Objetivo: Avaliar a influência de sintomas de ansiedade e depressão, nível de estresse, consumo de álcool e drogas e repertório de habilidades sociais na prática de sexo sem preservativo em uma amostra representativa de indivíduos com HIV/AIDS em tratamento ambulatorial na cidade de São Paulo. Métodos: Participaram da pesquisa 667 pacientes, 383 (57,4%) homens e 284 (42,6%) mulheres, portadores do vírus HIV em tratamento na Casa da AIDS, Emílio Ribas, CRT Santa Cruz, SAE DST/AIDS Campos Elíseos, SAE DST/AIDS Cidade Líder II, CR DST/AIDS Nossa Senhora do Ó, AE Vila Prudente e CR DST/AIDS Santo Amaro. Para a coleta de dados foram utilizados os seguintes instrumentos: Mini Exame do Estado Mental, questionário sociodemográfico, Escalas de Avaliação de Ansiedade e Depressão de Beck, Inventário de Sintomas de Estresse, Escala de assertividade de Rathus, questionário sobre uso de álcool, tabaco e outras drogas, AUDIT, Questionário sobre Comportamento Sexual na Vida e a Escala de Avaliação de Comportamento Sexual de Risco - SERBAS. Os pacientes foram entrevistados nos locais onde faziam seu tratamento. Resultados: A análise múltipla mostrou que ter algum parceiro soropositivo e ter feito uso de maconha antes do sexo foram associados negativamente ao uso do preservativo. Ter dois ou mais parceiros sexuais nos últimos três meses foi associado a ter trabalho regular, ter feito sexo em grupo, contaminação anterior por alguma outra doença sexualmente transmissível, parceiro soropositivo, não residir com o parceiro, sexo em troca de álcool, droga, abrigo/comida alguma vez na vida, orientação homossexual, prática de sexo anal, CD4 acima de 350 cels/mm3 e uso de cocaína antes do sexo. Sintomas de ansiedade e depressão, nível de estresse e falta de habilidades sociais afetaram significativamente a vida sexual dessa população diminuindo as chances de fazer sexo nos três meses anteriores à entrevista, mas não mostraram associação com o uso de preservativo e múltiplos parceiros. Conclusão: Pessoas com HIV que fazem sexo sem preservativo apresentam características diferentes daquelas que tem múltiplos parceiros. A sorologia do parceiro foi uma variável importante para a prática de sexo sem preservativo. A orientação homo e bissexual, prática de sexo anal e o sexo masculino foram mais associadas a ter mais parceiros sexuais. O consumo de álcool e outras drogas esteve presente nos dois comportamentos de risco. Identificar os fatores associados a esses comportamentos de risco e as diferenças encontradas no perfil das pessoas que fizeram sexo sem preservativo e daquelas que tiveram múltiplos parceiros são pontos importantes para programas de prevenção. Tais características podem servir como marcadores que auxiliam os profissionais de saúde a detectar possíveis comportamentos de risco e planejar estratégias de prevenção / Introduction: The AIDS epidemic is a major public health problem. It is estimated that, even after becoming aware of their serostatus, one in three people with HIV continues to have sex without a condom, regardless of the partner\'s serostatus. Purpose: To evaluated the influence of symptoms of anxiety and depression, stress level, alcohol and drug use and the range of social skills on having sex without a condom in a representative sample of individuals living with HIV/AIDS and receiving outpatient treatment in the city of São Paulo. Methods: 667 patients - 383 (57.4%) men and 284 (42.6%) women - with HIV and being treated at Casa da AIDS, Emílio Ribas, CRT Santa Cruz, SAE DST/AIDS Campos Elíseos, SAE DST/AIDS Cidade Líder II, CR DST/AIDS Nossa Senhora do Ó, AE Vila Prudente and CR DST/AIDS Santo Amaro participated in the study. The following tools were used to collect data: Mini-Mental State Examination, social and demographic survey, Beck Anxiety and Depression Inventories, Stress Symptom Inventory, Rathus Assertiveness Schedule, alcohol, tobacco and other drugs use survey, Alcohol Use Disorders Identification Test (AUDIT), Sexual Behavior Survey, and Sexual Risk Behavior Assessment (SERBAS). Patients were interviewed at the places where they were being treated. Results: The multiple analysis has shown that having an HIV-positive partner and using marijuana before sex were negatively associated with condom use. Having two or more partners over the past three months was been associated with having regular job, have done group sex, previous infection with other sexually transmitted infections, an HIV-positive partner, not living with the partner, sex in exchange for alcohol, drug, shelter/food at least once in their lives, homosexuality, engagement in anal sex, CD4 cells/mm3 count above 350, and use of cocaine before sex. Anxiety and depression symptoms, stress level and lack of social skills significantly affected the sexual lives of that population, making them less likely to have sex in the three months before the interview, but they were not associated with the use of a condom and multiple partners. Conclusion: The characteristics of HIV-positive individuals who have unprotected sex are different from those who have multiple partners. The partners\' serostatus was an important variable for engaging in unprotected sex. Homosexuality and bisexuality, anal sex and male gender were more associated in individuals who had more sexual partners. Use of alcohol and other drugs was present in both risk behaviors. Identifying the factors associated with those risk behaviors and the differences between the profiles of the individuals who had sex without a condom and those who had multiple partners is critical for prevention programs. Such characteristics can serve as markers to help health care professionals identify possible risk behaviors and plan prevention strategies ____________________________

