生物标志物在护理人员研究中的应用:述评

Cristiane Aparecida Silveira
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摘要

目的:分析以护理人员为研究对象,应用生物标志物作为检测健康变化的调查方法。方法:这是一篇叙述性文献综述,使用系统评价和荟萃分析方法的首选报告项目。本综述的发展采用PICO策略。在数据库和虚拟图书馆中,描述符“生物标志物”和关键词“护理人员”和“健康变化”分别以葡萄牙语、英语和西班牙语进行检索。搜索是在2002年至2022年5月期间发表的科学数据库和与该主题相关的文章中进行的。结果:从分析的19篇文章中,我们发现使用生物标志物可以检测出诸如在一组有倦怠的护士中毛细血管皮质醇水平比没有倦怠的护士高的问题;醒着时的皮质醇水平与工作年数呈负相关,与DNA损伤呈正相关;职业性接触麻醉气体,影响接触者的肝脏和肾脏血液化学参数;与性别、年龄、染色体畸变等相匹配的对照组相比,护士中缺铁性贫血和不同甲状腺疾病的患病率。结论:总的来说,如果生物标志物有助于识别护理人员健康状况的变化,并对职业健康和安全做出重大贡献,则需要一种更全面的方法将其从实验室转移到专业实践中,特别是作为职业健康管理的工具。
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The Use of Biomarkers in Research with Nursing Personnel: A Narrative Review
Objective: To analyze studies with nursing personnel, with the use of biomarkers as an investigation method for the detection of health alterations. Method: This is a Narrative Literature Review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology. The PICO strategy was used in this review’s development. For the search in databases and virtual libraries, the descriptor “Biomarkers” and the keywords “Nursing Personnel” and “Health Changes” were used in Portuguese, English, and Spanish. The search was carried out in scientific databases and articles related to the theme, published from 2002 to May 2022. Results: From 19 articles analyzed, it was found that the use of biological markers allowed the detection of problems such as higher values in capillary cortisol levels in a group of nurses with burnout when compared to those without burnout; cortisol levels on waking hours associated negatively with the number of years working and positively with damage to their DNA; occupational exposure to anesthetic gases that influence hepatic and renal hemochemical parameters in those exposed; irondeficiency anemia and different thyroid gland diseases prevalent among nurses when compared to those of controls matched by sex and age, chromosomal aberrations, and so forth. Conclusion: In general, if biomarkers assist in the identification of alterations in the health of nursing personnel and enable a significant contribution to occupational health and safety, a more holistic approach will be needed to transfer them from the laboratory to professional practice, especially to be used as a tool in the management of occupational health.
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