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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21271 |
| Date | 28 January 2016 |
| Creators | Cavalcante, Cleonice Andr?a Alves |
| Contributors | 20018096468, http://lattes.cnpq.br/2068281775213576, Sousa, Cl?udia Santos Martiniano, 51819961400, http://lattes.cnpq.br/6402590026361880, Costa, Iris do C?u Clara, 14076152468, http://lattes.cnpq.br/9903762680376103, Freire, Izaura Luzia Silverio, 81369417420, http://lattes.cnpq.br/6319638660319803, Macedo, Maria Lucia Azevedo Ferreira de, 40740749404, http://lattes.cnpq.br/2019934005780501, Robazzi, Maria L?cia do Carmo Cruz, 98043528853, http://lattes.cnpq.br/1802254481406395, Medeiros, Soraya Maria de |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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