Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-08-25T20:40:47Z No. of bitstreams: 1 CleoniceAndreaAlvesCavalcante_TESE.pdf: 8036565 bytes, checksum: efa569bc829aa595c30731ac52f5d5a7 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-26T19:35:54Z (GMT) No. of bitstreams: 1 CleoniceAndreaAlvesCavalcante_TESE.pdf: 8036565 bytes, checksum: efa569bc829aa595c30731ac52f5d5a7 (MD5) / Made available in DSpace on 2016-08-26T19:35:54Z (GMT). No. of bitstreams: 1 CleoniceAndreaAlvesCavalcante_TESE.pdf: 8036565 bytes, checksum: efa569bc829aa595c30731ac52f5d5a7 (MD5) Previous issue date: 2016-01-28 / As doen?as e agravos relacionados ao trabalho configuram-se em importante problema de Sa?de P?blica no Brasil e no mundo. No entanto, a realidade desses agravos ainda se constitui em uma lacuna no que diz respeito ? caracteriza??o e situa??o epidemiol?gica das mesmas, especialmente no Brasil. Diante disso, o presente estudo teve como objetivo analisar a magnitude da morbidade relacionada ao trabalho no Estado do Rio Grande do Norte, no per?odo de 2007 a 2014. Trata-se de um estudo ecol?gico, quantitativo de delineamento transversal, tendo como unidade de an?lise os munic?pios do estado do Rio Grande do Norte. Os dados foram coletados a partir da base estadual do Sistema de Informa??es de Agravos Notific?veis (SINAN) do Centro de Refer?ncia de Sa?de do Trabalhador (CEREST) da Secretaria de Estado da Sa?de P?blica do Rio Grande do Norte. A coleta de dados ocorreu entre mar?o e junho de 2015, ap?s a aprova??o do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, atrav?s do Parecer N? 014/2014. A popula??o foi representada pelo universo de casos de doen?as e agravos relacionados ao trabalho que foram notificados e encerrados no sistema no per?odo de 2007 a 2014. Os dados foram organizados em banco de dados eletr?nicos do Microsoft Excel vers?o 2010 e exportados para o programa estat?stico SPSS vers?o 20.0, analisados por meio da estat?stica descritiva e anal?tica, apresentados em forma de tabelas e gr?ficos. Para tanto, utilizou-se o Microsoft Excel 2007 e um software estat?stico. Dos 10.161 casos de agravos relacionados ao trabalho notificados, destacaram-se os acidentes biol?gicos (52,84%) e de trabalho grave (37,49%). Quanto ?s doen?as, destacaram-se as osteomusculares (4,82%), transtornos mentais (2,19%) e intoxica??o ex?gena (1,97%). Houve predomin?ncia dos agravos entre homens nos acidentes graves (91,80%), transtornos mentais (70,00%) e intoxica??es ex?genas (52,84%). As mulheres foram mais acometidas por acidente biol?gico (77,50%) e doen?as osteomusculares (64,10%). Entre os agravos predominou a cor parda, m?dia de 35,86 anos de idade, baixa escolaridade e trabalhadores no mercado formal. Dentre os acidentes ocupacionais, destacaram os biol?gicos (n=5.369) que corresponderam a 52,84% com predom?nio de casos entre os profissionais de enfermagem (48,31%). A exposi??o percut?nea foi a mais frequente (73,05%) e as circunst?ncias de ocorr?ncia foi o descarte inadequado de perfurocortantes (45,28%), a agulha o agente mais comum (66,62%) e o material org?nico foi o sangue (72,99%). A maioria dos trabalhadores acidentados era vacinada contra HBV (68,13%), por?m sem informa??o quanto ? avalia??o da resposta vacinal. A evolu??o dos casos predominou a situa??o ignorada com perda de acompanhamento do seguimento cl?nico. Houve ainda aumento na notifica??o de acidentes de trabalho grave com predomin?ncia: sexo masculino, trabalhadores entre25 a 44 anos e do acidente t?pico. A incapacidade tempor?ria ? evolu??o mais comum e a m?o a parte mais atingida; a ind?stria extrativa e da constru??o civil teve o maior n?mero de casos e o empregado registrado. Constatou-se um aumento expressivo na notifica??o dos agravos relacionados ao trabalho no per?odo analisado, sobretudo os acidentes. Em rela??o ?s doen?as, observou-se um aumento nos casos de doen?as osteomusculares, transtornos mentais e intoxica??o ex?gena. No entanto, o sistema de informa??o ainda carece de melhoria tanto na cobertura como na qualidade dos dados no sentido de demonstrar com maior fidedignidade a magnitude dos eventos para subsidiar o planejamento das a??es