Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Tottoli, Caroline Ribeiro
Data de Publicação: 2019
Outros Autores: Toledo, Aline Martins de, Silva, Natasha Cyrino e, Araújo, Wildo Navegantes de, Souza, Renata da Nóbrega, Carregaro, Rodrigo Luiz
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Fisioterapia e Pesquisa
Texto Completo: https://www.revistas.usp.br/fpusp/article/view/157221
Resumo: This study’s objective was to employ Regulation-17 (NR-17) of Brazil’s Ministry of Labor to describe the work environment of health professionals of a public hospital, while also evaluating fatigue and estimating their risk of exposure to it, as well as the presence of musculoskeletal discomfort. This was a cross-sectional study consisting of two phases: 1) Observation of the work environment by means of the NR-17, adapted as a checklist; 2) Evaluation of discomfort and fatigue by means of questionnaires. Data were analyzed descriptively. The association between fatigue and discomfort was assessed using the chi-square test, while the Mann–Whitney test was used to compare age, service time at the institution and weekly working hours across the stratified groups (with fatigue/without fatigue, with discomfort/without discomfort). Twenty sectors were evaluated. The sector with the highest frequency of inadequacy was Pharmacy (83% inadequate items), while the Adult ICU was the most adequate (only 24% inadequate items). There was a high prevalence of discomfort, especially in the spine. Fatigue was present in more than 70% of professionals. Older individuals presented more complaints of discomfort. This study demonstrates a high frequency of ergonomic inadequacies in the hospital’s work environment, mainly in the Pharmacy and Ambulatory sectors. The high prevalence of spine discomfort and fatigue emphasizes the relevance of preventive actions in the hospital environment.
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spelling Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional studyLos profesionales de la salud que actúan en ambiente hospitalario tienen alta prevalencia de fatiga y dorsalgia: un estudio transversalProfissionais da saúde que atuam em ambiente hospitalar têm alta prevalência de fadiga e dorsalgia: estudo transversalErgonomicsOccupational HealthOccupational RisksErgonomíaSalud LaboralRiesgos LaboralesErgonomiaSaúde do TrabalhadorRiscos OcupacionaisThis study’s objective was to employ Regulation-17 (NR-17) of Brazil’s Ministry of Labor to describe the work environment of health professionals of a public hospital, while also evaluating fatigue and estimating their risk of exposure to it, as well as the presence of musculoskeletal discomfort. This was a cross-sectional study consisting of two phases: 1) Observation of the work environment by means of the NR-17, adapted as a checklist; 2) Evaluation of discomfort and fatigue by means of questionnaires. Data were analyzed descriptively. The association between fatigue and discomfort was assessed using the chi-square test, while the Mann–Whitney test was used to compare age, service time at the institution and weekly working hours across the stratified groups (with fatigue/without fatigue, with discomfort/without discomfort). Twenty sectors were evaluated. The sector with the highest frequency of inadequacy was Pharmacy (83% inadequate items), while the Adult ICU was the most adequate (only 24% inadequate items). There was a high prevalence of discomfort, especially in the spine. Fatigue was present in more than 70% of professionals. Older individuals presented more complaints of discomfort. This study demonstrates a high frequency of ergonomic inadequacies in the hospital’s work environment, mainly in the Pharmacy and Ambulatory sectors. The high prevalence of spine discomfort and fatigue emphasizes the relevance of preventive actions in the hospital environment.El objetivo fue caracterizar el ambiente laboral por medio de la Norma Reguladora n.