Saúde das trabalhadoras de enfermagem da atenção básica na Bahia

Abstract

We emphasize in this survey the illness of the worker concerned individual and collective damage that affects the quality of services provided for, with emphasis on nursing professionals, related to the direct contribution to the quality of care and the high stress loads which these professionals are exposed to, in their environment job. Due to female predominance in this category was necessary to approach gender issues in order to analyze the risks of exposure and morbidity profiles no longer under a biological vision, considering social factors in epidemiological analyzes. Considering such problems, we aimed to analyze the factors that are associated with conditions of physical and mental health workers in primary care nursing in Bahia. As a methodological approach, a cross sectional study was conducted in five cities in Bahia in 2011-2013, with a sample of 451 nursing workers. An 8-section questionnaire was elaborated relating to sociodemographic lifestyle, employment status, psychosocial aspects of working, perception of work and life, and health status. The Self Reporting Questionnaire - SRQ - 20 was used to track TMC and self -rated health was identified from the question: "In general, comparing yourself to people of your age, how have you considered your health?" To verify the factors associated with the outcome, we used the analysis of logistic regression in blocks. On considering the results, we identified 16.2 % prevalence of Common Mental Disorders, and 15.8 % of negative self-rated health status, and such occurrences were associated with several factors. The variables statistically associated with TMC, in the final model of analysis were: occupation, workweek, personal safety threatened at work, overload housework, the effort-reward model (ERI ), self-satisfaction, assessment of quality of life and self-rated health. While for the negative self-rated health status, the variables that best were applied were: compatibility of the activities, overload housework, according to the Karasek´s demand-control model, evaluation of quality of life and common mental disorders. Our results reinforce and renew the scientific evidence on subject, reaffirming the relationship between the health-disease process and work, be it professional or domestic as well as the present association between physical fitness and mental health. We highlight the importance of psychosocial aspects of work on workers' health, as evidenced by the association of outcomes with the demand-control model or the effort - reward imbalance model ( ERI ). The results of the study direct relevance to discussions and changes in the nursing work organizations in an attempt to minimize stress and occupational dissatisfaction, and promote health in this category.