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Publication
Impacto do trabalho por turnos nos auxiliares de ação direta e educativa das IPSS
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Abstract(s)
O trabalho por turnos pode influenciar a saúde e o bem-estar dos indivíduos devido a alterações dos ritmos biológicos, causando perturbações a nível psicológico e físico, prejudicando a relação familiar, social e a capacidade para o trabalho. No entanto, o trabalho por turnos dos profissionais auxiliares de ação direta/educativa de Instituições Particulares de Solidariedade Social (IPSS), é essencial para que exista a continuidade na prestação dos melhores cuidados de higiene e saúde aos utentes dessas instituições durante todo dia. Este estudo tem como objetivos principais avaliar a qualidade de vida e a capacidade para o trabalho destes profissionais. A amostra foi composta por 29 profissionais de duas IPSS da região da Bairrada. Os inquiridos foram sujeitos a uma monitorização da função cardíaca de PA - Pressão Arterial durante 24h e responderam a um questionário onde se avaliaram o seu Índice de Capacidade de Trabalho (ICT) e o Índice de Qualidade de Vida (IQV). Os resultados foram analisados através de testes de cariz descritivo e testes de inferência. Os 29 indivíduos avaliados eram 90% mulheres e 10% homens, com idade de 45,1 (±5,63) e tempo médio na função de 7,1 (±3,18) anos. O exame físico revelou uma média da Pressão Arterial Sistólica 24 horas de 119,3 (±11,8) mmHg e Pressão Arterial Diastólica 24 horas de 72,6(±7,3) mmHg. A média do Índice de Massa Corporal IMC (kg/m2) foi 25,6 (±3,5), sendo que 24,1% dos participantes apresentaram excesso de peso e 13,7% obesidade grau I. Dessa análise, observamos que a PA média de 24 horas está dentro dos parâmetros de normalidade, no entanto, observou-se que os indivíduos com excesso de peso têm uma tendência ao aumento desta comparados com os indivíduos de peso normal e obesos. Apesar da classe trabalhadora apresentar boa capacidade para o trabalho (69% condição “Boa” e “Excelente”), não apresenta grande otimismo em relação ao futuro. A partir da análise, pode-se concluir que os trabalhadores se ajustam às constantes mudanças de horários estabelecidos pelas suas instituições e são capazes de realizar o seu trabalho, no entanto, os indivíduos com 6 ou mais anos de trabalho no atual regime de turnos já sentem alguns sintomas de desgaste físico e psicológico acelerando assim o seu envelhecimento. Alguns parâmetros da pressão arterial demostram que o trabalho por turnos é potenciador de risco cardiovascular.
Shift work can influence the health and well-being of individuals due to changes in biological rhythms, causing psychological and physical disruption, harming family and social relationships and work ability. However, the shift work of auxiliary of direct / educational action of IPSS is essential to ensure continuity in providing the best hygiene and health care to the users of these institutions every day. The main objectives of the present study are to evaluate the quality of life and the work capacity of these professionals. The sample consisted of 29 professionals from two IPSS in the Bairrada region. Respondents were subjected to a monitoring of the BP - Blood Pressure heart function for 24 hours and answered a questionnaire where their Work Ability Index and the Quality of Life Index were evaluated. The results were analyzed through descriptive character and inference tests. The 29 workers evaluated consisted of 90% women and 10% men, with 45.1 (± 5.63) years of age and average time on the job of 7.1 (± 3.18) years. Physical examination revealed an average 24-hour Systolic Blood Pressure of 119.3 (± 11.8) mmHg and 24-hour Diastolic Blood Pressure of 72.6 (± 7.3) mmHg. The average Body Mass Index BMI (kg / m2) was 25.6 (± 3.5), and 24.1% of the participants were overweight and 13.7% presented obesity class I. From this analysis, we observed that the daily 24-h BP is within the normality parameters. However, it was observed that overweight individuals have a tendency to increase the BP value when compared to normal and obese individuals. Although this working class has a good working capacity (69% "Good" and "Exceptional" condition), they are not optimistic about the future. After the analysis, we concluded that the workers are able to adjust to the constant changes in schedules established by their institutions and are able to carry out their work. However, individuals with 6 or more years of work in the present-day shift regime start to feel some symptoms of physical and psychological wear and thus speeding up their aging. Some blood pressure parameters show that shift work increases cardiovascular risk.
Shift work can influence the health and well-being of individuals due to changes in biological rhythms, causing psychological and physical disruption, harming family and social relationships and work ability. However, the shift work of auxiliary of direct / educational action of IPSS is essential to ensure continuity in providing the best hygiene and health care to the users of these institutions every day. The main objectives of the present study are to evaluate the quality of life and the work capacity of these professionals. The sample consisted of 29 professionals from two IPSS in the Bairrada region. Respondents were subjected to a monitoring of the BP - Blood Pressure heart function for 24 hours and answered a questionnaire where their Work Ability Index and the Quality of Life Index were evaluated. The results were analyzed through descriptive character and inference tests. The 29 workers evaluated consisted of 90% women and 10% men, with 45.1 (± 5.63) years of age and average time on the job of 7.1 (± 3.18) years. Physical examination revealed an average 24-hour Systolic Blood Pressure of 119.3 (± 11.8) mmHg and 24-hour Diastolic Blood Pressure of 72.6 (± 7.3) mmHg. The average Body Mass Index BMI (kg / m2) was 25.6 (± 3.5), and 24.1% of the participants were overweight and 13.7% presented obesity class I. From this analysis, we observed that the daily 24-h BP is within the normality parameters. However, it was observed that overweight individuals have a tendency to increase the BP value when compared to normal and obese individuals. Although this working class has a good working capacity (69% "Good" and "Exceptional" condition), they are not optimistic about the future. After the analysis, we concluded that the workers are able to adjust to the constant changes in schedules established by their institutions and are able to carry out their work. However, individuals with 6 or more years of work in the present-day shift regime start to feel some symptoms of physical and psychological wear and thus speeding up their aging. Some blood pressure parameters show that shift work increases cardiovascular risk.
Description
Keywords
Trabalho por turnos Qualidade de vida Capacidade para o trabalho Pressão arterial Ritmo circadiano Avaliação da capacidade de trabalho