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O cenário da pandemia de COVID-19 no mundo trouxe inúmeras mudanças, entre elas, no Brasil, a opção de grande parte das organizações pelo teletrabalho, até então, não muito recorrente no país. Este artigo aborda a situação de quando, compulsoriamente, o trabalho invade a casa e relata a análise das percepções e das vivências de trabalhadores em teletrabalho compulsório, durante o período da pandemia de COVID-19, identificando fatores favoráveis e desfavoráveis à Qualidade de Vida no Trabalho (QVT). Fundamentada na Ergonomia da Atividade Aplicada à Qualidade de Vida no Trabalho EAA_QVT, foi realizada uma pesquisa qualitativa com doze trabalhadores de diferentes organizações e cargos, dos setores público e privado, levantando suas percepções e vivências acerca do teletrabalho, de acordo com seis categorias teóricas investigadas pela EAA_QVT. Os resultados revelaram um equilíbrio: três categorias com predominância de bem-estar (Relações socioprofissionais, Reconhecimento e crescimento profissional e Uso da informática) e outras três categorias com predominância de mal-estar (Condições de trabalho, organização do trabalho e Sentimentos no trabalho), indicando focos para possíveis intervenções e cuidados no caso da manutenção desta modalidade de trabalho. Foram discutidas questões importantes como a indistinção entre os espaços públicos e privados, as características da atual sociedade do desempenho/cansaço e suas possíveis repercussões para os trabalhadores, sua saúde e as organizações.
The global coronavirus disease 2019 (COVID-19) pandemic has brought on many changes in Brazil, one of them being the option of most organizations for teleworking, which up until that time had not been a com-mon occurrence in the country. This article discusses the compulsory work-from-home scenario and ana-lyzes the perceptions and experiences of workers obliged to work from home during the COVID-19 pandem-ic, identifying favorable and unfavorable factors for Quality of Work Life (QWL). We conducted qualitative research based on Activity-Centered Ergonomics Applied to Quality of Life at Work (ACE-QLW) for 12 work-ers with varying positions in different public and private sector organizations. We analyzed their perceptions and experiences about working from home based on six categories examined by ACE-QLW. The results re-vealed a balance: three of the categories largely concerning well-being (socio-professional relationships, recognition and professional growth, and use of computers) and three other categories largely concerning malaise (working conditions, work organization, and opinions of work), indicating possible focal points for interventions and care in maintaining this type of work. Important issues were discussed, such as the lack of distinction between public and private spaces, current performance/fatigue characteristics, and the pos-sible repercussions this can have on workers, their health, and organizations
El escenario de la pandemia de la COVID-19 en el mundo trajo incontables cambios, entre ellos, en Brasil, la opción de la mayoría de las organizaciones por el teletrabajo, hasta entonces, poco recurrente en el país. Este artículo aborda la situación cuando, obligatoriamente, el trabajo invade el hogar y relata el análisis de las percepciones y experiencias de los trabajadores en domicilio obligatorio, durante el período de la pandemia del COVID-19, identificando factores favorables y desfavorables para la Calidad de Vida. Trabajo (QWL). Con base en la Ergonomía de la Actividad Aplicada a la Calidad de Vida en el Trabajo - EAA_QVT, se realizó una investigación cualitativa con doce trabajadores de diferentes organizaciones y cargos, del sector público y privado, elevando sus percepciones y experiencias sobre el teletrabajo, según teorías de seis categorías investigadas por EAA_QVT. Los resultados revelaron equilibrio: tres categorías con predominio del bienestar (Relaciones socioprofesionales, Reconocimiento y crecimiento profesional y Uso de la computadora) y otras tres categorías con predominio del malestar (Condiciones de trabajo, organización del trabajo y Sentimientos en trabajo), indicando focos de posibles intervenciones y cuidados en el caso de mantener este tipo de trabajo. Se discutieron temas importantes, como la falta de distinción entre espacios públicos y privados, las características de la actual sociedad del rendimiento/fatiga y sus posibles repercusiones para los trabajadores, su salud y las organizaciones.
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【Objective】 To observe the clinical therapeutic effects of music therapy combined with fluoxetine on post stroke depression (PSD). 【Methods】 One hundred and twelve patients with PSD were randomly divided into control group (56 cases) and treatment group (56 cases). The control group took fluoxetine 20 mg/d, while the treatment group received music therapy additionally. Hamilton Depression Scale (HAMD) was used to evaluate depression level; Barthel Index (BI) was used to evaluate the subjects’ daily living before and after treatment. 【Results】 After 4 weeks’ treatment, the HAMD scores were decreased while BI scores were increased after music therapy in the treatment group compared with control group (P<0.01). 【Conclusion】 Fluoxetine combined with music therapy can improve depression symptoms and the capacity of daily activities of PSD patients.
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Objective To investigate the effects of traditional rehabilitation training, motor relearning and transcranial direct current stimulation on FMA,ARAT score and ADL of stroke patients. Methods Sixty_five patients with initial stroke who were admitted to Rehabilitation center of Beijing rehabilitation hospital from August 2016 to August 2018 were selected. All the patients were randomly divided into two groups: the control group and the experimental group. On this basis, the experimental group received transcranial direct current stimulation for 6 weeks, while the control group received only false stimulation. The arm motion survey test scale (ARAT) and the simplified fugl_meyer motor function scale (FMA) were used to evaluate the upper limb motor function of patients, and the modified Barthel index scale (MBI) was used to evaluate the daily living activity ability of patients. Results There was no significant difference in FMA score, ARAT score and MBI score before and after treatment between the two groups (P > 0.05). After treatment, FMA and ARAT scores of the upper limbs in the experimental group were (39.44 ± 4.09) and (18.92 ± 3.28), respectively, while those in the control group were (34.22 ± 4.20) and (15.30±3.22), respectively. The differences between the two groups were statistically significant (t=3.239, 2.939, all P < 0.05). Conclusion Traditional rehabilitation training, exercise relearning combined with transcranial direct current stimulation (TDCS) for stroke patients improved the upper limb motor function to some extent, and effectively improved the daily living ability of the patients. It is worth popularizing in clinic.
