Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno

Detalhes bibliográficos
Autor(a) principal: Cattani, Ariane Naidon
Data de Publicação: 2020
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações do UFSM
Texto Completo: http://repositorio.ufsm.br/handle/1/22912
Resumo: Nursing workers are exposed to occupational risks and work-related situations, such as shift work, especially night work, which can cause physical, psychological and social damage to workers' health. Night work is one of the main factors that contribute to sleep alterations, influencing its quality, sleepiness and impacting workers' health. The aim of this study was to analyze the relationship between sleep quality, excessive daytime sleepiness and physical, psychological and social damages in night shift nursing workers. This is a quantitative, cross-sectional and correlational study that used the matrix project database “Excessive daytime sleepiness and its effects on the health of nursing workers in a public institution”, approved by the Research Ethics Committee under opinion nº 2.237.779. Inclusion criteria were defined as being a nurse, nursing technician or nursing assistant, acting in the direct assistance to users and working in the night shift during the data collection period. The sample was stratified by professional category and used 95% confidence, sampling error for 5% proportion. The study site was a University Hospital located in Rio Grande do Sul. For data collection, which took place from September 2017 to April 2018, a socio-occupational and health-related questionnaire was used, Work-Related Damage, the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale. Descriptive and analytical statistics were used, considering statistically significant p <0.05. The ethical aspects were respected. A total of 139 workers participated in the study, with a mean age of 42.6 years (± 9.47) and working time of 9.7 years (± 8.12); 35.3% suffered from work acuity and 18% left work. Physical damage was classified as critical (overall average = 2.19). Most workers were physically ill (56.8%); presented poor sleep quality (80.6%) and absence of excessive daytime sleepiness (61.2%). Associations were identified between socio-occupational variables and symptoms of health and physical, psychological and social illness and sleep quality. Excessive daytime sleepiness associated with health symptoms. Sleep quality associated with physical illness (p<0.05). Physical, psychological and social damages correlated with each other; and sleep quality correlated with physical and psychological damages. It was concluded that nightly nursing workers that were physically and psychologically ill have worse sleep evaluation.
id UFSM_9b28df4794dd520b6012e6e4f4432d8c
oai_identifier_str oai:repositorio.ufsm.br:1/22912
network_acronym_str UFSM
network_name_str Biblioteca Digital de Teses e Dissertações do UFSM
repository_id_str
spelling 2021-11-22T17:54:35Z2021-11-22T17:54:35Z2020-02-06http://repositorio.ufsm.br/handle/1/22912Nursing workers are exposed to occupational risks and work-related situations, such as shift work, especially night work, which can cause physical, psychological and social damage to workers' health. Night work is one of the main factors that contribute to sleep alterations, influencing its quality, sleepiness and impacting workers' health. The aim of this study was to analyze the relationship between sleep quality, excessive daytime sleepiness and physical, psychological and social damages in night shift nursing workers. This is a quantitative, cross-sectional and correlational study that used the matrix project database “Excessive daytime sleepiness and its effects on the health of nursing workers in a public institution”, approved by the Research Ethics Committee under opinion nº 2.237.779. Inclusion criteria were defined as being a nurse, nursing technician or nursing assistant, acting in the direct assistance to users and working in the night shift during the data collection period. The sample was stratified by professional category and used 95% confidence, sampling error for 5% proportion. The study site was a University Hospital located in Rio Grande do Sul. For data collection, which took place from September 2017 to April 2018, a socio-occupational and health-related questionnaire was used, Work-Related Damage, the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale. Descriptive and analytical statistics were used, considering statistically significant p <0.05. The ethical aspects were respected. A total of 139 workers participated in the study, with a mean age of 42.6 years (± 9.47) and working time of 9.7 years (± 8.12); 35.3% suffered from work acuity and 18% left work. Physical damage was classified as critical (overall average = 2.19). Most workers were physically ill (56.8%); presented poor sleep quality (80.6%) and absence of excessive daytime sleepiness (61.2%). Associations were identified between socio-occupational variables and symptoms of health and physical, psychological and social illness and sleep quality. Excessive daytime sleepiness associated with health symptoms. Sleep quality associated with physical illness (p<0.05). Physical, psychological and social damages correlated with each other; and sleep quality correlated with physical and psychological damages. It was concluded that nightly nursing workers that were physically and