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[创造健康会引发疾病?公立医院急诊科工作的矛盾之处]

[Generating health elicits illness? The contradictions of work performed in emergency care units of public hospitals].

作者信息

Rosado Iana Vasconcelos Moreira, Russo Gláucia Helena Araújo, Maia Eulália Maria Chaves

机构信息

Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil,

Faculdade de Serviço Social, Universidade do Estado do Rio Grande do Norte, Brasil.

出版信息

Cien Saude Colet. 2015 Oct;20(10):3021-32. doi: 10.1590/1413-812320152010.13202014.

Abstract

In general terms, health is influenced and generated by the interaction of biological, social, economic, political and cultural factors. From this standpoint, the scope of this paper was to analyze the relationship between working in emergency care units of public hospitals and the health/sickness of the professionals who work in them. It involved a quantitative and qualitative survey, in which 240 health professionals (doctors, nurses, social workers, psychologists, dentists, nutritionists, audiologists, physiotherapists and occupational therapists) filled out a questionnaire. All the results acknowledged the importance of work to ensure favorable conditions for good health. However, they highlighted its deleterious physical and mental effects on workers, which included stress, lack of a healthy life-style, high blood pressure and musculoskeletal, gastrointestinal and sleep disorders. It is therefore important to tackle this reality in order to enhance the health of professionals and, consequently, the quality of care provided to the user, since illnesses among health workers are strongly linked to the existing health model in society.

摘要

一般来说,健康受到生物、社会、经济、政治和文化因素相互作用的影响并由此产生。从这个角度来看,本文的范围是分析在公立医院急诊科工作与在这些科室工作的专业人员的健康/疾病之间的关系。这涉及一项定量和定性调查,其中240名卫生专业人员(医生、护士、社会工作者、心理学家、牙医、营养师、听力学家、物理治疗师和职业治疗师)填写了一份问卷。所有结果都承认工作对于确保良好健康的有利条件的重要性。然而,这些结果突出了工作对工人身心的有害影响,包括压力、缺乏健康的生活方式、高血压以及肌肉骨骼、胃肠道和睡眠障碍。因此,应对这一现实情况很重要,以便增进专业人员的健康,进而提高为用户提供的护理质量,因为卫生工作者的疾病与社会现有的健康模式密切相关。

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