Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-16T00:20:32Z No. of bitstreams: 1 MariaAparecidaCardosoDeSouza_DISSERT.pdf: 888803 bytes, checksum: 6f7cc07574fc6a58e39dc70ed80e76c1 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-22T20:40:19Z (GMT) No. of bitstreams: 1 MariaAparecidaCardosoDeSouza_DISSERT.pdf: 888803 bytes, checksum: 6f7cc07574fc6a58e39dc70ed80e76c1 (MD5) / Made available in DSpace on 2016-04-22T20:40:19Z (GMT). No. of bitstreams: 1 MariaAparecidaCardosoDeSouza_DISSERT.pdf: 888803 bytes, checksum: 6f7cc07574fc6a58e39dc70ed80e76c1 (MD5) Previous issue date: 2015-04-24 / Objetivo: avaliar os fatores determinantes da morbimortalidade em unidade de terapia intensiva obst?trica (UTIO) e relacion? - los ?s compet?ncias profissionais dos estudantes da gradua??o do curso de medicina e dos residentes de Ginecologia e Obstetr?cia de um hospital universit?rio. M?todos: estudo observacional de corte transversal com 492 gestantes ou pu?rperas e 261 alunos e residentes durante outubro de 2013 a setembro de 2014 . Foram selecionadas pacientes internadas na UTIO no per?odo de um ano, sendo informadas sobre as propostas do estudo e realizada aplica??o do question?rio. A an?lise foi feita atrav?s do Microsoft Excel 2013 e GraphPad6. Foram empregados testes x 2 para verificar associa??o entre os fatores de risco para morbi - mortalidade materna e testes t de student para avaliar compet?ncias dos alunos da gradua??o e residentes referentes ao teste cognitivo e ao Mini - cex. Resultados: Foram encontrados como riscos relativos significativamente elevados para desenvolvimento de near miss quando comparada a morbidade materna grave, a ra?a n?o - branca (OR=2,527; RR=2,342); pacientes casadas (OR=7,968; RR=7,113), escolaridade at? 2? grau incompleto (OR=3,177; RR=2,829), procedente do interior (OR=4,643; RR=4,087), renda familiar menor que 1 sa l?rio m?nimo (OR=7,014; RR=5,554), dist?rbios hipertensivos gestacionais (OR=16,35; RR=13,27), realiza??o do pr? - natal (OR=5,023; RR=4,254) e a via de parto ces?rea (OR=39,21; RR=31,25). Na an?lise cognitiva, foi notada uma diferen?a significativa nas perf ormances dos estudantes sobre o tema (3,75 ? 0,93, 4,03 ? 0,94 e 4,88 ? 0,35 m?dias e desvios padr?es dos acad?micos, internos e residentes, respectivamente; p < 0,01) e no Mini - cex mostrando um melhor desempenho global dos residentes quando comparados aos alunos da gradua??o. Conclus?es: Quest?es socioecon?micas, cl?nicas e assistenciais mostraram - se relacionados ? preval?ncia de near miss , revelando a import?ncia de interven??es amplas para melhorar estes indicadores. Sugere - se, tamb?m, uma maior inser??o curricular do tema nas disciplinas do curso m?dico, tendo em vista a import?ncia de se evitar a near miss atrav?s da adequa??o no ?mbito da educa??o m?dica. / Objective: Evaluate the determinants of morbidity and mortality in an obstetric intensive care unit and professional medical skills of students/residents at a university hospital. Methods: observational cross - sectional with 492 pregnant/pue rperal women and 261 students/residents. Patients were admitted to the obstetric intensive care unit during a year, being informed about the proposals of the study and a questionnaire was applied. The analysis was performed using Microsoft Excel 2013 and G raphPad6. Chi - square tests were used to evaluate risk factors and student t test evaluates resident/students' skills concerning the cognitive test and the Mini - Cex. Results: the main risk factors to near miss were: non - white race (OR = 2.527; RR = 2.342) ; marital status(married women) (OR = 7.968; RR = 7.113) , schooling (primary) (OR = 3.177 ; RR = 2.829) , from country town (OR = 4.643 ; RR = 4.087), low income (OR = 7014 ; RR = 5.554) , gestational hypertensive disorders (OR = 16.35 ; RR = 13.27) , re alization of pre - natal (OR = 5.023 ; RR = 4.254) and C - section before labor(OR = 39.21 ; RR = 31.25). In cognitive/Mini - cex analysis were noted significant difference in the performance of students on the subject (3.75 ? 0.93, 4.03 ? 0.94 and 4.88 ? 0.35). We still observed the best performance of residents, when compared to graduation students (p < 0.01). Conclusions: the prevalence of near miss was associated with socioeconomic/clinics factors and care issues, revealing the importance of interventions to improve these indicators. In addition, we suggest a better curriculum insertion of this subject in the medical Course disciplines due the importance to avoid the near miss through of adequacy of medical education.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-05-30T20:01:31Z No. of bitstreams: 1 IanaVasconcelosMoreiraRosado_TESE.pdf: 1298071 bytes, checksum: 5d17f8124c28a42de1d32bc4a4975ee7 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-05-31T22:54:40Z (GMT) No. of bitstreams: 1 IanaVasconcelosMoreiraRosado_TESE.pdf: 1298071 bytes, checksum: 5d17f8124c28a42de1d32bc4a4975ee7 (MD5) / Made available in DSpace on 2016-05-31T22:54:40Z (GMT). No. of bitstreams: 1 IanaVasconcelosMoreiraRosado_TESE.pdf: 1298071 bytes, checksum: 5d17f8124c28a42de1d32bc4a4975ee7 (MD5) Previous issue date: 2014-12-01 / A sa?de resulta da intera??o de fatores biol?gicos, sociais, econ?micos, pol?ticos e culturais. Nessa perspectiva, objetivou-se analisar a rela??o entre o trabalho nos hospitais p?blicos de urg?ncia e emerg?ncia e o processo de sa?de-adoecimento dos profissionais que o executam. Trata-se de uma pesquisa de natureza quantiqualitativa, na qual foram aplicados question?rios com 240 profissionais (m?dicos, enfermeiros, assistentes sociais, psic?logos, dentistas, nutricionistas, fonoaudi?logos, fisioterapeutas e terapeutas ocupacionais). Os resultados demonstraram que os sujeitos reconhecem a import?ncia do trabalho para garantia de condi??es favor?veis ? sa?de. Entretanto, destacam seus efeitos no desgaste f?sico e ps?quico dos trabalhadores, por impulsionar estresse, aus?ncia de h?bitos saud?veis, hipertens?o arterial, dist?rbios do sono, osteomusculares e gastrintestinais. Torna-se premente enfrentar esta realidade, para potencializar a sa?de dos profissionais e, por conseguinte, a qualidade da assist?ncia ao usu?rio, visto que o adoecimento dos trabalhadores de sa?de est? fortemente relacionado com o modelo de sa?de existente na sociedade. / Health results from the interaction of biological, social, economic, political and cultural factors. Under this perspective, we aim to analyze the relationship among working in public emergency hospitals and the health-sickness of the professionals who work there. We are based in a quantitative and qualitative research, in which 240 health professionals (doctors, nurses, social workers, psychologists, dentists, nutritionists, audiologists, physiotherapists and occupational therapists) answered a survey. All of them recognize the importance of work to guarantee favorable conditions to good health. However, they highlight its physical and mental wear effects on workers like stress, absence of a healthy life-style, high blood pressure, musculoskeletal, gastrointestinal and sleep disorders. It becomes urgent to face this reality, to enhance professionals' health and, consequently, the quality of user?s assistance, since the illness of health workers is strongly correlated with the existing health model in society.