt on the psychological well-being of surgery residents: Results of a national study in Colombia

Introducción. La deuda económica durante la residencia en cirugía general puede afectar el desempeño profesional, las decisiones de vida y el bienestar psicológico. La información disponible en Colombia es limitada. El objetivo de este estudio fue cuantificar la deuda económica del residente de cirugía general, identificar los factores asociados y evaluar su efecto en el bienestar psicológico. Métodos. Estudio de corte transversal analítico. Se invitó a 380 residentes a diligenciar una encuesta sobre los aspectos relacionados con su deuda económica y se utilizó el WHO-index para evaluar su bienestar psicológico. Resultados. Un total de 259 residentes participaron en el estudio (67,6 %). El 56 % posee una deuda económica promedio de COP $88.000.000 ((US$21.826)). Un alto nivel de endeudamiento se relacionó con el año de residencia, el tipo de institución (privada) y la solicitud de préstamos. Se identificó algún trastorno mental en 14,7 % y un bajo nivel de bienestar psicológico en 56,4 % de los participantes. No se identificó ninguna asociación entre una elevada deuda económica y el bajo bienestar psicológico. Conclusiones. La deuda económica tiene un efecto sobre los residentes. El endeudamiento de los residentes de cirugía en Colombia es altamente prevalente, y no se correlaciona con un pobre bienestar psicológico. La autodeterminación favorece el bienestar psicológico en el posgrado en cirugía general. Existe la necesidad de educación financiera en los residentes. Se requieren nuevos estudios que evalúen las causas del pobre bienestar psicológico.

Introduction. Financial debt during surgery residency can affect professional performance, life decisions, and psychological well-being. The information available in Colombia is limited. The objective of this study is to quantify the financial debt of the general surgery resident, identify the associated factors and evaluate their effect on psychological well-being. Methods. A cross-sectional study was carried out. A total of 380 residents were invited to complete a survey on aspects related to their financial debt, and the WHO-index to evaluate their psychological well-being. Results. A total of 259 residents participated in the study (67.6%). 56% have an average economic debt of $88,000,000 COP (US$21,826). High debt was related to level of residence, type of institution (private), and loan application. Some mental disorder was identified in 14.7% and a low level of psychological well-being in 56.4% of the participants. No association was identified between high financial debt and low psychological well-being. Conclusions. Economic debt has an effect on residents. Financial debt among surgical residents in Colombia is highly prevalent; however, it does not correlate with poor psychological well-being. Self-determination favors psychological well-being in the postgraduate course in general surgery. Likewise, the need for financial education in residents is imminent. New studies are required that thoroughly evaluate the causes of poor well-being.

Capacitación con aproximación al neuroaprendizaje de salud psicosocial en profesionales peruanos con seguro sanitario: estudio experimental / Training with a psychosocial health neurolearning approach in Peruvian professionals with health insurance: Experimental study

Introducción Los factores de riesgo psicosociales como determinantes de la salud en el trabajo pueden afectar tanto al bienestar físico como al bienestar psíquico del trabajador. En los sistemas de formación que incluyen contenidos cognitivo-preventivos, funcionan mejor cuando la construcción del conocimiento está basada en el neuroaprendizaje. El objetivo del estudio fue comparar el grado de procesamiento de contenidos con inserción de frases disuasivas (grupo A) versus inserción de frases persuasivas (grupo B), como efecto de una capacitación con aproximación al neuroaprendizaje de la salud psicosocial en el trabajo de un grupo de profesionales con seguro sanitario de la Amazonía peruana. Métodos Diseño experimental con pre/posprueba, que incluyó dos grupos experimentales más un grupo de control: n = 48 sujetos en total, 16 por cada grupo, con edades entre 22 y 36 años. La capacitación se desarrolló entre diciembre de 2018 y enero de 2019 con una duración de 18 horas, espaciadas en seis semanas. Para la recogida de datos se utilizó un registro previamente validado por cinco expertos. Resultados La distribución de datos en los grupos fue adecuada tanto en preprueba como en posprueba, excepto en posprueba del grupo B (p = 0,002). En el grupo control los resultados del procesamiento de contenidos, tanto preprueba como en posprueba, se mantuvieron similares (p = 0,667). El procesamiento de contenidos sobre salud psicosocial en el trabajo en posprueba fue significativamente diferente entre los grupos de intervención y el grupo control (p = 0,001), distinguiéndose el procesamiento de contenidos con inserción de frases disuasivas. Conclusiones Los resultados indican que la capacitación con aproximación al neuroaprendizaje, puede mejorar el procesamiento de contenidos con inserción de frases disuasivas para el cumplimiento de normativas orientadas a promover la salud psicosocial en el trabajo.

