Pain, health perception and sleep: impact on the quality of life of firefighters/rescue professionals

Marconato, Rafael Silva; Monteiro, Maria Ines

doi:10.1590/0104-1169.0563.2641

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Original Articles • Rev. Latino-Am. Enfermagem 23 (6) • Nov-Dec 2015 • https://doi.org/10.1590/0104-1169.0563.2641 copy

Pain, health perception and sleep: impact on the quality of life of firefighters/rescue professionals¹ 1 Paper extracted from master's thesis "Firefighters and rescue professionals: work ability and quality of life", presented to Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

to evaluate the quality of life of firefighters and rescue professionals, and characterize their socio-demographic, health, work and lifestyle profile.

Methods:

cross-sectional study that used a socio-demographic, lifestyle, health, work data questionnaire and the WHOQOL-BREF quality of life aspects, in Fire Department bases, Civil Air Patrol Group of the Military Police and Rescue Group of Emergency Services.

Results:

ninety professionals participated in this study - 71 firefighters, 9 nurses, 7 doctors and 3 flight crew members. The average age of the group was 36.4 ± 7.8 years; they worked about 63.7 hours per week; 20.2% reported pain in the last week and 72.7% had body mass index above 25 kg/m2. The average of the WHOQOL-BREF domains was: physical (74.6), psychological (75.2), social (76.5) and environmental (58.7). Significant association was found (Mann-Whitney test and Spearman correlation) between the WHOQOL-BREF domains and pain in the past six months, in the last week, health perception, job satisfaction, hours of sleep, domestic tasks and study.

Conclusion:

the main factors related to quality of life were presence of pain, health perception, sleep and domestic activity.

Work; Firefighters; Rescue Work; Quality of Life; Occupational Health; Nursing

Groups	Assets	Eligible	Respondents	%	Categories
Firefighters	110	102	71	69.6	71 firefighters
GRAU	14	14	14	100.0	7 doctors and 7 nurses
ÁGUIA	10	08	05	62.5	2 nurses and 3 flight crew members
Total	134	124	90	72.6

Variables	n	%
Age (years)	n	%
	20 to 29	19	21.3
	30 to 39	39	40.8
	40 to 49	25	28.0
	50 to 60	06	6.7
	No information	01
Sex	No information	01
	Female	03	3.3
	Male	87	96.7
Level of Education	Male	87	96.7
	High school/undergraduate	51	58.0
	Graduated from college/graduate	37	42.1
	No information	02
Perception of health status compared to people of the same age	No information	02
	Worse/a little worse	3	3.3
	Equal	14	15.6
	Better	50	55.6
	Much better	23	25.6
Currently studying	Much better	23	25.6
	No	75	83.3
	Yes	15	16.7
Report of pain over the last six months	Yes	15	16.7
	No	62	68.9
	Yes	28	31.1
Report of pain in the last week	Yes	28	31.1
	No	71	79.8
	Yes	18	20.2
	No information	01
Has another job	No information	01
	No	63	71.6
	Yes	25	28.4
	No information	02
Time spent to get to work and back home	No information	02
	Less than or equal to 2 hours	64	71.9
	More than 2 hours	25	28.1
	No information	01
Job satisfaction	No information	01
	Dissatisfied/a bit unsatisfied/indifferent	19	21.6
	Satisfied/very satisfied	69	78.4
	No information	02
Sleep well on working days	No information	02
	No	16	17.8
	Yes	74	82.2
Sleep well on days off	Yes	74	82.2
	No	11	12.2
	Yes	79	87.8
Smokes	Yes	79	87.8
	No	88	97.8
	Yes	02	2.2
Ingests alcohol	Yes	02	2.2
	No	48	54.5
	Yes	40	45.5
	No information	02
Body mass index	No information	02
	Lower than 25	24	27.3
	Between 25 and 30	53	60.2
	Over 30	11	12.5
	No information	02

Domains	Variable	n	Average	SD*	Min ^†	Q1 ^§	Med ^\|\|	Q3 ^¶	Max**	p-value ^††
Psychological
	Household chores									0.0315
		No	17	81.1	7.5	70.8	70.8	83.3	87.5	91.7
		Yes	71	73.5	14.0	41.7	62.5	75.0	83.3	100.0
	Currently studying									0.0485
		No	75	76.6	13.0	41.7	70.8	79.2	87.5	100.0
		Yes	14	68.2	14.2	45.8	58.3	68.8	79.2	87.5
Physical
	Pain six months									<0.0001
		No	62	79.0	8.9	57.1	71.4	80.4	85.7	92.9
		Yes	28	64.7	15,4	35.7	51.8	67.9	75.0	92.9
	Pain week									<0.0001
		No	71	78.4	10.0	50.0	71.4	82.1	85.7	92.9
		Yes	18	59.5	13.7	35.7	50.0	62.5	71.4	78.6
Environment											0.0120
		No	62	60.9	10.6	34.4	56.3	62.5	65.6	84.4
		Yes	28	53.9	14.9	18.8	45.3	56.3	60.9	84.4

Domain		Hours of sleep per day	Perception of health status compared to people of the same age
Physical	Spearman Coefficient*	0.3030	0.3521
	p-value	0.0043	0.0007
	n	87	90
Psychological	Spearman Coefficient*	0.1001	0.3637
	p-value	0.3591	0.0005
	n	86	89
Social	Spearman Coefficient*	0.0214	0.3373
	p-value	0.8442	0.0012
	n	87	90
Environment	Spearman Coefficient*	0.1933	0.2990
	p-value	0.0729	0.0042
	n	87	90

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Rafael Silva Marconato Universidade Estadual de Campinas. Faculdade de Enfermagem Rua Tessália Vieira de Camargo, 126 Cidade Universitária CEP: 13083-887, Campinas, SP, Brasil E-mail: marconato@hc.unicamp.br