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-23T19:39:11Z No. of bitstreams: 1 SheniaMariaFelicioFelix_DISSERT.pdf: 1059481 bytes, checksum: 300825f13ac8f9d679f3ce4de4db18ff (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-27T18:15:16Z (GMT) No. of bitstreams: 1 SheniaMariaFelicioFelix_DISSERT.pdf: 1059481 bytes, checksum: 300825f13ac8f9d679f3ce4de4db18ff (MD5) / Made available in DSpace on 2016-06-27T18:15:16Z (GMT). No. of bitstreams: 1 SheniaMariaFelicioFelix_DISSERT.pdf: 1059481 bytes, checksum: 300825f13ac8f9d679f3ce4de4db18ff (MD5) Previous issue date: 2013-12-20 / A Pol?tica Nacional da Aten??o B?sica (PNAB), regulamentada pela portaria N? 2488 de outubro de 2011 reafirma a Estrat?gia de Sa?de da Fam?lia (ESF) como estrat?gia priorit?ria de expans?o, consolida??o e qualifica??o da aten??o b?sica ? sa?de no Brasil; para isso, os munic?pios, com coopera??o dos demais entes federativos, devem reorientar seu processo de trabalho aprofundando os princ?pios, diretrizes e fundamentos da Aten??o B?sica (AB). Al?m da ESF, a nova PNAB disp?e sobre os N?cleos de Apoio ? Sa?de da Fam?lia (NASF), reafirmando seu papel de ampliar o escopo das a??es da aten??o b?sica, e de sua resolutividade, ratificando seu car?ter de compartilhar saberes e de ser apoio junto aos profissionais da AB. Frente a isso, o objetivo deste trabalho ? investigar como o N?cleo de Apoio a Sa?de da Fam?lia - NASF est? estruturado em Jo?o Pessoa e quais as a??es por ele desenvolvidas no ?mbito da Sa?de Mental, e tem como objetivos espec?ficos: analisar as pr?ticas desenvolvidas pelos profissionais de Sa?de Mental que comp?em as equipes NASF e se elas se diferenciam das realizadas pelos demais membros das equipes; discutir a articula??o do NASF na operacionaliza??o das a??es em sa?de mental, no que se refere a sua organiza??o interna e na rede de sa?de municipal; e identificar as estrat?gias utilizadas para organiza??o das a??es em sa?de mental na Aten??o B?sica. Para o alcance dos objetivos, foram realizadas entrevistas individuais com duas gestoras municipais e quatro trabalhadoras do NASF que participavam do colegiado de sa?de mental como representantes dos seus distritos sanit?rios, al?m disso, foi realizado um grupo focal com diferentes apoiadores NASF, contemplando a diversidade de categorias profissionais que trabalham nas equipes e nos diferentes distritos sanit?rios. Foi poss?vel identificar no NASF em Jo?o Pessoa, uma organiza??o pautada pelo apoio matricial na qual as demandas da gest?o e do cuidado assistencial refletem um conjunto de pr?ticas desenvolvidas junto ?s ESF. Dentre as a??es realizadas pelo NASF, e no ?mbito da sa?de mental, destaca-se o matriciamento, as visitas domiciliares e o Projeto Terap?utico Singular; essas atividades foram descritas e dialogadas no grupo focal e faz parte do cotidiano de trabalho de todos dos apoiadores do NASF, independente de sua categoria profissional. Com vistas ao fortalecimento da AB frente ? amplia??o das a??es das equipes de sa?de da fam?lia, o NASF se apresenta como uma potente estrat?gia de qualifica??o e apoio no SUS. / The National Police for Basic Care (PNAB), regulated by ordinance n?2488 from October 2011, restates the Family Health Strategy (ESF) as a priority to the expansion, consolidation and qualification of basic attention to health matters in Brazil. In order to bring it about, city counsellors along with other federal entities ought to ordinate their work process deepening principals, directions and fundaments of Basic Care (AB). Besides ESF, the new PNAB expatiates on the Family Health Support Centres (NASF), reaffirming their role on broadening the scope of basic care actions and their improvements, ratifying their ability to share knowledge and support Basic Care professionals. All this considered, the purpose of this work is to investigate how NASF is currently structured in Jo?o Pessoa and what has been achieved by it on what concerns to mental health. Its main objectives are to analyse the practices of mental health professionals that are part of NASF teams and if they differ from what has been developed by the other members of the teams; to discuss the articulation of NASF in managing mental health measures on what concerns to internal organisatio n and to the city health network; to identify strategies used to organise such measures on mental health in Basic Care. To reach such goals, individual interviews have taken place two city health managers and four of NASF professionals that participated on the Mental Health Office as representatives of their sanitary districts. Also a focal group formed by various supporters of NASF was created, contemplating the diversity of professional categories involved with the teams and sanitary districts. It was possible to identify in NASF, in Jo?o Pessoa, an organisation based by the matrix support in which both management and basic care demands reflect a series of actions developed alongside with ESF. Amongst such actions, matrixing, home visits and the Singular Therapeutic Project (PTS) stand out. These activities have been discussed on the focal group and integrate the daily work of all NASF supporters despite their professional categories. NASF presents itself as a powerful strategy to SUS proper qualification and support to strengthen Basic Care and broaden family health teams?actions.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-02-15T13:24:54Z No. of bitstreams: 1 FrancianeAmorimDeOliveiraLima_DISSERT.pdf: 2034963 bytes, checksum: 714c663569b39d6f38a5add735f62722 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-02-20T00:44:29Z (GMT) No. of bitstreams: 1 FrancianeAmorimDeOliveiraLima_DISSERT.pdf: 2034963 bytes, checksum: 714c663569b39d6f38a5add735f62722 (MD5) / Made available in DSpace on 2018-02-20T00:44:29Z (GMT). No. of bitstreams: 1 FrancianeAmorimDeOliveiraLima_DISSERT.pdf: 2034963 bytes, checksum: 714c663569b39d6f38a5add735f62722 (MD5) Previous issue date: 2017-11-30 / O afastamento do trabalho por licen?a para tratamento da pr?pria sa?de ou absente?smo-doen?a destaca-se como relevante tem?tica na ?rea da sa?de do trabalhador. Este estudo teve como objetivo analisar o afastamento do trabalho por absente?smo-doen?a a partir do Sistema de Informa??o em Sa?de e Seguran?a no Trabalho (SIAPE SA?DE), no contexto de uma Institui??o Federal de Ensino Superior. Buscou-se, assim, entender o funcionamento do Sistema de Informa??o em Sa?de e sua contribui??o para produ??o das informa??es sobre o absente?smo-doen?a dos servidores da Universidade Federal do Rio