Introduction Psychosocial risk factors as determinants of health at work can affect both the physical and psychological well-being of the worker. Training systems that include cognitive-preventive content work best when knowledge construction is based on neurolearning. The purpose of this study was to compare the degree of content processing with the insertion of deterrent (group A) versus persuasive sentences (group B) as an effect of a training with a neurolearning approach to psychosocial health in the work of a group of professionals with health insurance in the Peruvian Amazon. Methods Experimental design with pre-/post-test, including two experimental groups plus a control group, n = 48 subjects in total and 16 per group, aged 22-36 years. The training took place between December 2018 and January 2019 with a duration of 18 hours spaced over six weeks. A register previously validated by five experts was used for data collection. Results The distribution of data in the groups was adequate in both pre-test and post-test, except in post-test in group "B" (p = 0.002). In the control group, the results of content processing in both pre-test and post-test remained similar (p = 0.667). The processing of psychosocial occupational health content in the post-test was significantly different between the intervention and control groups (p = 0.001), distinguishing the processing of content with the insertion of deterrent phrases. Conclusions The results indicate that training with a neurolearning approach can improve the processing of content with the insertion of deterrent phrases for compliance with regulations aimed at promoting psychosocial health at work.

Psychological resilience characteristics of visually impaired adolescents: a qualitative study / 中国康复理论与实践

ObjectiveTo analyze the psychological resilience characteristics of visually impaired adolescents. MethodsFrom February to May, 2023, 13 visually impaired adolescents (average age of 16.5 years) from Nanjing Normal University of Special Education, Yangzhou Special Education School and Nanjing School for the Blind in Jiangsu, China were selected for semi-structured interviews with phenomenological method, and the interview data were sorted by theme analysis method. ResultsFour themes and twelve sub-themes were obtained; namely multiple sources of difficulties, including travel difficulties, learning difficulties, social difficulties and difficulties in daily life; need for external support, including insufficient family support, school support needs to be improved, need for peer support and insufficient social support; negative and positive adaptation coexist, including negative adaptation and positive adaptation; and negative coping and positive coping coexist, including positive coping and negative coping. ConclusionThe psychological resilience of visually impaired adolescents is characterized by multiple sources of difficulties, insufficient external support, coexistence of positive and negative adaptation, and coexistence of positive and negative coping. A joint family-school-society support system should be formed to reduce the source of their difficulties, and help them establish positive adaptation and positive coping methods, to enhance their psychological resilience.

Moral Schema Based on the Integration of the Mechanism of Moral Injury / 中国医学伦理学

Moral injury is a kind of trauma symptom caused by the impact of external immoral events on the internal moral value system of individuals or groups. Its origin lies in the deviation between individual’s internal moral schema and external moral situation. As a collection of moral consciousness units with value orientation in the regular activities of individuals in the moral environment, moral schema is composed of periphery and core. Moral schema realizes the domination of moral ego by supervising individual’s speech and behavior, exercising moderate control over individuals based on moral practice, and examining individual behavior with self-guilt as the tool of judgment. Moral schema is selective about what happened and acts as a filter for trauma events. Based on this, individuals can interpret or be subverted by moral events, thus playing a preventive role in moral injury.

Discussion on the Social Return after the Outbreak of COVID -19 / 中国医学伦理学

After COVID -19, patients, medical workers and the whole society in COVID -19 were faced with the challenge of how to quickly return to normal life. Patients cured in COVID -19 would face mental or psychological barriers, or be discriminated against, or face problems such as overweight of local epidemic prevention policies. The front-line medical personnel experienced job burnout and a variety of mental and psychological disorders, with some even developing physical symptoms. During the epidemic, ordinary people were in a state of psychological stress, education, production and economic activities were affected, and the incidence of mental or psychological disorders increases. It was necessary to provide COVID -19 patients with mental health monitoring and counseling. Give professional guidance to front-line medical staff, arrange rotation reasonably, and pay attention to their mental health status. Local governments should strictly implement the national epidemic prevention system, formulate epidemic prevention policies with humanistic care, actively publicize epidemic related knowledge and safeguard the rights and interests of the people.

The Harm of Shame to Self and Its Way out from the Perspective of Bioethics / 中国医学伦理学

Psychological research results confirmed that the negative impact of shame on self often causes psychological diseases, and shame does not always related to ethical value. People with serious sense of shame will lead to negative evaluation and overall negation to themselves, and the sense of shame accompanied by great pain will cause great harm to individuals. To realize the sublimation of shame, the ethical orientation of its self cognitive schema and evaluation method must be changed, from the orientation of "transforming self and reaching perfection" to the position of "caring for self and accepting imperfect self" . To tap the positive value of shame, individuals must avoid hurting themselves and then care for themselves. "The principle of not harming life" and "do not denying people’s ethical subject status" are the bottom line of the ethical value of shame.

