Clarice Alves Bonow

Alterações respiratórias em trabalhadores: estudo de portuários avulsos

OBJECTIVEnTo identify alterations in the respiratory system in port workers through radiographic and pulmonary function tests; to identify the use of personal protective equipment during port activities; and to relate age, working time, exposure to substances such as fertilizers and the use of personal protective equipment during port activities, to changes in the respiratory system in port workers.nnnMETHODnDescriptive and exploratory study, in south Brazilian maritime port, from July of 2014 to January of 2015. A retrospective quantitative analysis of the results of chest x-ray and spirometry of 695 port workers chart and prospective analysis of 66 workers were performed.nnnRESULTSnMost of the workers did not present radiographs 98.7% and 11.4% presented ventilatory alterations. A positive correlation was identified for the variables age, working time and spirometry results.nnnCONCLUSIONnThere was a change in the respiratory function of single port workers, which may be related to the exposure to fertilizers.

Eletromiografia de superfície da região cervical - contribuição para a saúde muscular

Objective: To verify cervical pain symptoms in a group of office workers and investigate electromyographic signals of the upper trapezius muscle of office workers at rest. Methods: Exploratory study with an interventional approach conducted with workers from a port facility. Personal, symptomological, occupational and electrophysiological variables were examined, based on electromyographies of the cervical region. The chi-square test, student’s t-test and Mann-Whitney test were applied. Results: Among the 43 workers who participated in the study, the mean score for shoulder and back neck pain was statistically higher among women than men. The formation of positive waves occurred before and after work, affecting ten workers. The completion of the workday did not cause signification modifications in cervical electrophysiological activity. Conclusion: The study identified ergonomic variables and reports of cervicalgia, as well as positive wave recruitment in a small group of workers, indicating that the use of new muscle assessment instruments by nurses can enhance their occupational health work. The sex of the participants proved to be an important variable in muscle pain assessment, especially among women. The pre-workday period was also relevant, demonstrating that actions engaged in before work can positively or negatively influence muscle conditions for the workday. As a result of the study, a group of workers that require muscle health promotion was defined. Descritores Saúde do trabalhador; Eletromiografia; Força muscular; Cervicalgia

Workload and associated factors: a study in maritime port in Brazil

ABSTRACT Objective: to identify the effect of the mental, physical, temporal, performance, total effort and frustration demands in the overall workload, and in the same way analyze the global burden of port labor and associated factors that contribute most to their decrease or increase. Method: a cross-sectional, quantitative study, developed with 232 dock workers. For data collection, a structured questionnaire with descriptive, occupational, smoking and illicit drug use variables was applied, as well as variables on the load on the tasks undertaken at work, based on the questionnaire NASA Task Load Index. For data analysis, we used the analysis of the Poisson regression model. Results: the demands physical demand and total effort showed greater effect on the overall workload, indicating high overall load on port work (134 employees - 58.8%). The following remained associated statistically with high levels of workload: age (p = 0.044), to be employee of the wharfage (p = 0.006), work only at night (p = 0.025), smoking (p = 0.037) and use of illegal drugs (p = 0.029). Conclusion: the workload in this type of activity was high, and the professional category and work shift the factors that contributed to the increase, while the age proved to be a factor associated with a decrease.1 Apoio financeiro da Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS), Brasil, processo no 1174-2551/13-5. 2 PhD, Professor Associado, Escola de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil. 3 PhD, Professor Adjunto, Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, RS, Brasil. 4 PhD, Enfermeira, Escola de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil. 5 PhD, Professor Adjunto, Universidade Federal do Pampa, Uruguaiana, RS, Brasil. Objetivo: identificar o efeito das demandas mental, física, temporal, de desempenho, esforço total e frustração na carga global de trabalho, da mesma maneira que analisar a carga global de trabalho portuário e fatores associados que mais contribuem para sua diminuição ou aumento. Método: estudo transversal, quantitativo, desenvolvido com 232 trabalhadores portuários. Para a coleta de dados, foi aplicado um questionário estruturado com variáveis de caracterização, ocupacional, tabagismo e uso de drogas ilícitas, além de variáveis sobre a carga nas tarefas desenvolvidas no trabalho, com base no questionário NASA Task Load Index. Para análise dos dados, utilizou-se a análise do modelo de regressão de Poisson. Resultados: as demandas exigência física e esforço total apresentaram maior efeito sobre a carga global de trabalho, indicando elevada carga global no trabalho portuário (134 trabalhadores – 58,8%). Permaneceram associados, estatisticamente, com níveis elevados da carga de trabalho: idade (p = 0,044), ser trabalhador da capatazia (p = 0,006), trabalhar somente no período noturno (p = 0,025), tabagismo (p = 0,037) e uso de drogas ilícitas (p = 0,029). Conclusão: a carga de trabalho, nesse tipo de atividade, foi alta, sendo a categoria profissional e o turno de trabalho os fatores que contribuíram para o aumento, enquanto a idade mostrou-se fator associado à sua diminuição.

