Background: Burnout syndrome (BS) is a set of psychological symptoms resulting from the interaction between chronic occupational stress and individual factors. These symptoms include emotional exhaustion, depersonalization and decreased professional satisfaction. BS is manifested in a variety of professions and is prevalent in contexts in which health professionals are required to interact directly with the public. Objective: To determine the prevalence of BS among medical students at a university in Ceará State, Brazil. Methods: Of the 517 students enrolled in their first to eighth semester in 2013, 376 (72.7%) were contacted. A socio-economic evaluation questionnaire and the Maslach Burnout Inventory -Human Services Survey (MBI-HSS) were administered. Statistical analysis was conducted using SPSS 20.0. Two groups -burnout/risk and non-burnout -were compared using the chi-square and likelihood ratio tests with a significance level of 5%. Variables with p < 0.20 were included in a multivariate analysis logistical regression model. Results: Burnout was detected in 14.9% of the students, and 57.7% showed a risk of developing the syndrome. Logistic regressions showed an association between burnout and "have failed examinations" and "have considered abandoning the course", p = 0.047 and p < 0.0001, respectively. Discussion: Psychopedagogy should be implemented to address the high prevalence of burnout in medical students.
Despite their significant influence on the quality of life, depressive symptoms are not usually included as a clinical parameter in the evaluation of hemodialysis patients. We aimed to identify depressive symptoms and associated risk factors in a large group of individuals with end-stage renal disease (ESRD) on chronic hemodialysis. This was a cross-sectional study of 400 consecutive patients. Cases were analyzed according to the presence/absence of depressive symptoms. All individuals were investigated by interview, and all variables were measured concurrently. Depressive symptoms were evaluated by the Beck Depression Inventory (BDI-II ≥16) and sleep quality by the Pittsburgh Sleep Quality Index (PSQI > 5). Among the 400 patients (59% male), depressive symptoms were present in 77 (19.3%). Depressive symptoms were more common in women and were independently associated with poor sleep quality (P = <0.005), unemployment (P = 0.001), diabetes (P = 0.02), hypoalbuminemia (P = 0.01), low education (P = 0.03), and pruritus (P = 0.04). Women with ESRD on chronic hemodialysis are at increased risk of depression. Furthermore, unemployment and the presence of diabetes, hypoalbuminemia, low education, and pruritus are significantly associated with depressive symptoms. Depressive symptoms are also independently associated with poor quality sleep and studies about the effects of sleep hygiene therapy on depressive symptoms are warranted.
Poor sleep quality and EDS were prevalent on chronic hemodialysis. Heart failure, low TSAT and depressive symptoms were independently associated with poor sleep quality. Stroke, anemia and high risk of OSA were independently associated with EDS. These results provide new insight into possible treatment strategies.
Introduction: The use of psychoactive drugs in the world population increased until 2011 as well the alcohol consumption of university students. Many studies have appointed factors that may aggravate the problem. Objective: To evaluate the alcohol use by medical students in a private medical institution in Fortaleza, Ceará. Methods: A quantitative, cross-sectional study developed from July of 2015 to May 2016. Two instruments for collecting data were used: one related to socioeconomic, demographic, and nosographic data; and the AUDIT, the most used instrument for evaluating alcohol disturbance. There were 502 students enrolled from the first to the eighth semester. The sample was composed by 384 students, representing 76.5% of the eligible population. Results: The prevalence of risk related to use of alcohol was 36%. 62% of the students were female; 61.9% single; the age average was 22 years. The AUDIT’s average score was 6.1 points. The majority of the students (64%) were classified as low risk use or abstinence (Zone I), while others 36% were located in different levels of risk. 37% had a positive family history for alcoholism, and only 28 (7.3%) had mental illness diagnosis. Variables as to being male, non-practicing religious, being sexually active, having a steady partner, concomitant use of tobacco and illicit drugs, living without the parents and hanging out with friends addicted to drinking were found to be risk factors for the abuse of alcohol. Conclusion: Data showed a high prevalence on the studied population in regard to risk related to the use of alcoholic beverages. The gravity of the problem demands health care and educational efforts to face it.