Risk Factors and Countermeasures of Occupational Exposure of Medical Personnel under COVID-19 Epidemic / 中国医学伦理学

The COVID-19 is a severe respiratory pathogen infection, showing a distinct "hospital cluster" transmission characteristics. This paper illustrated the concept of occupational exposure and COVID-19. Combined with the actual situation of COVID-19, the infection status of medical personnel in this outbreak was analyzed from three aspects: the transmission risk and infection rate of medical personnel, the clinical characteristics and the undiscovered super-spreader. Through the analysis of the present situation, this paper summarized the possible occupational exposure risk factors of medical personnel in COVID-19 from five aspects: biological occupational risk factors, chemical occupational risk factors, physical occupational risk factors, violence factors and psychological factors. From isolating the source of infection and cutting off the transmission route, the "safety supervisor" mechanism is established to avoid the risks of biological, chemical and physical occupational exposure, from providing professional psychological counseling for medical personnel to reduce their psychological stress, and from improving the relevant legal level to reduce the risk of medical personnel’s violent occupational exposure.

Psychological Distress and Its Association with Functional Disability Index Among Acne Patients Attending Dermatology Clinics in the Kuantan Tertiary Hospitals

@#Introduction: Acne is the most common skin disease among adolescents and has significant psychological distress. Our objective is to assess acne severity, functional disability, and its psychological distress among acne patients. Methods: A cross-sectional study was conducted from November 2021 to May 2022 among 163 acne patients attending Dermatology Clinics in the district of Kuantan, Pahang. The severity of acne was graded using the Comprehensive Acne Severity Scale (CASS). The functional disability index was measured using a Cardiff Acne Disability Index (CADI), while Depression, Anxiety and Stress Scale (DASS-21) questionnaires were used as a screening tool to detect the psychological distress of acne. Data were analysed using a Chi-square test, Fisher’s exact test and multiple logistic regression. Results: The mean age was 23 years, 60.1% were female, 94.5% were Malay, and 68.1% were unemployed. The severity of acne was more prominent in the mild (30.7%) and moderate (28.2%) categories. A total of 20.2%, 11.7%, and 4.9% of the respondents had anxiety, depression, and stress symptoms, respectively. Regarding the respondents’ functional disability, 40.5% had mild impairment, 38.0% had moderate impairment, and 13.5% had severe impairment. Acne severity was found to be significantly associated with the functional disability index (P<0.05). The functional disability index was also found to be significantly associated with depression (p=0.019) and anxiety symptoms (p=0.042). Conclusion: Clinical management of acne patients should include not only pharmacological treatment but also consideration of the disease’s functional disability status and psychological distress.

Influence of personality traits， resilience and coping style on the efficacy of sertraline treatment in female adolescents with first-episode depressive disorder / 四川精神卫生

BackgroundDepressive disorders are prevalence among adolescents， with a higher incidence in females compared to males， often accompanied by more severe depressive symptoms. Sertraline is commonly prescribed for adolescent depressive disorder， however， its efficacy is only evident in certain patients. Currently， there is limited research on predicting the therapeutic efficacy of sertraline in female adolescents with depressive disorder. ObjectiveTo explore the relationship between personality traits， psychological resilience， coping style and the clinical efficacy of sertraline treatment in female adolescents with first-episode depressive disorder， in order to provide references for the treatment of this population. MethodsA total of 112 female adolescent patients with first-episode depressive disorder， meeting the diagnostic criteria of the International Classification of Diseases （tenth edition） （ICD-10）， and undergoing a 4-week treatment regimen with sertraline， were selected from the Second People's Hospital of Guizhou Province from February 2019 to January 2021.General demographic questionnaire， NEO Five-Factor Inventory （NEO-FFI）， Resilience Scale for Chinese Adolescents （RSCA）， Coping Style Scale for Middle School Students （CSSMSS）， Hamilton Anxiety Scale （HAMA） and Hamilton Depression Scale-17 item （HAMD-17） were used for assessment. Logistic regression analysis was used to investigate the factors influencing the clinical efficacy of sertraline in the treatment of female adolescents with first-episode depressive disorder. ResultsNeuroticism （β=-0.115， 95% CI： 0.807~0.984） could negatively predicted the therapeutic efficacy of sertraline in female adolescents with first-episode depressive disorder， whereas agreeableness （β=0.129， 95% CI： 1.025~1.264） and RSCA score （β=0.062， 95% CI： 1.004~1.128） could positively predict its therapeutic efficacy. ConclusionHigh neuroticism， low agreeableness and low psychological resilience may be the risk factors for the poor therapeutic effect of sertraline in the treatment of female adolescents with first-episode depressive disorder. ［Funded by 2019 Guiyang Science and Technology Program （number， Zhuke Contract ［2019］9-3-1）］

