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Social construction of illness and disease 社会建设的病与病
Pub Date : 2023-11-09 DOI: 10.56294/cid202365
Laura Ines Amada, Victoria Soledad Burgos, Miriam Ferreyra, Diana Beatriz Leguizamón Ibañez, Verónica Estefanía Lopez, Digna Zoraida Rivas Medina, Georgina Micaela Siñani Condori
The meaning of illness varies according to the paradigm and the perspective it approaches. From the positivist paradigm, typical of the field of biomedicine, the disease is conceived from a mechanistic or biologistic point of view so that priority is given to the organic alteration that occurs in the human body, ignoring the subjectivity inherent in this process. We will analyze the social construction of illness through an anthropological perspective, including considerations of the role of society, the conditioning factors and effects observed in this process and the social responses that medicine assumes in this dynamic. In nature, disease does not exist as such but as a biological phenomenon that can only be distinguished because it breaks a specific sequence of events that are part of a continuous process. With the witnessing eye of the human being, this phenomenon makes sense. It is the individual and society that give the label of disease to a particular event. This label is the result of a social construction and, as such, is described in this article from a sociological point of view. Illness is constructed through a doctor-patient bond in which roles and expectations of mutual fulfilment are generated. Medicine is a response of the culture to legitimize the condition of sickness in someone who cannot continue to fulfil his or her usual roles. Some schools consider illness a legitimate deviation as long as it is assumed that the patient is not responsible for his ailment; if responsibility is assumed, the illness is considered an illegitimate deviation with a solid moral pejorative condition.
疾病的意义根据它所接近的范式和视角而变化。从典型的生物医学领域的实证主义范式来看,疾病是从机械学或生物学的角度来考虑的,因此优先考虑发生在人体中的有机变化,忽略了这一过程中固有的主观性。我们将通过人类学的角度来分析疾病的社会建构,包括对社会角色的考虑,在这一过程中观察到的调节因素和影响,以及医学在这一动态中所假设的社会反应。在自然界中,疾病并不以疾病本身的形式存在,而是作为一种生物现象而存在,这种现象只有在它打破了作为连续过程一部分的特定事件序列时才能被区分出来。用人类的眼睛来看,这种现象是有道理的。给某一特定事件贴上疾病标签的是个人和社会。这个标签是社会建构的结果,因此,本文将从社会学的角度来描述。疾病是通过医患关系构建的,在这种关系中产生了相互实现的角色和期望。医学是文化的一种反应,它使那些不能继续履行其正常职责的人的疾病状况合法化。一些学校认为,只要假定病人不对自己的疾病负责,生病就是一种合理的偏差;如果承担责任,这种疾病就被认为是一种非法的偏差,具有坚实的道德败坏条件。
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引用次数: 1
Culture, Society and Health 文化、社会和健康
Pub Date : 2023-11-09 DOI: 10.56294/cid202366
Natalia Fernanda Lobaisa, Tania Mara Payti Claros
The disease -according to their beliefs- came from these divinities that could "damage," "possess" the individual, penetrate objects, "take out" the soul, etc. In this case, in a distant time, it could be observed that health was intervened by the religious mythical and was not based on the scientific. Knowing that medicine is a social and humanistic science, which is responsible for curing and preventing diseases, we can affirm that to achieve this objective, it is fundamentally necessary to raise awareness in society (we have a concrete and recent example which was the pandemic of Covid-19, in which the different societies dealt with the issue in different ways, previously it was HIV in the 80's or cholera in the early 90's in Argentina). Anthropology provides a significant social, cultural, and ancestral contribution since it allows us to know how communities that do not have access to health centers or advanced medicine use healing methods or alternative medicine for these communities to be effective or believe in their functioning. However, some people see them as antiquated methods. Therefore, Anthropology must make its social contribution from a deep study of the different societies to a joint work with other health disciplines to achieve, in the short term, individuals or societies prepared for future new diseases that may arise or current diseases that spread surprisingly.
