Neves Ana Isabele Andrade, Vieira Elamara Marama Araujo, Cardia Maria Claudia Gatto, Lucena Neide Maria Gomes, da-Silva Luiz Bueno
Graduate Program in Rehabilitation Sciences, Universidade Federal do Rio Grande do Norte - Santa Cruz (RN), Brazil.
Graduate Program in Decision-Making Models and Health, Universidade Federal da Paraíba (UFPB) - João Pessoa (PB), Brazil.
Rev Bras Med Trab. 2018 Sep 1;16(3):263-269. doi: 10.5327/Z1679443520180240. eCollection 2018.
The heavy and complex work routine in the intensive care unit (ICU) involves high workload, long working hours, high levels of tension, exposure to extreme situations and to hazards of different nature.
To investigate the influence of sociodemographic and organizational factors on the development of musculoskeletal pain, tension and fatigue among ICU professionals.
We interviewed 128 professionals from seven public hospitals in João Pessoa, Paraiba, Brazil.The data were analyzed using a logistic regression model, and differences between professional categories by means of the likelihood ratio, the Wald and χ tests, with significance level set to <0.05.
The risk to develop musculoskeletal symptoms differed as a function of the participants' professional category.The odds of nursing technicians to simultaneously develop musculoskeletal pain, fatigue and tension were 4.968 times higher (p=0.023) compared to physicians, nurses and physical therapists.This difference was mediated by factors such as sex, body mass index and number of ICU jobs.Nursing technicians were the most exposed group, and thus they require more attention as concerns workplace health interventions.
The participants had long working hours, and differed in regard to the most frequent musculoskeletal complaints as a function of the specificities inherent to the activities of each professional category.
重症监护病房（ICU）繁重复杂的工作流程涉及高工作量、长工作时间、高度紧张、接触极端情况以及各种不同性质的危险。
调查社会人口学和组织因素对ICU专业人员肌肉骨骼疼痛、紧张和疲劳发展的影响。
我们采访了巴西帕拉伊巴州若昂佩索阿市七家公立医院的128名专业人员。使用逻辑回归模型分析数据，并通过似然比、 Wald检验和χ检验分析专业类别之间的差异，显著性水平设定为<0.05。
出现肌肉骨骼症状的风险因参与者的专业类别而异。与医生、护士和物理治疗师相比，护理技术员同时出现肌肉骨骼疼痛、疲劳和紧张的几率高4.968倍（p=0.023）。这种差异由性别、体重指数和ICU工作年限等因素介导。护理技术员是暴露程度最高的群体，因此在工作场所健康干预方面需要更多关注。
参与者工作时间长，根据每个专业类别的活动特点，最常见的肌肉骨骼疾病存在差异。
