Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia
Ano de defesa: | 2019 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Santa Maria
Centro de Ciências da Saúde |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Enfermagem
|
Departamento: |
Enfermagem
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.ufsm.br/handle/1/21020 |
Resumo: | Introduction: Occupational stress is understood as the result of the interaction between the demands of work and the ability to control them, which can lead to changes in cortisol concentration. It exposes the worker to the risk of becoming ill, and to the development of musculoskeletal pain. Objective: to evaluate the association between occupational stress, salivary cortisol concentration and musculoskeletal pain in nurses at a Hemato-Oncology service. Method: A cross-sectional study was carried out with 29 day-care nurses from a Hemato-Oncology service at a university hospital in Rio Grande do Sul. Data were collected from April to August, 2018, with a sociodemographic, occupational and profile characterization tool the Job Stress Scale, the Nordic Osteomuscular Symptoms Questionnaire, and saliva collection for cortisol analysis in five moments (upon waking, at the beginning and end of shift on a work day and at the same time on a day off ). Data were analyzed statistically. Results: Two articles were constructed. The first one entitled "Salivary cortisol stress evaluation in hemato-oncology nurses: work x gap", showed that there was no significant difference (p <0.05) in salivary cortisol values between the workday and the day off duty. There was a significant difference with the highest values of salivary cortisol on awakening for those who do not have children, do not use medication, do not use oral contraceptives and intend to leave work. At the beginning of the day, for those who use medication. And, at the end of the holiday for those who work in the hospitalization sector. The second article, entitled "Occupational stress, cortisol concentration and musculoskeletal pain: what is its association in hemato-oncology nurses?", showed that the greatest number of nurses were in the passive work and high demand quadrants, which were also the quadrants with the highest prevalence of musculoskeletal pain. The anatomical regions with the highest reported musculoskeletal pain were vertebral column in the last year and lower limbs in the last week, and the pain intensity was moderate to mild. There was no significant difference between salivary cortisol values with occupational stress and with musculoskeletal pain. Conclusion: the data show that hemato-oncology nurses are stressed and possibly have developed an occupational disease, which was noticed from reports of musculoskeletal pain, and manifestations of changes in the physiological parameters of salivary cortisol. Interventions are suggested in order to prevent the worsening of the psychological and physical conditions, in order to maintain the quality of service and health of the professionals. |
id |
UFSM_948ec44d71b4e644b7a25b9a549cc48d |
---|---|
oai_identifier_str |
oai:repositorio.ufsm.br:1/21020 |
network_acronym_str |
UFSM |
network_name_str |
Biblioteca Digital de Teses e Dissertações do UFSM |
repository_id_str |
|
spelling |
2021-05-31T22:58:01Z2021-05-31T22:58:01Z2019-01-29http://repositorio.ufsm.br/handle/1/21020Introduction: Occupational stress is understood as the result of the interaction between the demands of work and the ability to control them, which can lead to changes in cortisol concentration. It exposes the worker to the risk of becoming ill, and to the development of musculoskeletal pain. Objective: to evaluate the association between occupational stress, salivary cortisol concentration and musculoskeletal pain in nurses at a Hemato-Oncology service. Method: A cross-sectional study was carried out with 29 day-care nurses from a Hemato-Oncology service at a university hospital in Rio Grande do Sul. Data were collected from April to August, 2018, with a sociodemographic, occupational and profile characterization tool the Job Stress Scale, the Nordic Osteomuscular Symptoms Questionnaire, and saliva collection for cortisol analysis in five moments (upon waking, at the beginning and end of shift on a work day and at the same time on a day off ). Data were analyzed statistically. Results: Two articles were constructed. The first one entitled "Salivary cortisol stress evaluation in hemato-oncology nurses: work