根据他们的信仰,这种疾病来自这些可以“破坏”、“占有”个体、穿透物体、“带走”灵魂等的神。在这种情况下,在一个遥远的时代,可以观察到,健康是由宗教神话干预,而不是基于科学。知道医学是一门社会和人文科学,负责治疗和预防疾病,我们可以肯定,为了实现这一目标,从根本上有必要提高社会的认识(我们有一个具体的和最近的例子,这是Covid-19大流行,其中不同的社会以不同的方式处理这个问题,以前是80年代的艾滋病毒或90年代初的霍乱在阿根廷)。人类学提供了一个重要的社会,文化和祖先的贡献,因为它让我们知道那些无法进入健康中心或先进医学的社区如何使用治疗方法或替代医学来使这些社区有效或相信他们的功能。然而,有些人认为这是过时的方法。因此,人类学必须从对不同社会的深入研究到与其他卫生学科的共同努力,在短期内为个人或社会做好准备,以应对未来可能出现的新疾病或当前传播的疾病。
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引用次数: 2
Conception of death in different cultures and funeral rites in Bolivia, China, Indonesia, Madagascar and USA 玻利维亚、中国、印度尼西亚、马达加斯加和美国不同文化中的死亡观念和丧葬仪式
Pub Date : 2023-11-09 DOI: 10.56294/cid202364
Judith Bonilla Coronado, María Paula Licona Vidal, Gabriela Agustina Ravilli, Micaela Daiana Rosario, Aiza Miriam Lorena Santos, María Paola Soria Guzman
In some cultures, death is associated with different rituals and customs to help people grieving. Rituals offer people ways to process and express their grief. They also provide ways for the community to help people who are grieving. Death can cause chaos, anger, and confusion. That is where the community comes in to support and help cope with grief. Funeral rites are symbolic systems that represent specific socio-cultural practices of the human species; they are a means to facilitate the arrival of the soul to its place of destination through religious or pagan acts, methods to ward off and scare away evil spirits or to prevent the dead from appearing and disturbing the living. After analyzing the concept of death in the proposed cultures, differences and similarities were observed in their conceptions and meanings; they all share the feeling of honoring, loving, caring, and commemorating their deceased. Each celebration is a tribute to the loved one on a particular date, depending on the culture and geographical region, such as Bolivia, China, Indonesia, Madagascar, New Orleans, and Parsis (Persians). In the different funeral rites, we could appreciate death's diverse manifestations and beliefs and its connotations, such as honoring, entertaining, feeding, grooming, decorating the deceased, and respecting and venerating nature.
在一些文化中,死亡与不同的仪式和习俗有关,以帮助人们悲伤。仪式为人们提供了处理和表达悲伤的方式。他们还为社区提供了帮助悲伤的人的方法。死亡会导致混乱、愤怒和困惑。这就是社区来支持和帮助应对悲伤的地方。丧葬仪式是代表人类特定社会文化习俗的象征性系统;它们是一种通过宗教或异教行为促进灵魂到达目的地的手段,是一种抵御和吓跑邪恶灵魂或防止死者出现和扰乱生活的方法。通过对不同文化中死亡概念的分析,我们发现了不同文化中死亡概念和意义的异同;他们都有一种尊敬、爱、关心和纪念死者的感觉。每个庆祝活动都是在特定的日期向所爱的人致敬,这取决于文化和地理区域,如玻利维亚、中国、印度尼西亚、马达加斯加、新奥尔良和帕西斯(波斯人)。在不同的丧葬仪式中,我们可以欣赏到死亡的各种表现形式和信仰及其内涵,如对死者的尊敬、娱乐、喂养、修饰、装饰,以及对自然的尊重和崇敬。
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引用次数: 0
Curanderismo in Argentina: a view to diversity 阿根廷的Curanderismo:对多样性的看法
Pub Date : 2023-11-09 DOI: 10.56294/cid202378
Grisel Lara Flores, Roció Florencia Romero
Healing practices have existed worldwide in different cultures since ancient times, have influenced throughout history, and are rooted in different cultures, demonstrating their importance in wellness and health care. “Curanderismo” it is a set of practices exercised by healers in a ceremony; it is an ancestral custom perpetuated over the centuries, combining traditional indigenous medicine and folk medicine. Its anthropological position may also incorporate the traditional roles of the healing man and the shaman. The curandero in Argentina country has a deep spiritual and cultural meaning. However, with the advance of the current medina, it is still a valid option, respected by communities or individuals seeking comprehensive care or an approach to healing from the spiritual. Encouraging interdisciplinary contact between healers and traditional practitioners is relevant for exchange, collaboration, and mutual respect to better understand the healing practices and their effectiveness. The curandismo acquires relevance due to the connection of beliefs of social groups because health is understood as a balance of nature and its elements. It is seen as an intermediary between the real and spiritual world. However, it should be appropriately regulated, promoting a regularization to prevent and guarantee the patient's health, promoting and eliminating barriers with a responsible, ethical approach that can play a valuable role in health care and well-being.
