Pub Date : 2023-12-31DOI: 10.31252/rpso.13.08.2023
M. Silva, L. Franz, R. Bemvenuti
Introduction The various changes that have occurred in recent decades have directly affected the health of workers, especially the psychosocial risks that cause physical or psychological illness. Psychosocial risk factors are important in the health care process, including how work is organized, time arrangements are determined, social relationships occur, and content and workload are structured, in terms of mental and social demands for each worker. Objective Verify the influence of work organization on the psychosocial risks of workers. Methodology A systematic review of the literature was performed using Methodi Ordinatio, which allowed the ranking of relevant works on the subject. Thirteen papers were selected for an in-depth analysis. Results The rate of mental and behavioral disorders is higher, respectively, in the Brazilian states of Rio Grande do Norte, Minas Gerais, Pernambuco, Rio de Janeiro, Distrito Federal, Santa Catarina, Rio Grande do Sul, Bahia, São Paulo and Paraná; with public administration workers being the most affected. It was demonstrated that the main causes of psychosocial risks are related to the working day (long hours and intense work rhythm), followed by lack of resources and problems of interpersonal relationships. Discussion and conclusion Measures to prevent psychosocial risks will depend on the situation with which the risk is associated, and organizational intervention in the prevention and management of these risks is of great importance. KEYWORDS: Ergonomics, Psychosocial, Occupational Medicine, Occupational Health, Safety at Work.
{"title":"Influência da Organização do Trabalho nos Riscos Psicossociais: uma Revisão Sistemática da Literatura","authors":"M. Silva, L. Franz, R. Bemvenuti","doi":"10.31252/rpso.13.08.2023","DOIUrl":"https://doi.org/10.31252/rpso.13.08.2023","url":null,"abstract":"Introduction The various changes that have occurred in recent decades have directly affected the health of workers, especially the psychosocial risks that cause physical or psychological illness. Psychosocial risk factors are important in the health care process, including how work is organized, time arrangements are determined, social relationships occur, and content and workload are structured, in terms of mental and social demands for each worker. Objective Verify the influence of work organization on the psychosocial risks of workers. Methodology A systematic review of the literature was performed using Methodi Ordinatio, which allowed the ranking of relevant works on the subject. Thirteen papers were selected for an in-depth analysis. Results The rate of mental and behavioral disorders is higher, respectively, in the Brazilian states of Rio Grande do Norte, Minas Gerais, Pernambuco, Rio de Janeiro, Distrito Federal, Santa Catarina, Rio Grande do Sul, Bahia, São Paulo and Paraná; with public administration workers being the most affected. It was demonstrated that the main causes of psychosocial risks are related to the working day (long hours and intense work rhythm), followed by lack of resources and problems of interpersonal relationships. Discussion and conclusion Measures to prevent psychosocial risks will depend on the situation with which the risk is associated, and organizational intervention in the prevention and management of these risks is of great importance. KEYWORDS: Ergonomics, Psychosocial, Occupational Medicine, Occupational Health, Safety at Work.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"119 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.31252/rpso.02.09.2023
Miguel Pereira, Diogo Abreu, H. Alves, Laura Silva, Salomé Camarinha, A. Oliveira, D. Melo, Fernando Mautempo
Introduction The cardiovascular diseases are the main death cause in Portugal and Cardiovascular Risk Scores are very useful to the primary prevention of these diseases. Prevention of the development and progression of diseases with high morbidity and mortality to the workers can be work out by Occupational Health, in the sense of preserving workers’ health and wellbeing. Objectives The aim of this study is to evaluate the Cardiovascular Risk of the workers of a Hospital Centre in the interval between 2011 till 2021. Methods The Cardiovascular Risk was evaluated by using SCORE-2. Workers were selected only if they worked through the entirety of this interval in this Hospital Centre. The SCORE-2’s exclusion criteria include previous cardiovascular disease, Diabetes mellitus, age lower than 40 years or higher than 69 years. SCORE-2 uses data from blood pressure, lipid panel, sex, age and tobacco use. Results There were selected 345 workers. The median cardiovascular risk of the workers in 2021 (Median=2,215%; InterQuartile Range=3,0%) was significatively higher than the cardiovascular risk of 2011 (M=1,273%; IQR=1,8%). The cardiovascular risk in 2021 of the workers from Administrative Department (M=3.173%; IQR=4.6%) was significatively higher than workers from Medical Department (M=1.958%; IQR=1.9%). There were no significant differences found of the workers’ cardiovascular risk among the professional group in 2011 [X2(7)=7,580; p>0,05] and in 2021 [X2(7)=7,427; p>0,05]. There were no significant differences found of the workers’ cardiovascular risk among the educational background in 2011 [X2(5)=3,412; p>0,05] and in 2021 [X2(5)=2,895; p>0,05]. Conclusions Knowledge about the working population characteristics allows the development of personalized planning regarding healthy lifestyles, to reduce the Cardiovascular Risk of these workers. With these plans designed to reduce the global Cardiovascular Risk of the working population and its consequences on their health, is predicted a reduction in sickness absenteeism, an improvement in the workers’ quality of life, better performance and consequently better services provided by the employer. KEYWORDS: Cardiovascular Risk, Occupational Medicine, Occupational Health, Safety at Work, Productivity, Performance.
