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初级卫生保健专业人员应对策略分析:巴西一个大型城市的横断面研究

Analysis of the Coping Strategies of Primary Health Care Professionals: Cross-Sectional Study in a Large Brazilian Municipality.

作者信息

Lourenção Luciano Garcia, Rigino Bruno Martinez, Sasaki Natalia Sperli Geraldes Marin Dos Santos, Pinto Maria Jaqueline Coelho, Ximenes Neto Francisco Rosemiro Guimarães, Borges Flávio Adriano, Santos Maria de Lourdes Sperli Geraldes, Penha José Gustavo Monteiro, Galvão Daniela Menezes, Dos Santos Betânia Maria Pereira, Cunha Isabel Cristina Kowal Olm, de Oliveira Jacqueline Flores, Afonso Max Dos Santos, Cunha Carlos Leonardo Figueiredo, da Silva Francielle Garcia, Freire Neyson Pinheiro, do Nascimento Vagner Ferreira, Rodrigues Sidiane Teixeira, de Carvalho Taisa Moitinho, Lemos Messias, da Cunha Juliana Lima, Domingos Neide Aparecida Micelli

机构信息

Nursing School, Federal University of Rio Grande, Rio Grande 96200-400, RS, Brazil.

School of Medicine of São José do Rio Preto, São José do Rio Preto 15090-090, SP, Brazil.

出版信息

Int J Environ Res Public Health. 2022 Mar 11;19(6):3332. doi: 10.3390/ijerph19063332.

Abstract

Objective: To analyze the coping strategies used by primary healthcare (PHC) professionals. Methods: A cross-sectional, descriptive-analytical study realized with professionals working in primary healthcare units in São José do Rio Preto, a large city in the interior of São Paulo, Brazil. For data collection, we used an instrument developed by the researchers containing sociodemographic and professional variables, as well as the Problem Coping Modes Scale (EMEP). Results: We evaluated 333 PHC professionals. A difference was observed between the scores of the four coping strategies (p < 0.001), with the highest score for the problem-focused strategy (3.8) and the lowest score for the emotion-focused strategy (2.4). Physicians had the lowest scores in coping strategies focused on religious practices/fantastical thinking (p < 0.001) and pursuit of social support (p = 0.045), while community health agents had the highest scores in these coping strategies. Conclusions: Professionals working in PHC have different coping strategies for the problems and stressful situations experienced in the work environment. These strategies can involve more positive attitudes focused on confrontation and problem solving, and on emotional responses that involve attitudes of avoidance and denial of the problem.

摘要

目的

分析初级卫生保健(PHC)专业人员所采用的应对策略。方法:对巴西圣保罗州内陆大城市里奥普雷图河畔圣若泽市初级卫生保健单位的专业人员开展一项横断面描述性分析研究。为收集数据,我们使用了研究人员编制的一份包含社会人口学和专业变量以及问题应对方式量表(EMEP)的工具。结果:我们评估了333名初级卫生保健专业人员。观察到四种应对策略的得分存在差异(p < 0.001),其中以问题为导向的策略得分最高(3.8),以情绪为导向的策略得分最低(2.4)。医生在专注于宗教活动/奇幻思维的应对策略(p < 0.001)和寻求社会支持的应对策略(p = 0.045)中得分最低,而社区卫生工作者在这些应对策略中得分最高。结论:在初级卫生保健领域工作的专业人员针对工作环境中遇到的问题和压力情况有不同的应对策略。这些策略可能包括更积极的态度,专注于对抗和解决问题,以及涉及回避和否认问题态度的情绪反应。

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