Minor psychiatric disorders in nursing: prevalence and associated factors

Common mental disorders in Brazilian female shift workers: prevalence and associated factors

This study aimed to identify the prevalence of common mental disorders (CMD) and associated factors in female shift workers. A cross-sectional study was conducted with a sample of 450 female workers, aged 18 years or older (± 36.1 years), from an industry located in Southern Brazil. CMD was assessed using the self-reporting questionnaire (SRQ-20 ≥ 8 points), and sociodemographic, occupational, behavioral, morbidity, and self-rated health characteristics were assessed using a questionnaire survey. The prevalence of CMD was 47.3% (95% CI: 42.6-52.1). After adjusting, female workers with black/brown race/skin color had a 22% higher probability of CMD than white workers (prevalence ratio (PR) = 1.22; 95% CI: 1.01-1.49), and workers with sleep disorders or poor sleep quality were 147% more likely to have CMD compared with those with good sleep quality (PR = 2.47; 95% CI: 1.70-3.58), and workers with fair/poor self-rated health were twice as likely to have CMD (PR = 2.00; 95% CI: 1.43-2.80) compared to those with excellent/very good self-rated health. A high prevalence of CMD was observed in female shift workers, especially in workers with a black/brown race/skin color and with poor sleep quality and self-rated health.

Common mental disorders and associated factors in nursing workers in COVID-19 units

OBJECTIVE

To analyze the interfaces between mental illness, based on common mental disorder screening, and sociodemographic, health and life habits aspects of nursing workers at COVID-19 units.

METHOD

A mixed methods study, carried out with 327 nursing workers from COVID-19 units of seven public and philanthropic, medium and large hospitals in Brazil. The collection included a socio-employment, health and lifestyle questionnaire, the Self-Reporting Questionnaire, and interviews. chi-square and Fisher's exact tests were applied to quantitative data and thematic content analysis, with the help of NVivo in the qualitative ones.

RESULTS

Common mental disorders were screened in 35.5% of the sample and were associated with female sex (p = 0.004), age up to 40 years (p = 0.003), nurse (p = 0.014), reporting previous illness (p = 0.003), using psychoactive drugs (p < 0.001), medication that was not used before the pandemic (p < 0.001) and reporting poor sleep/eating quality (p < 0.001). The impacts of the pandemic on social and family life presented interfaces with mental illness.

CONCLUSION

The presence of psychological illness is suggested, possibly associated with the repercussions of the pandemic on work and personal life.

Factors associated with the quality of life of multi-professional health residentes

OBJECTIVES

to analyze factors associated with the quality of life of multi-professional health residents.

METHODS

cross-sectional and analytical design, carried out with 94 residents who answered a questionnaire containing general data, the Maslach Burnout Inventory, the Self Reporting Questionnaire, and the World Health Quality of Life. Data was submitted to multiple linear regression, considering p < 0.05.

RESULTS

minor mental disorders increased, respectively, by 0.31, 0.64 and 0.35 in the Physical, Psychological and General domains of quality of life. Emotional exhaustion had an inverse influence of 0.28 on the Physical and Environment domains. Satisfaction with residence increased the overall quality of life outcome by 0.20; Living alone, at 0.02 the Psychological domain; and Race/color, at 0.19 the Environment domain.

CONCLUSIONS

there is a relationship between emotional exhaustion of the burnout, minor psychic disorders and the quality of life of multi-professional residents.

B Vitamins, work‐related stress and emotional mental disorders: a cross‐sectional study among nurses in Indonesia

Aim

The aim of this study was to examine the relationship between intake of vitamins B1, B6, B9 and B12 with emotional mental disorders among nurses in Indonesia.

Design

This cross‐sectional study included nurses who have worked at least six months at a private hospital in Indonesia from March to April 2021.

Methods

We used the Food Frequency Questionnaire, Self‐Reporting Questionnaire 20 and the Expanded Nursing Stress Scale questionnaire to assess the B‐vitamin intake, emotional mental disorders and work‐related stress.

Results

Of 80 interviewed nurses, 8.8% experienced severe work‐related stress, and 22.5% had emotional mental disorders. Most nurses had inadequate intake of vitamins B1 and B9 but had adequate intake of vitamins B6 (72.5%) and B12 (56.3%). Emotional mental disorders are more probably to occur in nurses with less intake of vitamins B6 and B12, with respective aOR of 20.06, 95% CI 4.14–97.09 (p < .001) and 4.49, 95% CI 1.19–16.83 (p = .026).