Grande do Norte. O estudo descritivo com procedimento multim?todo sequencial, com etapas quantitativa e qualitativa, foi realizado na sede da Unidade do Subsistema Integrado de Aten??o ? Sa?de do Servidor P?blico Federal (Unidade SIASS-UFRN), desenvolvido em duas fases. Inicialmente, uma pesquisa documental visando efetuar um mapeamento dos afastamentos dos servidores da institui??o no ano 2016, atrav?s da consulta aos relat?rios gerenciais dispon?veis no sistema. Na segunda fase, foram realizadas entrevistas com a equipe da per?cia em sa?de para ampliar o conhecimento sobre o processo institucional dos afastamentos, notadamente, atrav?s de um olhar anal?tico do Sistema de Informa??o em Sa?de. No tratamento dos dados foram utilizadas a estat?stica descritiva e a an?lise de conte?do. Os resultados evidenciam que ocorreram 992 afastamentos por per?cia, nos quais se destacam aqueles decorrentes de Transtornos Mentais e Comportamentais (CID F), que acometem servidores nos cargos de assistentes em administra??o, auxiliares de enfermagem e professores do magist?rio superior. Observou-se a preval?ncia de afastamentos entre o sexo feminino e nos Hospitais Universit?rios. Em rela??o ? an?lise do processo de afastamento e seu registro no sistema, o SIAPE SA?DE foi avaliado positivamente, principalmente por promover uma unifica??o do registro para todos os ?rg?o federais. Entretanto, como ponto negativo, destaca-se a necessidade de avalia??o cont?nua, atualiza??o e melhorias, uma vez que trata-se de uma base de dados antiga. Conclui-se, ent?o, que o sistema representa um avan?o para an?lise dos afastamentos no n?vel local, por?m, requer maior investimento da Administra??o P?blica Federal visando o seu aprimoramento. / The removal of work by license to treat their own health or absenteeism-disease stands out as a relevant issue in the area of worker health. The objective of this study was to analyze the absence of absenteeism-disease work from the Health and Safety Information System at Work (SIAPE SA?DE), in the context of a Federal Institution of Higher Education. The aim was to understand the functioning of the Health Information System and its contribution to the production of information about the absenteeism-illness of the employees of the Federal University of Rio Grande do Norte. The descriptive study with a sequential multimethod procedure, with quantitative and qualitative steps, was carried out at the headquarters of the Federal Public Server Integrated Health Service Subsystem Unit (SIASS-UFRN Unit), developed in two phases. Initially, a documentary search to map the departures of the institution's servers in the year 2016, by consulting the managerial reports available in the system. In the second phase, interviews were conducted with the health expertise team to increase knowledge about the institutional process of withdrawal, notably through an analytical view of the Health Information System. Descriptive statistics were used in the treatment of the data. content analysis. The results evidenced that there were 992 departures for expertise, in which the ones due to Mental and Behavioral Disorders (CID F), that affect employees in the positions of administrative assistants, nursing assistants and teachers of the higher teaching profession, stand out. It was observed the prevalence of separation between the female sex and the University Hospitals. Regarding the analysis of the removal process and its registration in the system, SIAPE SA?DE was evaluated positively, mainly for promoting a unification of the registry for all federal agencies. However, as a negative point, there is a need for continuous evaluation, updating and improvements, since it is an old database. It is concluded, therefore, that the system represents an advance for the analysis of departures at the local level, however, it requires more investment from the Federal Public Administration aiming at its improvement.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-10T16:02:22Z No. of bitstreams: 1 GeorgiaCostaDeAraujoSouza_TESE.pdf: 1915072 bytes, checksum: 643722b6293cdd4713fd95140a0f91b9 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-12T11:15:44Z (GMT) No. of bitstreams: 1 GeorgiaCostaDeAraujoSouza_TESE.pdf: 1915072 bytes, checksum: 643722b6293cdd4713fd95140a0f91b9 (MD5) / Made available in DSpace on 2017-01-12T11:15:44Z (GMT). No. of bitstreams: 1 GeorgiaCostaDeAraujoSouza_TESE.pdf: 1915072 bytes, checksum: 643722b6293cdd4713fd95140a0f91b9 (MD5) Previous issue date: 2015-08-03 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) / A Pol?tica Nacional de Sa?de Bucal (PNSB) incorpora diversos elementos inovadores que tiveram o objetivo de impactar sobre o quadro epidemiol?gico e a vigil?ncia em sa?de bucal. Ao mesmo tempo, as duas edi??es do mais abrangente inqu?rito de sa?de bucal do Pa?s, o SBBrasil, demonstraram uma importante tend?ncia de redu??o nos principais indicadores, particularmente aqueles relativos ? c?rie dent?ria, entre os anos de 2003 e 2010. Desta forma, objetiva-se analisar o efeito da implementa??o da PNSB sobre a tend?ncia nos principais indicadores de sa?de bucal em capitais brasileiras. Trata-se de um estudo de avalia??o de pol?ticas desenvolvido em tr?s fases: 1) An?lise de implanta??o da PNSB nas capitais; 2) An?lise da tend?ncia dos indicadores epidemiol?gicos entre 2003 e 2010; 3) An?lise do impacto da implanta??o sobre a tend?ncia dos indicadores de sa?de bucal. Para a realiza??o da fase 1, os dados de Sa?de Bucal dispon?veis nos Sistemas de Informa??o em Sa?de foram analisados, possibilitando a gera??o de 4 fatores de caracteriza??o da aten??o em sa?de bucal em cidades brasileiras com mais de 100.00 habitantes, a partir da qual foram selecionadas as capitais para uma an?lise mais aprofundada. A fase 2 consistiu na defini??o das capitais a serem investigadas in loco atrav?s da aplica??o de question?rio face a face com Coordenadores de Sa?de Bucal de 13 capitais selecionadas. A fase 3 foi realizada por meio dos dados do SBBrasil 2003 e 2010, dispon?veis pelo Minist?rio da Sa?de com avalia??o dos efeitos das vari?veis independentes, referentes ? caracteriza??o da Aten??o em Sa?de Bucal e vari?veis socioecon?micas de n?vel populacional, sobre as dependentes, modifica??o nos indicadores de sa?de bucal entre 2003 e 2010. Os resultados apontam para a n?o associa??o entre as caracter?sticas da Aten??o em Sa?de Bucal e a redu??o da morbidade bucal na maioria das capitais selecionadas. Observa-se que o Modelo de aten??o em sa?de bucal anda em conson?ncia com as estrat?gias de Promo??o da Sa?de Bucal, Organiza??o da oferta de servi?os em sa?de bucal e com a presen?a de fl?or nas ?guas de abastecimento p?blico. Contudo, isso n?o reflete na modifica??o dos indicadores de sa?de bucal entre 2003 e 2010. A condi??o socioecon?mica parece estar mais associada ao CPO-D satisfat?rio aos 12 anos em 2010 do que o reflexo do Modelo de aten??o em sa?de