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Objective@#To investigate the effects of traditional rehabilitation training, motor relearning and transcranial direct current stimulation on FMA,ARAT score and ADL of stroke patients.@*Methods@#Sixty-five patients with initial stroke who were admitted to Rehabilitation center of Beijing rehabilitation hospital from August 2016 to August 2018 were selected. All the patients were randomly divided into two groups: the control group and the experimental group. On this basis, the experimental group received transcranial direct current stimulation for 6 weeks, while the control group received only false stimulation. The arm motion survey test scale (ARAT) and the simplified fugl-meyer motor function scale (FMA) were used to evaluate the upper limb motor function of patients, and the modified Barthel index scale (MBI) was used to evaluate the daily living activity ability of patients.@*Results@#There was no significant difference in FMA score, ARAT score and MBI score before and after treatment between the two groups (P > 0.05). After treatment, FMA and ARAT scores of the upper limbs in the experimental group were (39.44±4.09) and (18.92±3.28), respectively, while those in the control group were (34.22±4.20) and (15.30±3.22), respectively. The differences between the two groups were statistically significant (t=3.239, 2.939, all P < 0.05).@*Conclusion@#Traditional rehabilitation training, exercise relearning combined with transcranial direct current stimulation (TDCS) for stroke patients improved the upper limb motor function to some extent, and effectively improved the daily living ability of the patients. It is worth popularizing in clinic.
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Objective To observe the effect of the rehabilitation garden on hemiplegic stroke patients. Methods 160 cases of cerebral vascular accident patients were randomized into observation group and control group. All patients were given conventional drug treatment and conventional rehabilitation training. The observation group was given the rehabilitation garden for rehabilitation training two times a day , each time 60 minutes. Results BBS, BI, FMA, HAMA and HAMD of The two groups of patients significantly improved. The improvement ofBBS and BI in observation group was better than that in control group (P < 0.05). HAMD and HAMA score inobservation group was significantly higher than that in control group (P < 0.01), the improvement in observationgroup is better than in control group (P < 0.01), the satisfaction rate in observation group is better than in controlgroup (P < 0.01), and the hospital stay period in observation group is better than in control group (P < 0.01).Conclusion The application of rehabilitation garden has a good effect on the rehabilitation effect of the hemiplegicstroke patients.
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Las discapacidades o secuelas permanentes más frecuentes en los pacientes que presentan Accidentes Vasculares Encefálicos, son las hemiparesias, la incapacidad para caminar o la dependencia parcial en actividades de la vida diaria. La determinación por parte del equipo de salud de si existen secuelas o no, en un paciente que ha sufrido esta enfermedad, es un elemento importante para darle seguridad y optimismo realista. Se realizó un estudio descriptivo, prospectivo y de corte transversal, con el objetivo de evaluar el índice de independencia en pacientes con Accidente Vascular Encefálico que fueron egresados del Servicio de Cerebro Vascular del Hospital Provincial Docente Saturnino Lora, Municipio Santiago Cuba, en noviembre de 2008. El universo estuvo constituido por 102 pacientes que residían en las áreas de salud de dicho Municipio, se tomó una muestra de 22 pacientes a través del método aleatorio simple, a los que se les aplicó la evaluación de las necesidades básicas de la vida diaria, según la Escala de Índice de Katz, que evalúa seis funciones: bañarse, vestirse, uso del servicio sanitario, movilidad, continencia y alimentación. Se exploraron otras variables como: edad, sexo, estadía hospitalaria, toma motora. Se obtuvo como resultado que predominó la edad entre los 70 y 90 años, el sexo femenino, la estadía hospitalaria estuvo entre 7 y 10 días. Se arribó a la conclusión que un mínimo de paciente sufrió toma motora, siendo directamente proporcional al grado de independencia en una u otra de las seis necesidades básicas y solamente un caso tenía dependencia total en todas las actividades de la vida diaria(AU)
The more frequent disabilities or permanent sequelae in patients presenting with strokes are the hemiparesis, inability to walk or the partial dependence in daily life activities. The determination according to the health team if there are or not sequelae in a patient, who has suffered this disease, is an important element to give him safety and a realistic optimism. A cross-sectional, prospective and descriptive study was conducted to assess the independence rate in patients presenting with strokes discharged from the Cerebrovascular Service of the Saturnino Lora Teaching Provincial Hospital, Santiago de Cuba municipality in November, 2008. The universe included 102 patient residents of such municipality; the sample included 22 patients by simple randomized method assessing the basic needs of the daily life, according to Katz Rate Scale evaluating six functions: to take a bath, to dress, use of bathrooms, mobility, continence and feeding. Other variables were explored including: age, sex, hospital stay, motor affection. The result was a predominance of ages between 70 and 90 years, female sex, the hospital stay was between 7 and 10 days. We concluded that a minimum of patients undergoes motor affection, which is directly proportional to the independence degree in one or in another of the six basic needs and only one case had a total dependence in all activities of daily life(AU)