{"title":"Avaliação do Risco Cardiovascular (SCORE-2) dos Trabalhadores de um Centro Hospitalar entre 2011 e 2021","authors":"Miguel Pereira, Diogo Abreu, H. Alves, Laura Silva, Salomé Camarinha, A. Oliveira, D. Melo, Fernando Mautempo","doi":"10.31252/rpso.02.09.2023","DOIUrl":"https://doi.org/10.31252/rpso.02.09.2023","url":null,"abstract":"Introduction The cardiovascular diseases are the main death cause in Portugal and Cardiovascular Risk Scores are very useful to the primary prevention of these diseases. Prevention of the development and progression of diseases with high morbidity and mortality to the workers can be work out by Occupational Health, in the sense of preserving workers’ health and wellbeing. Objectives The aim of this study is to evaluate the Cardiovascular Risk of the workers of a Hospital Centre in the interval between 2011 till 2021. Methods The Cardiovascular Risk was evaluated by using SCORE-2. Workers were selected only if they worked through the entirety of this interval in this Hospital Centre. The SCORE-2’s exclusion criteria include previous cardiovascular disease, Diabetes mellitus, age lower than 40 years or higher than 69 years. SCORE-2 uses data from blood pressure, lipid panel, sex, age and tobacco use. Results There were selected 345 workers. The median cardiovascular risk of the workers in 2021 (Median=2,215%; InterQuartile Range=3,0%) was significatively higher than the cardiovascular risk of 2011 (M=1,273%; IQR=1,8%). The cardiovascular risk in 2021 of the workers from Administrative Department (M=3.173%; IQR=4.6%) was significatively higher than workers from Medical Department (M=1.958%; IQR=1.9%). There were no significant differences found of the workers’ cardiovascular risk among the professional group in 2011 [X2(7)=7,580; p>0,05] and in 2021 [X2(7)=7,427; p>0,05]. There were no significant differences found of the workers’ cardiovascular risk among the educational background in 2011 [X2(5)=3,412; p>0,05] and in 2021 [X2(5)=2,895; p>0,05]. Conclusions Knowledge about the working population characteristics allows the development of personalized planning regarding healthy lifestyles, to reduce the Cardiovascular Risk of these workers. With these plans designed to reduce the global Cardiovascular Risk of the working population and its consequences on their health, is predicted a reduction in sickness absenteeism, an improvement in the workers’ quality of life, better performance and consequently better services provided by the employer. KEYWORDS: Cardiovascular Risk, Occupational Medicine, Occupational Health, Safety at Work, Productivity, Performance.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139132534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.31252/rpso.22.07.2023
Gisela Garcias, L. Gomes, O. Pereira, N. Fernandes, Armando Silva
Introduction/ framework/ objectives “Baker’s Asthma” is a common type of occupational asthma in the bakery industry, related to the inhalation of allergens present in the work environment. It is a disease that produces high rates of absenteeism and temporary unfit for duty (sick leave). This study aimed to gather information about the presence of allergens present in the bakery sector that can develop occupational asthma, with the aim of potenciate the intervention by occupational health services. Methodology A literature review was carried out, including studies found in the online databases SciELO.Org, RCAAP, CINAHL, MEDLINE and MedicLatina, with research carried out between January and March 2022, with the keywords “Baker”, “Occupational Asthma” and “Allergens”. Full text articles published in the last five years, in English, Portuguese or Spanish, were defined as inclusion criteria. The protocol issue of this review is: “What are the allergens likely to trigger occupational asthma in the bakery area, as well as the preventive behaviors to be adopted?”. Results Baker’s asthma is one of the most common types of occupational asthma associated to exposure to flour dust and the allergens contained in it. Persistent exposure to airborne allergens may result in the initiation or worsening of asthma, as well as ocular and/or nasal symptoms. There is a strong relationship between occupational asthma and workers exposed to cereal flour dust, as well as some behaviors adopted by bakery workers as risk factors. The main allergens are those present in the dust of wheat, rye, barley, corn, oat and soy flours, as well as eggs, milk, buckwheat, sesame seeds, nuts and yeasts present in yeast as enhancers of the development of occupational asthma in the bakery sector. Conclusions The review of allergens and occupational asthma is important for the health of workers who continually inhale flour dust. It is important to identify the allergens that cause baker’s asthma, as it can help to improve the diagnosis and treatments of this disease and prevention programs. Workplace interventions, through the introduction of preventive measures (including individual and collective protection), health education and adequate training of workers, aimed at reducing exposure to allergens, contribute to reduce the incidence of occupational asthma. KEY-WORDS: Occupational Asthma, Allergens, Baker, Occupational Nursing, Occupational Medicine, Occupational Health.
