Fatores organizacionais e de sono associados aos sintomas musculoesqueléticos em pilotos de aviação comercial

• Autor(a) principal: Enohi, Ricardo Toshio
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UNISANTOS
• Texto Completo: https://tede.unisantos.br/handle/tede/3121
• topic: sintomas musculoesqueléticos ; trabalho ; sono ; fatores de risco ; pilotos; musculoskeletal symptoms ; work ; sleep ; risk factors ; air pilots; CIENCIAS DA SAUDE::SAUDE COLETIVA

Introduction: Working in different and night shifts directly affects the health of workers. This situation can be experienced by pilots in civil aviation due to its highly complex and exhausting activity. Purpose: This study aims to investigate the work and sleep factors associated with musculoskeletal symptoms in Brazilian pilots of civil aviation, as well as identify the main body parts affected. Methods: A descriptive epidemiological study was held with a large sample of 1234 pilots from ABRAPAC, who voluntarily replied to a survey from November 2013 to March 2014. The survey had information about age, gender, marital status, work, health and sleep. The dependent variables were the musculoskeletal symptoms and for this, a modified Brazilian version of the Standardized Nordic Questionnaire was used. Also in the Robust Poisson regression, the variables for chronic (in the last 12 months), acute (in the last 7 days) and work-related musculoskeletal symptoms were dichotomized into ¿without symptom¿ and ¿with symptom¿. It was considered ¿with symptom¿ the pilot who reported pain in at least one of the four body parts with the highest prevalence in the study: upper back, lower back, neck and shoulder. The data were analyzed by Stata 12.0 program. Results: The prevalence of chronic musculoskeletal symptoms was 65,9% and work-related 46,9% to the last 12 months. The prevalence of acute musculoskeletal symptoms was 28,0% and work-related 23,3% to the last 7 days. It was verified that pilots who worked 11-21 years , with 66-hour flight journey or more per month , with irregular-work hours involving the night-shifts , with low sleep quality and insomnia were risk factors for chronic musculoskeletal symptoms. These variables were also considered risk factors for work-related symptoms . To acute musculoskeletal symptoms, it was observed that working seven consecutive days or more per month, with low sleep quality and insomnia were risk factors. These variables were also considered risk factors for work-related symptoms . Conclusion: It was concluded that work organizational structure associated with a low sleep quality and insomnia were predisponent factors to musculoskeletal symptoms among Brazilian pilots of civil aviation. The upper and lower back, neck and shoulder were considered the body parts with the highest prevalence.