psychologically ill have worse sleep evaluation.Os trabalhadores de enfermagem estão expostos a riscos laborais e situações relacionadas ao contexto de trabalho, como o trabalho em turnos, em especial o noturno, que pode gerar danos físicos, psicológicos e sociais à saúde dos trabalhadores. O trabalho noturno é um dos principais fatores que contribuem para alterações do sono, influenciando na sua qualidade, na sonolência e repercutindo na saúde dos trabalhadores. O objetivo deste estudo foi analisar a relação entre a qualidade do sono, sonolência diurna excessiva e adoecimento físico, psicológico e social em trabalhadores de enfermagem do turno noturno. Trata-se de um estudo quantitativo, transversal e correlacional, que utilizou o banco de dados do projeto matricial “Sonolência diurna excessiva e seus efeitos na saúde de trabalhadores de enfermagem de uma instituição pública”, aprovado pelo Comitê de Ética em Pesquisa sob parecer nº 2.237.779. Definiu-se como critérios de inclusão ser enfermeiro, técnico em enfermagem ou auxiliar em enfermagem, atuar na assistência direta aos usuários e estar atuando no turno noturno durante o período de coleta de dados. A amostra foi estratificada por categoria profissional e utilizou confiança de 95%, erro amostral para proporção de 5%. O local de estudo foi um Hospital Universitário localizado no Rio Grande do Sul. Para coleta de dados, que ocorreu no período de setembro de 2017 a abril de 2018, foi utilizado um questionário sociolaboral e de aspectos relacionados à saúde, a Escala de Avaliação dos Danos Relacionados ao Trabalho, o Índice de Qualidade do Sono de Pittsburgh e a Escala de Sonolência de Epworth. Utilizou-se a estatística descritiva e analítica, considerando estatisticamente significativo p<0,05. Os aspectos éticos foram respeitados. Participaram do estudo 139 trabalhadores, com média de idade de 42,6 anos (±9,47) e tempo de trabalho de 9,7 anos (±8,12); 35,3% sofreram acidente de trabalho e 18% se afastaram do trabalho. Danos físicos foram classificados como críticos (média geral=2,19). A maioria dos trabalhadores estavam em adoecimento físico (56,8%); apresentou qualidade do sono ruim (80,6%) e ausência de sonolência diurna excessiva (61,2%). Foram identificadas associações entre variáveis sociolaborais e sintomas de saúde e adoecimento físico, psicológico e social e qualidade do sono. Sonolência diurna excessiva associou-se com sintomas de saúde. A qualidade do sono associou-se ao adoecimento físico (p<0,05). Danos físicos, psicológicos e sociais se correlacionaram entre si; e a qualidade do sono se correlacionou com danos físicos e psicológicos. Concluiu-se que os trabalhadores de enfermagem do noturno adoecidos fisicamente e psicologicamente possuem pior avaliação do sono.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade 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/openAccessSaúde do trabalhadorTrabalho em turnosSonoEnfermagemWorker's healthShift WorkSleepNursingCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMQualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturnoSleep quality, excessive daytime sleepiness and health damage to night shift nursing workersinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisSilva, Rosângela Marion dahttp://lattes.cnpq.br/2110092444567232Beck , Carmem Lúcia ColoméMiranda, Fernanda Moura D'AlmeidaDalmolin, Graziele de LimaCamponogara, Silviamarhttp://lattes.cnpq.br/6909922881683186Cattani, Ariane Naidon400400000000600600600600600943ebba1-1c67-4bf2-b245-4d0fe87ac679d515ace3-3b46-4161-a93b-768ef6612f1af929d59c-f5c3-4b99-8a10-aaa682bd2156d5db0af4-74e0-4c08-8b4c-5e2a79b9f0e2901c06d6-ec99-4086-906d-a84877819fe291d72543-ba42-4f30-9faf-06caffa9d658reponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdfDIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdfDissertação de Mestradoapplication/pdf3365431http://repositorio.ufsm.br/bitstream/1/22912/1/DIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdfc6642a8869d81eff827e2da7baa171bfMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.ufsm.br/bitstream/1/22912/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81956http://repositorio.ufsm.br/bitstream/1/22912/3/license.txt2f0571ecee68693bd5cd3f17c1e075dfMD53TEXTDIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf.txtDIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf.txtExtracted texttext/plain245521http://repositorio.ufsm.br/bitstream/1/22912/4/DIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf.txtcd37a10a7abac5166acf356b3c94443bMD54THUMBNAILDIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf.jpgDIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf.jpgIM Thumbnailimage/jpeg4168http://repositorio.ufsm.br/bitstream/1/22912/5/DIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf.jpg333506d7e10320c4a80fe660398d23d2MD551/229122021-12-30 11:48:01.58oai: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:2021-12-30T14:48:01Biblioteca Digital de Teses e Dissertações do UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.por.fl_str_mv Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno
dc.title.alternative.eng.fl_str_mv Sleep quality, excessive daytime sleepiness and health damage to night shift nursing workers
title Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno
spellingShingle Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno
Cattani, Ariane Naidon
Saúde do trabalhador
Trabalho em turnos
