Health symptoms and impacts of work on nursing professionals in a public hospital

Silva, Rosângela Marion da; Tamiozzo, Juliana; Beck, Carmem Lúcia Colomé; Pretto, Carolina Renz; Freitas, Etiane de Oliveira; Camponogara, Silviamar

doi:10.1590/1980-220X-REEUSP-2021-0072

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Revista da Escola de Enfermagem da USP

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 55 • 2021 • https://doi.org/10.1590/1980-220X-REEUSP-2021-0072 copy

Health symptoms and impacts of work on nursing professionals in a public hospital

Síntomas de salud e impactos del trabajo en profesionales de enfermería de un hospital público

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To relate self-reported health symptoms and the impacts of work in terms of physical, social, and psychological illness in nursing professionals.

Method:

Cross-sectional, correlational study carried out in a public hospital in the southern region of Brazil. A sample of nursing professionals who worked in direct care participated in the study. A social-occupational questionnaire of self-reported health symptoms and the Work-Related Damage Assessment Scale were used. The analysis was descriptive and analytical. Chi-square test and Spearman’s correlation coefficient were used, with a significance level of 5%.

Results:

A total of 308 professionals participated, with a prevalence of physical illness and higher means for pain in the body, legs and back. Significant relations were identified among the social-occupational variables, health symptoms, and physical, social or psychological illness. High and moderate correlations among the factors investigated were evidenced.

Conclusion:

The impact of work on nursing professionals’ health is evidenced by the association between self-reported health symptoms and illness, especially the physical or social one, and reinforces the need for professional awareness over situations that are harmful to health.

DESCRIPTORS
Occupational Health; Nursing, Team; Health Status; Risk Factors; Working Conditions; Hospitals, Public

	n	%
Sex
Female	266	86.4
Male	42	13.6
Children
Yes	224	72.7
No	84	27.3
Graduate degree
Yes	161	52.3
No	147	47.7
Health treatment
Yes	104	33.8
No	204	66.2
Medication use
Yes	140	45.5
No	168	54.5
Physical activity
Yes	157	51.0
No	151	49.0
Professional category
Nurse	100	32.5
Nursing technician	171	55.5
Nursing assistant	37	12.0
Work shift
Morning	84	27.3
Afternoon	85	27.6
Night	139	45.1
Work accident
Yes	113	36.7
No	195	63.3
Job satisfaction
Yes	295	95.8
No	13	4.2
Shift option
Yes	254	82.5
No	54	17.5
Leave of absence from work
Yes	73	23.7
No	235	76.3
Total	308	100.0

Classification	Physical n(%)	Psychological n(%)	Social n(%)
Non-illness	131 (42.5)	237 (76.9)	214 (69.5)
Illness	177 (57.5)	71 (23.1)	94 (30.5)
Total	308 (100.0)	308 (100.0)	308 (100.0)

	PI^* *Physical illness; †Pearson’s chi-square test; ‡Psychological illness; §Social illness.	p^† *Physical illness; †Pearson’s chi-square test; ‡Psychological illness; §Social illness.	PsI^‡ *Physical illness; †Pearson’s chi-square test; ‡Psychological illness; §Social illness.	p^† *Physical illness; †Pearson’s chi-square test; ‡Psychological illness; §Social illness.	SI^§ *Physical illness; †Pearson’s chi-square test; ‡Psychological illness; §Social illness.	p^† *Physical illness; †Pearson’s chi-square test; ‡Psychological illness; §Social illness.
Appetite disorder
Once	102(57.6)	<0.001	44(62.0)	<0.001	55(58.5)	<0.010
None	75(42.4)	<0.001	27(38.0)	<0.001	39(41.5)	<0.010
Feeling of poor digestion
Once	118(66.7)	<0.001	46(64.8)	0.008	59(62.8)	0.010
None	59(33.3)	<0.001	25(35.2)	0.008	35(37.2)	0.010
Heartburn or burning
Once	91(51.4)	<0.001	37(52.1)	>0.05	45(47.9)	0.024
None	86(48.6)	<0.001	34(47.9)	>0.05	49(52.1)	0.024
Flatulence or abdominal distension
Once	122(68.9)	<0.001	50(70.4)	>0.05	57(60.6)	0.020
None	55(31.1)	<0.001	21(296)	>0.05	37(39.4)	0.020
Weight gain
Once	128(72.3)	0.001	62(87.3)	0.008	71(75.5)	<0.001
None	49(27.7)	0.001	9(12.7)	0.008	49(27.7)	<0.001
Irritability
Once	147(83.1)	<0.001	68(95.8)	<0.001	89(94.7)	<0.001
None	30(16.9)	<0.001	3(4.2)	<0.001	5(5.3)	<0.001
Insomnia
Once	106(59.9)	<0.001	44(62.0)	>0.05	53(56.4)	0.035
None	71(40.1)	<0.001	27(38.0)	>0.05	41(43.6)	0.035
Headaches
Once	134(75.7)	<0.001	58(81.7)	0.002	73(77.7)	0.001
None	43(24.3)	<0.001	13(18.3)	0.002	21(22.3)	0.001
Difficulty concentrating
Once	129(72.9)	<0.001	63(88.7)	<0.001	77(81.9)	<0.001
None	48(27.1)	<0.001	8(11.3)	<0.001	17(18.1)	<0.001
Feeling of depression
Once	103(58.2)	<0.001	57(80.3)	<0.001	62(66.0)	<0.001
None	74(41.8)	<0.001	14(19.7)	<0.001	32(34.0)	<0.001
Feeling of decreased self-esteem
Once	112(63.3)	<0.001	59(83.1)	0.001	60(63.8)	<0.001
None	65(36.7)	<0.001	12(16.9)	0.001	34(36.2)	<0.001
Mood lability
Once	132(74.6)	<0.001	64(90.1)	<0.001	80(85.1)	<0.001
None	45(25.4)	<0.001	7(9.9)	<0.001	14(14.9)	<0.001
Total	177(100.0)		71(100.0)		94(100.0)

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author:
Rosângela Marion da Silva, Avenida Roraima, 1000, prédio 26 A, sala 1305 B, 7105-970 – Santa Maria, RS, Brazil, cucasma@terra.com.br