bucal. Conclui-se que a oferta de servi?os e a aten??o em sa?de bucal p?s PNSB n?o produzem uma resposta direta sobre a modifica??o nos indicadores de sa?de bucal entre 2003 e 2010. / The Brazilian National Policy on Oral Health (PNSB from Portuguese acronym) incorporates several innovative elements that were intended to impact on the epidemiological situation and the surveillance of oral health. At the same time, the two editions of the more comprehensive oral health survey of the country, SBBrazil showed a significant downward trend in key indicators, particularly those related to tooth decay, between the years 2003 and 2010. Thus, the objective is to analyze the effect of implementation of PNSB on the trend of the main oral health indicators in Brazilian capitals. It is a policy assessment study carried out in three steps: 1) Implementation analysis of PNSB in capitals; 2) Trend analysis of epidemiological indicators between 2003 and 2010; 3) The implementation effect analysis on the trend of oral health indicators. For step 1, the oral health data available in the Health Information Systems were analyzed, allowing the creation of 4 characterization factors of dental care from which the capitals were selected for further analysis. Step 2 was the definition of capitals to be investigated by applying questionnaire face to face with Oral Health Coordinators of 13 state capitals selected. Step 3 was performed using the SBBrazil data 2003 and 2010, to assess the effects of independent variables relating to the characterization of attention in oral health and socioeconomic variables of population level, on dependents, changes on oral health indicators between 2003 and 2010. Results pointed to the lack of association between characteristics of oral health attention and the reduction of oral morbidity in most state capitals. There was a link between oral health promoting characteristics, supply of services and the dental care model, which represents the dynamics of public services is entirely dependent on local management in health. These characteristics do not reflect the modification of oral health indicators between 2003 and 2010. Capital with the lowest poverty rates and better human development in 2010 are those that have lower DMFT this year. However, changes in socioeconomic conditions between the years analyzed does not influence directly on the trend in oral health indicators. It is concluded that the PNSB is implemented differently in Brazilian capitals and the conduction mode of its guidelines in each capital favors the development of the provision of oral health services and strategies to promote oral health. The influence of PNSB on change in oral health indicators is still barely noticeable, however, highlights the potential of this policy in establishing priorities and guidelines that contribute to increasing the supply of services and expanding access to oral health care especially where is needed more intensively.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-13T14:15:29Z No. of bitstreams: 1 EricoGurgelAmorim_DISSERT.pdf: 1036507 bytes, checksum: 76703b25fa3210d3c77c667f6c23d32e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-26T12:00:56Z (GMT) No. of bitstreams: 1 EricoGurgelAmorim_DISSERT.pdf: 1036507 bytes, checksum: 76703b25fa3210d3c77c667f6c23d32e (MD5) / Made available in DSpace on 2017-01-26T12:00:56Z (GMT). No. of bitstreams: 1 EricoGurgelAmorim_DISSERT.pdf: 1036507 bytes, checksum: 76703b25fa3210d3c77c667f6c23d32e (MD5) Previous issue date: 2016-02-17 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O movimento em favor da inclus?o de pessoas com defici?ncia, vivenciado atualmente, caracteriza um novo olhar sobre as possibilidades de vida outrora invisibilizadas. Entretanto, sobressai neste cen?rio um contexto lesivo, no tocante ao comprometimento da sa?de mental, no conv?vio com um d?ficit nas fun??es sensoriais, notadamente, na defici?ncia visual. Esta realidade infringe no sujeito sofrimento ps?quico e priva??o social, mutilando suas perspectivas de realiza??o pessoal, abarcadas em uma conjuntura micro e macrossocial em constante intera??o. Nesse sentido, na presente pesquisa objetivamos analisar a contribui??o dos determinantes sociais de sa?de no cotidiano de sujeitos com defici?ncia visual, com ?nfase na sa?de mental, identificando as dificuldades percebidas e as estrat?gias de enfrentamento utilizadas em rela??o ?s adversidades cotidianas. Trata-se, portanto, de uma pesquisa descritiva e explorat?ria com abordagem qualitativa. Para a coleta de dados, realizamos entrevistas semiestruturadas junto aos sujeitos deficientes visuais no ambulat?rio de oftalmologia do Hospital Universit?rio Onofre Lopes (HUOL), no per?odo de agosto a setembro de 2015. Os dados foram tratados ? luz do m?todo de an?lise tem?tica descrito por Minayo (2008); e os conte?dos das unidades de registro elencadas, inspirados no modelo de Determina??o social da sa?de, proposto por Dahlgren e Whitehead (1991). Assim sendo, organizamos as seguintes categorias tem?ticas: sa?de e sofrimento ps?quico no encontro com o n?o ver e seus modos de andar a vida; a autonomia e seus desafios cotidianos; intera??o social e suas redes de pertencimento; os valores e a cultura no processo de normaliza??o e estigmatiza??o; a educa??o, seus limites e possibilidades; e o trabalho nos contextos de exclus?o e inclus?o social vivenciados. A reflex?o das informa??es analisadas suscita discuss?es a respeito da persist?ncia de fatores sociais adversos ao processo de inclus?o plena e efetiva, geradores de atitudes normalizadoras. Destarte, a pesquisa revela desafios ?s inst?ncias gestoras e a toda a sociedade, no sentido de promover a aten??o ?s demandas da participa??o social e o respeito ?s diferen?as, a fim de concretizar o princ?pio da dignidade da pessoa humana, corol?rio da diversidade social, refletida nos modos de andar a vida, pr?prios de cada um. / The movement in favor of the inclusion of people with disabilities experienced nowadays features a new look at the possibilities of life once made invisible. However, stands out in this setting one harmful context that regards to mental health endanger about living with a deficit in sensorial functions, especially the visually impaired. This situation breaches to the person psychical suffering and social deprivation, mangling their prospects for personal fulfillment, embraced, on a micro and macro-environment, constant interaction. In this sense, this research aims to analyze the contribution of social determinants of health in the daily lives of individuals with visual impairment, emphasizing an emphasis on mental health, identifying the difficulties perceived and coping strategies used in relation to their daily hardships. It is a descriptive and exploratory research that deals with a qualitative approach. To collect data, semi-structured interviews were guided with the visually handicapped people in the