Sono
Enfermagem
Worker's health
Shift Work
Sleep
Nursing
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
title_short Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno
title_full Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno
title_fullStr Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno
title_full_unstemmed Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno
title_sort Qualidade do sono, sonolência diurna excessiva e adoecimento em trabalhadores de enfermagem do turno noturno
author Cattani, Ariane Naidon
author_facet Cattani, Ariane Naidon
author_role author
dc.contributor.advisor1.fl_str_mv Silva, Rosângela Marion da
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/2110092444567232
dc.contributor.advisor-co1.fl_str_mv Beck , Carmem Lúcia Colomé
dc.contributor.referee1.fl_str_mv Miranda, Fernanda Moura D'Almeida
dc.contributor.referee2.fl_str_mv Dalmolin, Graziele de Lima
dc.contributor.referee3.fl_str_mv Camponogara, Silviamar
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/6909922881683186
dc.contributor.author.fl_str_mv Cattani, Ariane Naidon
contributor_str_mv Silva, Rosângela Marion da
Beck , Carmem Lúcia Colomé
Miranda, Fernanda Moura D'Almeida
Dalmolin, Graziele de Lima
Camponogara, Silviamar
dc.subject.por.fl_str_mv Saúde do trabalhador
Trabalho em turnos
Sono
Enfermagem
topic Saúde do trabalhador
Trabalho em turnos
Sono
Enfermagem
Worker's health
Shift Work
Sleep
Nursing
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
dc.subject.eng.fl_str_mv Worker's health
Shift Work
Sleep
Nursing
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
description Nursing workers are exposed to occupational risks and work-related situations, such as shift work, especially night work, which can cause physical, psychological and social damage to workers' health. Night work is one of the main factors that contribute to sleep alterations, influencing its quality, sleepiness and impacting workers' health. The aim of this study was to analyze the relationship between sleep quality, excessive daytime sleepiness and physical, psychological and social damages in night shift nursing workers. This is a quantitative, cross-sectional and correlational study that used the matrix project database “Excessive daytime sleepiness and its effects on the health of nursing workers in a public institution”, approved by the Research Ethics Committee under opinion nº 2.237.779. Inclusion criteria were defined as being a nurse, nursing technician or nursing assistant, acting in the direct assistance to users and working in the night shift during the data collection period. The sample was stratified by professional category and used 95% confidence, sampling error for 5% proportion. The study site was a University Hospital located in Rio Grande do Sul. For data collection, which took place from September 2017 to April 2018, a socio-occupational and health-related questionnaire was used, Work-Related Damage, the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale. Descriptive and analytical statistics were used, considering statistically significant p <0.05. The ethical aspects were respected. A total of 139 workers participated in the study, with a mean age of 42.6 years (± 9.47) and working time of 9.7 years (± 8.12); 35.3% suffered from work acuity and 18% left work. Physical damage was classified as critical (overall average = 2.19). Most workers were physically ill (56.8%); presented poor sleep quality (80.6%) and absence of excessive daytime sleepiness (61.2%). Associations were identified between socio-occupational variables and symptoms of health and physical, psychological and social illness and sleep quality. Excessive daytime sleepiness associated with health symptoms. Sleep quality associated with physical illness (p<0.05). Physical, psychological and social damages correlated with each other; and sleep quality correlated with physical and psychological damages. It was concluded that nightly nursing workers that were physically and psychologically ill have worse sleep evaluation.
publishDate 2020
dc.date.issued.fl_str_mv 2020-02-06
dc.date.accessioned.fl_str_mv 2021-11-22T17:54:35Z
dc.date.available.fl_str_mv 2021-11-22T17:54:35Z
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/1/22912
url http://repositorio.ufsm.br/handle/1/22912
dc.language.iso.fl_str_mv por
language por
dc.relation.cnpq.fl_str_mv 400400000000
dc.relation.confidence.fl_str_mv 600
600
600
600
600
dc.relation.authority.fl_str_mv 943ebba1-1c67-4bf2-b245-4d0fe87ac679
d515ace3-3b46-4161-a93b-768ef6612f1a
f929d59c-f5c3-4b99-8a10-aaa682bd2156
d5db0af4-74e0-4c08-8b4c-5e2a79b9f0e2
901c06d6-ec99-4086-906d-a84877819fe2
91d72543-ba42-4f30-9faf-06caffa9d658
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/1/22912/1/DIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf
http://repositorio.ufsm.br/bitstream/1/22912/2/license_rdf
http://repositorio.ufsm.br/bitstream/1/22912/3/license.txt
http://repositorio.ufsm.br/bitstream/1/22912/4/DIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf.txt
http://repositorio.ufsm.br/bitstream/1/22912/5/DIS_PPGENFERMAGEM_2020_CATTANI_ARIANE.pdf.jpg
bitstream.checksum.fl_str_mv c6642a8869d81eff827e2da7baa171bf
4460e5956bc1d1639be9ae6146a50347
2f0571ecee68693bd5cd3f17c1e075df
cd37a10a7abac5166acf356b3c94443b
333506d7e10320c4a80fe660398d23d2
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_ 1791086169401851904