{"title":"Alérgenos e Asma Ocupacional na Panificação: uma Revisão da Literatura","authors":"Gisela Garcias, L. Gomes, O. Pereira, N. Fernandes, Armando Silva","doi":"10.31252/rpso.22.07.2023","DOIUrl":"https://doi.org/10.31252/rpso.22.07.2023","url":null,"abstract":"Introduction/ framework/ objectives “Baker’s Asthma” is a common type of occupational asthma in the bakery industry, related to the inhalation of allergens present in the work environment. It is a disease that produces high rates of absenteeism and temporary unfit for duty (sick leave). This study aimed to gather information about the presence of allergens present in the bakery sector that can develop occupational asthma, with the aim of potenciate the intervention by occupational health services. Methodology A literature review was carried out, including studies found in the online databases SciELO.Org, RCAAP, CINAHL, MEDLINE and MedicLatina, with research carried out between January and March 2022, with the keywords “Baker”, “Occupational Asthma” and “Allergens”. Full text articles published in the last five years, in English, Portuguese or Spanish, were defined as inclusion criteria. The protocol issue of this review is: “What are the allergens likely to trigger occupational asthma in the bakery area, as well as the preventive behaviors to be adopted?”. Results Baker’s asthma is one of the most common types of occupational asthma associated to exposure to flour dust and the allergens contained in it. Persistent exposure to airborne allergens may result in the initiation or worsening of asthma, as well as ocular and/or nasal symptoms. There is a strong relationship between occupational asthma and workers exposed to cereal flour dust, as well as some behaviors adopted by bakery workers as risk factors. The main allergens are those present in the dust of wheat, rye, barley, corn, oat and soy flours, as well as eggs, milk, buckwheat, sesame seeds, nuts and yeasts present in yeast as enhancers of the development of occupational asthma in the bakery sector. Conclusions The review of allergens and occupational asthma is important for the health of workers who continually inhale flour dust. It is important to identify the allergens that cause baker’s asthma, as it can help to improve the diagnosis and treatments of this disease and prevention programs. Workplace interventions, through the introduction of preventive measures (including individual and collective protection), health education and adequate training of workers, aimed at reducing exposure to allergens, contribute to reduce the incidence of occupational asthma. KEY-WORDS: Occupational Asthma, Allergens, Baker, Occupational Nursing, Occupational Medicine, Occupational Health.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"85 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139130578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.31252/rpso.21.10.2023
Sérgio Miguel, Maria Garcia, Ana Cunha
Introduction All over the world, workers are exposed to hazards in the workplace, which can result in accidents. Hospitals are environments rich in dangers and, therefore, Work accidents are more likely to occur with subsequent musculoskeletal injuries, or risk of transmission of biological agents. Objectives To know the characteristics of accidents in the work context that occur in a Central Hospital. By describing and analyzing them, it is possible to make an adequate risk assessment, allowing in the future to adopt preventive measures that reduce or eliminate the existing dangers in the hospital environment. Materials and methods Observational, cross-sectional, descriptive and analytical study. As a data collection instrument, a database belonging to the Occupational Health Service of a Central Hospital, with information on injured Health Professionals, was used. Only mechanical accidents or those with exposure to biological fluids were selected. The normality of the distributions was tested and the Chi-Square, Fisher or Mann-Whitney tests were applied, considering the significance level for rejection of the null hypothesis of 5%. Results A