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社区卫生工作者:工作条件与职业健康

Community health workers: working conditions and occupational health.

作者信息

Ferreira José Nilton Dos Santos, de Medeiros Renata Lívia Silva Fonseca Moreira, Bezerra Yuri Charllub Pereira, Oliveira Geane Silva, Barros de-Quental Ocilma

机构信息

Departamento de Enfermagem, Faculdade Santa Maria, Cajazeiras, PB, Brazil.

出版信息

Rev Bras Med Trab. 2021 Dec 30;19(4):437-444. doi: 10.47626/1679-4435-2021-622. eCollection 2021 Oct-Dec.

DOI:10.47626/1679-4435-2021-622
PMID:35733535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9162296/
Abstract

INTRODUCTION

Community health workers are qualified professionals who provide health services that are culturally appropriate for a region. In their work routine, these professionals experience the most diverse and risky situations, which may cause vulnerability to the process of illness and even compromise care to users of the Brazilian Unified Health System. Therefore, understanding the factors associated with the work process that imply the illness of community health workers helps increase the safety of the service provided by these workers.

OBJECTIVES

To analyze the implications for illness arising from the work process of community health workers.

METHODS

A cross-sectional, descriptive, quantitative study was conducted with the participation of all community health workers in the municipality of Baixio, state of Ceará, Brazil. The interviews were conducted by means of a questionnaire containing questions to assess the work context with quantitative answers, from February to April 2019. Data were analyzed by the Shapiro-Wilk normality test, followed by Spearman correlation test. Differences were considered significant at a p-value < 0.05.

RESULTS

High demand for results in the workplace and insufficient work instruments demonstrated a directly proportional correlation with headache, body pain, back pain, and vision disorders (p < 0.05).

CONCLUSIONS

Working conditions can directly affect the health of community health workers. Therefore, public strategies are essential to ensure workers' safety and quality of care for users of the Brazilian Unified Health System services.

摘要

引言

社区卫生工作者是合格的专业人员,他们提供适合某一地区文化背景的卫生服务。在日常工作中,这些专业人员会经历各种各样的危险情况,这可能使他们易患疾病,甚至影响对巴西统一卫生系统用户的护理。因此,了解与社区卫生工作者患病相关的工作过程因素,有助于提高这些工作者所提供服务的安全性。

目的

分析社区卫生工作者工作过程中对疾病的影响。

方法

对巴西塞阿拉州baixio市的所有社区卫生工作者进行了一项横断面、描述性定量研究。2019年2月至4月,通过一份包含用于评估工作环境的定量问题的问卷进行访谈。数据经夏皮罗-威尔克正态性检验,随后进行斯皮尔曼相关性检验。p值<0.05时差异被认为具有统计学意义。

结果

工作场所对结果的高要求和工作工具不足与头痛、身体疼痛、背痛和视力障碍呈直接正相关(p<0.05)。

结论

工作条件会直接影响社区卫生工作者的健康。因此,公共策略对于确保巴西统一卫生系统服务用户的工作者安全和护理质量至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/825a/9162296/4d1b23f0e036/rbmt-19-04-0437-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/825a/9162296/f4736b66691c/rbmt-19-04-0437-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/825a/9162296/9d60c9ad8dfb/rbmt-19-04-0437-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/825a/9162296/4d1b23f0e036/rbmt-19-04-0437-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/825a/9162296/f4736b66691c/rbmt-19-04-0437-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/825a/9162296/9d60c9ad8dfb/rbmt-19-04-0437-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/825a/9162296/4d1b23f0e036/rbmt-19-04-0437-g03.jpg

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本文引用的文献

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Who is a community health worker? - a systematic review of definitions.谁是社区卫生工作者?——定义的系统综述
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