Ergonomia em ambiente pré-hospitalar: fator de risco à saúde do trabalhador no serviço de atendimento móvel de urgência

2009 ◽  
Vol 3 (2) ◽  
pp. 429
Author(s):  
Bartolomeu José dos Santos Júnior ◽  
Cibele De Lima Souza Silveira ◽  
Ednaldo Cavalcante de Araújo

ABSTRACTObjective: to examine the working conditions and ergonomics for health workers in the Service of Mobile Emergency Attendance (SMEA)/Recife, Pernambuco, Brazil. Method: this about a descriptive study, cross-sectional, from quantitative approach. The population is composed by the nursing staff and the sample will be defined according the following eligibility criteria: 1) all employees of the nursing team involved in Service of Mobile Emergency Attendance (SMEA)/Recife, Pernambuco, Brazil; 2) to be both gender; 3) all the workers with experience at least one year of work in that institution. It will applied the standard questionnaire checklist for data collection. Expected results: to contribute to further studies can be made to the understanding of relations between labor and health-disease process. Descriptors: ergonomics; risk factor; occupational health; nursing.RESUMOObjetivo: analisar as condições de trabalho e a ergonomia como fatores de risco à saúde dos trabalhadores do Serviço de Atendimento Móvel de Urgência ― SAMU/Recife, PE. Método: estudo descritivo e exploratório, transversal, de abordagem quantitativa. A população será composta pela equipe de enfermagem e a amostra será definida após atendimento dos seguintes critérios de elegibilidade: 1) todos os trabalhadores da equipe de enfermagem envolvidos no Serviço de Atendimento Móvel de Urgência ― SAMU/Recife, PE; 2) ser de ambos os sexos; 3) pelo menos um ano de experiência de trabalho na referida instituição. Será aplicado questionário do tipo checklist, para a coleta de dados. Resultados esperados: contribuir para que novos estudos possam ser realizados visando à compreensão das relações entre o trabalho e o processo saúde-doença. Descritores: ergonomia; fator de risco; saúde do trabalhador; enfermagem.RESUMENObjetivo: examinar las condiciones de trabajo y la ergonomía para los trabajadores de la salud en el Servicio Móvil de Asistencia de Emergencia (SAMU)/Recife, Pernambuco, Brasil. Método: se trata de un estudio descriptivo, transversal, de enfoque cuantitativo. La población está compuesta por el personal de enfermería y la muestra se define según los siguientes criterios de elegibilidad: 1) todos los empleados del equipo de enfermería que participan en el Servicio Móvil de Asistencia de Emergencia (SAMU)/Recife, Pernambuco, Brasil, 2) del gênero masculino y feminino; 3) todos con experiencia de al menos un año de trabajo en esa institución. Se aplicó el cuestionario estándar lista para la recolección de datos. Resultados esperados: contribuir a nuevos estudios se pueden hacer a la comprensión de las relaciones entre el trabajo y proceso salud-enfermedad. Descritores: ergonomía; factor de riesgo; salud laboral; enfermería.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  

ABSTRACT Background Public health workers at the Chinese Centre for Disease Control and Prevention (China CDC) and primary health care institutes (PHIs) were among the main workers who implemented prevention, control, and containment measures. However, their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of front line public health workers in China during the COVID-19 epidemic. Methods Between 18 February and 1 March 2020, we conducted an online cross-sectional survey of 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We surveyed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardised measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results The prevalence of depression, anxiety, and poor self-rated health was 21.3, 19.0, and 9.8%, respectively, among public health workers (27.1, 20.6, and 15.0% among CDC workers and 17.5, 17.9, and 6.8% among PHI workers). The majority (71.6%) made immense efforts in both field and non-field work. Nearly 20.0% have worked all night for more than 3 days, and 45.3% had worked throughout the Chinese New Year holiday. Three risk factors and two protective factors were found to be independently associated with all three health outcomes in our final multivariate models: working all night for >3 days (multivariate odds ratio [ORm]=1.67~1.75, p<0.001), concerns about infection at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), initiating COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and ability to persist for > 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions Chinese public health workers made immense efforts and personal sacrifices to control the COVID-19 epidemic and faced the risk of mental health problems. Efforts are needed to improve the working conditions and health status of public health workers and thus maintain their morale and effectiveness during the fight against COVID-19.


Author(s):  
Juan M. Carmona ◽  
Ana M. Baena ◽  
Ana C. Berral ◽  
Quintiliano Sotelo ◽  
Beatriz Recio ◽  
...  