total of 265 Work Accidents were analyzed, 36.2% mechanical and the remaining with exposure to biological fluids. The groups with the highest number of victims were the nurses (49.4%) and aged between 21 and 30 years (36.2%). Between January and March 2021 there was a peak in the number of accidents (n=51) and the median time from admission to the occurrence of the accident was lower in those who had exposure to biological fluids compared to mechanical ones. The attribution of Absolute Temporary Disability to the victims was 84.5%, highlighting that there were no associations between independent variables and the attribution of temporary disability (absolute or partial). Discussion and conclusions The characteristics of the population that suffered Work Accidents at the Central Hospital under analysis is identical to those of other studies. During the peak of hospitalizations in the COVID-19 pandemic, the number of accidents in the Hospital increased, suggesting that the pandemic and the associated high workload may be a possible cause. The high incidence of accidents with exposure to biological fluids, in professionals with less experience, may be related to the lack of dexterity in the handling of materials and equipment and the high attribution of Absolute Temporary Incapacity can be attributed to the low notification of less serious accidents. In this way, the Occupational Health Service should intercede with the Health Professionals to promote the notification of accidents, particularly the less serious ones that are often devalued, allowing to take measures to minimize these events. It will be important to strengthen preventive measures, which, considering the characteristics of accidents, may be the use of equipment or materials for the mobilization of loads, use of appropriate footwear, improvement
{"title":"Acidentes de Trabalho em Hospital Central: uma visão holística","authors":"Sérgio Miguel, Maria Garcia, Ana Cunha","doi":"10.31252/rpso.21.10.2023","DOIUrl":"https://doi.org/10.31252/rpso.21.10.2023","url":null,"abstract":"Introduction All over the world, workers are exposed to hazards in the workplace, which can result in accidents. Hospitals are environments rich in dangers and, therefore, Work accidents are more likely to occur with subsequent musculoskeletal injuries, or risk of transmission of biological agents. Objectives To know the characteristics of accidents in the work context that occur in a Central Hospital. By describing and analyzing them, it is possible to make an adequate risk assessment, allowing in the future to adopt preventive measures that reduce or eliminate the existing dangers in the hospital environment. Materials and methods Observational, cross-sectional, descriptive and analytical study. As a data collection instrument, a database belonging to the Occupational Health Service of a Central Hospital, with information on injured Health Professionals, was used. Only mechanical accidents or those with exposure to biological fluids were selected. The normality of the distributions was tested and the Chi-Square, Fisher or Mann-Whitney tests were applied, considering the significance level for rejection of the null hypothesis of 5%. Results A total of 265 Work Accidents were analyzed, 36.2% mechanical and the remaining with exposure to biological fluids. The groups with the highest number of victims were the nurses (49.4%) and aged between 21 and 30 years (36.2%). Between January and March 2021 there was a peak in the number of accidents (n=51) and the median time from admission to the occurrence of the accident was lower in those who had exposure to biological fluids compared to mechanical ones. The attribution of Absolute Temporary Disability to the victims was 84.5%, highlighting that there were no associations between independent variables and the attribution of temporary disability (absolute or partial). Discussion and conclusions The characteristics of the population that suffered Work Accidents at the Central Hospital under analysis is identical to those of other studies. During the peak of hospitalizations in the COVID-19 pandemic, the number of accidents in the Hospital increased, suggesting that the pandemic and the associated high workload may be a possible cause. The high incidence of accidents with exposure to biological fluids, in professionals with less experience, may be related to the lack of dexterity in the handling of materials and equipment and the high attribution of Absolute Temporary Incapacity can be attributed to the low notification of less serious accidents. In this way, the Occupational Health Service should intercede with the Health Professionals to promote the notification of accidents, particularly the less serious ones that are often devalued, allowing to take measures to minimize these events. It will be important to strengthen preventive measures, which, considering the characteristics of accidents, may be the use of equipment or materials for the mobilization of loads, use of appropriate footwear, improvement ","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"73 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139132332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.31252/rpso.15.07.2023