Ophthalmology Clinic of the University Hospital Onofre Lopes (HUOL), between August and September 2015. The data were analyzed in the perspective of the thematic analysis method described by Minayo (2008). The matter of the chosen registration units have been inspired by the social health determination model, proposed by Dahlgren and Whitehead (1991). Thus, the following themes were organized: health and psychological suffering in the encounter with the action of ?no-see? in ways of living life; Autonomy and their daily challenges; Social interaction and their belonging networks; Values and culture in the standardization and stigmatization process; Education, its limits and possibilities; The work in contexts of experienced exclusion and social inclusion actions. The reflection of the information analyzed raises discussions about the persistence of adverse social factors to the full and effective inclusion process of normalizing attitudes generators. Therefore, the research reveals challenges to the management levels and to the whole society, to promote attention to the demands of social participation and respect for differences, in order to implement the principle of human dignity, a corollary of social diversity, reflected in ways of living life, proper to each one.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-02T14:33:25Z No. of bitstreams: 1 DanielleLorenCosta_DISSERT.pdf: 2734236 bytes, checksum: 355977e38196f1658804cb9d453b575e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-09T16:30:12Z (GMT) No. of bitstreams: 1 DanielleLorenCosta_DISSERT.pdf: 2734236 bytes, checksum: 355977e38196f1658804cb9d453b575e (MD5) / Made available in DSpace on 2017-02-09T16:30:12Z (GMT). No. of bitstreams: 1 DanielleLorenCosta_DISSERT.pdf: 2734236 bytes, checksum: 355977e38196f1658804cb9d453b575e (MD5) Previous issue date: 2016-08-26 / A sa?de mental e o trabalho t?m sido temas de grande relev?ncia em estudos e pesquisas, uma vez que o adoecimento mental do trabalhador est? cada vez mais presente no cotidiano laboral, gera afastamentos por longos per?odos, e causa preju?zos tanto para o empregador, quanto para o pr?prio trabalhador e a sua rede de rela??es. A doc?ncia ? considerada uma profiss?o com risco f?sico e mental, e que merece uma aten??o especial voltada ? sa?de desses profissionais. Ent?o, pretendese com esse estudo analisar a rela??o entre o trabalho e a sa?de mental de docentes de uma institui??o p?blica federal de ensino superior. Trata-se de um estudo de car?ter descritivo explorat?rio com abordagem qualitativa, que foi dividido em duas fases. Na primeira fase, foi realizada uma pesquisa documental com o levantamento dos afastamentos por licen?a para tratamento da pr?pria sa?de dos servidores da UFRN, por CID F (Transtornos Mentais e Comportamentais) no per?odo de 2010-2014, atrav?s de relat?rio gerencial obtido do Sistema da Administra??o P?blica Federal (SIAPE SA?DE). Na segunda fase do estudo, foi realizada uma pesquisa de campo, junto aos docentes, atrav?s de uma entrevista semiestruturada com quest?es norteadoras acerca de prazer e sofrimento no trabalho. Para a an?lise das entrevistas, foi utilizada a t?cnica de an?lise de conte?do, do tipo an?lise tem?tica, proposta por Minayo (2013), e a teoria da Psicodin?mica do Trabalho segundo Dejours (1992), como referencial te?rico. O per?odo de coleta de dados compreendeu entre novembro/2015 a junho/2016. Os resultados da primeira fase demonstraram que os transtornos mentais e comportamentais t?m ocupado os primeiros lugares das causas de afastamento do trabalho por motivo de sa?de dos servidores da UFRN (t?cnicosadministrativos e docentes), e chegou a ser em 2014, 25% das ocorr?ncias de licen?a para tratamento da sa?de. Os diagn?sticos mais frequentes nos afastamentos foram o transtorno misto ansioso e depressivo (F 41.2), o epis?dio depressivo grave sem sintomas psic?ticos (F 32.2) e o transtorno depressivo recorrente, epis?dio atual grave sem sintomas psic?ticos (F 33.2). Quanto ? segunda fase, foram extra?das duas categorias de an?lise: o sofrimento e o prazer no trabalho docente, com tr?s subcategorias correspondentes a cada uma, quais foram: Produtivismo acad?mico ? ?Publicar ou perecer?; Professor: um ser onipresente?; Desgastes nas rela??es de trabalho; O encanto da sala de aula; O reconhecimento e Viv?ncias que promovem qualidade de vida no trabalho. Diante dos resultados, pode ser percebido que os docentes, apesar do sofrimento vivenciado no trabalho, das condi??es de desconforto, de mal-estar, por vezes culminando at? em adoecimento, reconhecem o seu trabalho como estimulante, como uma mola propulsora, que d? sentido ? sua exist?ncia, e que o simples fato do ser professor e do exerc?cio da doc?ncia puderam ser considerados por eles, como promotores do prazer e da qualidade de vida no trabalho. / Mental health and work have been issues of great relevance in studies and research, since the mental illness of the worker is increasingly present in the everyday life of work, entails withdrawals for long periods and provokes losses to both the employer and to the worker itself and its network of relationships. The teaching practice is regarded as a profession with mental and physical risk and therefore deserves a special attention geared towards the health of these professionals. Accordingly, this study is intended to analyze the relationship between the work and the mental health of teachers of a federal public institution of higher education. It is an exploratory and descriptive study, with a qualitative approach, which was divided into two stages. In the first stage, we performed a documentary research with the survey of withdrawals due to leave for health treatment in the UFRN servants, by ICD-F (mental and behavioral disorders), between 2010 and 2014, through a management report obtained from the Federal Public Administration System (SIAPE-SA?DE, as per its acronym in Portuguese). In the second stage of this study, we performed a field research with the teachers, through a semi-structured interview with guiding questions about pleasure and suffering at work. In order to analyze the interviews, we used the content analysis technique, in its thematic analysis modality, proposed by Minayo (2013), and the theory of Psychodynamics of Work, according to Dejours (1992), as theoretical benchmarks. The data collection period encompassed between November/2015 and June/2016. The results of the first stage showed that mental and behavioral disorders have filled the first places of causes for withdrawing the work because of health reasons in UFRN servants (technical-administrative and teaching staff), and even reached, in 2014, 25% of occurrences of leave for health treatment. The most frequent diagnoses in the withdrawals were the mixed anxiety and depressive disorder (F 41.2), the severe depressive episode without psychotic symptoms (F 32.2) and the recurrent depressive disorder, current episode severe without psychotic symptoms (F 33.2). Regarding the second stage, we extracted two of analytical categories: suffering and pleasure in the teaching work, with three subcategories corresponding to each, namely: Academic productivism ? ?Publishing or perishing?; Teacher: is it an omnipresent being?; Wear in work relationships; The enchantment of the classroom; The recognition and Experiences that promote quality of life in the work place. Faced with the results, one can realize that teachers, despite the suffering experienced at work, the uncomfortable conditions, malaise, which occasionally even culminates in illness, recognize their work as a stimulant, as a propelling force, that gives their existence a meaning, and that the simple fact of being a teacher and the exercise of teaching could be considered by them as promoters of pleasure and quality of life in the work place.