This research aims at evaluating prevalence and factors associated with metabolic syndrome (MS) in primary health care (PHC) nursing professionals. A multicenter, population-based and cross-sectional study was conducted in a team-tested sample of 1125 PHC nurses in the state of Bahia, Brazil. Sociodemographic, labor, lifestyle and human biology variables were investigated by mean of anamnesis. MS was evaluated according to the criteria of the first Brazilian Guideline for Metabolic Syndrome, which fully adopts the criteria of the National Cholesterol Education Program’s Adult Treatment Panel III. MS-associated factors were tested by using robust Poisson Regression. The prevalence of MS found was 24.4%; low High Density Lipoprotein (HDL) cholesterol was the most prevalent component of the syndrome. In the multivariate analysis, physical inactivity (PR = 1.25, 95% CI = 1.02–1.53), alcohol use (PR = 1.84, 95% CI = 1.22–2.77), acanthosis nigricans (PR = 3.23, 95% CI = 2.65–3.92), burnout syndrome (PR = 1.45, 95% CI = 1.17–1.81), (PR = 1.37, 95% CI = 1.12–1.69), working as a nursing technician (PR = 1.43, 95% CI = 1.14–1.80), were associated to MS. It was found that the prevalence of MS was high, which evidences the need for interventions in the PHC environment, improvement of working conditions, monitoring of worker safety and health, diet programs and physical activity.
The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47–0.83), residence (PR = 2.35, CI 95% = 1.79–3.09), economic situation (PR = 1.40, CI 95% = 1.06–1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31–2.33), (PR = 1.60, CI 95% = 1.23–2.08), rest (PR = 1.83, 95% CI = 1.41–2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06–1.77), night shift (PR = 1.49, CI 95% = 1.14–1.96), physical activity practice (PR = 1.72; CI 95% = 1.28–2.31), smoking (PR = 1.82, CI 95% = 1.35–2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01–179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.
Background: Accumulation of abdominal adiposity (AA) constitutes a risk factor for heart and coronary diseases and for metabolic complications. Research suggests that stress is related to adipogenesis. The burnout syndrome (BS) is linked to stress due to the chronicity of work stress. The objective of this study is to estimate the association between BS and AA in Primary Health Care (PHC) nursing practitioners. Methods: This is confirmatory cross-sectional study with 189 workers from nine municipalities in Bahia, Brazil. The dependent variable was AA, measured by waist circumference. The independent variable was the BS, diagnosed by the Maslach Burnout Inventory (MBI). Sociodemographic and job characteristics, lifestyle, and human biology were taken as covariates and were evaluated as modifiers or confounders by the homogeneity tests and by comparison with the adjusted Mantel-Haenszel test, respectively. Logistic regression was employed to evaluate the association between BS and AA, adjusted for covariates. The adequacy of the final regression model was evaluated by the model's goodness of fit test and the area under the ROC curve. Results: BS prevalence was 10.6% and AA 54%. The variables age, education, hypertension, diabetes, working time, and high emotional exhaustion were associated with AA. An association was found between BS and AA (1.63 adjusted prevalence ratios; 95% CI, 1.29 to 2.06) even after age and working time adjustment. Conclusion:The results suggest an association between BS and AA in the analyzed professionals. A significant prevalence of burnout and AA is highlighted.
Effect of immunonutrition on serum levels of C-reactive protein and lymphocytes in patients with COVID-19: a randomized, controlled, double-blind clinical trial Efecto de la inmunonutrición sobre los niveles séricos de proteína Creactiva y linfocitos en pacientes con COVID-19: ensayo clínico doble ciego, controlado y aleatorio
Objetivo: Estimar a prevalência da Síndrome de Burnout entre profissionais de enfermagem da Atenção Básica à Saúde de um município do sudoeste baiano. Método: Estudo de corte transversal, realizado com 60 profissionais de enfermagem da Atenção Básica. Utilizou-se um questionário sociodemográfico e laboral e o Maslach Burnout Inventory. Os dados foram tabulados no SPSS, versão 22.0 e analisados segundo estatística descritiva. Resultados: A prevalência de Síndrome de Burnout foi de 58,3% de acordo os critérios de Grunfeld et al., e de 16,7% segundo Ramirez et al.. Encontraram-se altos níveis na dimensão despersonalização (48,3%) e baixa realização profissional (56,6%). A prevalência da Síndrome de Burnout na população estudada foi alta, assim como foi alto o índice de predisposição para desenvolver esta síndrome. Conclusões: O estudo apontou a necessidade de implementação de medidas preventivas e interventivas para garantir um ambiente de trabalho benéfico e promissor de saúde.