Carla Couto, A. Rodrigues, A. Roque, João Eiras, Jacinta Carvalhas
{"title":"Nódulos Escabióticos em Profissional de Saúde","authors":"Carla Couto, A. Rodrigues, A. Roque, João Eiras, Jacinta Carvalhas","doi":"10.31252/rpso.15.07.2023","DOIUrl":"https://doi.org/10.31252/rpso.15.07.2023","url":null,"abstract":"","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"104 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139133901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction Accidents at work resulted from sharp injuries are frequent and preventable events among health care professionals. The prevalence of secondary infection depends on several factors related to the patient itself, the health care worker and the adherence to preventive protocols. In this article, the authors pretend to present a case report of an accident involving a primary health care professional that suffered a sharp injury and, also, to alert about the significance of appropriately reporting. Case Description Woman, 54 years old, a nurse in primary care with 27 years of experience. Background history, among others, ulcerative colitis under immunosuppressive therapy. At the end of shift, she cuts herself with a contaminated scalpel blade while draining a panaritium, resulting in a superficial wound in the second finger of right hand. Notification of the occurrence was made 36 hours after the accident due to the development of local cellulitis. Later, the infection complicated with likely osteomyelitis. Two cycles of antibiotic therapy have been completed and the imagiological revaluation showed bone integrity and signs of tenosynovitis of the second finger flexors. The nurse is absent from work for 15 weeks and awaits a Physical and Rehabilitation Medicine evaluation. Discussion Health care professionals are at greater risk of accident at work, namely, of suffering sharp objects injuries. According to the literature, accidents of this nature are more frequent among female nurses and occur mainly on hands, as in the case described. Among the factors that increase the probability of these occurrences are the high workload and the number of hours worked. Standing out as a particularity of this case is the acquired immunodeficiency secondary to methotrexate therapy as the main condition of the more prolonged disease. This AW had an impact on the professional and the dynamics of the work team, with the need to adjust tasks and temporarily hire another professional. Conclusion As sharp injuries are frequent and preventable, it is important to encourage their reporting. On one hand, to protect the health of injured professionals and on the other hand, so that preventive and corrective measures can be developed. Additionally, it is relevant to know the history of the patient, of the health care professional and the mechanism of injury, to stratify the risk of associated secondary infection. In conclusion, the cooperation of Occupational Health services with other health professionals is important for the adequate management of occupational risks. KEYWORDS: occupational accidents; sharps injuries; incident reporting; family practice; occupational medicine; workplace conditions.
{"title":"Lesão Cortoperfurante complicada numa Enfermeira dos Cuidados de Saúde Primários: um Relato de Caso","authors":"Rita Correia, Carolina António, Raquel Palhau, Rita Marafona","doi":"10.31252/rpso.28.10.2023","DOIUrl":"https://doi.org/10.31252/rpso.28.10.2023","url":null,"abstract":"Introduction Accidents at work resulted from sharp injuries are frequent and preventable events among health care professionals. The prevalence of secondary infection depends on several factors related to the patient itself, the health care worker and the adherence to preventive protocols. In this article, the authors pretend to present a case report of an accident involving a primary health care professional that suffered a sharp injury and, also, to alert about the significance of appropriately reporting. Case Description Woman, 54 years old, a nurse in primary care with 27 years of experience. Background history, among others, ulcerative colitis under immunosuppressive