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-10T16:23:05Z No. of bitstreams: 1 LarissaSoaresMarizVilarDeMiranda_TESE.pdf: 4535335 bytes, checksum: 48759bc42966aaeb7bd343ebe37c100a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-10T20:48:39Z (GMT) No. of bitstreams: 1 LarissaSoaresMarizVilarDeMiranda_TESE.pdf: 4535335 bytes, checksum: 48759bc42966aaeb7bd343ebe37c100a (MD5) / Made available in DSpace on 2017-02-10T20:48:39Z (GMT). No. of bitstreams: 1 LarissaSoaresMarizVilarDeMiranda_TESE.pdf: 4535335 bytes, checksum: 48759bc42966aaeb7bd343ebe37c100a (MD5) Previous issue date: 2016-05-20 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O cuidado do enfermeiro ? crian?a obesa na Aten??o B?sica de Sa?de torna-se um desafio, uma vez essa aten??o requer participa??o ativa de todos envolvidos. Paralelamente, a obesidade ? um dos problemas de sa?de de maior crescimento em todo o mundo. Nesse ?mbito, o enfermeiro ? o profissional que pode atuar na preven??o, avalia??o e tratamento da obesidade. Para essa pr?tica se efetive com maior qualidade ? necess?rio tamb?m de investimento te?rico. O objetivo do estudo foi compreender os significados do cuidado da crian?as obesas atribu?dos pelo enfermeiro que atua na Aten??o B?sica e descrever o modelo te?rico. Utilizou-se o m?todo da Teoria Fundamentada nos Dados e o referencial te?rico/filos?fico de Virginia Henderson. A pesquisa foi realizada em Unidades B?sicas, Unidades de Sa?de da Fam?lia, e Servi?os Especializados localizados em Campina Grande/Para?ba, Brasil, com 24 participantes que formaram quatro grupos amostrais: 11 enfermeiros da Aten??o B?sica em Sa?de, quatro cuidadores de crian?as obesas, cinco profissionais da sa?de e quatro gestores de sa?de. Dados foram coletados por meio de entrevista semiestruturada, entre abril a outubro 2015, e analisados pelo m?todo de compara??o constante. A an?lise realizou-se pela codifica??o inicial, constru??o de diagramas e memorandos, codifica??o axial, codifica??o seletiva e reflex?o sobre o paradigma e a teoria emergente. Seis categorias emergiram dos dados: Identificando processos que determinam a descontinuidade do cuidado ? crian?a obesa nas unidades de sa?de ? condi??o causal; Caracterizando a fragilidade da corresponsabilidade dos pais no cuidado a crian?a obesa ? consequ?ncia; Interagindo com a equipe multiprofissional no cuidado ? condi??o interveniente; Vislumbrando novas perspectivas para o cuidado do enfermeiro e Atendendo a preocupa??o por novos processos do cuidado de enfermagem ? a??es/intera??es estrat?gicas; e Movendo-se nos cen?rios do cuidado de enfermagem ? contexto. Mediante as rela??es e intera??es das categorias, surgiu o modelo te?rico explicativo: O enfermeiro preocupando-se com o cuidado ? crian?a obesa como ?rea negligenciada na aten??o b?sica de sa?de. O modelo te?rico permite a compreens?o do cuidado de enfermagem ? crian?a obesa como uma rede de rela??es e intera??es complexas, permeada pela preocupa??o com o estado de sa?de da crian?a obesa, mas sem alcan?ar a??es efetivas e cont?nuas. Esse cuidado perpassa pela individualidade da assist?ncia, necessitando de corresponsabiliza??o de enfermeiros, profissionais especializados, gestores e familiares. Em meio a ?rea de sa?de negligenciada na Aten??o B?sica de Sa?de, o enfermeiro identifica a necessidade de prestar cuidado a uma popula??o que n?o possui prioridade de atendimento em meio ? prec?ria organiza??o f?sica, material e estrutural dos servi?os, bem como humana e te?rico dos profissionais. Como reflexo, os pais e cuidadores permanecem longe do entendimento da obesidade na inf?ncia e se distanciam da responsabilidade compartilhada. Conclui-se que o cuidado ? crian?a obesa, pelo enfermeiro, configura significados constru?dos a partir das experi?ncias vivenciadas da pr?tica, que refletem princ?pios intr?nsecos ao profissional e concep??es preestabelecidas. Em conjunto, direcionam a forma como o cuidado ? dispensado, de agir e de se comportar frente a crian?as obesas, estabelecendo rela??es com a multiplicidade de fatores contextuais e de sujeitos, interagindo em um processo complexo. / Obesity is a major problem worldwide. In children, its care is a challenge because it requires Nursing care of the obese child is a challenge in Primary Health Care because it requires the active participation of all involved. In parallel to this concern, is the fact that obesity is a major health problem that is growing globally. In this context, the nurse can act in its prevention, identification, assessment, and treatment. Qualified practice in this area, however, requires theoretical investment. The objective of the study was to understand the meanings that nurses in Primary Health Care attribute to the care of obese children and to describe a theoretical model that explains the process. The study used the Grounded Theory method and Virginia Henderson?s theoretical/philosophical perspective. Data were collected in Primary Care Health Units, Family Health Units, and Specialized Health Services in Campina Grande, Paraiba, Brazil, during the months of April to October 2015. A total of 24 participants formed four theoretical sample groups: 11 Primary Health Care nurses, four caretakers, five health professionals, and four health service managers. Data were collected during the months of April to October 2015 by semi-structured interviews and analyzed by the constant comparison method. The analysis consisted of the initial coding, diagram and memorandum construction, axial and selective coding, and reflection of the emerging paradigm and theory. Six categories emerged from the data: Identifying processes that determined the discontinuity of care to the obese child in the health unit ? causal condition; Characterizing the fragile parental co-responsibility of care to the obese child ? consequence; Interacting with the multi-professional care team ? intervening condition; Envisioning new perspectives for the nurse?s care and Attending to the preoccupation for new processes of nursing care ? strategic