自古以来,治疗实践就存在于世界各地的不同文化中,影响了整个历史,并植根于不同的文化,表明了它们在健康和保健方面的重要性。" Curanderismo "是治疗师在仪式上进行的一系列练习;这是一种延续了几个世纪的祖传习俗,结合了传统的土著医学和民间医学。它在人类学上的地位也可能与巫医和萨满的传统角色相结合。curandero在阿根廷有着深刻的精神和文化意义。然而,随着当前麦地那的进步,它仍然是一个有效的选择,受到寻求全面护理或精神治疗方法的社区或个人的尊重。鼓励治疗师和传统从业者之间的跨学科接触有助于交流、合作和相互尊重,从而更好地了解治疗实践及其有效性。健康被理解为自然及其要素的平衡,因此,由于社会群体的信仰之间的联系,健康理论具有相关性。它被看作是现实世界和精神世界之间的中介。但是,应该对其进行适当管制,促进正规化,以预防和保障病人的健康,以负责任和合乎道德的方式促进和消除障碍,从而在保健和福祉方面发挥宝贵的作用。
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引用次数: 0
Photographic images of indigenous peoples in contemporary Chilean poetry 当代智利诗歌中土著人民的摄影形象
Pub Date : 2023-11-07 DOI: 10.56294/cid202376
Lorena P. López Torres
This article analyzes the literary proposals De la tierra sin fuegos (1986) and Reducciones (2012) by the Chilean poets Juan Pablo Riveros and Jaime Huenún respectively; works in which the intersection between word and image is privileged in a deconstructive and questioning eagerness. The photographic image of native peoples that is materially incorporated into the textual body of the poems comes, on the one hand, from ethnographic/anthropometric archives, from the priest and ethnologist Martin Gusinde, and from the scientists Robert Lehmann-Nitsche, Herman Ten Kate, Francisco P. Moreno and Hans Virchow. Through this verbovisual assemblage, two different perspectives are presented regarding the procedures of scrutiny that the ethnologist/scientist follows when approaching the indigenous person and the reading he makes of him and his culture: the first becomes a fellow tribesman, while the others exercise a biosocial control over the indigenous person by freely disposing of his corporeality for scientific purposes. In this way, the texts resort to images to reflect on the materialization of ethnographic photography and the material and metaphysical "capture" of the indigenous; they problematize the photographic act, the revealing character of the image and its scenic implications in the exhibition of the indigenous in order to corroborate, denounce and give a face to these subjects. In addition, they point to the hunters and situate the historical context under which these takeovers take place, that is, they are images that violate the viewer by confronting him with the usurpation and death that weighs on the indigenous, particularly in contexts of internal colonization (nineteenth and twentieth centuries).