No Brasil, o amplo escopo de responsabilidades e também a diversidade de situações que demandam ações da Polícia Rodoviária Federal contribuem para que agentes/eventos estressores façam parte da rotina diária de centenas de policiais. Contudo, ainda existem poucos estudos dedicados a identificar o estresse nesta população. Assim, o objetivo principal do presente estudo é identificar a prevalência do estresse neste grupo, além de identificar as prevalências de transtorno de estresse pós-traumático (TEPT), de estresse ocupacional e, finalmente, a prevalência dos sintomas de Síndrome de Burnout. Para tanto foi utilizado um desenho de estudo transversal com amostra probabilística (n = 202) de policiais rodoviários federais do Estado de São Paulo. Os instrumentos para obtenção dos dados da amostra foram: i) Questionário Geral (QG), para a caracterização da amostra e obtenção de dados sociodemográficos e profissionais; ii) Inventário de Sintomas de Stress para Adultos de Lipp (ISSL), para sintomas de estresse; iii) Escala de Impacto do Evento - Revisada (IES-R), para sintomas de TEPT; iv) Escala de Vulnerabilidade do Estresse no Trabalho (EVENT), para estresse ocupacional; v) Inventário de Burnout de Maslach, versão HSS (MBI-HSS), para identificação dos sintomas pertinentes à Síndrome de Burnout. Os dados foram armazenados em planilhas excel e analisados com a utilização dos softwares Stata 8.0 for Windows e R3.3.2. A medida de associação escolhida foi o Odds Ratio (OR) e o seu intervalo de confiança (IC). Para testar a significância estatística foram utilizados o teste de qui quadrado o teste Exato de Fisher, para as variáveis nominais e, o teste Mann-Whitney-Wilcoxon foi utilizado para as variáveis com distribuição não paramétrica: idade (faixa etária) e tempo de carreira. O nível de significância adotado foi de 5%. A prevalência de sintomas de estresse na amostra representou 43,1% (IC95% = 36,2-50,0) com a seguinte distribuição por fase: 2,3% (IC95% = 0,2-8,0) em \"Alerta\"; 82,7% (IC95% = 73,2-90,0) em \"Resistência\"; 11,5% (IC95% = 5,7-20,1) em \"Quase Exaustão\"; e 3,5% (IC95% = 0,7-9,7) em \"Exaustão\". Ainda, 60,9% da amostra apresentaram sintomas psicológicos de estresse, 33,3% sintomas físicos e 5,8% ambos. A prevalência de TEPT ocorreu em 25,4% (IC95% = 19,3-31,4) da amostra, sem a predominância entre as subescalas. A prevalência de sintomas de estresse ocupacional afetou 35,2% (IC95% = 28,5-41,8) dos policiais participantes do presente estudo. Não houve registro na amostra referente à Síndrome de Burnout. As prevalências de estresse encontradas neste estudo apresentaram valores compatíveis com os valores de pesquisas semelhantes - elaboradas em outras categorias de policiais -, tanto no contexto nacional como no internacional. Há indícios que o tempo para práticas de lazer pode exercer influência como fator de proteção contra os sintomas de estresse; por outro lado, há indícios que processos penais e o longo tempo de carreira podem exercer influência como fatores de risco. Em última análise, a combinação dos resultados aqui apresentados sugerem indícios do adoecimento - em curso - desta população em função dos elevados índices de prevalência dos sintomas de estresse, sintomas de TEPT e estresse ocupacional / In Brazil, the wide scope of responsibilities and also the diversity of situations that demand actions from the Federal Highway Police sharply contribute to stressor agents/events make part of the daily routine of hundreds police officers. However, there are still few studies dedicated to identify the stress symptoms in this population. Thus, this study aims to identify the prevalence of stress in this group as well as to identify also the prevalences of post-traumatic stress disorder (PTSD), occupational stress, and finally the prevalence of Burnout Syndrome symptoms. On this way, a cross-sectional design study was applied with probabilistic sample of (n=202) Federal Highway Police Officers on State of São Paulo. The tools to pick up the sample data were: i) General Questionnaire, picking up the sample features and getting socio-demographic and professional data; ii) Adult Stress Symptom Inventory by Lipp (pt.: ISSL), for stress symptoms; iii) Scale of Reviewed Event Impact (pt.: IES-R), for PTSD symptoms; iv) Stress Vulnerability Scale at Work (pt.: EVENT), for occupational stress; v) Maslach Burnout Inventory, HSS version (MBI-HSS), identifying the Burnout Syndrome symptoms. The database were stored in the excel spreadsheets and they were analyzed through by Stata 8.0 for Windows and R3.3.2 software. The association measure was Odds Ratio (OR) and its confidence interval (CI). In order to test the statistical significance the chi-square test and the Fisher Exact test were applied to the nominal variables. The Mann-Whitney-Wilcoxon test was applied to the variables with non-parametric distribution: age (age group) and professional career time. The significance level defined was 5%. The prevalence of stress symptoms appeared to 43,1% (CI95% = 36,2-50,0) of the sample and they were split in each phase as follow: 2,3% (CI95% = 0,2-8,0) in \"Alert\"; 82,7% (CI95% = 73,2-90,0) in \"Resistance\"; 11,5% (CI95% = 5,7-20,1) in \"Close Exhaustion\"; and 3,5% (CI95% = 0,7-9,7) in \"Exhaustion\". In addition, 60,9% of the sample presented stress psychological symptoms, 33,3% stress physical symptoms and 5,8% both ones. The prevalence of PTSD occurred in 25,4% (CI95% = 19,3-31,4) of