em Sa?de do Trabalhador no estado. / Diseases and disorders related to work sets up an important public health problem in Brazil and worldwide. However, the reality of these diseases still constitutes a gap with regard to its characterization and epidemiological situation, especially in Brazil. In this context, this study aims to analyze the magnitude of morbidity related to work from the injuries and illnesses reported by Health the Diseases Notifiable of Health of the State Public River Health Department worker Reference Center Information System services Grande do Norte from 2007 to 2014. It is ecological study, quantitative cross-sectional study in which the analysis unit of the municipalities of Rio Grande do Norte. Data were collected from the state base of Diseases Notifiable Information System Centre of the Secretariat of State Workers' Health Reference Public Health of Rio Grande do Norte, between March and June 2015, after the approval of the Committee of Ethics in Research of the Federal University of Rio Grande do Norte, Opinion 014/2014. The population was represented by the universe of cases of diseases and disorders related to work that were reported and shut down the system from 2007 to 2014. Data were analyzed using descriptive and inferential statistics, presented in tables, graphs, charts and figures. For this, we used the Microsoft Excel 2007 and SPSS version 20.0. To check the significance level we opted for the application of the chi-square or Fisher tests. We adopted the significance level of p <0.05. Of the 10,161 cases of diseases related to the reported work, the biological work accidents had the highest percentage (52.84%) followed by serious occupational accidents (37.49%). For diseases, the highlights were musculoskeletal (4.82%), mental disorders (2.19%) and exogenous intoxication (1.97%). Among men, there was a predominance of major accidents (91.80%), mental disorders (70.00%) and exogenous poisoning (52.84%). Women were most affected by biological accidents (77.50%) and musculoskeletal diseases (64.10%). Among workers who have suffered injuries predominated mulatto (%), mean age of 35.86 years, low education (%) and workers in the formal sector (%). Among the accidents, biological (n = 5,369) accounted for 52.84% of cases occurred predominantly among nursing professionals (48.31%). The percutaneous exposure was the most frequent (73.05%) and the occurrence of circumstances was improper disposal of sharps (45.28%), the needle the most common agent (66.62%) and the organic material was blood (72.99%). Most injured workers were vaccinated against hepatitis B (68.13%), but no information as to the assessment of the vaccine response. In the course of the disease predominated ignored the situation with loss of monitoring of clinical follow-up (55.62%). There was also an increase in the notification of serious industrial accidents predominantly male (91.80%) workers aged 25-44 years (54.3%) and typical accidents (76.3%). The temporary disability was the most common outcome (55.53%) and hand the most affected part (33.00%); the mining and construction industry had the highest number of cases (25.1%) in registered employee (34.2%). The findings of this study show a positive result in relation to increased mandatory reporting of injuries and illnesses related to work together to health services that meet victimized workers, towards the occurrence of knowledge of these accidents for decision making in public plans and policies of health. However, the information system still needs improvement in both the coverage and the quality of the data to demonstrate with greater reliability the magnitude of events to support the planning of workers' health into shares in the state.