Prevalence of Metabolic Syndrome among nursing personnel and its association with occupational stress, anxiety and depression

Abstract

OBJECTIVE: to identify the prevalence of Metabolic Syndrome among nursing personnel, and its association with occupational stress, anxiety and depression. METHOD: a descriptive correlational study undertaken with 226 nursing personnel from a teaching hospital. Data collection was undertaken through application of the Job Stress Scale, the Hospital Anxiety and Depression Scale and a sociodemographic questionnaire, with variables of Metabolic Syndrome. Univariate analyses and Chi-squared and Pearson tests were used for correlation between the variables, with a level of significance of 5%. RESULTS: 86 (38.1%) workers presented Metabolic Syndrome, of whom 183 (81.1%) were female, and 43 (19.9%) male, aged between 23 and 66 years old. In relation to anxiety and depression, 154 (68.1%) presented anxiety, with 48 (31.2%) also presenting Metabolic Syndrome; 185 (81.8%) presented depression, of whom 62 (33.5%) also had Metabolic Syndrome. It was ascertained that 61 (27.0%) workers presented stress and that of these, 14 (22.9%) presented Metabolic Syndrome. CONCLUSION: a correlation was observed between the variables of anxiety and Metabolic Syndrome and stress and Metabolic Syndrome, there being no correlation between the variables of depression and Metabolic Syndrome.

Indicadores de saúde dos trabalhadores da área hospitalar

“…A unique record, referring to an episode of hypertension complicating pregnancy deviate the worker of its activities for seven consecutive days. Hypertension has physiological causes; however, hypertensive situations can be exacerbated by unfavorable situations like stress pressures in the workplace (27) .…”

Estresse ocupacional entre trabalhadores de saúde de um hospital universitário

“…Nursing and medical professionals, especially those who develop their activities in hospital institutions, experience situations that lead to stress, as they coexist routinely with pain, suffering and death, and are subjected to intense work rhythm, long hours, shift work, low wages, complex human relations, lack of materials and human resources, among other factors that can trigger and/or potentiate stress at work (3)(4) . Continuous stress at work can have harmful consequences for the mental and physical health of the worker, such as the development of the metabolic syndrome, sleep disorders, diabetes, hypertension, psychosomatic illnesses, burnout syndrome, depression, psychoactive substance use, drop in productivity, absenteeism, job dissatisfaction, and low quality of life at work (1,5) . Among the theoretical models most adopted in the international literature for stress assessment at work is the Demand-Control -Social Support model, proposed by Töres Theorell in 1988, since it covers specific aspects of the labor process.…”

Síndrome Metabólica E Estresse De Agentes De Segurança Penitenciária

“…A saúde do agente penitenciário tem despertado preocupação, pois o presídio é um ambiente estressante, onde ocorrem vários casos de absenteísmo indivíduos submetidos à maior carga psicológica no exercício da profissão, sendo provável a relação entre essa entidade clínica e o estresse ocupacional (1) . De forma geral, os fatores de riscos mais importantes são o estresse, excessiva carga de trabalho, poucas horas de sono (alteração sono-vigília), alimentação inadequada, trabalho noturno e sedentarismo, excesso de peso, os quais podem contribuir de forma direta ou indireta para o desenvolvimento da SM (8) . Em um estudo chinês identificou-se que os riscos relativos de SM nas pessoas com exposição moderada ao estresse foram 2,331 vezes maiores do que nas pessoas com exposição ao estresse leve (ajustando os valores por idade, gênero, nível de escolaridade, status matrimonial, tabagismo e consumo).…”

“…Fatores ambientais atuariam sobre o genótipo gerando adaptações no metabolismo em função do ambiente no qual vive o indivíduo (7) . Dentre os possíveis mecanismos propostos para a associação entre estresse e SM, destaca-se a hipótese da desregulação neuroendócrina, propondo que condições desfavoráveis ao organismo, como trauma, medo e condições psicológicas adversas, funcionariam como gatilho para respostas neuroendócrinas e hemodinâmicas (8) . A ativação simpática aumentaria a frequência cardíaca e a resistência vascular periférica levando à elevação da pressão arterial e do risco cardiovascular.…”