the sample and there was no predominance among the subscales. The prevalence of occupational stress symptoms affects 35,2% (CI95% = 28,5-41,8) of the police officers who made part of this study. There was no record in the sample regarding Burnout Syndrome. The prevalence of stress found out in this study had compatible values as the same values found out in other similar researches - issued with other police categories - on the national as well as international context. It seems that booking time for leisure practices might be related as a protection factor against stress symptoms. In other hand, it seems criminal procedures and a long professional career time might be related as a risk factor. At last, the set of presented results suggests sickness signs - ongoing - in this population due to the high prevalence rates of stress symptoms, PTSD symptoms and occupational stress

Made available in DSpace on 2017-06-01T18:29:20Z (GMT). No. of bitstreams: 1 gabriela_almeida_cavalcanti.pdf: 26410845 bytes, checksum: a4951da5acb2cba47c1bbbee75af1fd0 (MD5) Previous issue date: 2013-04-12 / Esta dissertação trata de uma pesquisa que teve como objetivo investigar o nível de stress e a qualidade de vida dos cuidadores de crianças com a Síndrome de Down (SD) e a dinâmica destas famílias. É composta por três artigos: o primeiro pretendeu realizar uma revisão da literatura nas seguintes bases de dados: Pubmed, MedLine, PsycInfo, e Lilacs, a partir de palavras-chave, como: Síndrome de Down e impacto familiar. Foram selecionados 48 artigos, publicados nos últimos 10 anos. Foi constatado que nos estudos que tratam do portador da SD e sua família, a maioria se referia ao impacto e ao luto diante da notícia de que seu filho era Down. Isto despertou o interesse em investigar a dinâmica de famílias de crianças Down. Este foi o ponto de partida para a realização do segundo estudo, empírico e qualitativo, que teve como objetivo analisar, através de uma Entrevista Semiestruturada, a dinâmica de famílias que possuem crianças com a SD. Os resultados foram submetidos à Análise de Conteúdo e constatou-se que o diagnóstico tardio e o despreparo emocional do médico para dar a notícia dificultam a aceitação da criança Down por parte das famílias, despertando, nos cuidadores, sentimentos de choque, tristeza, revolta e negação. Além disso, observou-se que cada momento da vida vem permeado de preocupações específicas que podem gerar stress, o que deu origem ao terceiro e último estudo desta dissertação que pretendeu analisar o stress e a qualidade de vida dos cuidadores dessas crianças, utilizando dois instrumentos: Inventário de Sintomas de Stress para Adultos de Lipp (2000) e Inventário de Qualidade de Vida (Lipp & Rocha, 1996). Os resultados deste estudo mostram que os cuidadores que trabalham são menos estressados e que aqueles que são mais estressados têm sua qualidade de vida reduzida, principalmente do ponto de vista da saúde.

Made available in DSpace on 2017-06-01T18:29:28Z (GMT). No. of bitstreams: 1 ana_patricia_souza_amaral.pdf: 848649 bytes, checksum: f2ebb1cf26c7ccaebe36dbff035a9c5a (MD5) Previous issue date: 2015-12-01 / In the family business the existence of family conflicts, added to the competitiveness and innovation in the business market requires a look at new strategies needed, the role of management in the conduct of proceedings, and the reflection of the attitudes of it in other people who make family businesses. This study aimed to observe the family implications for the incidence of present conflicts in family businesses, from the perspective of managers. Specifically craved: to identify the main types of conflicts experienced by managers and its consequences in the company; understand the strategies used by managers to deal with conflicts arising from his family in the workplace; list the most frequent situations generate conflicts. Three men and a woman, managers of family businesses, in the age group 57-73 years, participated in the qualitative survey. All are married, have children and have education between high school and / or university, founders of companies located in the city of Recife. In addition to a sociodemographic questionnaire, we used a semi directed interview, made up of four issues that meet the research objectives, as well as a photo album with eleven figures, addressing issues related to work and family. The analysis of the interviews and responses to the figures was made from the Content Analysis. In general, the results show that the three companies are consolidated in the market. About the existence of conflicts were identified: differing views among family members, making tough decisions that can affect or hurt family, lack of career path that can lead to inequality. With regard to the strategies used by managers to deal with conflicts, they were listed: dialogue, have left field, knowing retreat when the other has reason, impartiality in decisions. As for the situations that generate more conflicts were mentioned: delays or defaults by family members who do not invest in the company, arrival of new members in the family and no distinction between the family and the workplace. Future research is needed to develop further on the subject. / Na empresa familiar a existência de conflitos familiares, somada à competitividade e inovação no mercado de negócios, exige um olhar para novas estratégias necessárias, o papel da gestão na condução dos processos, e o reflexo das atitudes por parte dela nas demais pessoas que fazem as empresas familiares. Este estudo teve como objetivo geral observar as implicações da família