therapy. At the end of shift, she cuts herself with a contaminated scalpel blade while draining a panaritium, resulting in a superficial wound in the second finger of right hand. Notification of the occurrence was made 36 hours after the accident due to the development of local cellulitis. Later, the infection complicated with likely osteomyelitis. Two cycles of antibiotic therapy have been completed and the imagiological revaluation showed bone integrity and signs of tenosynovitis of the second finger flexors. The nurse is absent from work for 15 weeks and awaits a Physical and Rehabilitation Medicine evaluation. Discussion Health care professionals are at greater risk of accident at work, namely, of suffering sharp objects injuries. According to the literature, accidents of this nature are more frequent among female nurses and occur mainly on hands, as in the case described. Among the factors that increase the probability of these occurrences are the high workload and the number of hours worked. Standing out as a particularity of this case is the acquired immunodeficiency secondary to methotrexate therapy as the main condition of the more prolonged disease. This AW had an impact on the professional and the dynamics of the work team, with the need to adjust tasks and temporarily hire another professional. Conclusion As sharp injuries are frequent and preventable, it is important to encourage their reporting. On one hand, to protect the health of injured professionals and on the other hand, so that preventive and corrective measures can be developed. Additionally, it is relevant to know the history of the patient, of the health care professional and the mechanism of injury, to stratify the risk of associated secondary infection. In conclusion, the cooperation of Occupational Health services with other health professionals is important for the adequate management of occupational risks. KEYWORDS: occupational accidents; sharps injuries; incident reporting; family practice; occupational medicine; workplace conditions.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"83 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139130257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.31252/rpso.09.09.2023
Carla Couto, A. Rodrigues, A. Roque, João Eiras, Jacinta Carvalhas
{"title":"Dermatite de Contato Ocupacional em Profissional de Saúde","authors":"Carla Couto, A. Rodrigues, A. Roque, João Eiras, Jacinta Carvalhas","doi":"10.31252/rpso.09.09.2023","DOIUrl":"https://doi.org/10.31252/rpso.09.09.2023","url":null,"abstract":"","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":" 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.31252/rpso.23.09.2023
Antonietta Denaro, C. Paulo, Catarina Mansos, Marta Bragança, Maria Ventura, M. Tavares, C. Empis, A. Teixeira
Introduction The COVID-19 pandemic led to the adoption of paramount measures to detect SARS-CoV-2 infection and prevent its spread, causing anxiety in the general population. Health professionals have been considered one of the most vulnerable groups for mental health problems, as observed in past epidemics. The present study aimed to assess the anxiety in primary healthcare professionals during the COVID-19 pandemic and identify the factors that influenced it. Methodology This cross-sectional study was performed via an online anonymous survey, disseminated primarily through social networks and institutional mailing lists, between March 29th and April 5th 2020, applied to primary healthcare professionals in mainland Portugal. Anxiety levels were obtained by applying the Beck Anxiety Inventory. Logistic regression analyses were conducted to identify factors associated with anxiety levels. Results The study included 696 participants, of which 61.9% were physicians, 84.8% were women and 43.8% presented mild to severe levels of anxiety. Factors such as personal history of previous mental health disorders (p<0.001), having a family member with risk factors for SARS-CoV-2 complications (p=0.012) and being an administrative clerk (p=0.014), showed to relate with higher levels of anxiety. On the other hand, the existence of a workspace contingency plan was associated with lower anxiety levels (p=0.048); nevertheless, 6.9% considered it inadequate, mainly due to inappropriate protective equipment for professionals (79.6%). Conclusion This study highlights a high prevalence of anxiety among health professionals and reinforces the need of, in future pandemics, promoting the adoption of adequate measures to protect their mental health and, ultimately, safeguard the quality of patient care. Keywords: COVID-19, pandemic, anxiety, health personnel, occupational health, occupational medicine.