º 17 del Ministerio de Trabajo (NR-17); evaluar la fatiga residual y también estimar el riesgo de exposición y la presencia de incomodidad musculoesquelética de profesionales de la salud que actúan en un hospital público. Este estudio transversal consta de dos fases: (1) la observación del entorno de trabajo por la NR-17, lista de control adaptada; y (2) la evaluación de la incomodidad y la fatiga por medio de cuestionarios. Los datos se analizaron de forma descriptiva. La asociación entre fatiga y molestia se verificó mediante el test chicuadrado, y la prueba de Mann-Whitney se utilizó para comparar la edad, el tiempo de institución y la carga horaria (horas/ semana) entre los grupos estratificados (con fatiga/sin fatiga y con incomodidad/sin molestias). Se evaluaron 20 sectores, de los cuales la Farmacia tuvo la mayor frecuencia de inadecuación (83%) y la UCI Adulto se mostró la más adecuada (un 24% de ítems inadecuados). Se observó una alta prevalencia de incomodidad, principalmente en la columna. La fatiga estaba presente en más del 70% de los profesionales. Los individuos de mayor edad presentaron más quejas de malestar. El presente estudio demostró una alta frecuencia de inadecuaciones ergonómicas en el ambiente laboral hospitalario, principalmente en el sector de la Farmacia y del Ambulatorio. La alta prevalencia de incomodidad en la columna y la fatiga demuestran la relevancia de acciones preventivas en el ambiente hospitalario.O objetivo foi caracterizar o ambiente de trabalho por meio da Norma Regulamentadora 17 do Ministério do Trabalho (NR-17); avaliar a fadiga residual e estimar o risco da sua exposição e a presença de desconforto musculoesquelético de profissionais da saúde que atuam em um hospital público. Trata-se de estudo transversal composto por duas etapas: (1) observação do ambiente de trabalho por meio da NR-17, adaptada em checklist; e (2) avaliação do desconforto e fadiga por meio de questionários. Os dados foram analisados descritivamente. A associação entre fadiga e desconforto foi verificada pelo qui-quadrado e o teste de Mann-Whitney comparou a idade, tempo de instituição e carga horária (horas/semana) entre os grupos estratificados (com fadiga/sem fadiga e com desconforto/sem desconforto). Foram avaliados 20 setores, dos quais a Farmácia teve a maior frequência de inadequação (83%) e a UTI Adulto mostrouse o mais adequado (24% de itens inadequados). Verificouse uma alta prevalência de desconforto, principalmente na coluna. A fadiga estava presente em mais de 70% dos profissionais. Indivíduos com maior idade apresentaram mais queixas de desconforto. O presente estudo demonstrou uma alta frequência de inadequações ergonômicas em ambiente de trabalho hospitalar, principalmente no setor da Farmácia e Ambulatório. A alta prevalência de desconforto na coluna e a fadiga demonstram a relevância de ações preventivas no ambiente hospitalar.Universidade de São Paulo. Faculdade de Medicina2019-02-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/15722110.1590/1809-2950/18032926012019Fisioterapia e Pesquisa; Vol. 26 No. 1 (2019); 91-100Fisioterapia e Pesquisa; Vol. 26 Núm. 1 (2019); 91-100Fisioterapia e Pesquisa; v. 26 n. 1 (2019); 91-1002316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/fpusp/article/view/157221/152616https://www.revistas.usp.br/fpusp/article/view/157221/152617Copyright (c) 2019 Fisioterapia e Pesquisahttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessTottoli, Caroline RibeiroToledo, Aline Martins deSilva, Natasha Cyrino eAraújo, Wildo Navegantes deSouza, Renata da NóbregaCarregaro, Rodrigo Luiz2023-05-26T13:29:47Zoai:revistas.usp.br:article/157221Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-05-26T13:29:47Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study
Los profesionales de la salud que actúan en ambiente hospitalario tienen alta prevalencia de fatiga y dorsalgia: un estudio transversal
Profissionais da saúde que atuam em ambiente hospitalar têm alta prevalência de fadiga e dorsalgia: estudo transversal
title Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study
spellingShingle Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study
Tottoli, Caroline Ribeiro
Ergonomics
Occupational Health