Research progress on the impact of parental psychological control on adolescent emotional regulation / 中国学校卫生

Abstract@#Emotional regulation is an important aspect of adolescents adaptation to society. The difficulty in emotional regulation among adolescents is associated with internalizing problems such as depression and anxiety, as well as externalizing problems like aggressive behavior. Parental psychological control as a parenting style, is closely intertwined with the emotional regulation of adolescents. The article reviews the concept and classification of parental psychological control, the theory, mechanism and influencing factors of the impact of parental psychological control on children s emotional regulation, and the impact of children s emotional regulation on parental psychological control, so as to provide a theoretical reference for promoting positive psychological development in adolescents and improving parenting styles.

Analysis of role adaptation and associated factors among college freshmen / 中国学校卫生

Objective@#To explore the influencing factors of role adaptation of college freshmen, so as to provide empirical support for developing adaptive education in college.@*Methods@#A cluster sampling method was used to select 3 126 freshmen from six universities of Hefei City and Wuhu City in Anhui Province in October 2022, who were investigated with Positive Psychological Capital Questionnaire (PPQ), Freshmen s Role Adaptability Scale, Connor Davidson Resilience Scale (CD-RISC) and Life Satisfaction Scale. Independent sample t-test and oneway ANOVA were used to compare the scores (caverage score of items) of various variables of college freshmen with different demographic characteristics. Pearson correlation analysis and multiple linear regression analysis were conducted to analyze the correlation.@*Results@#There were statistically significant differences in scores of psychological capital, resilience, life satisfaction and role adaptation among college freshmen of different origin (large and mediumsized cities: ３.６３± ０.５４，３.７３±０.６４，３.４７±０.８０，３.１４±０.６５；county level city or county seat:３.５７±０.５２，３.６１±０.６３，３.３５±０.７５，３.０９±０.６３；villages and towns:３.５０±０.５０，３.５４±０.５８，３.２３±０.７５，３.０６±０.６０), whether in class committee (yes:３.６３±０.５２，３.６９±０.６０，３.４０± ０.７６ ，３.１８±０.５９； no:３.４３±０.５０，３.４８±０.６４，３.２５±０.７７，２.９３±０.６５), father s education level (junior high school or below:３.５２± ０.５１ ，３.５７±０.６１，３.２７±０.７５，３.０７±０.６１； senior high school or technical secondary school:３.６２±０.５３，３.６８±０.６３，３.４４±０.７８，３.１２±０.６３；junior college or above:３.６８±０.５６，３.７８±０.６４，３.５７±０.８０，３.１９±０.６８)，mother s education level(junior high school or below:３.５３±０.５１，３.５８±０.６１，３.２８±０.７５，３.０６±０.６０；senior high school or technical secondary school:３.６３±０.５５，３.７０±０.６３，３.４８±０.７８，３.１５±０.６６；junior college or above:３.７２±０.５４，３.８６±０.６５，３.６２±０.８３，３.２７±０.７０) ( F / t =11.89,21.89,23.02,3.83；10.08，9.20， 5.20 ，10.63；19.34，20.76，29.52，6.44；22.51，26.79，30.94，13.92， P <0.05). The differences of scores in resilience and role adaptation of different genders (boys:3.66±0.64, 3.12±0.65; girls:3.56±0.59, 3.05±0.58) and in life satisfaction whether being an only child (yes:3.40±0.79; no:3.33±0.76) among college freshmen were statistically significant ( t =4.51, 2.75, 2.35, P <0.05). Pearson correlation analysis showed that psychological capital, resilience and life satisfaction of college freshmen were positively correlated with role adaptation ( r =0.49, 0.49, 0.36), while psychological capital, resilience and role adaptation were positively correlated ( r =0.60, 0.59) and Psychological capital was positively correlated with resistance ( r =0.81)( P <0.01). The results of multiple linear regression analysis showed that gender, whether in class committee, psychological capital, resilience and life satisfaction were positively associated with role adaptation among college freshmen ( R 2=0.28, β =0.04, 0.10, 0.23, 0.26, 0.07， P <0.05).@*Conclusions@#Role adaptation of college freshmen is related with psychological capital, resilience and life satisfaction. Schools should strengthen mental health education to promote smooth role transition for college freshmen.

