巴西阿拉戈斯州烟农病历中的临床信息概况。
Profile of clinical information in medical records of tobacco farmers in Alagoas, Brazil.
作者信息
Dos Santos Ana Caroline Melo, Soares Imaculada Pereira, Moreira Josino Costa, de Farias Maria Betânia Monteiro, Dias Renise Bastos Farias, de Farias Karol Fireman
机构信息
Nursing Department, Regional School of Bahia (Faculdade Regional da Bahia - FARB) - Arapiraca (AL), Brazil.
Health Residency Technical School - Palmeira dos Índios (AL), Brazil.
出版信息
Rev Bras Med Trab. 2017 Dec 1;15(4):310-316. doi: 10.5327/Z1679443520170045. eCollection 2017.
BACKGROUND
The study of the profile of medical records of tobacco growers contributes to discussions on the establishment of diagnosis and its causal correlation with work.
OBJECTIVE
To investigate the profile of clinical information in medical records of tobacco growers.
METHODS
The present was a descriptive field and documentary study, with quantitative approach, of 149medical records of farmers who visited basic health units in rural communities in the municipality of Arapiraca, Alagoas, Brazil, from 2008 to 2013.
RESULTS
About 66% of the investigated population was female, with average age 58.6 years old (standard deviation ±16.4). The most significant clinical complaint found in the records was headache (16.71%), followed by low back pain (10.20%), dysuria or other urinary problems (8.90%) and stomachache (8.30%). Medical diagnoses included gastritis (15.1%), depression (7.1%), anxiety (7.1%), myalgia (7.1%) and arthritis/arthralgia (5.3%). Correlation between clinical complaints and work performed by tobacco growers was registered on one single medical record.
CONCLUSION
The clinical profile of tobacco growers described in the medical records might be associated with their social and working conditions and related to pesticide and nicotine poisoning. However, the scarcity of information on the environmental and occupational risk context limits the establishment of a causal link. As a function of the relevance of the occupational-clinical conditions of this population of workers, improving medical records is necessary, as the temporal relationship between exposure and outcomes might account for the occurrence of the reported symptoms.
背景
对烟农病历资料的研究有助于关于诊断的确立及其与工作因果关系的讨论。
目的
调查烟农病历中的临床信息特征。
方法
本研究是一项描述性的实地和文献研究，采用定量方法，对2008年至2013年期间在巴西阿拉戈斯州阿拉皮拉卡市农村社区基层卫生单位就诊的149名农民的病历进行分析。
结果
约66%的被调查人群为女性，平均年龄58.6岁（标准差±16.4）。病历中最主要的临床症状是头痛（16.71%），其次是腰痛（10.20%）、排尿困难或其他泌尿系统问题（8.90%）和腹痛（8.30%）。医学诊断包括胃炎（15.1%）、抑郁症（7.1%）、焦虑症（7.1%）、肌痛（7.1%）和关节炎/关节痛（5.3%）。仅在一份病历中记录了临床症状与烟农所从事工作之间的相关性。
结论
病历中所描述的烟农临床特征可能与其社会和工作条件有关，并且与农药和尼古丁中毒有关。然而，关于环境和职业风险背景的信息匮乏限制了因果关系的确定。鉴于这一工人群体职业临床状况的相关性，改善病历是必要的，因为接触与结果之间的时间关系可能解释了所报告症状的发生。
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