{"title":"Ansiedade em Profissionais dos Cuidados de Saúde Primários na Primeira Vaga da Pandemia COVID-19","authors":"Antonietta Denaro, C. Paulo, Catarina Mansos, Marta Bragança, Maria Ventura, M. Tavares, C. Empis, A. Teixeira","doi":"10.31252/rpso.23.09.2023","DOIUrl":"https://doi.org/10.31252/rpso.23.09.2023","url":null,"abstract":"Introduction The COVID-19 pandemic led to the adoption of paramount measures to detect SARS-CoV-2 infection and prevent its spread, causing anxiety in the general population. Health professionals have been considered one of the most vulnerable groups for mental health problems, as observed in past epidemics. The present study aimed to assess the anxiety in primary healthcare professionals during the COVID-19 pandemic and identify the factors that influenced it. Methodology This cross-sectional study was performed via an online anonymous survey, disseminated primarily through social networks and institutional mailing lists, between March 29th and April 5th 2020, applied to primary healthcare professionals in mainland Portugal. Anxiety levels were obtained by applying the Beck Anxiety Inventory. Logistic regression analyses were conducted to identify factors associated with anxiety levels. Results The study included 696 participants, of which 61.9% were physicians, 84.8% were women and 43.8% presented mild to severe levels of anxiety. Factors such as personal history of previous mental health disorders (p<0.001), having a family member with risk factors for SARS-CoV-2 complications (p=0.012) and being an administrative clerk (p=0.014), showed to relate with higher levels of anxiety. On the other hand, the existence of a workspace contingency plan was associated with lower anxiety levels (p=0.048); nevertheless, 6.9% considered it inadequate, mainly due to inappropriate protective equipment for professionals (79.6%). Conclusion This study highlights a high prevalence of anxiety among health professionals and reinforces the need of, in future pandemics, promoting the adoption of adequate measures to protect their mental health and, ultimately, safeguard the quality of patient care. Keywords: COVID-19, pandemic, anxiety, health personnel, occupational health, occupational medicine.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"104 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.31252/rpso.14.10.2023
Rui Cunha, P. Nunes, D. Magalhães, Francisco Castanho, Henriques Carvalho
Introduction Non-attendance at medical appointments is a widely recognized problem in healthcare systems, and it is associated with various factors. Occupational health examinations have distinct characteristics from medical appointments in other specialties due to their mandatory nature, legally required for both the employer and the employee. However, despite efforts, a considerable number of absences persist. Objectives To understand the underlying reasons for absences from these examinations. Methodology This was a cross-sectional observational study conducted in a public hospital institution. Employees of the hospital who missed their appointments in the first half of 2023 were contacted in July of the same year to conduct a telephone survey consisting of three multiple-choice questions related to the study’s theme. Microsoft Excel and SPSS Statistics programs were used for data analysis. Results A total of 278 absences were identified during the aforementioned period out of a total of 1589 scheduled health examinations, resulting in an absenteeism rate of 17.5%. Among the 212 telephone responses obtained, the primary reasons for non-compliance with occupational health examinations were mainly due to absence caused by acute illness, vacation, or time off, accounting for 20.3% of occurrences (n=43); lack of awareness of the appointment or it not occurring in a timely manner, representing 19.8% of responses (n=42); prolonged absence due to chronic illness, pregnancy, or parental leave, comprising 17.9% (n=38); inability to be absent from work in 16.5% of cases (n=35), and forgetfulness in approximately 12.7% (n=27). Additionally, only 26.9% of the workers rescheduled their health examination. Approximately 59.9% of the working population considers themselves insufficiently informed about the purpose and importance of health examinations, as well as the areas of Occupational Health intervention, showing receptiveness to further training in this area. Conclusion This study provided a deeper understanding of the underlying reasons for absences from occupational health examinations, opening an opportunity for the implementation of interventions aimed at minimizing this organizational problem, which has a substantial impact on the surveillance of workers’ health. KEYWORDS: health examinations; absences; occupational health; occupational medicine.
{"title":"Quais os principais motivos da não comparência aos exames de Saúde no Trabalho? Estudo observacional numa instituição hospitalar pública","authors":"Rui Cunha, P. Nunes, D. Magalhães, Francisco Castanho, Henriques Carvalho","doi":"10.31252/rpso.14.10.2023","DOIUrl":"https://doi.org/10.31252/rpso.14.10.2023","url":null,"abstract":"Introduction Non-attendance at medical appointments is a widely recognized problem in healthcare systems, and it is associated with various factors. Occupational health examinations have distinct characteristics from medical appointments in other specialties due to their mandatory nature, legally required for both the employer and the employee. However, despite efforts, a considerable number of absences persist. Objectives To understand the underlying reasons for absences from these examinations. Methodology This was a cross-sectional observational study conducted in a public hospital