Hours of sleep and associated factors in college students during the COVID-19 pandemic.

BACKGROUND: Sleep alterations are common in college students, particularly during the COVID-19 pandemic. Sociodemographic factors may predict these alterations in this population. OBJECTIVE: To identify the sociodemographic factors and health characteristics associated with the number of hours of sleep of college students during the COVID-19 pandemic. METHODS: This was a cross-sectional study carried out with 244 university students from a multicampi public university in the State of Bahia, Northeast Brazil. Data collection was performed online and participants answered a specific questionnaire to assess sleep hours, sociodemographic and health variables. RESULTS: Significant associations were observed between hours of sleep and older students (odds ratio adjusted -ORaj: 3.75; 95% Confidence Interval -CI: 1.81-7.75; p <  0.01), attending the final semesters (ORaj: 1.85; 95% CI: 1.05-3.25; p <  0.03), and who reported having some disease (ORaj: 2.18; 95% CI: 1.05-4.50; p <  0.03) with greater chances of getting less sleep. However, those who used tobacco (ORaj: 0.08; 95% CI: 0.01-0.45; p <  0.001) were likely to have more hours of sleep per night. CONCLUSION: Sleep restriction was common among participating college students, which has likely intensified due to the COVID-19 pandemic and its restrictions. This encourages specific public health actions, contemplating the health and hours of sleep of this population.

Factors Associated with the Lifestyle of Pediatric Healthcare Professionals during the COVID-19 Pandemic.

The objective of this study was to analyze the association between sociodemographic and occupational variables with the lifestyle of health professionals in pediatric units during the COVID-19 pandemic. A cross-sectional study was conducted with 407 health professionals working in four pediatric health units in the State of Bahia, northeast Brazil. The Fantastic Lifestyle Questionnaire and a questionnaire with sociodemographic and employment variables self-applied via Google Forms were used. The final binary logistic regression models revealed significant associations between those who received 3 to 5 minimum wages, without a marital relationship and with more than one employment relationship. Data suggest that these sociodemographic and occupational profiles are more exposed to risky lifestyle behaviors. The findings of this study demonstrated the need for greater attention to the health of health professionals in the pediatric field, as well as the promotion of initiatives that seek to value the work of these professionals and reduce the damage caused to their lifestyle, especially in a pandemic scenario.

Lifestyle of health workers from pediatric units during the pandemic: a cross-sectional study / Estilo de vida de profissionais de saúde pediátricos na pandemia: estudo transversal

ABSTRACT This study aimed to assess the lifestyle of health workers in pediatric units of Bahia, Brazil, by comparing the total and domain scores of the Fantastic Lifestyle Questionnaire (FLQ) according to sex, age group, and employment profile. This cross-sectional study included 407 health workers from four pediatric health units in Bahia. The FLQ and a sociodemographic questionnaire were answered via Google Forms during the COVID-19 pandemic. Men scored significantly lower than women in the 'tobacco and toxics' (p = 0.046) and 'alcohol' (p < 0.001) domains but higher in the 'sleep, seat belt, stress, and safe sex' domain (p = 0.01). Younger health workers (18 to 34 years old) scored significantly higher than older workers (35 to 64 years old) in the 'tobacco and toxics' domain (p = 0.03). Direct healthcare workers (e.g., nurses and doctors) scored significantly higher than indirect healthcare workers (e.g., administrators) in the 'tobacco and toxics' domain (p = 0.04). Despite the COVID-19 pandemic, the lifestyle of most workers was classified as very good (56.02%). Our findings indicate changes in the lifestyle of health workers, especially concerning the use of tobacco, alcohol, and conditions related to sleep, stress, safe sex, and traffic safety behaviors. Future studies are recommended to understand better the determinants and conditioning factors of tobacco use by health workers and design targeted public health initiatives.

RESUMO O objetivo deste estudo foi avaliar o estilo de vida dos profissionais de saúde de unidades pediátricas da Bahia, Brasil, comparando o escore total e o escore de cada domínio do Questionário de Estilo de Vida Fantástico com sexo, faixa etária e perfil profissional. Participaram 407 profissionais de saúde de quatro unidades de saúde pediátricas, neste estudo transversal. O questionário Fantástico e um questionário sociodemográfico foram respondidos por meio de formulário do Google durante a pandemia de COVID-19. Os homens obtiveram significativamente pontuações mais baixas que as mulheres nos domínios 'tabaco e tóxicos' (p=0,046) e 'álcool' (p<0,001), e mais altas no domínio 'sono, cinto de segurança, estresse e sexo seguro' (p=0,01). Os profissionais de saúde mais jovens (18 a 34 anos) alcançaram pontuações significativamente superiores aos mais velhos (35 a 64 anos) no domínio 'tabaco e tóxicos' (p=0,03). Os profissionais de saúde de assistência direta (por exemplo, enfermeiros e médicos) obtiveram pontuações superiores aos profissionais de assistência indireta (por exemplo, administradores) no domínio 'tabaco e tóxicos' (p = 0,04). Apesar da pandemia de COVID-19, o estilo de vida da maioria dos trabalhadores foi classificado como muito bom (56,02%). Nossos achados alertam para mudanças no estilo de vida dos profissionais, principalmente quanto ao uso de tabaco, álcool, condições relacionadas ao sono, estresse, sexo seguro e comportamentos de segurança no trânsito. Estudos futuros são recomendados para entender melhor os determinantes e condicionantes do uso do tabaco pelos profissionais de saúde, permitindo o direcionamento de ações no contexto da saúde pública.