Estresse ocupacional e estratégias de coping de enfermeiros e técnicos de enfermagem durante a pandemia de COVID-19 / Nurses' and nursing technicians' occupational stress and coping strategies during the COVID-19 pandemic / Estrés ocupacional y estrategias de afrontamiento de enfermeros y técnicos de enfermería durante la pandemia de COVID-19

Objetivos: avaliar os fatores geradores do estresse ocupacional dos enfermeiros e técnicos de enfermagem atuantes no cuidado direto aos pacientes acometidos pela COVID-19, durante a pandemia, e verificar sua relação com estratégias de coping adotadas pela equipe de enfermagem. Métodos: estudo transversal analítico, realizado em um hospital no interior do estado de São Paulo. A amostra de conveniência (n = 112) foi constituída por profissionais de enfermagem que responderam ao Inventário de Estresse de Enfermeiros e Inventário de Respostas de Coping no Trabalho. Para as análises inferenciais foram utilizados os testes Qui-quadrado ou Exato de Fisher, o teste de Mann-Whitney e o teste de Spearman (p < 0,05). Resultados: verificou-se elevado nível de estresse ocupacional em enfermeiros (M = 106,0; DP ± 23,1) e técnicos de enfermagem (M = 98,5; DP ± 25,1), com maior pontuação de enfermeiros para fatores intrínsecos ao trabalho, em comparação com técnicos de enfermagem. As relações interpessoais foram a principal fonte de estresse. As estratégias de coping com maiores médias foram as respostas de enfrentamento tanto para enfermeiros (M = 43,2; DP ± 8,5) quanto para os técnicos de enfermagem (M = 41,4; DP ± 9,1). Conclusões: a identificação dos fatores de estresse ocupacional e das estratégias de coping, bem como, suas repercussões no contexto laboral trouxeram contribuições importantes para entender a realidade contextual.

Objectives: to assess the factors that generate occupational stress among nurses and nursing technicians working in direct care for patients affected by COVID-19 during the pandemic and verify their relationship with coping strategies adopted by the nursing staff. Methods: an analytical cross-sectional study, carried out at a hospital in the countryside of the state of São Paulo. The convenience sample (n = 112) consisted of nursing professionals who answered the Nurses' Stress Inventory and the Coping Responses Inventory for Working Settings. For inferential analyses, chi-square test or Fisher's exact test, Mann-Whitney test and Spearman test were used (p < 0.05). Results: there was a high level of occupational stress in nurses (M = 106.0; SD ± 23.1) and nursing technicians (M = 98.5; SD ± 25.1), with higher scores among nurses for factors intrinsic to work compared to nursing technicians. Interpersonal relationships were the main source of stress. The coping strategies with the highest means were coping responses for both nurses (M = 43.2; SD ± 8.5) and nursing technicians (M = 41.4; SD ± 9.1). Conclusions: the identification of occupational stress factors and coping strategies and their repercussions at work brought important contributions to understanding the contextual reality.

Objetivos: evaluar los factores que generan estrés ocupacional entre enfermeros y técnicos de enfermería que actúan en el cuidado directo de pacientes afectados por COVID-19, durante la pandemia, y verificar su relación con las estrategias de afrontamiento adoptadas por el equipo de enfermería. Métodos: estudio analítico transversal, realizado en un hospital del interior del estado de São Paulo. La muestra por conveniencia (n = 112) estuvo compuesta por profesionales de enfermería que respondieron el Nurses' Stress Inventory y el Coping at Work Response Inventory. Para los análisis inferenciales, se utilizaron las pruebas de chi-cuadrado o exacta de Fisher, Mann-Whitney y Spearman (p < 0,05). Resultados: hubo un alto nivel de estrés ocupacional en enfermeros (M = 106,0; DE ± 23,1) y técnicos de enfermería (M = 98,5; DE ± 25,1), con puntuaciones más altas entre los enfermeros para factores intrínsecos al trabajo, en comparación con los técnicos de enfermería. Las relaciones interpersonales fueron la principal fuente de estrés. Las estrategias de afrontamiento con mayores promedios fueron las respuestas de afrontamiento tanto de enfermeros (M = 43,2; DE ± 8,5) como de técnicos de enfermería (M = 41,4; DE ± 9,1). Conclusiones: la identificación de factores de estrés ocupacional y estrategias de afrontamiento, así como sus repercusiones en el contexto laboral, trajeron importantes aportes para la comprensión de la realidad contextual.