Fatores associados à qualidade de vida de residentes multiprofissionais em saúde

RESUMO Objetivos: analisar fatores associados à qualidade de vida de residentes multiprofissionais em saúde. Métodos: delineamento transversal e analítico, realizado com 94 residentes que responderam a um questionário contendo dados gerais, o Maslach Burnout Inventory, o Self-Reporting Questionnaire e o World Health Quality of Life. Os dados foram submetidos à regressão linear múltipla, considerando p < 0,05. Resultados: os distúrbios psíquicos menores incrementaram, respectivamente, 0,31, 0,64 e 0,35 nos domínios Físico, Psicológico e Geral da qualidade de vida. O Desgaste emocional apresentou influência inversa de 0,28 sobre os domínios Físico e Meio ambiente. A Satisfação com a residência incrementou em 0,20 o desfecho geral da qualidade de vida; Residir sozinho, em 0,02 o domínio Psicológico; e a Raça/cor, em 0,19 o domínio Meio ambiente. Conclusões: existe relação entre Desgaste emocional do burnout, Distúrbios psíquicos menores e a qualidade de vida de residentes multiprofissionais.

Transtornos mentais comuns e fatores associados em trabalhadores de enfermagem de unidades COVID-19

RESUMO Objetivo: Analisar as interfaces entre o adoecimento mental, a partir do rastreamento de transtornos mentais comuns, e aspectos sociodemográficos, de saúde e hábitos de vida de trabalhadores de enfermagem de unidades COVID-19. Método: Estudo de métodos mistos, realizado com 327 trabalhadores de enfermagem de unidades COVID-19 de sete hospitais do Brasil, públicos e filantrópicos, de médio e grande porte. A coleta incluiu um questionário sociolaboral, de saúde e hábitos de vida, o Self-Reporting Questionnaire, e entrevistas. Foram aplicados Testes Qui-Quadrado e Exato de Fisher nos dados quantitativos e análise temática de conteúdo, com auxílio do software NVivo nos qualitativos. Resultados: Os transtornos mentais comuns foram rastreados em 35,5% da amostra e se associaram ao sexo feminino (p = 0,004), idade de até 40 anos (p = 0,003), enfermeiro (p = 0,014), relatar doença prévia (p = 0,003), usar psicoativos (p < 0,001), medicamentos que não utilizava antes da pandemia (p < 0,001) e relatar má qualidade do sono/alimentação (p < 0,001). Os impactos da pandemia na vida social e familiar apresentaram interfaces com o adoecimento mental. Conclusão Sugere-se a presença de adoecimento psíquico, possivelmente associado às repercussões da pandemia no trabalho e na vida pessoal.

PSYCHOLOGICAL CHANGES IN NURSING PROFESSIONALS BELONGING TO THE RISK GROUP FOR COMPLICATIONS OF COVID-19

ABSTRACT Objective: to identify psychological alterations in nursing professionals belonging to and not belonging to the risk group for complications of COVID-19. Methods: multicenter cross-sectional study with 845 nursing professionals from four hospitals in southern Brazil between August and October 2020. Data collection was performed through an electronic form containing the Self-Reporting Questionnaire and the Maslach Burnout Inventory. Descriptive and inferential statistics were used. Results: among the 845 participants, 214 belonged to the risk group. These presented higher means in emotional exhaustion and depersonalization scores (p<0.05), and higher percentages of Minor Psychiatric Disorders (55.2%). Minor Psychiatric Disorders and being part of institution B explained in 10.0% the variability of Professional Achievement. Minor Psychiatric Disorders, use of medications, impact on mental health and being part of institutions A, B and C explained in 38.7% the variability of Emotional Exhaustion. Minor Psychiatric Disorders, impact on mental health and being part of institutions A and B explained in 23.1% the variability of Depersonalization. Conclusions: the risk group presented greater exposure to psychological alterations. The regression model did not identify a difference between being or not of the risk group regarding Burnout Syndrome. The study contributes to the planning of protective labor interventions within institutions and public health policies, aiming to reduce possible factors related to the involvement of Burnout Syndrome and Minor Psychiatric Disorders.