na incidência de conflitos presentes em empresas familiares, na perspectiva dos gestores. Especificamente almejou: identificar os principais tipos de conflitos vivenciados pelos gestores e suas consequências na empresa; compreender as estratégias utilizadas pelos gestores para lidar com os conflitos oriundos de sua família no ambiente de trabalho; enumerar as situações mais frequentes geradoras de conflitos. Participaram da pesquisa, de natureza qualitativa, quatro gestores de empresas familiares, na faixa etária de 57 a 73 anos, sendo três homens e uma mulher. Todos são casados, têm filhos e possuem escolaridade entre ensino médio completo e/ou nível superior, fundadores de empresas situadas na cidade de Recife. Além de um questionário sociodemográfico, utilizou-se a entrevista semidirigida, composta de quatro questões que atendem aos objetivos da pesquisa, bem como um álbum de fotografias com onze figuras, abordando temáticas relacionadas a trabalho e família. A análise das entrevistas e das respostas às figuras foi feita a partir da Análise de Conteúdo Temática. Em linhas gerais, os resultados apontaram que as três empresas encontram-se consolidadas no mercado. Quanto à existência de conflitos foram identificados: pontos de vista diferentes entre os membros da família, tomada de decisões duras que podem afetar ou magoar familiares, falta de plano de carreira que pode gerar desigualdade. No que se refere às estratégias utilizadas pelos gestores, para lidar com os conflitos, foram enumerados: diálogo, ter jogo de cintura, saber recuar quando o outro tem razão, imparcialidade nas decisões. Quanto às situações que mais geram conflitos foram citadas: atrasos ou faltas por parte de familiares que não investem na empresa, chegada de novos membros na família e não distinção entre a família e o ambiente de trabalho. Futuras pesquisas são necessárias para um maior aprofundamento sobre o tema.

The purpose of this project was to examine the factors affecting coaches with stress burnout. This project was intended for all coaches from high school to college level.

<p>Lumbalni bol predstavlja jedan od najučestalijih zdravstvenih problema dana&scaron;njice. Pružanje zdravstvene nege je stresan i težak fizički posao, te spada u grupu visoko-rizičnih poslova za nastanak lumbalnog bola, pa samim tim medicinske sestre &ndash; tehničari predstavljaju vulnerabilnu populaciju. Osnovni ciljevi ovog istraživanja bili su da se utvrdi prevalencija i faktori rizika za nastanak lumbalnog bola kod medicinskih sestara- tehničara, kao i mere prevencije. Istraživanje je sprovedeno u pet zdravstvenih ustanova sa područja Vojvodine u obliku studije preseka, anketiranjem medicinskih sestara &ndash; tehničara. Za ispitivanje je kori&scaron;ćen modifikovani Nordijski upitnik. Rezultati pokazuju veoma visoku prevalenciju lumbalnog bola među medicinskim sestrama- tehničarima, oko 94%. Ispitanici su bili uglavnom ženskog pola, prosečne starosti oko 38 godina. Najveći broj ispitanika ima srednju stručnu spremu. Istraživanjem je utvrđeno da postoji statistički značajna povezanost lumbalnog bola sa porastom godina života i dužine ekspozicionog radnog staža. Takođe, statistički visoko značajna korelacija nalazi se između porasta BMI i lumbalnog bola. Najzastupljeniji poslovi zdravstvene nege koje ispitanici sa lumbalnim bolom obavljaju su: pozicioniranje pacijenata, podizanje i presvlačenje pacijenata u postelji i podela terapije. Statistički značajno veća zastupljenost lumbalnog bola javlja se kod ispitanika koji sami obavljaju negu u odnosu na one koji imaju pomoć. Medicinske sestre &ndash; tehničari koji pripadaju grupi sa vi&scaron;im nivoom stresa na radnom mestu imaju znatno veći rizik za pojavu lumbalnog bola. Smenski rad (naizmenične dnevne i noćne smene od 12 sati) i prekovremeni rad duži od 8 sati dnevno, podizanje tereta većeg od 25 kg i broj pacijenata koje medicinska sestra &ndash; tehničar zbrinjava tokom radnog vremena nemaju značajnu povezanost sa pojavom lumbalnog bola. Oko tri četvrtine ispitanika nije izostajalo sa posla zbog bola. Samo oko 8% ispitanika je promenilo radno mesto zbog lumbalnog bola i ide redovno na periodične lekarske preglede. Kod mera prevencije neophodno je staviti akcenat na smanjenje fizičkog opterećenja donjeg dela leđa i smanjenje ručnog preno&scaron;enja tereta. Primenom adekvatnog ergonomskog pristupa, boljom organizacijom rada, podsticajnom atmosferom na poslu i spremno&scaron;ću nadležnih struktura da iskažu veću brigu prema zaposlenima, smanjila bi se učestalost pojave lumbalnog bola.</p> / <p>One of the today&rsquo;s most frequent health problems is the low back pain. Nursing is stressful and hard physical job which belongs to the group of high-risk jobs that could cause low back pain and therefore medical nurses/technicians represent the vulnerable population. Determination of prevalence, risk factors and prevention of the low back pain were the main goals of this research. The research in the form of cross-sectional study was conducted with nurses filling in the surveys within five medical institutions in Vojvodina. The modified Nordic questionnaire was used for the surveys. The results show very high prevalence of the low back pain, cca 94%, among medical nurses. Most of the respondents were females, who finished high school education, at average age of 38 years. The study showed that there is a statistically significant coherence between low back pain, ageing and working experience as a nurse. There is also a statistically significant coherence between the low back pain and the increase of the BMI. The most common