Saúde e qualidade do sono dos médicos residentes em psiquiatria

Detalhes bibliográficos
Ano de defesa: 2015
Autor(a) principal: Melo, Matias Carvalho Aguiar
Orientador(a): Daher, Elizabeth de Francesco
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Não Informado pela instituição
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: http://www.repositorio.ufc.br/handle/riufc/12456
Resumo: Medical residents are subjected to high levels of stress and exigencies. However, few studies have focused on health in this group. The aim of this study was to investigate health and sleep quality of psychiatry residents. All psychiatric residents of the State of Ceará (located in Northeastern of Brazil) were invited. Questionnaire and validated scales were applied. Fifty-nine psychiatry residents participated in the survey. Regarding nutritional status, 49.2% of residents were overweight or obese, especially men. In point of physical activity, 61% were sedentary. Concerning mental health, 33.9% had high scores for anxiety symptoms; 30.5% for social phobia; and 19% for depressive symptoms. High scores for anxiety were associated with lower attention (p = 0.012) and worse relationship with preceptors (p = 0.02); and high scores of depressive symptoms were related to a worse relationship with patients (p = 0.04) and preceptors (p = 0.01). Anxiety scores were significantly associated with depressive symptoms (p <0.01) and social phobia (p < 0.01). In point of sleep, 59.3% had poor sleep; and 28.8% had excessive daytime sleepiness. Poor sleep was significantly associated with excessive daytime sleepiness (p = 0.03), longer residence time (p = 0.03), anxiety symptoms (p <0.01) and social phobic symptoms (p = 0.028). Eighty per cent of residents with poor sleep quality never consulted for this reason; 40.7% had used hypnotic medications; and 25.7% used them regularly. The study findings highlight the urgent need to take care of health and sleep quality of psychiatry residents. Assistance programs focused specifically on residents are suggested.
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spelling Melo, Matias Carvalho AguiarDaher, Elizabeth de Francesco2015-05-27T14:02:17Z2015-05-27T14:02:17Z2015MELO, Matias Carvalho Aguiar. Saúde e qualidade do sono dos médicos residentes em psiquiatria. 2015. 94 f. Dissertação (Mestrado em Ciências Médicas) – Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2015.http://www.repositorio.ufc.br/handle/riufc/12456Medical residents are subjected to high levels of stress and exigencies. However, few studies have focused on health in this group. The aim of this study was to investigate health and sleep quality of psychiatry residents. All psychiatric residents of the State of Ceará (located in Northeastern of Brazil) were invited. Questionnaire and validated scales were applied. Fifty-nine psychiatry residents participated in the survey. Regarding nutritional status, 49.2% of residents were overweight or obese, especially men. In point of physical activity, 61% were sedentary. Concerning mental health, 33.9% had high scores for anxiety symptoms; 30.5% for social phobia; and 19% for depressive symptoms. High scores for anxiety were associated with lower attention (p = 0.012) and worse relationship with preceptors (p = 0.02); and high scores of depressive symptoms were related to a worse relationship with patients (p = 0.04) and preceptors (p = 0.01). Anxiety scores were significantly associated with depressive symptoms (p <0.01) and social phobia (p < 0.01). In point of sleep, 59.3% had poor sleep; and 28.8% had excessive daytime sleepiness. Poor sleep was significantly associated with excessive daytime sleepiness (p = 0.03), longer residence time (p = 0.03), anxiety symptoms (p <0.01) and social phobic symptoms (p = 0.028). Eighty per cent of residents with poor sleep quality never consulted for this reason; 40.7% had used hypnotic medications; and 25.7% used them regularly. The study findings highlight the urgent need to take care of health and sleep quality of psychiatry residents. Assistance programs focused specifically on residents are suggested.Os médicos residentes costumam ser submetidos a altos níveis de estresse e exigência. No entanto, poucas pesquisas têm avaliado a saúde desse grupo. O estudo objetiva avaliar a saúde e a qualidade do sono dos médicos residentes em psiquiatria. Foram convidados para esta pesquisa todos os médicos residentes em psiquiatria do estado do Ceará, na Região Nordeste do Brasil. Foram aplicados a cada residente um questionário padronizado e escalas validadas. Participaram da pesquisa 59 médicos residentes em psiquiatria. Quanto ao estado nutricional, 49,2% dos residentes apresentaram excesso de peso, principalmente os homens. Sobre as atividades físicas, 61% dos residentes eram sedentários. Em relação à saúde mental, 33,9% dos residentes tiveram altas pontuações para sintomas ansiosos; 30,5%, para sintomas fóbicos sociais; e 19%, para sintomas depressivos. Altas pontuações para ansiedade foram relacionadas com menor atenção (p = 0,012) e pior relação com preceptores/ superiores (p = 0,02); já altos escores de sintomas depressivos, com uma pior relação com pacientes (p = 0,04) e