Carga de trabajo y factores asociados: estudio en un puerto marítimo de Brasil

ABSTRACT Objective: to identify the effect of the mental, physical, temporal, performance, total effort and frustration demands in the overall workload, and in the same way analyze the global burden of port labor and associated factors that contribute most to their decrease or increase. Method: a cross-sectional, quantitative study, developed with 232 dock workers. For data collection, a structured questionnaire with descriptive, occupational, smoking and illicit drug use variables was applied, as well as variables on the load on the tasks undertaken at work, based on the questionnaire NASA Task Load Index. For data analysis, we used the analysis of the Poisson regression model. Results: the demands physical demand and total effort showed greater effect on the overall workload, indicating high overall load on port work (134 employees - 58.8%). The following remained associated statistically with high levels of workload: age (p = 0.044), to be employee of the wharfage (p = 0.006), work only at night (p = 0.025), smoking (p = 0.037) and use of illegal drugs (p = 0.029). Conclusion: the workload in this type of activity was high, and the professional category and work shift the factors that contributed to the increase, while the age proved to be a factor associated with a decrease.1 Apoio financeiro da Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS), Brasil, processo no 1174-2551/13-5. 2 PhD, Professor Associado, Escola de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil. 3 PhD, Professor Adjunto, Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, RS, Brasil. 4 PhD, Enfermeira, Escola de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil. 5 PhD, Professor Adjunto, Universidade Federal do Pampa, Uruguaiana, RS, Brasil. Objetivo: identificar o efeito das demandas mental, física, temporal, de desempenho, esforço total e frustração na carga global de trabalho, da mesma maneira que analisar a carga global de trabalho portuário e fatores associados que mais contribuem para sua diminuição ou aumento. Método: estudo transversal, quantitativo, desenvolvido com 232 trabalhadores portuários. Para a coleta de dados, foi aplicado um questionário estruturado com variáveis de caracterização, ocupacional, tabagismo e uso de drogas ilícitas, além de variáveis sobre a carga nas tarefas desenvolvidas no trabalho, com base no questionário NASA Task Load Index. Para análise dos dados, utilizou-se a análise do modelo de regressão de Poisson. Resultados: as demandas exigência física e esforço total apresentaram maior efeito sobre a carga global de trabalho, indicando elevada carga global no trabalho portuário (134 trabalhadores – 58,8%). Permaneceram associados, estatisticamente, com níveis elevados da carga de trabalho: idade (p = 0,044), ser trabalhador da capatazia (p = 0,006), trabalhar somente no período noturno (p = 0,025), tabagismo (p = 0,037) e uso de drogas ilícitas (p = 0,029). Conclusão: a carga de trabalho, nesse tipo de atividade, foi alta, sendo a categoria profissional e o turno de trabalho os fatores que contribuíram para o aumento, enquanto a idade mostrou-se fator associado à sua diminuição.