x gap", showed that there was no significant difference (p <0.05) in salivary cortisol values between the workday and the day off duty. There was a significant difference with the highest values of salivary cortisol on awakening for those who do not have children, do not use medication, do not use oral contraceptives and intend to leave work. At the beginning of the day, for those who use medication. And, at the end of the holiday for those who work in the hospitalization sector. The second article, entitled "Occupational stress, cortisol concentration and musculoskeletal pain: what is its association in hemato-oncology nurses?", showed that the greatest number of nurses were in the passive work and high demand quadrants, which were also the quadrants with the highest prevalence of musculoskeletal pain. The anatomical regions with the highest reported musculoskeletal pain were vertebral column in the last year and lower limbs in the last week, and the pain intensity was moderate to mild. There was no significant difference between salivary cortisol values with occupational stress and with musculoskeletal pain. Conclusion: the data show that hemato-oncology nurses are stressed and possibly have developed an occupational disease, which was noticed from reports of musculoskeletal pain, and manifestations of changes in the physiological parameters of salivary cortisol. Interventions are suggested in order to prevent the worsening of the psychological and physical conditions, in order to maintain the quality of service and health of the professionals.Introdução: O estresse ocupacional é entendido como o resultado da interação entre demandas do trabalho e habilidade de controle sobre elas, podendo gerar alterações na concentração do cortisol, expor o trabalhador ao risco de adoecimento, e ao desenvolvimento da dor musculoesquelética. Objetivo: avaliar a associação entre estresse ocupacional, concentração de cortisol salivar e dor musculoesquelética em enfermeiros de um serviço de Hemato-Oncologia. Método: Estudo transversal com 29 enfermeiros trabalhadores do turno diurno, de um serviço de Hemato-Oncologia de um hospital universitário do Rio Grande do Sul. A coleta de dados ocorreu de abril a agosto de 2018, com instrumento de caracterização sociodemográfica, laboral e perfil de saúde, a Job Stress Scale, o Questionário Nórdico de Sintomas Osteomusculares e coleta de saliva para análise de cortisol em cinco momentos (ao despertar, no início e no final de plantão em um dia de trabalho e nos mesmos horários em um dia de folga). Procedeu-se à análise estatística dos dados. Resultados: Foram construídos dois artigos. O primeiro intitulado "Avaliação do estresse por meio do cortisol salivar em enfermeiros de hemato-oncologia: trabalho x folga", demonstrou que não houve diferença significativa (p<0,05) nos valores de cortisol salivar entre o dia de trabalho e o dia de folga. Houve diferença significativa com os maiores valores de cortisol salivar ao despertar para quem não tem filhos, não faz uso de medicação, não faz uso de anticoncepcional oral e tem a intenção de deixar o trabalho. No início de plantão, para quem faz uso de medicação. E, no final da folga para quem trabalha no setor de internação. O segundo artigo, intitulado "Estresse ocupacional, concentração de cortisol e dor musculoesquelética: qual sua associação em enfermeiros de hemato-oncologia? ", demonstrou que o maior número de enfermeiros encontravam-se nos quadrantes de Trabalho passivo e Alta exigência, que foram também os quadrantes em que houve maior prevalência de dor musculoesquelética. As regiões anatômicas de maior relato de dor musculoesquelética foram coluna vertebral no último ano e nos membros inferiores na última semana, e a intensidade da dor foi de moderada à leve. Não houve diferença significativa entre os valores de cortisol salivar com o estresse ocupacional e com a dor musculoesquelética. Conclusão: os dados mostram que os enfermeiros de hemato- oncologia encontram-se estressados e, possivelmente já tenham desenvolvido uma doença ocupacional, o que se percebeu a partir dos relatos de dor musculoesquelética, e manifestações de alterações nos parâmetros fisiológicos de cortisol salivar. Sugerem-se intervenções, a fim de se prevenir a piora do quadro psicológico e físico, para manter a qualidade do serviço e saúde dos profissionais.porUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em EnfermagemUFSMBrasilEnfermagemAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEnfermagem oncológicaEstresse ocupacionalDor musculoesqueléticaCortisolEstresse fisiológicoOncology nursingOccupational stressMusculoskeletal painStressPhysiologicalCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMEstresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologiaStress, cortisol and musculoskeletal pain in nurses of a hemato-oncology serviceinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisDalmolin, Graziele de Limahttp://lattes.cnpq.br/7268927320407160Andolhe, RafaelaXXXXXXXXXXXXXXXXXXXXFrizzo, Matias NunesXXXXXXXXXXXXXXXStumm, Eniva Miladi FernandesXXXXXXXXXXXXXXXXXXxXXXXXXXXXXXXXXXXGuerreiro, Monique Pereira Portella400400000000600a089c052-df21-46a2-9a0e-262db1f053815d8a776c-db19-45c4-a9d5-d4a2e59e14a20bd38c9a-fd88-414b-8128-d042239e476bf6f5c846-c523-4930-bfba-819a9c4abb8c9f3fc742-4985-4858-862a-cd93ed2c67bdreponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdfDIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdfDissertação de Mestradoapplication/pdf1904983http://repositorio.ufsm.br/bitstream/1/21020/1/DIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdfd4ad0a768c2d1f7c51c7bc82aff612d6MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.ufsm.br/bitstream/1/21020/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81956http://repositorio.ufsm.br/bitstream/1/21020/3/license.txt2f0571ecee68693bd5cd3f17c1e075dfMD53TEXTDIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf.txtDIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf.txtExtracted texttext/plain202658http://repositorio.ufsm.br/bitstream/1/21020/4/DIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf.txt4847480179bbc90c32f680682fce5955MD54THUMBNAILDIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf.jpgDIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf.jpgIM Thumbnailimage/jpeg4497http://repositorio.ufsm.br/bitstream/1/21020/5/DIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf.jpgc9ff2e363024822e8bec39bfab8983c3MD551/210202021-06-01 03:01:16.138oai:repositorio.ufsm.br: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 Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2021-06-01T06:01:16Biblioteca Digital de Teses e Dissertações do UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia |
dc.title.alternative.eng.fl_str_mv |
Stress, cortisol and musculoskeletal pain in nurses of a hemato-oncology service |
title |
Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia |
spellingShingle |
Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia Guerreiro, Monique Pereira Portella Enfermagem oncológica Estresse ocupacional Dor musculoesquelética Cortisol Estresse fisiológico Oncology nursing Occupational stress Musculoskeletal pain Stress Physiological CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia |
title_full |
Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia |
title_fullStr |
Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia |
title_full_unstemmed |
Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia |
title_sort |
Estresse, cortisol e dor musculoesquelética em enfermeiros de um serviço de hemato-oncologia |
author |
Guerreiro, Monique Pereira Portella |
author_facet |
Guerreiro, Monique Pereira Portella |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Dalmolin, Graziele de Lima |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7268927320407160 |
dc.contributor.advisor-co1.fl_str_mv |
Andolhe, Rafaela |
dc.contributor.advisor-co1Lattes.fl_str_mv |
XXXXXXXXXXXXXXXXXXXX |
dc.contributor.referee1.fl_str_mv |
Frizzo, Matias Nunes |
dc.contributor.referee1Lattes.fl_str_mv |
XXXXXXXXXXXXXXX |
dc.contributor.referee2.fl_str_mv |
Stumm, Eniva Miladi Fernandes |
dc.contributor.referee2Lattes.fl_str_mv |
XXXXXXXXXXXXXXXXXXx |
dc.contributor.authorLattes.fl_str_mv |
XXXXXXXXXXXXXXXX |
dc.contributor.author.fl_str_mv |
Guerreiro, Monique Pereira Portella |
contributor_str_mv |
Dalmolin, Graziele de Lima Andolhe, Rafaela Frizzo, Matias Nunes Stumm, Eniva Miladi Fernandes |
dc.subject.por.fl_str_mv |
Enfermagem oncológica Estresse ocupacional Dor musculoesquelética Cortisol Estresse fisiológico |
topic |