ALTERAÇÕES PSÍQUICAS EM PROFISSIONAIS DA ENFERMAGEM PERTENCENTES AO GRUPO DE RISCO PARA COMPLICAÇÕES DA COVID-19

RESUMO Objetivo: identificar as alterações psíquicas em profissionais da enfermagem pertencentes e não pertencentes ao grupo de risco para complicações da COVID-19. Métodos: estudo transversal multicêntrico, com 845 profissionais de enfermagem de quatro hospitais do Sul do Brasil, entre agosto e outubro de 2020. A coleta dos dados foi realizada por intermédio de um formulário eletrônico contendo os instrumentos Self-Reporting Questionnaire e o Maslach Burnout Inventory. Utilizou-se estatística descritiva e inferencial. Resultados: dos 845 participantes, 214 pertenciam ao grupo de risco. Estes apresentaram maiores médias nos escores de Desgaste Emocional e Despersonalização (p<0,05), e maiores percentuais de Distúrbios Psíquicos Menores (55,2%). Distúrbios Psíquicos Menores e fazer parte da instituição B explicaram em 10,0% a variabilidade da Realização Profissional. Distúrbios Psíquicos Menores, uso de medicações, impacto na saúde mental e fazer parte das instituições A, B e C explicaram em 38,7% a variabilidade do Desgaste Emocional. Distúrbios Psíquicos Menores, impacto na saúde mental e fazer parte das instituições A e B explicaram em 23,1% a variabilidade da Despersonalização. Conclusões: o grupo de risco apresentou maior exposição a alterações psíquicas. O modelo de regressão não identificou diferença entre ser ou não do grupo de risco quanto à Síndrome de Burnout. O estudo contribui no planejamento de intervenções laborais protetivas no âmbito das instituições e das políticas públicas de saúde, visando diminuir possíveis fatores relacionados ao acometimento da Síndrome de Burnout e dos Distúrbios Psíquicos Menores.

Perfil da equipe de enfermagem de unidades ambulatoriais universitárias: considerações para a saúde do trabalhador

RESUMO Objetivo identificar o perfil sociodemográfico, laboral e de saúde da equipe de enfermagem de unidades ambulatoriais especializadas. Método Estudo quantitativo, descritivo, realizado com 388 profissionais de enfermagem de ambulatórios de universidades públicas no município do Rio de Janeiro. Os dados foram coletados por equipe de auxiliares capacitados. A análise foi realizada por meio do software SPSS. Resultados houve predomínio do sexo feminino, idade acima de 50 anos, profissionais casados e com filhos. Percentual maior de trabalhadores possuía Pós-Graduação Lato Sensu, vínculo permanente, um vínculo empregatício e carga horária laboral de 31 a 60 horas semanais. Prevaleceram aqueles que autoavaliaram o estado de saúde como bom. Dentre as doenças crônicas com diagnóstico médico, destacaram-se o estresse, as doenças osteoarticulares e as varizes. Conclusões e implicações para a prática os resultados mostraram, além de dados que corroboram com a realidade nacional e internacional, uma realidade que não é prerrogativa apenas da enfermagem, como o duplo vínculo e uma alta prevalência de estresse associado a outros problemas de saúde. Observa-se um cenário preocupante no mundo do trabalho da equipe de enfermagem ambulatorial, o qual traz à tona concepções e práticas negativas potencialmente causadoras de insatisfações, riscos, danos, inseguranças e adoecimentos no trabalho.

PREVALENCE AND FACTORS ASSOCIATED WITH NONSPECIFIC LOW BACK PAIN IN NURSING WORKERS

ABSTRACT Objective: to determine the prevalence and factors associated with nonspecific low back pain in nursing workers in a public hospital in the South of the country. Method: a cross-sectional study involving 301 nursing workers. Data collection was carried out from May to October 2017 and, in addition to a questionnaire with sociodemographic, work, health conditions, lifestyle and psychosocial conditions, the Nordic Musculoskeletal Questionnaire was used as a screening tool for low back pain and the Self Report Questionnaire to assess the possibility of minor psychiatric disorders. The Chi-Square test was used to analyze the association between variables, and multivariate analysis with Binary Logistic Regression to estimate the Odds Ratio and the 95% confidence intervals. Results: the prevalence of nonspecific low back pain was 51.4% (95% CI: 45.5-57.3) in the last 12 months and 45.4% (95% CI: 39.4-51.3) in the last seven days, and limitation for activities of daily living and work of 18.1% (95% CI: 13.5-22.7). The presence of other diseases and psychosocial and psychological factors increased the chances of presenting or low back pain discomfort. Conclusion: the results demonstrate the need for greater attention to nursing workers, mainly related to the presence of musculoskeletal pain and to their mental suffering.

Workplace violence and risk for psychiatric morbidity among health workers in a tertiary health care setting in Nigeria: Prevalence and correlates

The objectives were to evaluate the workplace violence and risk for psychiatric morbidity, as well as their correlates, among health workers in a tertiary healthcare setting in Nigeria. A stratified random sampling technique was used to recruit the health workers. Each participant was administered a socio-demographic questionnaire, the ILO/ICN/WHO/PSI Workplace Violence Questionnaire and the 12- item General Health Questionnaire. A total of 380 health workers were recruited, with a mean age of 36.4 (±7.64) years. The prevalence rates of workplace violence and risk of psychiatric morbidity were 39.9% and 38.5%. Factors with independent associations with workplace violence included young age, female sex and worry about workplace violence while a widowed, separated or divorced marital status and being victim of workplace violence independently increased risk for developing psychiatric morbidity. This study therefore showed that workplace violence is common in the health care setting, and significant proportion of workers are at risk for developing psychiatric morbidity. These observations suggest need for the regular mental health screening of health workers, as well as the need for programmes aimed at preventing workplace violence in this setting.