Carga de trabalho e fatores associados: estudo em porto marítimo do Brasil

ABSTRACT Objective: to identify the effect of the mental, physical, temporal, performance, total effort and frustration demands in the overall workload, and in the same way analyze the global burden of port labor and associated factors that contribute most to their decrease or increase. Method: a cross-sectional, quantitative study, developed with 232 dock workers. For data collection, a structured questionnaire with descriptive, occupational, smoking and illicit drug use variables was applied, as well as variables on the load on the tasks undertaken at work, based on the questionnaire NASA Task Load Index. For data analysis, we used the analysis of the Poisson regression model. Results: the demands physical demand and total effort showed greater effect on the overall workload, indicating high overall load on port work (134 employees - 58.8%). The following remained associated statistically with high levels of workload: age (p = 0.044), to be employee of the wharfage (p = 0.006), work only at night (p = 0.025), smoking (p = 0.037) and use of illegal drugs (p = 0.029). Conclusion: the workload in this type of activity was high, and the professional category and work shift the factors that contributed to the increase, while the age proved to be a factor associated with a decrease.1 Apoio financeiro da Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS), Brasil, processo no 1174-2551/13-5. 2 PhD, Professor Associado, Escola de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil. 3 PhD, Professor Adjunto, Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, RS, Brasil. 4 PhD, Enfermeira, Escola de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil. 5 PhD, Professor Adjunto, Universidade Federal do Pampa, Uruguaiana, RS, Brasil. Objetivo: identificar o efeito das demandas mental, física, temporal, de desempenho, esforço total e frustração na carga global de trabalho, da mesma maneira que analisar a carga global de trabalho portuário e fatores associados que mais contribuem para sua diminuição ou aumento. Método: estudo transversal, quantitativo, desenvolvido com 232 trabalhadores portuários. Para a coleta de dados, foi aplicado um questionário estruturado com variáveis de caracterização, ocupacional, tabagismo e uso de drogas ilícitas, além de variáveis sobre a carga nas tarefas desenvolvidas no trabalho, com base no questionário NASA Task Load Index. Para análise dos dados, utilizou-se a análise do modelo de regressão de Poisson. Resultados: as demandas exigência física e esforço total apresentaram maior efeito sobre a carga global de trabalho, indicando elevada carga global no trabalho portuário (134 trabalhadores – 58,8%). Permaneceram associados, estatisticamente, com níveis elevados da carga de trabalho: idade (p = 0,044), ser trabalhador da capatazia (p = 0,006), trabalhar somente no período noturno (p = 0,025), tabagismo (p = 0,037) e uso de drogas ilícitas (p = 0,029). Conclusão: a carga de trabalho, nesse tipo de atividade, foi alta, sendo a categoria profissional e o turno de trabalho os fatores que contribuíram para o aumento, enquanto a idade mostrou-se fator associado à sua diminuição.

Socio-environmental approach in nursing: focusing on rural labor and the use of pesticides

Objective:nto apply a socio-environmental approach to the relationship between human health and rural labor through a link verification/association between health disorders and the use of pesticides.nnnMethod:nthis is a quantitative, cross-sectional, observational and exploratory study with 331 inhabitants of two cities in the state of Rio Grande do Sul, Brazil. Data analysis was conducted by Poisson regression.nnnResults:nreported health disorders included: mental (62.2%); circulatory (49.8%); dermatologic (45%); respiratory (41%); and gastric (36.2%). Workers who apply pesticides showed a 90% higher prevalence of dermatological alterations when compared to those who did not.nnnConclusion:nthe socio-environmental approach, comprising elements of the rural environment, of workers, and of the use of pesticides in the work process in connection/association with potential health disorders has shown that rural workers who apply pesticides present a higher prevalence of dermatological alterations.Objetivo: aplicar uma abordagem socioambiental na relacao entre saude humana e trabalho rural por meio da verificacao de nexo/associacao entre disturbios de saude e uso de agrotoxicos. Metodo: estudo quantitativo, transversal, observacional e exploratorio, realizado com 331 trabalhadores rurais de dois municipios do estado do Rio Grande do Sul, Brasil. Realizou-se analise dos dados por regressao de Poisson. Resultados: os disturbios de saude referidos incluiram: disturbios mentais (62,2%), circulatorios (49,8%), dermatologicos (45%), respiratorios (41%) e gastricos (36,2%). Trabalhadores que aplicam agrotoxicos apresentam prevalencia 90% maior de alteracoes dermatologicas quando comparados aos que nao aplicam. Conclusao: o uso da abordagem socioambiental constituida por elementos do ambiente rural, do trabalhador e do uso de agrotoxicos no processo de trabalho no potencial nexo/associacao com os disturbios de saude permitiu verificar que os trabalhadores rurais que aplicam agrotoxicos apresentam maior prevalencia de alteracoes dermatologicas.