The objective of this study was to determine the knowledge of health professionals Hospital of Montilla on the administration of drugs in emergencies. Material: cross-sectional descriptive study conducted at the Hospital of Montilla (Córdoba). A questionnaire to doctors and nurses were distributed by random sampling during the month of December 2014. A survey of Machado de Azevedo et al. (2012) that consists of 9 items for the assessment of knowledge on medication administration was used. Results: The sample was composed of 59.1% of physicians and 40.9% of nurses with an average age of 38.05 (SD±8.981). Regarding the situation of respondents, 72.7% had received prior training. Regarding their own self-assessment, 72.7% considered to have a satisfactory knowledge of drug administration. 90.9% of respondents known to exist protocols on the administration of drugs in his unit. Discussion: Although the knowledge of drug delivery is acceptable for health workers, there are differences between the two analyzed collectives. Therefore, it would be ideal to perform adequate training and retraining of staff for optimal knowledge and, in this way, improve health care.


2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48


Author(s):  
S. B. Gupta ◽  
Meenakshi Singh ◽  
Atul Kr. Singh ◽  
Huma Khan ◽  
Alpana Saxena

Background: India was the first country in the world to have launched a National Programme for Family Planning.Methods: A cross-sectional descriptive study was carried out in the in Vaccination unit of rural field practice area of Shri Ram Murti Smarak institute of Medical Sciences (SRMSIMS) Bareilly (U.P). Objective of the study was to assess knowledge and practice of postpartum contraception and factors affecting the usage of contraceptives in Rural area. All females who delivered within last one year were included in the study. A pre-structured questionnaire was used. A total of 98 females were included. The appropriate statistical analysis was done to present the results.Results: 28.57% females had adopted one or the other postpartum contraceptive measure. Condom was the most common method used. Usage of postpartum contraception was significantly associated with women’s and husband’s education, type of delivery and availing of antenatal and postnatal visits.Conclusions: Overall usage of postpartum contraception was low there is need to focus at every step to contact of these women with health facility or health workers.


2016 ◽  
Vol 29 (1) ◽  
pp. 26-31
Author(s):  
Shaila Naznine Tania ◽  
Ferdousi Islam

Objective: The study was conducted to find out any alterations in thyroid function status in first half of pregnancy (up to 20 weeks), with ultimate aim of deciding the usefulness of routine screening of thyroid function in pregnancy.Material and methods: A cross-sectional study was conducted in the department of Obstetrics & Gynaecology, Dhaka Medical College and Hospital, Dhaka, Bangladesh, over a period of one year from July 2011 to June 2012 on pregnant women in their 1st half of pregnancy to screen for the thyroid function. Based on predefined eligibility criteria, a total of 230 pregnant women were purposively included in the study. Thyroid function status was assessed by measuring serum levels of TSH, free thyroxine (FT4), and free tri-iodothyronine (FT3). Women with thyroid disorders were excluded.Results: The mean age of the patients being 24 years. Over 90% of the women were housewife and majority (88.7%) was educated. Over one-quarter of women was overweight with mean body mass index being 22.1 ± 4.4 kg/m2. The women were predominantly multigravida with 56% in 1st trimester 44% in the 1st half of 2nd trimester of pregnancy (13-20 weeks). Based on trimester’s specific range of serum TSH in the 1st and 1st half of 2nd trimester (13-20 weeks) of pregnancy,13% of the patients were hypothyroid and 3% were hyperthyroid thus yielding a total of 37(16%) pregnant women with abnormal thyroid function status.Conclusion: The study concluded that one in every six women may have thyroid disorder in the first half of pregnancy and subclinical hypothyroidism is four times more common than the subclinical hyperthyroidism.Bangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 26-31


2019 ◽  
Vol 7 (2) ◽  
pp. 133-137
Author(s):  
Anugrah Novianti ◽  
Eriliyabuduni Ulfi ◽  
Lilik Sri Hartati

Background: The prevalence of gout increased based on age, highest at age 70-79 years 9.3%, age 60-69 years 8%, age 50-59 years 3.7%, and age 40-49 years 3.3%. Meanwhile, based on gender, the prevalence of gout diagnosed with health workers was higher in women at 13.4% compared to men 10.3%. Overweight and obesity can trigger an increase in uric acid levels, so it is one of a risk factor for hyperuricemia. Various high protein and purine foods have long been considered a risk factor for gout. Similarly, the possibility that consumption of dairy products especially cow's milk has a role in protecting the risk of gout based on the results of metabolic studies.Objective: To determined the relationship of sex, body mass index (BMI), dairy products consumption and uric acid levels of the elderly in Cipondoh Sub-District Tangerang.Methods: This study used a cross-sectional design. Research participants were collected by using purposive sampling. Primary data consisted of respondent characteristics, dairy products consumption, BMI, and uric acid levels.Results: The results of this research have shown there was a correlation between BMI and uric acid level p = 0.007, dairy products consumption and uric acid level p = 0.0001, but there was no correlation between sex and uric acid level p = 0.204 in the elderly at Cipondoh Sub-District Tangerang.Conclusion: There was a correlation between BMI, dairy products consumption with uric acid levels of the elderly in Cipondoh Sub-District Tangerang.