本文分析了智利诗人胡安·巴勃罗·里维拉斯(Juan Pablo Riveros)和杰米(Jaime Huenún)分别在1986年和2012年提出的文学建议De la tierra sin fuegos;在这些作品中,文字和图像之间的交集在解构和质疑的渴望中享有特权。土著民族的摄影图像被纳入诗歌的文本主体,一方面,来自民族志/人体测量学档案,来自牧师和民族学家Martin Gusinde,来自科学家Robert lehman - nitsche, Herman Ten Kate, Francisco P. Moreno和Hans Virchow。通过这种语言组合,呈现了两种不同的观点,关于民族学家/科学家在接近土著人时所遵循的审查程序,以及他对土著人及其文化的解读:第一种观点成为部落同胞,而其他观点则通过为科学目的自由处置土著人的肉体,对土著人进行生物社会控制。这样,文本借助图像来反思民族志摄影的物质化和对土著的物质性和形而上的“捕捉”;他们质疑摄影行为,图像的揭示特征及其在土著展览中的风景含义,以证实,谴责并给予这些主题一个面貌。此外,它们指向猎人,并将这些占领发生的历史背景置于其中,也就是说,它们是侵犯观众的图像,让他面对压迫在土著人身上的篡夺和死亡,特别是在内部殖民的背景下(19世纪和20世纪)。
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引用次数: 0
"Tooth fairy" educational strategy for infants in the fifth year of life “牙仙”五岁幼儿教育策略
Pub Date : 2023-11-01 DOI: 10.56294/cid202377
Rosa María Montano-Silva, Thalía Fernández-Breffe, Yoneisy Abraham-Millán, Iraida Céspedes-Proenza, Eridania Pantoja-García
Introduction: caries in early childhood is one of the most frequent diseases and can influence the development of the infant. Childhood is a stage characterized by intense learning processes and fundamental in the formation of habits and behaviors in the process of education and human development. It depends on the joint action of teachers, health personnel and legal guardians that infants have access and opportunity to transform health information into knowledge, attitudes and adequate practices that allow them to take care of and protect their health. Objective: to implement the educational strategy "The Tooth Fairy" in infants in the fifth year of life. Methods: a quasi-experimental before-and-after study with a control group was carried out. The sample consisted of 34 infants in the fifth year of life in the Juan Delio Chacón neighborhood, obtained by simple random sampling. Results: before the intervention, a poor level of knowledge about oral health predominated in the infants, representing 70.6% of the experimental group, as well as in the legal guardians and educators for 56.7%, raising it to good after the intervention in 88.2% and 86.66% respectively.Conclusions: the implementation of the strategy in the educational context, involving families, educators and community proved to be effective since it modified lifestyles and lifestyles, also increasing the level of knowledge about oral health of infants, educators and legal guardians.
幼儿期龋齿是最常见的疾病之一,可影响幼儿的发育。童年是一个以密集的学习过程为特征的阶段,是教育和人类发展过程中习惯和行为形成的基础阶段。只有教师、保健人员和法定监护人共同采取行动,婴儿才有机会将保健信息转化为知识、态度和适当做法,使他们能够照顾和保护自己的健康。目的:在5岁幼儿中实施“牙仙”教育策略。方法:采用准实验前后对照研究,并设对照组。样本由Juan Delio Chacón社区的34名五岁婴儿组成,通过简单随机抽样获得。结果:干预前,实验组婴儿口腔健康知识知晓率为70.6%,法定监护人和教育工作者为56.7%,干预后分别为88.2%和86.66%。结论:在家庭、教育工作者和社区参与的教育范围内实施该战略证明是有效的,因为它改变了生活方式和生活方式,也提高了婴儿、教育工作者和法定监护人对口腔健康的知识水平。
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引用次数: 0
The impact of fibromyalgia on society 纤维肌痛对社会的影响
Pub Date : 2023-10-23 DOI: 10.56294/cid202375
Camilo Silva-Sánchez
Fibromyalgia is a disease characterized by intense generalized chronic musculoskeletal pain. Its etiology is not known and there is no curative treatment but only symptomatic and focused on pain management. The lack of empathy on the part of family, work, friends and health professionals increases the psychosocial discomfort. Educating the population and health professionals on the behavior of the disease could be an opportunity to improve social ties, including friendships, family, health and work. The development of the community approach in the study of fibromyalgia is of significant importance in the understanding and management of this complex chronic disease. Fibromyalgia not only affects the individual sufferer, but also has a profound impact on their social and family environment. By adopting a community approach, it is recognized that community support and understanding is crucial to improving the quality of life for those living with fibromyalgia. This approach involves building support networks and promoting public awareness of fibromyalgia, which in turn reduces the stigma associated with the disease. In addition, the development of community education programs and support groups can help empower people with fibromyalgia to better manage their symptoms and find effective coping strategies.