Abordagem socioambiental na enfermagem: focalizando o trabalho rural e uso de agrotóxicos

Objective:nto apply a socio-environmental approach to the relationship between human health and rural labor through a link verification/association between health disorders and the use of pesticides.nnnMethod:nthis is a quantitative, cross-sectional, observational and exploratory study with 331 inhabitants of two cities in the state of Rio Grande do Sul, Brazil. Data analysis was conducted by Poisson regression.nnnResults:nreported health disorders included: mental (62.2%); circulatory (49.8%); dermatologic (45%); respiratory (41%); and gastric (36.2%). Workers who apply pesticides showed a 90% higher prevalence of dermatological alterations when compared to those who did not.nnnConclusion:nthe socio-environmental approach, comprising elements of the rural environment, of workers, and of the use of pesticides in the work process in connection/association with potential health disorders has shown that rural workers who apply pesticides present a higher prevalence of dermatological alterations.Objetivo: aplicar uma abordagem socioambiental na relacao entre saude humana e trabalho rural por meio da verificacao de nexo/associacao entre disturbios de saude e uso de agrotoxicos. Metodo: estudo quantitativo, transversal, observacional e exploratorio, realizado com 331 trabalhadores rurais de dois municipios do estado do Rio Grande do Sul, Brasil. Realizou-se analise dos dados por regressao de Poisson. Resultados: os disturbios de saude referidos incluiram: disturbios mentais (62,2%), circulatorios (49,8%), dermatologicos (45%), respiratorios (41%) e gastricos (36,2%). Trabalhadores que aplicam agrotoxicos apresentam prevalencia 90% maior de alteracoes dermatologicas quando comparados aos que nao aplicam. Conclusao: o uso da abordagem socioambiental constituida por elementos do ambiente rural, do trabalhador e do uso de agrotoxicos no processo de trabalho no potencial nexo/associacao com os disturbios de saude permitiu verificar que os trabalhadores rurais que aplicam agrotoxicos apresentam maior prevalencia de alteracoes dermatologicas.

Abordaje socioambiental en enfermería: haciendo foco en el trabajo rural y el uso de agrotóxicos

Objective:nto apply a socio-environmental approach to the relationship between human health and rural labor through a link verification/association between health disorders and the use of pesticides.nnnMethod:nthis is a quantitative, cross-sectional, observational and exploratory study with 331 inhabitants of two cities in the state of Rio Grande do Sul, Brazil. Data analysis was conducted by Poisson regression.nnnResults:nreported health disorders included: mental (62.2%); circulatory (49.8%); dermatologic (45%); respiratory (41%); and gastric (36.2%). Workers who apply pesticides showed a 90% higher prevalence of dermatological alterations when compared to those who did not.nnnConclusion:nthe socio-environmental approach, comprising elements of the rural environment, of workers, and of the use of pesticides in the work process in connection/association with potential health disorders has shown that rural workers who apply pesticides present a higher prevalence of dermatological alterations.Objetivo: aplicar uma abordagem socioambiental na relacao entre saude humana e trabalho rural por meio da verificacao de nexo/associacao entre disturbios de saude e uso de agrotoxicos. Metodo: estudo quantitativo, transversal, observacional e exploratorio, realizado com 331 trabalhadores rurais de dois municipios do estado do Rio Grande do Sul, Brasil. Realizou-se analise dos dados por regressao de Poisson. Resultados: os disturbios de saude referidos incluiram: disturbios mentais (62,2%), circulatorios (49,8%), dermatologicos (45%), respiratorios (41%) e gastricos (36,2%). Trabalhadores que aplicam agrotoxicos apresentam prevalencia 90% maior de alteracoes dermatologicas quando comparados aos que nao aplicam. Conclusao: o uso da abordagem socioambiental constituida por elementos do ambiente rural, do trabalhador e do uso de agrotoxicos no processo de trabalho no potencial nexo/associacao com os disturbios de saude permitiu verificar que os trabalhadores rurais que aplicam agrotoxicos apresentam maior prevalencia de alteracoes dermatologicas.