preceptores/ superiores (p = 0,016). Os sintomas ansiosos se associaram de forma estatisticamente significativa com os sintomas depressivos (p < 0,01) e fóbicos sociais (p < 0,01). Quanto ao sono, 59,3% apresentaram sono de má qualidade; e 28,8%, sonolência excessiva diurna. A má qualidade do sono teve associação estatisticamente significativa com maior sonolência excessiva diurna (p = 0,03), com maior tempo de residência (p = 0,03), sintomas ansiosos (p < 0,01) e sintomas fóbicos sociais (p = 0,02). Dos residentes com má qualidade do sono, 80% nunca se consultaram por esse motivo; 40,7% já usaram medicações hipnóticas; e 25,7% ainda as usavam regularmente. Os achados do estudo alertam para a urgência em se cuidar da saúde e do sono dos residentes de psiquiatria. Programas de assistência especificamente voltados para os residentes são sugeridos.Ciências da SaúdeSonoInternato e ResidênciaSaúde e qualidade do sono dos médicos residentes em psiquiatriaHealth and sleep quality of medical residents in psychiatryinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81786http://repositorio.ufc.br/bitstream/riufc/12456/2/license.txt8c4401d3d14722a7ca2d07c782a1aab3MD52ORIGINAL2015_dis_mcamelo.pdf2015_dis_mcamelo.pdfapplication/pdf2252725http://repositorio.ufc.br/bitstream/riufc/12456/1/2015_dis_mcamelo.pdf565c2eaa92afc9a6b1e81bbc66990511MD51riufc/124562022-03-04 14:59:58.131oai:repositorio.ufc.br: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Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2022-03-04T17:59:58Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.pt_BR.fl_str_mv Saúde e qualidade do sono dos médicos residentes em psiquiatria
dc.title.en.pt_BR.fl_str_mv Health and sleep quality of medical residents in psychiatry
title Saúde e qualidade do sono dos médicos residentes em psiquiatria
spellingShingle Saúde e qualidade do sono dos médicos residentes em psiquiatria
Melo, Matias Carvalho Aguiar
Ciências da Saúde
Sono
Internato e Residência
title_short Saúde e qualidade do sono dos médicos residentes em psiquiatria
title_full Saúde e qualidade do sono dos médicos residentes em psiquiatria
title_fullStr Saúde e qualidade do sono dos médicos residentes em psiquiatria
title_full_unstemmed Saúde e qualidade do sono dos médicos residentes em psiquiatria
title_sort Saúde e qualidade do sono dos médicos residentes em psiquiatria
author Melo, Matias Carvalho Aguiar
author_facet Melo, Matias Carvalho Aguiar
author_role author
dc.contributor.author.fl_str_mv Melo, Matias Carvalho Aguiar
dc.contributor.advisor1.fl_str_mv Daher, Elizabeth de Francesco
contributor_str_mv Daher, Elizabeth de Francesco
dc.subject.por.fl_str_mv Ciências da Saúde
Sono
Internato e Residência
topic Ciências da Saúde
Sono
Internato e Residência
description Medical residents are subjected to high levels of stress and exigencies. However, few studies have focused on health in this group. The aim of this study was to investigate health and sleep quality of psychiatry residents. All psychiatric residents of the State of Ceará (located in Northeastern of Brazil) were invited. Questionnaire and validated scales were applied. Fifty-nine psychiatry residents participated in the survey. Regarding nutritional status, 49.2% of residents were overweight or obese, especially men. In point of physical activity, 61% were sedentary. Concerning mental health, 33.9% had high scores for anxiety symptoms; 30.5% for social phobia; and 19% for depressive symptoms. High scores for anxiety were associated with lower attention (p = 0.012) and worse relationship with preceptors (p = 0.02); and high scores of depressive symptoms were related to a worse relationship with patients (p = 0.04) and preceptors (p = 0.01). Anxiety scores were significantly associated with depressive symptoms (p <0.01) and social phobia (p < 0.01). In point of sleep, 59.3% had poor sleep; and 28.8% had excessive daytime sleepiness. Poor sleep was significantly associated with excessive daytime sleepiness (p = 0.03), longer residence time (p = 0.03), anxiety symptoms (p <0.01) and social phobic symptoms (p = 0.028). Eighty per cent of residents with poor sleep quality never consulted for this reason; 40.7% had used hypnotic medications; and 25.7% used them regularly. The study findings highlight the urgent need to take care of health and sleep quality of psychiatry residents. Assistance programs focused specifically on residents are suggested.
publishDate 2015
dc.date.accessioned.fl_str_mv 2015-05-27T14:02:17Z
dc.date.available.fl_str_mv 2015-05-27T14:02:17Z
dc.date.issued.fl_str_mv 2015
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dc.identifier.citation.fl_str_mv MELO, Matias Carvalho Aguiar. Saúde e qualidade do sono dos médicos residentes em psiquiatria. 2015. 94 f. Dissertação (Mestrado em Ciências Médicas) – Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2015.
dc.identifier.uri.fl_str_mv http://www.repositorio.ufc.br/handle/riufc/12456
identifier_str_mv MELO, Matias Carvalho Aguiar. Saúde e qualidade do sono dos médicos residentes em psiquiatria. 2015. 94 f. Dissertação (Mestrado em Ciências Médicas) – Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2015.
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