ResumoIntrodução: Há três décadas, iniciou-se a implementação de políticas visando à desconstrução de um modelo de atenção em saúde mental centrado no hospital e que permitisse gradativamente à Atenção Básica romper a dicotomia entre ações de saúde coletiva e atenção individual. Permanece campo de interesse avaliar o trabalho das equipes da Estratégia da Saúde da Família na Atenção Básica focado nas demandas dos doentes mentais graves e de seus familiares. Objetivos: configurar histórias da doença de portadores de esquizofrenia e seu percurso na busca do atendimento na Atenção Básica. Métodos: Estudo qualitativo realizado, por meio de relato de caso, em três Unidades Básicas de Saúde de Fortaleza-Ceará que haviam passado pelo Matriciamento, com dados coletados em visitas domiciliares com portadores de esquizofrenia utilizando-se entrevistas em profundidade para configurar histórias de vida. Resultados: Os achados refletem a desorganização e a incomunicabilidade de instâncias prestadoras de serviços de saúde, a demora na identificação dos casos emergentes, a falta de agenda nos atendimentos, ausência de individualização do sujeito e necessidade de maior preparo dos profissionais para o desafio de tratar portadores de esquizofrenia na Atenção Básica. Conclusão: As práticas de Saúde Mental, numa perspectiva mais compreensiva, ainda estão à espera de uma inserção mais nítida e operante dentro da Atenção Básica. AbstractIntroduction: Three decades ago, there began the implementation of policies aiming at the deconstruction of a model in mental health care centered in the hospital so as to allow the Primary Health Care gradually break the dichotomy between public health actions and individual attention. However, it remains important to evaluate how the teams of the Family Health Strategy have been working in primary care demands of patients with severe mental illness. Objectives: To configure the history of illness of schizophrenic patients and the route taken in the pursuit of meeting their demands in Primary Care. Methods: A qualitative study carried out in three Basic Health Units in Fortaleza-Ceará that had passed through the matricial process, with data collected in home visits with schizophrenic patients using in-depth interviews to set up life stories. Results: The findings reflect the disorganization and the lack of communication instances that should provide health, expose the delay in identifying the emerging cases, the lack of agenda, lack of individualization of the subject and the needs for better preparation of professionals in the challenge of treating patients with schizophrenia in Primary Care. Conclusion: Mental Health practices, in a more comprehensive approach, are still waiting for a clearer and operative inclusion within Primary Health Care.
: The use of psychoactive substances is a phenomenon broadly discussed and nowadays has reached the dimension of a great epidemic, it. On the other hand, the compulsory hospitalization has been strongly recommended to treat those patients something that has provided an important debate from different points of view about how to proceed. psychoactive substances and attempt to understand their perceptions on compulsory hospitalization.: A qualitative-quantitative, exploratory in a SPSS 2.0 software and the interviews were recorded and transcribed transferring data to the Collective Subject Discourse software. : The people interviewed were all low-skilled, mean age 32.76 years and positioned themselves mostly against compulsory hospitalization. This point of view is corroborated in literature by lawyers and class entities which diverge from the health professionals and the opinion of family members, who mostly agree : Most users of psychoactive substances positioned themselves against the compulsory hospitalization, although admitting some exceptions in adopting this procedure.Psychoactive substances. Alcohol. Drugs. Compulsory hospitalization.situação. Por outro lado, cada vez mais vem sendo proposta a internação compulsória para tratamento desses pacientes, o que tem gerado um amplo debate : Estudo quali-quantitativo, exploratório e transversal realizado em psicossocial e responderam a uma entrevista com quatro perguntas abertas sobre o tema. Dados psicossociais foram armazenados no software SPSS 2.0 e as entrevistas gravadas e transcritas com transferência dos dados para o software do Discurso do Sujeito Coletivo.: Os entrevistados eram todos de : A maioria dos Substâncias psicoativas. Álcool. Drogas. Hospitalização compulsória.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.