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-09-05T19:56:01Z No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-09-15T23:43:49Z (GMT) No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) / Made available in DSpace on 2017-09-15T23:43:49Z (GMT). No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) Previous issue date: 2017-07-04 / Os Indicadores de Sa?de do Trabalhador (IST) s?o par?metros relevantes para o planejamento de a??es, com vistas ? vigil?ncia em Sa?de do Trabalhador. No Brasil, as a??es de Sa?de e Seguran?a no Trabalho (SST) para servidores p?blicos federais foram normatizadas de acordo com a Pol?tica de Aten??o ? Sa?de e Seguran?a do Trabalho (PASS). O objetivo deste estudo ? conhecer os IST, com foco na Per?cia Oficial em Sa?de e Exame M?dico Peri?dico dos servidores da Universidade Federal do Rio Grande do Norte. Trata-se de um estudo explorat?riodescritivo, transversal, de abordagem quantitativa e natureza retrospectiva, com dados referentes ao per?odo de 2011 a 2015, na cidade de Natal/RN. Quanto ao absente?smo por doen?a, o perfil dos servidores se caracterizou por predom?nio do sexo feminino, com idade de 51 a 60 anos, ocupante de cargos de n?vel m?dio e fundamental. Ao longo da s?rie hist?rica, observou-se que o n?mero de dias perdidos de trabalho por servidor e a frequ?ncia de licen?as aumentaram, apesar da diminui??o do ?ndice de Dura??o do Absente?smo (IDA) e estabiliza??o da Frequ?ncia de Trabalhadores com Licen?a M?dica (FTLM). No que se refere ?s causas do absente?smo, prevaleceram doen?as respirat?rias (25,6%), osteomusculares (16,2%) e infecciosas e parasit?rias (13,0%) entre as licen?as de curta dura??o e, para os afastamentos homologados atrav?s de avalia??o pericial, predominaram as doen?as osteomusculares (18,4%), transtornos mentais (17,2%) e doen?as respirat?rias (9,2%). Quanto ? ades?o dos servidores ? realiza??o do EMP, foi decrescente, com maior percentual no ano de 2012 (35,3%). Durante o per?odo analisado, 5.186 servidores realizaram o EMP, e a maioria (60,6%) apresentou peso n?o ideal; 41,1% s?o sedent?rios; 33,2% t?m dislipidemia; 29,0% s?o etilistas; 3,2%, tabagistas; 5,9%, diab?ticos; 16,4% referiram ru?do elevado no local de trabalho; 27,8%, ilumina??o inadequada e 35,9%, mobili?rio de trabalho inadequado. Diante dos resultados, observa-se a necessidade de manuten??o e fortalecimento da PASS e, consequentemente, implementa??o de estrat?gias de impacto positivo para a SST. / The Occupational Health Indicators (OHI) are relevant parameters for planning actions aimed at the surveillance on Occupational Health. In Brazil, Occupational Health and Safety (HOS) actions for federal public servants were standardized according to the Occupational Safety and Health Care Policy (PASS in Portuguese). The objective of this study is to know the OHI focused on the Official Health Expertise and the Periodical Medical Examination (PME) of the servants of the Federal University of Rio Grande do Norte. This is an exploratory-descriptive and cross-sectional research, with a quantitative approach and a retrospective nature, with data relating to the period from 2011 to 2015, in the city of Natal/RN. As for the absenteeism due to disease, the profile of the servants licensed for health treatment was characterized by the predominance of women aged between 51 and 60 years and working at medium and elementary-level positions. Throughout the historical series, the number of lost days of work per servant and the frequency of leaves increased, although the Absenteeism Duration Index (ADI) decreased and the Frequency of Workers with Medical Leave (FWML) kept stable. Regarding the causes of absenteeism, there was a prevalence of respiratory diseases (25.6%), musculoskeletal diseases (16.2%) and infectious and parasite diseases (13.0%) among the short-time leaves. Musculoskeletal diseases (18.4%), mental disorders (17.2%) and respiratory diseases (9.2%) prevailed in relation to leaves approved by means of expert evaluation. As for the adhesion of the servers to the PME, it was decreasing, with a higher percentage in the year 2012 (35.3%). During the analyzed period, 5,166 servers performed the PME and the majority (60.6%) presented nonideal weight, 41.1% were sedentary, 33.2% had dyslipidemia, 29.0% were alcoholic, 3.2% were smokers, 5.9% diabetics, 16.4% reported high noise in the workplace, 27.8% inadequate lighting and 35.9% inadequate work furniture. In view of the results, there is need to maintain and strengthen the PASS and, consequently, to implement positive impact strategies for HOS.