nursing jobs that respondents with the low back pain do are: positioning of patients, lifting patients, dressing patients in bed and giving therapy. The low back pain with the respondents who do the nursing just by themselves is statistically significantly more present then with the respondents who do the nursing with help. Nurses who suffer more stress at their workplaces have a significantly higher risk to develop low back pain. Working 12 hour shifts (alternately day and night shifts), overtime work, more then 25 kg weight lifting and number of patients for nursing per nurse during working hours have no significant correlation with the low back pain occurrence. About three quarters of the respondents had no absence from work caused by the low back pain. Only 8% of the respondents changed their workplace because of the low back pain and have regular health checks. To prevent the low back pain it is necessary to emphasize the physical reduction of the load on the lower back and manual handling of loads. The frequent low back pain with the nurses could be reduced with the appropriate ergonomic access, better work organization, a supportive atmosphere at work and the willingness of responsible authorities to express greater concern about the employees.</p>

Recent decades have seen an explosion of research centered on understanding the influential impact that job stressors have on employees' subjective well-being, and now more recently, on objective assessments of physical health. Utilizing baseline data from a larger study funded by the National Institute for Occupational Safety and Health (NIOSH), I conducted a field study on blue-collar employees from two organizations in the construction industry, with the goal of exploring the impact of job stressors on job satisfaction (subjective well-being) and body mass index (objective health), as well as the influence of organizational justice as a moderator and exercise as a mediator in those relationships. In support of previous research, results show that job stressors (job demands, low skill discretion, and low decision authority) all had significant direct effects on job satisfaction in the expected directions, signifying that the fewer demands and more control one has in their work role, the more satisfied one is. Results also indicate that distributive and procedural justice have significant main effects on job satisfaction, illustrating that higher perceptions of justice are related to higher levels of job satisfaction. With respect to objective health, the data provides empirical support for the relationship between job control (skill discretion and decision authority) and BMI; however, job demands did not have a significant main effect on BMI. More importantly, the rarely studied relationship between organizational justice and BMI was investigated (Robbins et al., 2012), with results indicating that procedural and distributive justice are important influences on one's BMI level. Post hoc analyses revealed that distributive and procedural justice are two relevant mediators to consider in the job stressor-job satisfaction relationship, illustrating the importance of considering employees' fairness perceptions with regards to their satisfaction levels. Moreover, exercise was found to be a significant moderator to the relationship between job demands and BMI, as well as the relationship between distributive justice and job satisfaction, shedding light on physical activity within the work and health contexts as a factor that interacts with employees' perceptions of justice and their workload demands to impact their psychological and physical health. Considering the cross-sectional nature of these data, all mediation and moderation results should be interpreted with caution. With empirical support found for the direct association between job stressors and organizational justice and the outcomes of job satisfaction and BMI, this study has significant implications for researchers and practitioners alike to further expand upon these findings and implement them into organizational practice in support of the Total Worker Health initiative, which aims to promote employee safety and health (Schill & Chosewood, 2013). Results suggest a healthy workforce is the result of the combination of employers transforming the work environment into a more just, transparent and trustworthy place to work, starting with the dynamics between supervisors and their employees, in conjunction with targeted interventions on employees' modifiable behaviors, such as engaging in physical activity and healthier eating habits.

Luk, Pik Shan Yvonne. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2007. / Includes bibliographical references (leaves 134-146). / Abstracts in English and Chinese ; some text in appendix also in Chinese. / Abstract (English version) --- p.ii-iii / Abstract (Chinese version) --- p.iv / Acknowledgement --- p.v / List of Table --- p.vi / Appendices --- p.vii / Chapter 1 --- Introduction --- p.1-5 / Chapter 2 --- Literature Review / Introduction --- p.6-7 / Psychological Distress --- p.7-13 / Health-related Quality of Life --- p.13-25 / Marital Relationship --- p.26-31 / Summary --- p.31-34 / Chapter 3 --- Aims & Methodology / Aims & Objectives --- p.35-37 / Operational Definition --- p.37-38 / Research Design --- p.38-39 / Setting & Sample --- p.39-40 / Instrument / Psychological Distress --- p.41-43 / Health-related Quality of Life --- p.43.44 / Marital Relationship --- p.44-46 / Demographic Data --- p.47 / Data Collection Procedure --- p.4748 / Ethical Consideration --- p.48-50 / Data Analysis --- p.50-51 / Pilot Study --- p.51-52 / Chapter 4 --- Findings / Introduction --- p.53-54 / Sociodemographic Characteristics --- p.54-56 / Psychological Distress --- p.57-58 / Health-related Quality of Life --- p.59-61 / Marital Relationship --- p.62-65 / Normality of the Outcome Variables --- p.65-66 / Relationships between the Study Outcomes and Sociodemographic Data --- p.66-68 / "Relationships between Anxiety, Depression, Health-Related Quality of Life and Marital Relationship" --- p.68-76 / Summary --- p.16-78 / Chapter 5 --- Discussion / Introduction --- p.79 / Socio-demographic and Clinical Characteristics of CAPD patients --- p.79-84 / Psychological Distress of CAPD Patients --- p.84-85 / Components of Psychological Distress: Anxiety --- p.85-86 / Components of Psychological Distress: Depression --- p.86-88 / Gender differences of the Levels of Anxiety and Depression among CAPD Patients --- p.88-89 / Cultural Difference of Anxiety and Depression among CAPD Patients --- p.89-90 / Health-related Quality of Life among CAPD Patients / Health-related Quality of Life of CAPD Patients Affected by Renal Symptoms --- p.90-91 / Health-related Quality of Life of CAPD Patients Affected by the effects of Kidney Disease --- p.91-93 / Health-related Quality of Life of CAPD Patients Affected by the burden of / Having Kidney Disease --- p.93-94 / Health-related Quality of Life of CAPD Patients Affected by the General Physical Health --- p.94-96 / Health-related Quality of Life of CAPD Patients Affected by the General Mental Health --- p.96-97 / Gender differences of the Levels of Health-related Quality of Life among CAPD Patients --- p.97-98 / Cultural Difference of Health-related Quality of Life among CAPD Patients --- p.98-99 / Sexual Issues and Marital Relationship of CAPD Patients / Sexual Issues of CA PD Patients --- p.100-102 / CAPD Patients' Perception of the Marital Relationship --- p.102-104 / Gender Differences in Perception of the Marital Relationship among CAPD Patients --- p.104 / Cultural Difference in Perception of the Marital Relationship among CAPD Patients --- p.105-106 / "Relationships between Participants' Characteristics and Psychological Distress," / HRQoL and Marital Relationship / "Relationships of Income with Anxiety, Depression and General Mental Health" --- p.107-108 / Relationship between Duration of Receiving Dialysis and Health-related Quality of Life --- p.108-109 / Relationship between Occupational Status and General Mental Health --- p.199.110 / "Relationships among Anxiety, Depression, HRQoL and Marital Relationship" / The Relationship between Anxiety and Depression --- p.110-111 / "The Relationship between Anxiety, Depression and HRQoL" --- p.112 / "The Relationship between Anxiety, Depression and Marital Relationship" --- p.112-113 / The Relationships among Domains of Health-related Quality of Life --- p.113-114 / The Relationship between Health-related Quality of Life and Marital Relationship --- p.114-115 / Predictors of Health-related Quality of Life among CAPD Patients / Anxiety and Depression as Predictors of Health-related Quality of Life --- p.116-118 / Marital Relationship as Predictors of Health-related Quality of Life --- p.118-119 / Summary --- p.119-121 / Chapter 6 --- Conclusion / Limitations / Validity of Participants' Responses --- p.122-123 / Generalization of the Study's Findings --- p.123-124 / Psychometric Property of the Chinese Version of KDQOL-36 --- p.124-125 / The Sexual Items ofKDQOL-SF --- p.125 / Appropriateness of Using HADS and Multiple Correlations --- p.126 / Implications of the Study Findings / Implications for nursing knowledge --- p.126-128 / Implications on the Nursing Practice --- p.128-130 / Recommendations for Further Research --- p.130-132 / Conclusion --- p.132-133 / Chapter 7 --- Reference --- p.134-146 / Chapter 8 --- Appendix --- p.147-179

INTRODUÇÃO: As intervenções de promoção da saúde mental avançam e atividades não medicamentosas ganham espaço. Neste sentido, estudos apontam a atenção plena (mindfulness) como estratégia integrativa para o enfrentamento do estresse e de transtornos mentais comuns, bem como para obtenção do autocuidado. Mindfulness é referido no contexto laico contemporâneo como um estado mental presente em todos os indivíduos em maior ou menor intensidade que pode ser cultivado diariamente através de práticas meditativas. OBJETIVO: Descrever o nível da autopercepção de comportamentos relacionados à Mindfulness em profissionais da saúde de um Hospital Terciário e analisar a associação dos níveis de mindfulness autopercebidos com determinados indicadores das condições de vida e saúde. MÉTODO: Foi realizado um estudo transversal com 97 profissionais da saúde que compõem o complexo do Hospital das Clínicas - FMUSP por via de caracterização Sociodemográfica, da Escala Filadélfia de Mindfulness (EFM) e de um Questionário de Saúde Geral (General Health Questionnaire -12). Todos os questionários foram aplicados no período de fevereiro/novembro de 2014. RESULTADO: Na EFM, o escore médio apresentado foi maior para o componente \"Consciência\" (média 29,9; desviopadrão 0,62) do que para \"Aceitação\" (média 15,7; desvio-padrão 0,86), sendo a média 45,6 e desvio-padrão 1,1 para o Escore Total (componente \"consciência\" somada a \"aceitação\"); Verificou-se número significativo de indivíduos (41%) com suspeita de transtornos mentais comuns (TMC), aqueles que apresentaram um escore de três ou mais no GHQ-12. Em análise mais detalhada (Teste t e ANOVA) observou-se associações fortemente significantes (p < 0,01) entre maiores níveis de mindfulness