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基层医疗工作者的职业健康:现状诊断

Occupational health among primary care workers: situational diagnosis.

作者信息

Gomes José Edmilson Silva, Castro Shamyr Sulyvan, Andrade Rodrigo Fragoso, Sampaio José Jackson Coelho, Collares Patrícia Moreira

机构信息

Gerência de Pós-Graduação em Saúde, Escola de Saúde Pública do Ceará, Fortaleza, CE, Brazil.

Departamento de Fisioterapia, Universidade Federal do Ceará (UFC), Fortaleza, CE, Brazil.

出版信息

Rev Bras Med Trab. 2023 Feb 3;20(3):454-461. doi: 10.47626/1679-4435-2022-751. eCollection 2022 Jul-Sep.

DOI:10.47626/1679-4435-2022-751
PMID:36793472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9904842/
Abstract

INTRODUCTION

The field of workers' health within the scope of the Brazilian Unified Health System needs to revitalize its space in terms of coordinating care in primary health care based on social determinants of health.

OBJECTIVES

To contextualize and describe the health-related situational diagnosis of primary care workers from the metropolitan region of Fortaleza, state of Ceará, Brazil.

METHODS

This was a descriptive, quantitative, and exploratory study conducted at a primary care unit in the metropolitan region of Fortaleza, Ceará, from January to March 2019. The study population was composed of 38 health care professionals from the primary care unit. The following questionnaires were applied to obtain the situational diagnosis: the World Health Organization Disability Assessment Schedule and the Occupational Health Questionnaire.

RESULTS

Most participants were women (89.47%) and community health agents (18,42%). There were negative impacts on health conditions, such as work-related physical and mental discomfort, which was evidenced by sleep problems, sedentary lifestyle, poor access to health care services, and type of physical activity, which difer in terms of function and hierarchical levels in the field of work.

CONCLUSIONS

This study showed that the questionnaires provide useful inputs regarding occupational health through the situational diagnosis and adequately address the health-disease process, as seen in primary care workers. Comprehensive care, comprehensive worker health surveillance, and participatory administration of health services should be optimized.

摘要

引言

在巴西统一卫生系统范围内,劳动者健康领域需要在基于健康社会决定因素协调初级卫生保健服务方面重振其地位。

目的

对巴西塞阿拉州福塔莱萨市大都市区初级保健工作者的健康相关状况诊断进行背景分析和描述。

方法

这是一项描述性、定量和探索性研究,于2019年1月至3月在塞阿拉州福塔莱萨市大都市区的一个初级保健单位开展。研究人群由该初级保健单位的38名卫生保健专业人员组成。应用以下问卷来获取状况诊断:世界卫生组织残疾评估量表和职业健康问卷。

结果

大多数参与者为女性(89.

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本文引用的文献

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Disability and functioning assessment of women with RSI/WRMSDs: the use of the ICF checklist.患有重复性劳损/工作相关肌肉骨骼疾病的女性的残疾与功能评估:国际功能、残疾和健康分类清单的应用
Rev Bras Med Trab. 2019 Dec 1;17(4):545-556. doi: 10.5327/Z1679443520190443. eCollection 2019.
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A brief history of worker's health in Brazil's Unified Health System: progress and challenges.巴西统一卫生系统中工人健康的简史:进展与挑战
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