actions/interactions; and Moving within the nursing care scenarios ? context. The categories? interrelations and interactions gave rise to the theoretical explicative model: The nurse worrying about the care of the obese child as a neglected area in Primary Health Care. The theoretical model provides a comprehension of the nursing care of the obese child as a web of complex relations and interactions that is permeated by the concern for the child?s health, but that is devoid of effective and continuous actions. The care surpasses individual attention and needs the shared responsibility of nurses, specialized professionals, health service managers and family. In midst of the Primary Health Care neglected area, the nurse identifies the need for care of a population that does not have priority attention in the health service units with precarious structural and human resources conditions. This reflects on the parents? and caretakers? lack of understanding of infantile obesity and on their distancing from the collective responsibility. It is concluded that the nursing care of the obese child configures meanings derived from the lived experience of practice and reflects intrinsic professional principles and pre-established concepts. As a whole, the meanings direct the way that care is provided, of action, and of its behavior with obese children, establishing relationships with the multiple contextual factors and the subjects, and interacting in a complex process.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-20T23:42:57Z No. of bitstreams: 1 BrunoAraujoDaSilvaDantas_DISSERT.pdf: 1216236 bytes, checksum: da8a633ba472d2454abb621e41c45c16 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-02T20:50:48Z (GMT) No. of bitstreams: 1 BrunoAraujoDaSilvaDantas_DISSERT.pdf: 1216236 bytes, checksum: da8a633ba472d2454abb621e41c45c16 (MD5) / Made available in DSpace on 2017-03-02T20:50:48Z (GMT). No. of bitstreams: 1 BrunoAraujoDaSilvaDantas_DISSERT.pdf: 1216236 bytes, checksum: da8a633ba472d2454abb621e41c45c16 (MD5) Previous issue date: 2016-10-27 / Introdu??o: o processo de envelhecimento populacional suscita diversos debates a respeito dos novos caminhos da pol?tica de sa?de para os idosos. Todas as mudan?as relacionadas ? velhice, quando associadas aos h?bitos de vida dos idosos, constituem fatores determinantes para a vulnerabilidade desses indiv?duos, no que diz respeito aos riscos ? sua sa?de, bem como ? sua Qualidade de Vida (QV). Verifica-se sua rela??o direta com os aspectos emocionais, cognitivos, ps?quicos e funcionais. A Estrat?gia Sa?de da Fam?lia (ESF) ? a principal condutora da aten??o b?sica, primeiro n?vel de complexidade do Sistema ?nico de Sa?de (SUS), que se trata do sistema brasileiro hierarquizado de aten??o ? sa?de. Objetivo: analisar a associa??o dos aspectos sociodemogr?ficos e de na QV de idosos vinculados ? ESF. M?todo: estudo anal?tico, transversal, com abordagem quantitativa, realizado nas comunidades de Igap?, na zona Norte do munic?pio de Natal, Rio Grande do Norte (RN), do bairro Dner e da Cl?nica Escola de Fisioterapia, no munic?pio de Santa Cruz- RN, Brasil, entre dezembro de 2015 a mar?o de 2016. Foram utilizados os instrumentos: o question?rio dos dados demogr?ficos e caracter?sticas da dor, o instrumento Mini Exame do Estado Mental (MEEM) e a vers?o brasileira validada do question?rio de qualidade de vida Medical Outcomes Short-Form Health Survey (SF-36). Resultados: a amostra foi composta por 120 idosos, adscritos ? ESF. Dentre os crit?rios sociodemogr?ficos, evidenciou-se predomin?ncia do sexo feminino (83,3%) e faixa et?ria entre 60 e 71 anos de idade (61,7%). Nos dom?nios da QV, ganhou destaque os aspectos emocionais, apresentando m?dia em Natal de 78,3 e Desvio Padr?o (DP) +39,2 e em Santa Cruz, 76,6 (+40,8). Observa-se ainda que esses valores, aproximam-se da m?dia da amostra total no respectivo dom?nio: 77,5 (+39,9). Na faixa et?ria, destaca-se a associa??o significante entre os idosos mais jovens com os dom?nios funcional (M?dia 67,2 e ?-valor 0,03), emocional (M?dia 82,0 e ?-valor 0,04) e na dimens?o f?sica (M?dia 51,4 e ?-valor 0,04), todos estes em Santa Cruz. Considerando a amostra total, tamb?m houve signific?ncia entre o dom?nio funcional e os idosos mais jovens. Em rela??o ao estado civil os idosos com companhia associaram-se significantemente aos dom?nios funcional (M?dia 69,7 e ?-valor 0,03) e emocional (M?dia 87,2 e ?-valor 0,04), ambos em Santa Cruz. No que se refere ? associa??o entre os aspectos de sa?de e a QV dos idosos, nota-se signific?ncia entre a vari?vel ?dor na ?ltima semana?, considerando a aus?ncia de dor aos dom?nios funcional (M?dia 76,7 e ?-valor 0,01) e emocional (M?dia 96,1 e ?-valor (0,02), ambos em Santa Cruz). O n?o uso de medicamentos (M?dia 79,2) apresentou significante associa??o com o dom?nio funcional (?-valor 0,02) no munic?pio de Santa Cruz. Destaca-se que o dom?nio funcional apresentou signific?ncia com a maior parte das vari?veis. Conclus?o: a realiza??o desta pesquisa evidenciou que os aspectos sociodemogr?ficos e de sa?de possu?am associa??o significante com a QV dos idosos. Destaca-se a necessidade do planejamento de interven??es direcionadas ?s vari?veis alteradas. / Introduction: population aging raises many debates about the new ways of health policy for the elderly. All changes related to old age, when associated with the lifestyle of the elderly, are decisive factors for the vulnerability of these individuals with regard to the risks to your health and your quality of life (QOL). There is a direct relationship with the emotional, cognitive, psychological and functional. The Family Health Strategy (ESF) is the main conductor of basic care, first level of complexity of the Unified Health System (SUS), it is the Brazilian graduated system of health care. Objective: To analyze the association of sociodemographic and the elderly QOL related to the ESF. Method: analytical, cross-sectional study with a quantitative approach, performed in Igap? communities in the north of the city of Natal, Rio Grande do Norte (RN), the Dner neighborhood and Clinical Physiotherapy School, in the municipality of Santa Cruz-RN , Brazil, from December 2015 to March 2016. The instruments used were: the questionnaire of demographic data and characteristics of pain, the Mini examination instrument Mental State Examination (MMSE) and the Brazilian version of the questionnaire validated quality of life Medical Outcomes short-Form Health Survey (SF-36). Results: The sample consisted of 120 patients, ascribed to the FHS. Among the socio-demographic criteria, it became clear predominance of women (83.3%) and aged between 60 and 71 years of age (61.7%). In the areas of QOL, highlight won the emotional aspects, with an average of 78.3 Christmas and Standard Deviation (SD) and +39.2 in Santa Cruz, 76.6 (+40.8). It also observed that these values are close to the average of the total sample in their field: 77.5 (+39.9). In the age group, there is a significant association between younger elderly with functional domains (mean 67.2 and ?