Objetivo: Descrever a experiência de profissionais residentes no enfrentamento da COVID-19 no contexto da enfermagem intensiva. Métodos: Trata-se de um estudo do tipo relato de experiência vivenciado por três profissionais residentes em saúde no enfrentamento da COVID-19 no contexto da enfermagem intensiva em dois hospitais situados na região metropolitana de Salvador, no estado da Bahia, no período de março a maio de 2020. Resultados: Constatou-se mudanças nos fluxos operacionais dos serviços em saúde, o racionamento dos equipamentos de proteção individual dentro das instituições hospitalares e como essas demandas impactam na saúde mental dessas profissionais que estão na linha de frente na assistência a esses pacientes. Conclusão: A pandemia causada pelo SARS-COV-2 coloca em discussão a estrutura das unidades de terapia intensiva existentes no país, sendo primordial a capacitação técnica e científica dos profissionais de saúde, garantia no fornecimento dos equipamentos de proteção individual e suporte psicológico a esses trabalhadores.Palavras-chave: infecções por coronavírus, pandemias, profissionais de enfermagem, saúde do trabalhador, atenção à saúde.
Páginas 01 de 05 não para fins de citaçãoExceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. Justificativa e Objetivos: A Síndrome de Burnout (SB) conhecida também como esgotamento profissional é descrito como fenômeno composto por sentimentos de fracasso e exaustão, tendo como causa um excessivo desgaste de energia e recursos, mediados pela prática e estresse laboral. Neste sentido, enfermeiras da Atenção Básica à Saúde (ABS) não se isentaram no desenvolvimento da síndrome em questão, visto que é a profissão que desenvolve suas atividades laborais através do contato direto com pacientes e familiares, perfazendo cargas horárias em demasia o que pode depreciar a qualidade da assistência prestada. Assim, este estudo se torna pertinente, pois contribuirá para que as enfermeiras de ABS tenham conhecimento mais aprofundado da SB, sendo escassos os estudos neste nível de atenção à saúde. Levantou-se como questão norteadora: qual a prevalência da SB em enfermeiras da ABS com base na literatura brasileira de 2000 a 2014? E como objetivo, conhecer a prevalência da SB em enfermeiras da ABS. Conteúdo: Trata-se de uma revisão integrativa da literatura. Para tanto, realizou-se um levantamento de manuscritos publicados no período de 2000 a 2014, utilizando como descritores, de forma combinada: enfermeira; esgotamento profissional e atenção primária na Biblioteca Virtual em Saúde (BVS). Conclusão: Ainda não é possível conhecer a prevalência da SB em enfermeiras de ABS, devido à escassez de estudos na área. Backgound and Objectives:Burnout Syndrome (BS) also known as burnout is described as a phenomenon composed of feelings of failure and exhaustion, caused by excessive wear and energy resources, mediated by practice and work stress. In this sense, the nurse Primary Health Care (PHC) is not exempted in the development of the syndrome in question, since it is a profession that develops their work activities through direct contact with patients and families, making workloads too much which can depreciate the quality of care. This study becomes relevant because it will contribute to the PHC nurses have deeper knowledge of the BS, and few studies at this This is an integrative literature review. To that end, we conducted survey of manuscripts published from 2000 to 2014, using as descriptors, in combination: nurse; burnout and primary care in the Virtual Health Library (VHL). Conclusion:It is not yet possible to know the prevalence of BS nurses in the PHC due to lack of studies in the area. RESUMO ABSTRACT
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