纤维肌痛是一种以强烈的全身慢性肌肉骨骼疼痛为特征的疾病。其病因尚不清楚,没有治愈治疗,但只有症状和重点疼痛管理。家庭、工作、朋友和卫生专业人员缺乏同理心会增加心理上的不适。对民众和卫生专业人员进行有关该病行为的教育,可能是改善社会关系(包括友谊、家庭、健康和工作)的机会。社区方法在纤维肌痛研究中的发展对于理解和管理这种复杂的慢性疾病具有重要意义。纤维肌痛不仅影响患者个人,而且对其社会和家庭环境产生深远影响。通过采用社区方法,人们认识到社区的支持和理解对于改善纤维肌痛患者的生活质量至关重要。这种方法包括建立支持网络和提高公众对纤维肌痛的认识,从而减少与该疾病相关的耻辱。此外,社区教育项目和支持团体的发展可以帮助纤维肌痛患者更好地控制他们的症状,找到有效的应对策略。
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引用次数: 0
Pedagogical experience with Public Health campaigns from the design of socio-educational projects with insertion in the local territory 公共卫生运动的教学经验,来自社会教育项目的设计,并纳入当地领土
Pub Date : 2023-10-22 DOI: 10.56294/cid202374
Carlos Oscar Lepez, Irene Amelia Simeoni
Introduction: In today's society, educational management has become an imperative for the creation of knowledge and innovative educational experiences. In the context of the Bachelor's Degree in Nursing at the University of Buenos Aires, a pedagogical experience focused on a public health campaign on Dengue was carried out. The main objective of this experience was to promote the democratization of scientific and health knowledge in relation to Dengue, guaranteeing the right of access to public health information. We sought to create an environment conducive to learning, active participation of students and interaction with the community.Development: The experience was divided into three stages: initial, progressive and territorial anchoring. In the initial stage, students were prepared through theoretical and technical sessions. The progressive stage involved adjustments and corrections in collaboration with the teaching team. In the territorial anchoring stage, groups of students carried out the public health campaign in sectors close to the university. The evaluation was carried out using group monitoring instruments and a checklist to evaluate the individual performance of the students. A review and feedback meeting was also held at the end of the experience.Conclusions: The proposed pedagogical experience demonstrated that effective educational management can promote the democratization of knowledge in the field of public health. Collaboration among students and the focus on the right of access to public health information are key elements. In addition, the importance of constant adaptation of educational practices to scientific and technological advances is highlighted. On the other hand, it provided an effective framework for the training of nursing students and the promotion of public health, demonstrating the importance of educational management in today's society.
导读:在当今社会,教育管理已成为创造知识和创新教育体验的必要条件。在布宜诺斯艾利斯大学护理学士学位课程的背景下,开展了一项以登革热公共卫生运动为重点的教学经验。这一经验的主要目标是促进与登革热有关的科学和卫生知识的民主化,保障获得公共卫生信息的权利。我们力求创造一个有利于学习、学生积极参与和与社区互动的环境。发展:经历分为三个阶段:初始阶段、渐进阶段和区域锚定阶段。在最初阶段,学生们通过理论和技术课程做好准备。进步阶段包括与教学团队合作进行调整和纠正。在领土锚定阶段,学生团体在大学附近的部门开展了公共卫生运动。评估采用小组监测仪器和检查表对学生的个人表现进行评估。在体验结束时还举行了一次审查和反馈会议。结论:提出的教学经验表明,有效的教育管理可以促进公共卫生领域的知识民主化。学生之间的合作和注重获得公共卫生信息的权利是关键要素。此外,还强调了不断使教育实践适应科学技术进步的重要性。另一方面,它为护理学生的培训和公共卫生的促进提供了一个有效的框架,显示了教育管理在当今社会的重要性。
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引用次数: 10
The dynamic nature of scientific knowledge: an epistemological look at the research activity of human hand anthropometry 科学知识的动态本质:从认识论的角度看人手人体测量学的研究活动
Pub Date : 2023-10-21 DOI: 10.56294/cid202372
Misael Ron, Evelin Escalona
This research focuses on analyzing the dynamic nature of scientific knowledge from an epistemological perspective, focusing specifically on anthropometric research of the human hand. The main objective of this study is to examine how knowledge is generated and evolves in this field, in the light of epistemological theories such as Lakatos'. Key concepts of epistemology and philosophy of science are addressed, including the theories of Lakatos, Popper, Kuhn and Feyerabend. Subsequently, Lakatos' theory of Scientific Investigation Programs (SIPs) is applied to the field of hand anthropometry, identifying its fundamental core (which refers to the belief in the relevance of hand measurements) and its protective belt (comprising auxiliary theories and methods). It discusses how both heuristics and empirical evidence drive the evolution of knowledge in this field, also emphasizing the importance of creative inquiry, scientific debate, and methodological rigor. Ultimately, it is concluded that anthropometric research eloquently exemplifies the inherent dynamic nature of scientific knowledge.