Occupational Risks
Ergonomía
Salud Laboral
Riesgos Laborales
Ergonomia
Saúde do Trabalhador
Riscos Ocupacionais
title_short Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study
title_full Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study
title_fullStr Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study
title_full_unstemmed Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study
title_sort Health professionals working in a hospital environment have a high prevalence of fatigue and back pain: a cross-sectional study
author Tottoli, Caroline Ribeiro
author_facet Tottoli, Caroline Ribeiro
Toledo, Aline Martins de
Silva, Natasha Cyrino e
Araújo, Wildo Navegantes de
Souza, Renata da Nóbrega
Carregaro, Rodrigo Luiz
author_role author
author2 Toledo, Aline Martins de
Silva, Natasha Cyrino e
Araújo, Wildo Navegantes de
Souza, Renata da Nóbrega
Carregaro, Rodrigo Luiz
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Tottoli, Caroline Ribeiro
Toledo, Aline Martins de
Silva, Natasha Cyrino e
Araújo, Wildo Navegantes de
Souza, Renata da Nóbrega
Carregaro, Rodrigo Luiz
dc.subject.por.fl_str_mv Ergonomics
Occupational Health
Occupational Risks
Ergonomía
Salud Laboral
Riesgos Laborales
Ergonomia
Saúde do Trabalhador
Riscos Ocupacionais
topic Ergonomics
Occupational Health
Occupational Risks
Ergonomía
Salud Laboral
Riesgos Laborales
Ergonomia
Saúde do Trabalhador
Riscos Ocupacionais
description This study’s objective was to employ Regulation-17 (NR-17) of Brazil’s Ministry of Labor to describe the work environment of health professionals of a public hospital, while also evaluating fatigue and estimating their risk of exposure to it, as well as the presence of musculoskeletal discomfort. This was a cross-sectional study consisting of two phases: 1) Observation of the work environment by means of the NR-17, adapted as a checklist; 2) Evaluation of discomfort and fatigue by means of questionnaires. Data were analyzed descriptively. The association between fatigue and discomfort was assessed using the chi-square test, while the Mann–Whitney test was used to compare age, service time at the institution and weekly working hours across the stratified groups (with fatigue/without fatigue, with discomfort/without discomfort). Twenty sectors were evaluated. The sector with the highest frequency of inadequacy was Pharmacy (83% inadequate items), while the Adult ICU was the most adequate (only 24% inadequate items). There was a high prevalence of discomfort, especially in the spine. Fatigue was present in more than 70% of professionals. Older individuals presented more complaints of discomfort. This study demonstrates a high frequency of ergonomic inadequacies in the hospital’s work environment, mainly in the Pharmacy and Ambulatory sectors. The high prevalence of spine discomfort and fatigue emphasizes the relevance of preventive actions in the hospital environment.
publishDate 2019
dc.date.none.fl_str_mv 2019-02-02
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/157221
10.1590/1809-2950/18032926012019
url https://www.revistas.usp.br/fpusp/article/view/157221
identifier_str_mv 10.1590/1809-2950/18032926012019
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/157221/152616
https://www.revistas.usp.br/fpusp/article/view/157221/152617
dc.rights.driver.fl_str_mv Copyright (c) 2019 Fisioterapia e Pesquisa
https://creativecommons.org/licenses/by-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Fisioterapia e Pesquisa
https://creativecommons.org/licenses/by-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
dc.source.none.fl_str_mv Fisioterapia e Pesquisa; Vol. 26 No. 1 (2019); 91-100
Fisioterapia e Pesquisa; Vol. 26 Núm. 1 (2019); 91-100
Fisioterapia e Pesquisa; v. 26 n. 1 (2019); 91-100
2316-9117
1809-2950
reponame:Fisioterapia e Pesquisa
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Fisioterapia e Pesquisa
collection Fisioterapia e Pesquisa
repository.name.fl_str_mv Fisioterapia e Pesquisa - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||revfisio@usp.br
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