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.
Objective: To describe coping strategies, concerns and habits of Brazilian men during the COVID-19 pandemic. Method: Cross-sectional, descriptive and nationwide study, carried out in 2020 with a total of 1015 men living in Brazil. A descriptive statistic was used. Results: Young (41.2%), black (61.4%), highly educated (66.8%), high income (33.2%), living with family/friends (49.7%) and formal workers (65.6%) predominated. As coping strategies predominated: exclusive use of the private health system (36.4%), support from family/friends (78.2%) and leisure (97.7%) and domestic activities (64.9 %). Social distancing (59.7%), economic (58.0%) and work situations (44.4%) were the main reasons for concern. Among the prevention/control attitudes, hand washing (94.3%) and social distancing (91.0%) prevailed. Media consumption (84.6%) and health risk (65.4%) were the main increased habits. Conclusion: Brazilian men adopted coping strategies recommended by health authorities, with concerns and habits of potential risk to physical and mental health.
Covid-19 is a respiratory infection caused by coronavirus-initially detected in China, in December 2019, which progresses to pneumonia in 81% of the cases, with an average fatality rate of 2.3% 1. It was declared a pandemic by the World Health Organization on March 11, 2020, almost ninety days after the first cases appeared. With high transmissibility, vertiginous increase in the number of cases, and clinical severity, it is impossible to disregard its psychological effects.
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.
Objective: To analyze, from the perspective of self-report of antecedents and consequences, how the COVID-19 pandemic decrease the health of men living in Brazil. Methods: Qualitative study, conducted with 200 men living in all regions of Brazil through the application of a semi-structured instrument, hosted on an online platform. The data were analyzed with the Collective Subject Discourse method and anchored in the theoretical framework of Dialectical Historical Materialism. Results: The COVID-19 pandemic decrease men’s mental health because it worsened the history of personal, affective, family, occupational, dysfunctional and/or morbid problems, causing consequences of psychic somatization, family dissolution, end of affective relationship, marital conflicts, social isolation, financial difficulty, vulnerability of the work situation and occupational exhaustion, sudden changes in behavior, barriers in access to health care and impaired experiences of death and grief. Conclusions: Social support networks need to be strengthened in order to minimize the direct and indirect impacts caused by the pandemic materiality for mental health and the various dimensions of life affected.
Objective: To analyze the relationships between sociodemographic variables, intolerance to uncertainty (INT), social support, and psychological distress (i.e., indicators of Common Mental Disorders (CMDs) and perceived stress (PS)) in Brazilian men during the COVID-19 pandemic. Methods: A cross-sectional study with national coverage, of the web survey type, and conducted with 1006 Brazilian men during the period of social circulation restriction imposed by the health authorities in Brazil for suppression of the coronavirus and control of the pandemic. Structural equation modeling analysis was performed. Results: Statistically significant direct effects of race/skin color (λ = 0.268; p-value < 0.001), socioeconomic status (SES) (λ = 0.306; p-value < 0.001), household composition (λ = 0.281; p-value < 0.001), PS (λ = 0.513; p-value < 0.001), and INT (λ = 0.421; p-value < 0.001) were evidenced in the occurrence of CMDs. Black-skinned men with higher SES, living alone, and with higher PS and INT levels presented higher prevalence values of CMDs. Conclusions: High levels of PS and INT were the factors that presented the strongest associations with the occurrence of CMDs among the men. It is necessary to implement actions to reduce the stress-generating sources as well as to promote an increase in resilience and the development of intrinsic reinforcements to deal with uncertain threats.
Objetivo: estimar a prevalência da Síndrome de Burnout e identificar o perfil sociodemográfico, laboral, estilo de vida e saúde de residentes multiprofissionais de saúde de uma Universidade pública da Bahia, Brasil. Metodologia: estudo transversal, descritivo, realizado com 63 residentes. Utilizou-se o Maslach Burnout Inventory e um questionário contendo questões sociodemográficas, laborais, estilo de vida e saúde. Resultados: ao analisar as dimensões da síndrome, 82,5% apresentaram nível alto de exaustão emocional; 55,5% nível moderado de despersonalização e 88,8% nível alto de reduzida realização profissional. Destaca-se a maior ocorrência do Burnout em enfermeiros (50%), profissionais atuantes no âmbito hospitalar (71,4%) e em recém-formados (média 2,1 anos). 60,3% dos residentes consideraram não ter uma alimentação saudável e 29,5% apresentaram excesso de peso. Conclusão: os resultados apontam uma prevalência significativa de síndrome de burnout, sendo encontradas altas alterações nas três dimensões da síndrome em 22,2% dos residentes.
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