autopercebido com o gênero masculino, estado civil casado/amigado, maior satisfação no trabalho, negar uso de medicamentos, sono satisfatório, lazer frequente e ausência de TMC. Na análise da associação GHQ-12 com Mindfulness estratificada por profissão verificou-se escores menores no grupo das categorias \"psicólogo, assistente social, profissional de educação física, biólogo, fisioterapeuta, farmacêutico e profissional administrativo\" com TMC; na análise da associação GHQ-12 com Mindfulness estratificada por tipo de doença concluiu-se que existem diferenças significantes (p < 0,01) no grupo das categorias \"mais de uma doença, neurológica ou psiquiátrica\", das quais o escore \"Total\" e \"Aceitação\" foram menores para quem apresenta TMC. A presença de TMC (referido pelo GHQ-12) está associada a menores escores de Mindfulness, indicando uma possível correlação negativa que se deve ao domínio de \"Aceitação\" CONCLUSÃO: Os níveis de comportamentos autopercebidos à atenção plena apontaram associações significantes com uma variedade de indicadores das condições de vida e saúde nos profissionais de saúde. Sugerindo assim, uma mesma direção de evidências científicas recentes de que mindfulness pode fazer parte de fatores de proteção à saúde favorecendo também o autocuidado e a qualidade de vida / INTRODUCTION: The Mental Health Promotion interventions advance and non-drug activities gain ground. In this case, studies show meditation as an opportunity to cope with stress and the common mental disorders, as well as to obtain self-care. Mindfulness is referred in contemporary laic context as a present mental state in all individuals in greater or lesser degree which can be daily cultivated through meditative practices. OBJECTIVE: This study aimed to describe the self-perceived level of Mindfulness-related behaviors in health care professionals of a tertiary care hospital as well as to analyze the association of self-perceived mindfulness levels with certain indicators of living conditions and health. METHOD: A cross-sectional study is proposed with 97 health professionals who make up the University Hospital complex - FMUSP via Socio Demographic characterization, a study of the Philadelphia Mindfulness Scale (PMS) and a Questionnaire of General Health (General Health Questionnaire -12). All interviews were conducted between February and November/ 2014. RESULT: In PMS, the average score was higher for the component \"awareness\" (mean 29.9, SD 0.62) than for \"acceptance\" (mean 15.7, SD 0.86), with an average 45.6 and SD 1.1 for the Total Score (component \"awareness\" added to \"acceptance\"); There was a significant number of individuals (41%) with suspected common mental disorders (CMD), those with a score of three or higher in the GHQ-12. In a more detailed analysis (T-Test and ANOVA) it was observed strongly significant associations (p < 0.01) with higher levels of self-perceived mindfulness in the masculine gender, married / living together unmarried, greater job satisfaction, not in use of medicinal drugs, satisfactory sleep, frequent leisure and no presence of CMD. In the analysis of the GHQ-12 association with Mindfulness stratified by profession it was observed that the scores were lower for the group of the categories \"psychologist, social worker, physical education professional, biologist, physiotherapist, pharmacist and administrative professional\" with CMD; in the analysis of the GHQ-12 association with Mindfulness stratified by disease type the results showed that there are significant differences (p < 0.01) for the group of the categories \"more than one disease, either neurological or psychiatric\", of which the score \"Total\" and \"Acceptance\" were lower for those who had CMD. The presence of CMD (referred by the GHQ-12) is associated with lower scores of Mindfulness, indicating a possible negative correlation due to the domain of \"Acceptance\". CONCLUSION: The levels of self-perceived behaviors to mindfulness showed significant associations with a variety of indicators of living conditions and health among health care professionals. Suggesting, thus, the same direction of recent scientific evidences that mindfulness may be part of health protective factors also favoring self-care and quality of life

Made available in DSpace on 2016-01-26T12:51:23Z (GMT). No. of bitstreams: 1 lucianogarcialourencao_tese.pdf: 857347 bytes, checksum: 8f6be023914e422024f008522345c274 (MD5) Previous issue date: 2009-06-05 / In Brazil, a lot of health professionals search insertion in graduate degree programs such as professional residency/improvement. To finish such training process, they can pass through great difficulties with high levels of health problems that interfere in their life quality. Objective: To evaluate the quality of life of resident physicians and non-medical resident professionals of a school hospital. Casuistic and Method: The population of this study comprised 269 resident physicians, 89 non-medical resident professionals (55 aprimorandos and 34 aperfeiçoandos). To collect data WHOQOL-100 was used an instrument of World Health Organization to evaluate the life quality. Data was collected in the period from November 2008 to January 2009. The intern consistence of the WHOQOL-100 was evaluated by the Cronbach Coefficient Alpha, in which the values equal or superior to 0.70 are considered satisfactory. Results: There were 358 enrolled in vocational programs, of which 196 participated in the study, and 120 (44.61%) resident physicians, and 76 non-medical resident physicians (52 (96.30%) aprimorandos and 24 (70.59%) aperfeiçoandos) participated in the study. There was a low intern consistence in the domain level of independence (&#945; = 0.54 / 0.48 and 0.54 for residence, non-medical resident professionals (aprimorandos and aperfeiçoandos), respectively and in the social relationship domain for the nonmedical resident professionals (&#945; = 0.68). Considering respectively residents and nonmedical resident professionals (aprimorandos and aperfeiçoandos), presented higher average scores were: independence level (77.18 / 75.03 / 82.29); spiritual/religion aspects (74.01 / 77.76 / 83.59) and social relationship (68.80 / 69.79 / 71.18) domains; the lower scores were for the psychological (63.38 / 61.37 / 66.87), environmental (62.46 / 59.15 / 58.93) and physical (57.36 / 55.73 / 61.72) domains. The characteristics with higher scores were: dependence on medication or treatments (88.54 / 82.57 / 93.94), personal relationship (70.31 /74.27 / 76.30) and sleep and rest (63.59 / 64.40 / 68.23) for all professionals; self (67.65 / 65.38) for residents and non-medical resident professionals (aprimorandos), body image and appearance (73.17) for non-medical resident professionals (aperfeiçoandos); transportation (80.26) for residents, home environment for non-medical resident professionals (aprimorandos) and physical environment (69.19) for non-medical resident professionals (aperfeiçoandos). The professionals presented great scores in the spirituality, religion and personal beliefs characteristic. The characteristics with lower scores were: daily life activities (67.13 / 67.30 / 76.30) and negative feelings (57.60 / 51.80 / 59.11) for all the professionals; sexual activity (66.77 / 63.10) and energy and fatigue (50.20 / 51.32) for residents and non-medical resident professionals (aprimorandos); social support (67.70) and pain and discomfort (54.17) for non-medical resident professionals (aperfeiçoandos); participation in recreation/leisure opportunities (49.21) for residents and financial resources (45.55 / 50.52) for non-medical resident professionals (aprimorandos and aperfeiçoandos respectively). Conclusions: The evaluation of life quality showed that the studied professionals are satisfied with their life quality; life and health; presented an adequate level of independence and good spiritual/religious structure. There is a commitment of sexual life and daily life activities, furthermore on coping with difficulties of stressful situations. / No Brasil, muitos profissionais de saúde buscam inserção em programas e pós-graduação como residência/aprimoramento profissional. Para concluírem tal processo de formação, passam por grandes dificuldades com elevados índices de problemas de saúde que interferem na sua qualidade de vida. Objetivo: Avaliar a qualidade de vida dos médicos residentes, aprimorandos e aperfeiçoandos de um hospital escola. Casuística e Método: A população deste estudo foi composta por 269 médicos residentes, 55 aprimorandos e 34 aperfeiçoandos. Para a coleta dos dados utilizou-se o WHOQOL-100, instrumento da Organização Mundial de Saúde para avaliar qualidade de vida. Os dados foram coletados no período de novembro de 2008 a janeiro de 2009. A consistência interna do WHOQOL-100 foi avaliada pelo Coeficiente Alfa de Cronbach, cujos valores iguais ou maiores a 0,70 são considerados satisfatórios. Resultados: Havia 358 profissionais matriculados nos programas, dos quais 196 participaram do estudo, sendo 120 (44,61%) médicos residentes, 52 (96,30%) aprimorandos e 24 (70,59%) aperfeiçoandos. Houve baixa consistência interna no domínio nível de independência (&#945; = 0,54 / 0,48 e 0,54 para residência, aprimoramento e aperfeiçoamento, respectivamente) e no domínio relações sociais para os aprimorandos (&#945; = 0,68). Considerando respectivamente residentes, aprimorandos e aperfeiçoandos, os domínios que apresentaram maiores escores médios foram: nível de independência (77,18 / 75,03 / 82,29); aspectos espirituais/religiosos (74,01 / 77,76 / 83,59) e relações sociais (68,80 / 69,79 / 71,18); os menores escores foram para os domínios psicológico (63,38 / 61,37 / 66,87), ambiente (62,46 / 59,15 / 58,93) e físico (57,36 / 55,73 / 61,72). As facetas com maiores escores foram: dependência de medicação ou de tratamentos (88,54 / 82,57 / 93,94), relações pessoais (70,31 / 74,27 / 76,30) e sono e repouso (63,59 / 64,40 / 68,23) para todos os profissionais; autoestima (67,65 / 65,38) para residentes e aprimorandos; imagem corporal e aparência (73,17) para aperfeiçoandos; transporte (80,26) para residentes; ambiente no lar para aprimorandos e ambiente físico: poluição, ruído, trânsito, clima (69,19) para aperfeiçoandos. Os profissionais apresentaram ótimos escores na faceta de espiritualidade, religião e crenças pessoais. As facetas com menores escores foram: atividade da vida cotidiana (67,13 / 67,30 / 76,30) e sentimentos negativos (57,60 / 51,80 / 59,11) para todos os profissionais; atividade sexual (66,77 / 63,10) e energia e fadiga (50,20 / 51,32) para residentes e aprimorandos; suporte social (67,70) e dor e desconforto (54,17) para aperfeiçoandos; participação em/e oportunidades de recreação/lazer (49,21) para residentes e recursos financeiros (45,55 / 50,52) para aprimorandos e aperfeiçoandos. Conclusões: A avaliação da qualidade de vida mostrou que os profissionais estudados apresentam-se satisfeitos com a qualidade de vida, a vida e a saúde; apresentam bom nível de independência e boa estrutura espiritual/religiosa. Há um comprometimento da vida sexual e das atividades da vida cotidiana, além de dificuldades de enfrentamento das situações estressantes.