-value 0.03), emotional (average 82.0 and ?-value 0.04) and size physical (average 51.4 and ?-value 0.04), all these in Santa Cruz. Considering the total sample, there was also significant between the functional domain and younger elderly. Regarding marital status seniors with company were associated significantly to functional domains (mean 69.7 and ?-value 0.03) and emotional (average 87.2 and ?-value 0.04), both in Santa Cruz. Regarding the association between health aspects and QOL of the elderly, there is significance between the variable "pain in the last week", considering the absence of pain to functional domains (mean 76.7 and ? value 0, 01) and emotional (average 96.1 and ?-value (0.02), both in Santa Cruz). The non-use of medication (79.2 Average) showed significant association with the functional domain (?-value 0.02) in Santa Cruz. It is noteworthy that the functional domain had significance with most of the variables. Conclusion: this research showed that the sociodemographic and health aspects had significant association with QOL of the elderly. There is the need for planning interventions aimed to change variables.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-14T22:45:01Z No. of bitstreams: 1 JefersonMessiasDeAlencarCruz_DISSERT.pdf: 1509574 bytes, checksum: f35fc4a6f16bff7cfc084902e46bf307 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-16T21:19:29Z (GMT) No. of bitstreams: 1 JefersonMessiasDeAlencarCruz_DISSERT.pdf: 1509574 bytes, checksum: f35fc4a6f16bff7cfc084902e46bf307 (MD5) / Made available in DSpace on 2017-03-16T21:19:29Z (GMT). No. of bitstreams: 1 JefersonMessiasDeAlencarCruz_DISSERT.pdf: 1509574 bytes, checksum: f35fc4a6f16bff7cfc084902e46bf307 (MD5) Previous issue date: 2016-09-16 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O trabalho ocupa um importante espa?o na vida dos indiv?duos, assim muitas vezes pode contribuir de forma negativa na sa?de e qualidade de vida no trabalho (QVT) desses indiv?duos. O objetivo do estudo foi avaliar a QVT, a preval?ncia de ansiedade e sintomatologia depressiva entre os profissionais de sa?de que atuam em unidades hospitalares de pediatria e neonatologia, no munic?pio de Natal/RN. Trata-se de um estudo observacional de corte transversal, realizado entre dezembro de 2015 a abril de 2016. A amostra do tipo conveni?ncia foi composta por 102 profissionais da sa?de (m?dicos, enfermeiros, t?cnicos/auxiliares de enfermagem e fisioterapeutas). Para se verificar o perfil ocupacional e sociodemogr?fico foi utilizado uma ficha desenvolvida pelos autores, para a avalia??o da QVT e a preval?ncia de ansiedade e depress?o nessa popula??o, foram utilizados instrumentos e question?rios espec?ficos validados ? realidade brasileira. O perfil dos profissionais de sa?de foi caracterizado por uma idade m?dia de 36 (?8,3), do g?nero feminino (82,4%), solteiro (44,1%), com renda de at? 9 Sal?rios m?nimos (76,5%), atuavam em unidades de terapia intensiva (69,6%), em escalas de plant?o diurnas/12 horas (45,1%) e a maioria possu?a mais de um v?nculo empregat?cio em outras unidades hospitalares (53,9%). A m?dia de horas trabalhadas nos setores pesquisados foi de 33,6 (?8,4) horas/semanais e 56,0 (?20,9) horas /semanais somando todos os v?nculos. As principais causas de insatisfa??o com o trabalho apontadas foram remunera??o (30,4%), condi??es de trabalho (19,6%), pouco tempo destinado a atividades sociais (17,6%), escala e regime de plant?es (16,7%) e o reconhecimento profissional (6,9%). Apresentaram escore final m?dio quanto ? QVT de 65,76 (?11,6) e em rela??o aos dom?nios da QVT verificou-se 62,86 (?13,8) no dom?nio ?F?sico/Sa?de?, 66,83 (?16,2) no dom?nio ?Psicol?gico?, 75,31 (?14,46) no dom?nio ?Pessoal?, e 58,03 (?14,05) no Dom?nio ?Profissional?. Verificou-se preval?ncia de 17,6% de ansiedade e 12,7% de sintomatologia depressiva entre os profissionais de sa?de que atuam em unidades hospitalares na aten??o ? sa?de infantil. Concluiu-se, ent?o, que os profissionais da sa?de apresentaram QVT satisfat?ria em todos os seus dom?nios, e que a preval?ncia de ansiedade e depress?o se mostraram associadas ao dom?nio ?F?sico/Sa?de? da QVT, o que sugere que medidas voltadas ? preven??o e promo??o de sa?de, melhoria nas condi??es de trabalho, bem como a valoriza??o profissional devem ser incentivadas com o intuito de se resguardar a sa?de nessa popula??o. / The work plays an important role in the lives of individuals and can often contribute negatively on the health and quality of working life (QWL) of these individuals. The aim of this study was to assess the QWL, the prevalence of anxiety and depressive symptoms among health professionals working in hospitals of pediatrics and neonatology in the city of Natal / RN. This is an observational cross-sectional study, conducted from December 2015 to April 2016. We used a convenience sampling (or availability sampling) of 102 healthcare professionals (physicians, nurses, nursing assistants and physiotherapists). In order to check the occupational and sociodemographic profile was used a form developed by the authors. For the assessment of QWL and the prevalence of anxiety and depression in this population we used specific instruments and questionnaires validated for the Brazilian context. The profile of health professionals was characterized by a mean age of 36 (? 8.3) years old, female (82.4%), single (44.1%), with income of up to nine Brazilian minimum wages (76.5%), working in intensive care units (69.6%) in part-time (12 hours, day shift) (45.1%) and the mostly of health professionals had more than one job in others hospitals (53.9%). The average hours worked in the hospitals surveyed was 33.6 (? 8.4) hours per week and 56.0 (? 20.9) hours per week when all shifts were summed. The main causes of dissatisfaction with the work were ?income/salary? (30.4%), ?working conditions? (19.6%), ?few time for social activities? (17.6%),?shifts and work schedule? (16.7 %) and ?professional acknowledgment? (6.9%). The final score of QWL was 65.76 (?11.6) and about QWL?s domains was found 62.86 (? 13.8) for "Physical and Health?, 66.83 (?16 2) for "psychological", 75.31 (?14.46) for "Personal" and 58.03 (?14.05) for the "Professional". The prevalence of anxiety was 17.6% and 12.7% for depressive symptoms among healthcare professionals working in children?s hospitals. In conclusion, we observed in this study that healthcare professionals presented satisfactory QWL in all domains. However, the prevalence of anxiety and depressive symptoms was associated to low scores of "Physical and Health" field from QWL, which suggests that interventions towards prevention and health promotion, improvement of work conditions, as well as professional valorisation should be more encouraged to improve the quality of life in this population.