institution. Employees of the hospital who missed their appointments in the first half of 2023 were contacted in July of the same year to conduct a telephone survey consisting of three multiple-choice questions related to the study’s theme. Microsoft Excel and SPSS Statistics programs were used for data analysis. Results A total of 278 absences were identified during the aforementioned period out of a total of 1589 scheduled health examinations, resulting in an absenteeism rate of 17.5%. Among the 212 telephone responses obtained, the primary reasons for non-compliance with occupational health examinations were mainly due to absence caused by acute illness, vacation, or time off, accounting for 20.3% of occurrences (n=43); lack of awareness of the appointment or it not occurring in a timely manner, representing 19.8% of responses (n=42); prolonged absence due to chronic illness, pregnancy, or parental leave, comprising 17.9% (n=38); inability to be absent from work in 16.5% of cases (n=35), and forgetfulness in approximately 12.7% (n=27). Additionally, only 26.9% of the workers rescheduled their health examination. Approximately 59.9% of the working population considers themselves insufficiently informed about the purpose and importance of health examinations, as well as the areas of Occupational Health intervention, showing receptiveness to further training in this area. Conclusion This study provided a deeper understanding of the underlying reasons for absences from occupational health examinations, opening an opportunity for the implementation of interventions aimed at minimizing this organizational problem, which has a substantial impact on the surveillance of workers’ health. KEYWORDS: health examinations; absences; occupational health; occupational medicine.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"116 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Couto, Andréa Rodrigues, Alex B. Roque, João Eiras, Jacinta Carvalhas
INTRODUCTION The occurrence of outbreaks of scabies in hospitals has been serving as an alert to the importance of early diagnosis and correct approach by Occupational Health services. OBJECTIVES Review the literature on the diagnosis and treatment of scabies, as well as describe the approach taken by Occupational Health services in the face of scabies outbreaks. METHODOLOGY Review of the topic in the scientific database (PubMed), using the search terms “scabies”, “diagnosis”, “treatment” and “outbreak” anywhere in the text. Only reviews published in the last five years and available for full reading were included. RESULTS Scabies (commonly known as human scabies) is a parasitic skin infection caused by a mite that only infects humans, called Sarcoptes scabei, variety hominis. Transmission occurs by direct skin-to-skin contact or through contaminated fomites (as bedding, towels, among others). There are two clinical variants, the classic and the crusted (or Norwegian). First-line treatments are topical permethrin and oral ivermectin. Occupational Health plays a key role in addressing and controlling outbreaks in health institutions. DISCUSSION AND CONCLUSION Early detection of infected individuals, with due isolation in the case of crusted scabies; adequate and frequent cleaning of clothes; simultaneous treatment of all patients, professionals and family members who may have been exposed and continuous surveillance of affected professionals until cure are key aspects for controlling outbreaks. KEYWORDS: Scabies, Outbreaks, Diagnosis, Treatment, Occupational Health, Occupational Nursing and Occupational Medicine.
{"title":"Abordagem da Saúde Ocupacional perante surtos de Escabiose","authors":"C. Couto, Andréa Rodrigues, Alex B. Roque, João Eiras, Jacinta Carvalhas","doi":"10.31252/rpso/esub0405","DOIUrl":"https://doi.org/10.31252/rpso/esub0405","url":null,"abstract":"INTRODUCTION The occurrence of outbreaks of scabies in hospitals has been serving as an alert to the importance of early diagnosis and correct approach by Occupational Health services. OBJECTIVES Review the literature on the diagnosis and treatment of scabies, as well as describe the approach taken by Occupational Health services in the face of scabies outbreaks. METHODOLOGY Review of the topic in the scientific database (PubMed), using the search terms “scabies”, “diagnosis”, “treatment” and “outbreak” anywhere in the text. Only reviews published in the last five years and available for full reading were included. RESULTS Scabies (commonly known as human scabies) is a parasitic skin infection caused by a mite that only infects humans, called Sarcoptes scabei, variety hominis. Transmission occurs by direct skin-to-skin contact or through contaminated fomites (as bedding, towels, among others). There are two clinical variants, the classic and the crusted (or Norwegian). First-line treatments are topical permethrin and oral ivermectin. Occupational Health plays a key role in addressing and controlling outbreaks in health institutions. DISCUSSION AND CONCLUSION Early detection of infected individuals, with due isolation in the case of crusted scabies; adequate and frequent cleaning of clothes; simultaneous treatment of all patients, professionals and family members who may have been exposed and continuous surveillance of affected professionals until cure are key aspects for controlling outbreaks. KEYWORDS: Scabies, Outbreaks, Diagnosis, Treatment, Occupational Health, Occupational Nursing and Occupational Medicine.","PeriodicalId":114994,"journal":{"name":"Revista Portuguesa de Saúde Ocupacional","volume":"236 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133942225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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