Enfermagem oncológica Estresse ocupacional Dor musculoesquelética Cortisol Estresse fisiológico Oncology nursing Occupational stress Musculoskeletal pain Stress Physiological CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Oncology nursing Occupational stress Musculoskeletal pain Stress Physiological |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Introduction: Occupational stress is understood as the result of the interaction between the demands of work and the ability to control them, which can lead to changes in cortisol concentration. It exposes the worker to the risk of becoming ill, and to the development of musculoskeletal pain. Objective: to evaluate the association between occupational stress, salivary cortisol concentration and musculoskeletal pain in nurses at a Hemato-Oncology service. Method: A cross-sectional study was carried out with 29 day-care nurses from a Hemato-Oncology service at a university hospital in Rio Grande do Sul. Data were collected from April to August, 2018, with a sociodemographic, occupational and profile characterization tool the Job Stress Scale, the Nordic Osteomuscular Symptoms Questionnaire, and saliva collection for cortisol analysis in five moments (upon waking, at the beginning and end of shift on a work day and at the same time on a day off ). Data were analyzed statistically. Results: Two articles were constructed. The first one entitled "Salivary cortisol stress evaluation in hemato-oncology nurses: work x gap", showed that there was no significant difference (p <0.05) in salivary cortisol values between the workday and the day off duty. There was a significant difference with the highest values of salivary cortisol on awakening for those who do not have children, do not use medication, do not use oral contraceptives and intend to leave work. At the beginning of the day, for those who use medication. And, at the end of the holiday for those who work in the hospitalization sector. The second article, entitled "Occupational stress, cortisol concentration and musculoskeletal pain: what is its association in hemato-oncology nurses?", showed that the greatest number of nurses were in the passive work and high demand quadrants, which were also the quadrants with the highest prevalence of musculoskeletal pain. The anatomical regions with the highest reported musculoskeletal pain were vertebral column in the last year and lower limbs in the last week, and the pain intensity was moderate to mild. There was no significant difference between salivary cortisol values with occupational stress and with musculoskeletal pain. Conclusion: the data show that hemato-oncology nurses are stressed and possibly have developed an occupational disease, which was noticed from reports of musculoskeletal pain, and manifestations of changes in the physiological parameters of salivary cortisol. Interventions are suggested in order to prevent the worsening of the psychological and physical conditions, in order to maintain the quality of service and health of the professionals. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-01-29 |
dc.date.accessioned.fl_str_mv |
2021-05-31T22:58:01Z |
dc.date.available.fl_str_mv |
2021-05-31T22:58:01Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/21020 |
url |
http://repositorio.ufsm.br/handle/1/21020 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
400400000000 |
dc.relation.confidence.fl_str_mv |
600 |
dc.relation.authority.fl_str_mv |
a089c052-df21-46a2-9a0e-262db1f05381 5d8a776c-db19-45c4-a9d5-d4a2e59e14a2 0bd38c9a-fd88-414b-8128-d042239e476b f6f5c846-c523-4930-bfba-819a9c4abb8c 9f3fc742-4985-4858-862a-cd93ed2c67bd |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Enfermagem |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Enfermagem |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações do UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Biblioteca Digital de Teses e Dissertações do UFSM |
collection |
Biblioteca Digital de Teses e Dissertações do UFSM |
bitstream.url.fl_str_mv |
http://repositorio.ufsm.br/bitstream/1/21020/1/DIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf http://repositorio.ufsm.br/bitstream/1/21020/2/license_rdf http://repositorio.ufsm.br/bitstream/1/21020/3/license.txt http://repositorio.ufsm.br/bitstream/1/21020/4/DIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf.txt http://repositorio.ufsm.br/bitstream/1/21020/5/DIS_PPGENFERMAGEM_2019_GUERREIRO_MONIQUE.pdf.jpg |
bitstream.checksum.fl_str_mv |
d4ad0a768c2d1f7c51c7bc82aff612d6 4460e5956bc1d1639be9ae6146a50347 2f0571ecee68693bd5cd3f17c1e075df 4847480179bbc90c32f680682fce5955 c9ff2e363024822e8bec39bfab8983c3 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações do UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
atendimento.sib@ufsm.br||tedebc@gmail.com |
_version_ |
1793240052552171520 |