Enfermeiros do trabalho: experiência interdisciplinar em saúde do trabalhador

Objective:nto analyze the relationship of occupational health nurses with the other members of the Specialized Service in Safety Engineering and Occupational Medicine (SESMT) and characterize joint actions of these professionals in occupational health.nnnMethod:nqualitative, exploratory, and descriptive study with 34 professionals of seven companies from the South Macroregion of the state of Rio Grande do Sul. Interviews and observations were conducted for content analysis of Bardin.nnnResults:nthe SESMTs are multidisciplinary and intersectoral workers. Nurses have working relations of an interpersonal, technical/legal, and management of logistics/organizational nature, influenced by the technical division of work and by the division in the work environment of the staff, which distances areas, generates conflicts, and fragments the actions of the service.nnnConclusion:nSESMT faces challenges to develop a work befitting their legal objectives, once staff and companies need to understand the importance of interdisciplinarity for the success of actions on the workers health and safety.Objective: to analyze the relationship of occupational health nurses with the other members of the Specialized Service in Safety Engineering and Occupational Medicine (SESMT) and characterize joint actions of these professionals in occupational health. Method: qualitative, exploratory, and descriptive study with 34 professionals of seven companies from the South Macroregion of the state of Rio Grande do Sul. Interviews and observations were conducted for content analysis of Bardin. Results: the SESMTs are multidisciplinary and intersectoral workers. Nurses have working relations of an interpersonal, technical/legal, and management of logistics/organizational nature, influenced by the technical division of work and by the division in the work environment of the staff, which distances areas, generates conflicts, and fragments the actions of the service. Conclusion: SESMT faces challenges to develop a work befitting their legal objectives, once staff and companies need to understand the importance of interdisciplinarity for the success of actions on the workers health and safety.

Occupational health nurses: interdisciplinary experience in occupational health

Objective:nto analyze the relationship of occupational health nurses with the other members of the Specialized Service in Safety Engineering and Occupational Medicine (SESMT) and characterize joint actions of these professionals in occupational health.nnnMethod:nqualitative, exploratory, and descriptive study with 34 professionals of seven companies from the South Macroregion of the state of Rio Grande do Sul. Interviews and observations were conducted for content analysis of Bardin.nnnResults:nthe SESMTs are multidisciplinary and intersectoral workers. Nurses have working relations of an interpersonal, technical/legal, and management of logistics/organizational nature, influenced by the technical division of work and by the division in the work environment of the staff, which distances areas, generates conflicts, and fragments the actions of the service.nnnConclusion:nSESMT faces challenges to develop a work befitting their legal objectives, once staff and companies need to understand the importance of interdisciplinarity for the success of actions on the workers health and safety.Objective: to analyze the relationship of occupational health nurses with the other members of the Specialized Service in Safety Engineering and Occupational Medicine (SESMT) and characterize joint actions of these professionals in occupational health. Method: qualitative, exploratory, and descriptive study with 34 professionals of seven companies from the South Macroregion of the state of Rio Grande do Sul. Interviews and observations were conducted for content analysis of Bardin. Results: the SESMTs are multidisciplinary and intersectoral workers. Nurses have working relations of an interpersonal, technical/legal, and management of logistics/organizational nature, influenced by the technical division of work and by the division in the work environment of the staff, which distances areas, generates conflicts, and fragments the actions of the service. Conclusion: SESMT faces challenges to develop a work befitting their legal objectives, once staff and companies need to understand the importance of interdisciplinarity for the success of actions on the workers health and safety.