Prevalence and Factors Associated with Burnout Syndrome among Primary Health Care Nursing Professionals: A Cross-Sectional Study.

The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47-0.83), residence (PR = 2.35, CI 95% = 1.79-3.09), economic situation (PR = 1.40, CI 95% = 1.06-1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31-2.33), (PR = 1.60, CI 95% = 1.23-2.08), rest (PR = 1.83, 95% CI = 1.41-2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06-1.77), night shift (PR = 1.49, CI 95% = 1.14-1.96), physical activity practice (PR = 1.72; CI 95% = 1.28-2.31), smoking (PR = 1.82, CI 95% = 1.35-2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01-179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.

Terapia do riso como instrumento para o processo de cuidado na ótica dos acadêmicos de enfermagem / Laughter therapy as a tool for caring process from the viewpoint of nursing students

INTRODUÇÃO: O humor é uma estratégia de enfrentamento do estresse, mostrando sentimentos que geralmente são difíceis de expressar e que ajudam a lidar com o medo e as preocupações, evitando conflitos e aliviando a tensão. A terapia do riso pode ser utilizada como ferramenta terapêutica do humor, enfatizando a humanização do cuidado e promovendo melhora orgânica e emocional. OBJETIVO: Este estudo objetivou verificar a utilização e os benefícios da terapia do riso na ótica dos estudantes de enfermagem da Universidade Estadual de Feira de Santana. MÉTODOS: Trata-se de um estudo transversal analítico descritivo. A amostra foi constituída de 70 estudantes, sendo utilizado questionário individual, autoaplicável e pré-testado, composto de questões fechadas e abertas, que incluem variáveis sociodemográficas e relacionadas à terapia do riso, para que o aluno expresse sua crença sobre a terapia do riso. RESULTADOS: População predominantemente feminina, solteira e sem trabalho formal. Verificou-se que a maioria dos acadêmicos que cursaram a disciplina "Terapêuticas não Convencionais" conhecia e descreveu os benefícios da terapia do riso, sendo que um pequeno percentual dos que cursaram puderam presenciar ou utilizaram essa terapia. Foram observados no cliente benefícios como: elevação da autoestima, melhora da receptividade dos procedimentos, diminuição álgica e melhora do quadro clínico. CONCLUSÃO: Observou-se a necessidade de propagar, principalmente no âmbito acadêmico, a utilização de terapias integrativas como a terapia do riso, enquanto instrumento para o cuidar em enfermagem, visto que essa prática melhora a interação entre o enfermeiro e o cliente, e favorece a humanização do ambiente hospitalar.

INTRODUCTION: Humor is a stress coping strategy, which allows the expression of feelings that are often difficult to express and helps to handle fears and concerns. Thus, conflicts and tensions are relieved. The laughter therapy can use humor as a therapeutic tool, which emphasizes the humanization of care and promotes physical and emotional improvements. OBJECTIVE: This study aimed at verifying the use and benefits of laughter therapy from the viewpoint of nursing students from the State University of Feira de Santana. METHODS: Cross-sectional, analytical and descriptive study. The sample included 70 students and an individual, self-administered, and pre-tested questionnaire was applied. It consisted of closed and open-ended questions, with sociodemographic variables and questions related to laughter therapy, so that the students could express their beliefs about the laughter therapy. RESULTS: Population was predominantly female, single, and with no formal job. It was found that most academics who attended the course "Unconventional Therapies" knew and described the benefits of Laughter Therapy and a small already witnessed or used this therapy. Some benefits to the customers were observed, such as higher self-esteem, improved responsiveness to treatment, pain relief and clinical improvement. CONCLUSION: There is a need to disseminate, especially in the academic field, the use of integrative therapies such as laughter therapy as a tool for nursing care, as this practice improves the interaction between the nurse and the client and favors the humanization of hospital.