2015 ◽  
Vol 5 (2) ◽  
pp. 25-29 ◽  
Author(s):  
R Baral ◽  
S Sapkota

Migration of Health workers has devastating consequences leading to loss of health workers in the nation of origin. This research was carried out to identify the push factors related to migration of Nurses from Nepal to other developed countries. A cross sectional descriptive study was conducted via different social medias. The data was collected from 67 migrated Nepalese Nurses to: Australia, USA, UK and Canada. Self-administered questionnaire in the form of “Google docs form” was used to collect data from respondents. The study showed that 70.15% of respondents were of 20-29 years of age. In the study, 38.80% of respondents were from Australia followed by 31.34% from USA, 16.43% from UK and 13.43% from Canada. When the researcher advised respondents to prioritize the major cause of migration by giving 1 to major and 8 to least responsible factor of migration, the study revealed that personal ambition (Mean: 3.18), lack of job and career opportunities in Nepal (Mean: 3.57), economical factors (Mean: 3.2), and job dissatisfaction (Mean: 4.90) are the main causes of migration among Nepalese Nurses. This study also showed that 55.22% of respondents were not satisfied with their job in Nepal. 53.74% and 43.28% of the respondents are satisfied and highly satisfied respectively with their job in abroad. It can also be concluded that lack of modern facilities merely is not only the motivating factor for migration among Nepalese nurses, age and personal ambition also play a role in migration.


2019 ◽  
Author(s):  
Listian Prisilia Rahayu ◽  
Serlina . ◽  
Diwa Agus Sudrajat ◽  
Gina Nurdina ◽  
Elis Nurhayati Agustina ◽  
...  

Background: Stroke described as a disruption of blood flow in the brain which can lead to brain malfunction, neurological deficits, and even death. Although with good management in acute period, the incidence of recurrent stroke still increasing every year. Objectives: This study aimed to determine the dominant risk factor of stroke recurrence. Methods: This study was a cross sectional descriptive study with 274 strokes patients as samples. The samples were recruited from one of general hospital specialize in neurology disorders in Jakarta, Indonesia. Results: The result indicated a significant correlation between cardiovascular disorders, cholesterol, and activity with incidence of stroke recurrent (p<0.05). The dominant risk factor in this study was obesity event (OR = 0.616) Conclusion: Besides the dominant factor, there were 3 factors that significantly affect stroke recurrence; cardiovascular disorders, hypercholesterolemia, and physical activity. Nurses should be more aware that some patients may still have risk factors of stroke recurrence even they have discharged from hospital. With some efforts like health education and controlling the factors can help to reduce the risk of stroke recurrence.  


2021 ◽  
pp. 014556132110380
Author(s):  
Allahkarm Akhlaghi ◽  
Amirhossein Darabi ◽  
Marzieh Mahmoodi ◽  
Ali Movahed ◽  
Reza Kaboodkhani ◽  
...  

Background: Chronic rhinosinusitis (CRS), as an inflammatory airway disease, could be a risk factor for COVID-19 patients. This study aimed to investigate the frequency and severity of symptoms of COVID-19 in patients with CRS and to assess the association between the status of CRS symptoms and the quality of life (QoL) of the patients. Methods: In this observational and cross-sectional study, 207 adult CRS patients participated. The patients, who presented the symptoms of COVID-19, were examined by taking the reverse transcription–polymerase chain reaction test. A questionnaire was completed by each patient, regarding their demographic and clinical data. In addition, the GA2LEN and Sino-Nasal Outcome Test (SNOT-22) standard questionnaires were used to identify the comorbid allergic condition and QoL of CRS patients. Results: The frequency of patients with COVID-19 was 25 (12.1%) of which 22 were treated as outpatients, 2 of them admitted in wards and 1 at intensive care unit. The severity of hyposmia in the patients was 2 (8%) as mild, 5 (20%) moderate, and 11 (72%) as anosmia. The most common allergic and underlying comorbid diseases were allergic rhinitis (88%) and thyroid disorders (28%). Further, the average SNOT-22 score in 4 SNOT-22 domains (nasal, otologic, sleep, and emotional symptoms) was significantly decreased in CRS patients after a period of one year since the pandemic started (40.1 ± 18.0 vs. 46.3 ± 17.7; P < .0001). Discussion: This study showed a low frequency of COVID-19 in patients with CRS and about the same rate of infection positivity in the general population; therefore, we concluded that CRS could not be considered as a risk factor for COVID-19. Interestingly, the lower average score of SNOT-22 after one year of the pandemic in the patients with CRS confirmed the necessity for performing the standard health protocols by the patients.