本研究侧重于从认识论的角度分析科学知识的动态性质,特别侧重于对人手的人体测量学研究。本研究的主要目的是根据拉卡托斯等认识论理论,研究知识是如何在这一领域产生和发展的。认识论和科学哲学的关键概念,包括拉卡托斯,波普尔,库恩和费耶阿本德的理论。随后,Lakatos的科学调查计划理论(SIPs)被应用于手部人体测量领域,确定了其基本核心(指对手部测量相关性的信念)及其保护带(包括辅助理论和方法)。它讨论了启发式和经验证据如何推动这一领域知识的发展,也强调了创造性探究、科学辩论和方法严谨性的重要性。最后,结论是人体测量学研究雄辩地例证了科学知识固有的动态性质。
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引用次数: 1
Evaluation of Burnout Syndrome and associated factors in primary care health personnel 初级保健卫生人员职业倦怠综合征及其相关因素的评估
Pub Date : 2023-10-21 DOI: 10.56294/cid202373
Lázaro Pablo Linares Cánovas, Liyansis Bárbara Linares Cánovas, Yoelys Pereda Rodríguez, Beatriz Gallardo Hernández, Martha María Pérez Martín, Adalina Linares Montano
Objective: to evaluate Burnout syndrome and associated factors in health personnel of Primary Care. Methods: observational, analytical, cross-sectional study, carried out in Pinar del Río during January 2023, in non-probabilistic sampling for convenience, of 127 participants, who met the inclusion criteria. The application of instruments such as the Maslach Burnout Inventory questionnaire, allowed obtaining the information that gave output to the studied variables, applying descriptive and inferential statistical methods. Medical ethics were respected. Results: 66.9% of the workers were women, with a median of 31 years of age. Resident physicians predominated (45.7%), with a median of 8 years working in the sector. 73.2% showed overload, with the emotional exhaustion dimension being the most affected. The presence of Burnout syndrome was associated with sleeping eight hours a day (p=0.016) and with satisfaction with economic income (p<0.001). The affectation of the emotional exhaustion dimension was statistically associated with sex, religion and sleeping eight hours a day (p<0.05). Depersonalization was associated with religion (p=0.001), sleeping eight hours a day (p=0.016), smoking (p=0.001) and satisfaction with economic income (p=0.011); while professional achievement was related to sleeping eight hours a day (p<0.001), adequate dietary habits (p=0.038) and satisfaction with economic income (p=0.016). Conclusions: Burnout syndrome was evaluated in primary care health personnel, identifying the demographic characteristics, lifestyle and work variables of the sample, and their relationship with professional exhaustion.
目的:了解基层卫生保健人员的职业倦怠症状及其相关因素。方法:观察性、分析性、横断面研究,于2023年1月在Pinar del Río进行,为方便起见,采用非概率抽样,127名符合纳入标准的参与者。应用诸如Maslach倦怠量表问卷等工具,可以获得对研究变量进行输出的信息,应用描述性和推断性统计方法。医德得到尊重。结果:女工占66.9%,中位年龄为31岁。住院医生占多数(45.7%),在该行业工作的中位数为8年。73.2%表现为超负荷,其中情绪耗竭维度受影响最大。倦怠综合征的存在与每天睡眠8小时有关(p=0.016),与对经济收入的满意度有关(p= 0.001)。情绪耗竭维度的影响与性别、宗教信仰、每天睡眠8小时有统计学意义(p < 0.05)。人格解体与宗教信仰(p=0.001)、每天睡眠8小时(p=0.016)、吸烟(p=0.001)和对经济收入的满意度(p=0.011)有关;而职业成就与每天睡眠8小时(p= 0.001)、适当的饮食习惯(p=0.038)和对经济收入的满意度(p=0.016)有关。结论:对基层卫生保健人员的职业倦怠综合征进行了评估,确定了样本的人口统计学特征、生活方式和工作变量,以及它们与职业倦怠的关系。
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引用次数: 0
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Community and Interculturality in Dialogue
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