2010 ◽  
Vol 4 (2) ◽  
pp. 691
Author(s):  
Juliana Helena Montezeli ◽  
Hellen Estevão Martins ◽  
Amanda Pereira Pugin

ABSTRACTObjective: to identify possible factors that lead supermarket cash operators to present symptoms consistent with depressive disorders. Method: this is about a quantitative descriptive study, performed in three supermarkets, in Curitiba-PR city, in July 2008, with 30 cash operators who answered to a questionnaire, following the ethical precepts. Data were tabulated and displayed in percentages. Results: 85% of the subjects are women, 57% are in the profession for less than one year. Only 28% relate motivation to work and the reasons that caused demotivation were: low salary (23%), impoliteness of the supermarket customers (14%), lack of recognition (15%) and lack of future prospects (12%). 39% reported symptoms consistent with depressive disorder most of the day and every day, having signed more than three symptoms simultaneously. The most cited symptoms were: lowering of mood (16%), sleep disorders (16%), difficulty in concentrating and making decisions (13%). Conclusion: the symptoms are related to the working conditions and the occupational health nurse shows to be essential for prevention of depressive disorders, and may contribute largely in the improvement of the work environment. Descriptors: nursing; occupational health nursing; occupational health; working conditions; occupational diseases; depressive disorder; depression.RESUMOObjetivo: identificar os possíveis fatores que levam operadores de caixa de supermercado a apresentarem sintomas compatíveis com transtornos depressivos. Método: pesquisa quantitativa descritiva realizada em três supermercados de Curitiba-PR, em julho de 2008, com 30 operadores de caixa que responderam um questionário, obedecendo os preceitos éticos. Os dados foram tabulados e expostos em porcentagens. Resultados: 85% dos sujeitos são mulheres, 57% estão na profissão há menos de um ano. Somente 28% referem motivação para trabalhar e os motivos que originaram desmotivação foram: salário baixo (23%), indelicadeza dos clientes do supermercado (14%), falta de reconhecimento (15%) e falta de perspectivas futuras (12%). 39% referem sintomatologia compatível com transtorno depressivo a maior parte do dia e todos os dias, tendo assinalado mais de três sintomas simultaneamente. Os sintomas mais citados foram: rebaixamento de humor (16%), distúrbios do sono (16%), dificuldade de concentração e de tomada de decisões (13%). Conclusão: a sintomatologia se relaciona com as condições laborais e o enfermeiro do trabalho mostra-se essencial para prevenção de transtornos depressivos, podendo contribuir amplamente na melhoria do ambiente de trabalho. Descritores: enfermagem; enfermagem do trabalho; saúde do trabalhador; condições de trabalho; doenças profissionais; transtorno depressivo; depressão.RESUMENObjetivo: identificar los posibles factores que conducen a los cajeros de supermercado a presentar síntomas compatibles con trastorno depresivo. Método: pesquisa cuantitativa descriptiva realizada en tres supermercados de Curitiba-PR, en julio de 2008, con 30 cajeros que respondieron un cuestionario, obedeciendo los preceptos éticos. Los datos fueron ordenados y expuestos en porcentajes. Resultados: 85% de los sujetos son mujeres, 57% están en esa profesión hace menos de un año. Solamente 28% muestran motivación para trabajar y los motivos que originaron la desmotivación fueron: bajo salario (23%), indelicadeza de los clientes del supermercado (14%), falta de reconocimiento (15%) y falta de perspectivas para el futuro (12%). 39% refieren sintomatología compatible con trastorno depresivo la mayor parte del día y todos los días, mostrado más de tres síntomas simultáneamente. Los síntomas más citados fueron: cambios de humor (16%), disturbios del sueño (16%), dificultad de concentración y de toma de decisiones (13%). Conclusión: la sintomatología se relaciona con las condiciones laborales y lo enfermero de salud ocupacional se torna necesario para la prevención de trastornos depresivos, pudiendo así contribuir ampliamente en la mejora del ambiente de trabajo. Descriptores: enfermería; enfermería del trabajo; salud laboral; condiciones de trabajo; enfermedades profesionales; trastorno depresivo; depresión. 


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