Hardy personality and burnout syndrome among nursing students in three Brazilian universities-an analytic study.

BACKGROUND: Nursing students may exhibit the characteristics of resistance to stress, such as hardiness, which can reduce the risk of burnout. However, we found only one published study about these phenomena among nursing students. Thus, we investigated the association between hardiness and burnout in such students. METHODS: An analytic, cross-sectional study was conducted among 570 nursing students from three Brazilian universities. Data were collected relating to sociodemographic characteristics, hardiness, and burnout, which we analyzed using inferential statistics. RESULTS: We observed that 64.04% of nursing students in the sample had a high level of emotional exhaustion, 35.79% had a high level of cynicism, and 87.72% had a low level of professional efficacy: these are dimensions of burnout. We also found that 48.77% had a high level of control, 61.40% a high level of commitment, and 35.44% a high level of challenge: these are dimensions of hardiness. Only 24.74% of the students experienced burnout, and 21.93% met the criteria for a hardy personality. There was a statistically significant difference between the frequency of hardiness and burnout (p = 0.033), with 68.00% of hardy students not exhibiting burnout. CONCLUSIONS: Although nursing students live with educational stressors, burnout was not preponderant in our sample students; this may be linked to hardiness. Thus, given its benefits to student life and health, we recommend the development of strategies to promote hardiness among nursing students.

[The impact of coping strategies on the intensity of stress on hemato-oncology nurses]. / O impacto das estratégias de enfrentamento na intensidade de estresse de enfermeiras de hemato-oncologia.

We intended to evaluate the impact of coping strategies on the intensity of stress on hemato-oncology nurses, using a transversal analytical study conducted with 18 nurses between March and April of 2010. We used a form for socio-demographic characterization, the Occupational Coping Scale to evaluate the coping strategies and the Nurses Stress Inventory to evaluate the stress. There was no significant correlation between coping strategies and stress intensity, however, in the dispersion analysis, the use of control and avoidance strategies increased stress intensity while the use of symptoms management decreased its intensity. Nurses with less time working in the health institution and those without a postgraduate degree presented higher stress intensity. We concluded that Symptoms Management strategy has a positive effect on the stress of hemato-oncological nurses, where the reduced perspective of healing and the chronic condition of the patients are inherent to the nursing work and make proactive and avoidance actions difficult.

[Burnout syndrome in multiprofessional residents of a public university]. / Síndrome de Burnout em residentes multiprofissionais de uma universidade pública.

The multiprofessional residency programs seek to break paradigms regarding the education and training of professionals for the Unified Health System (Sistema Único de Saúde - SUS) and contribute to qualify health services by promoting innovative strategies. However, specific features of these programs can add stress to residents and lead to the Burnout Syndrome. Therefore, we assessed the occurrence of burnout syndrome among the multiprofessional residents at the Federal University of Santa Maria. This is a descriptive, cross-sectional and quantitative study. A sociodemographic data form and the Version Human Service Survey of Marlash Burnout Inventort were administered to 37 residents between April and June of 2011. It was observed that 37.84% presented with High Emotional Stress, 43.24% with High Depersonalization and 48.65% with Low Professional Fulfillment. In terms of the association between domains, it was found that 27% of the residents presented with signs of Burnout Syndrome. The studied residents will be exposed to the stressors of the profession and education/training, which may favor the occurrence of the syndrome in these professionals.

An Assessment of Mortality among Elderly Brazilians from Alcohol Abuse Diseases: A Longitudinal Study from 1996 to 2019.

Alcohol use disorder (AUD) is a worldwide public health problem, being an important aggravating factor of comorbidities found in the elderly, with the potential to increase mortality indicators for this age group. OBJECTIVE: To analyze alcohol-induced deaths in elderly people with alcohol-related disorder in Brazil between 1996 and 2019. METHODS: An ecological study was conducted with secondary data obtained from the Brazilian Unified Health System (SIM) Mortality Information System from 1996 to 2019. TabNet/DATASUS, Excel® 2016 and SPSS 21® were used to prepare the results. RESULTS: Between 1996 and 2019, 85,928 alcohol-induced deaths were recorded among the elderly (>60 years); in 1996, the lowest number of deaths was recorded (n = 1396), and in 2018, there were the highest number of deaths (n = 5667). In the profile of the elderly, there was a predominance of men (88%). Mortality from AUD was due to alcoholic liver disease (62.2%), followed by mental disorders due to alcohol use (37.3%). CONCLUSIONS: Coping with AUD is a public health problem that aims to reduce the number of deaths from diseases, conditions and injuries in which alcohol consumption is the causative agent, in addition to preventing deaths to which alcohol contributes.

Stress and burnout among multidisciplinary residents.

OBJECTIVE: To identify associations between high-stress and burnout syndrome in multidisciplinary residents from a federal university in Rio Grande do Sul, Brazil. METHOD: This is an analytical, cross-sectional and quantitative study. A socio-demographic questionnaire, the Work Stress Scale and the Maslach Burnout Inventory-Health Services Survey (MBI-HSS) were applied to 37 residents between April and June 2011. P-values<0.05 were considered statistically significant. RESULTS: We verified that 48.65% of the residents experienced high-stress. When associating the MBI-HSS subscales, we verified that 27% of the residents showed some indication of burnout syndrome. There was a statistically significant correlation (p=0.00, r=0.68) between a high-stress and burnout. CONCLUSIONS: High-stress was confirmed as being a predictor of burnout syndrome among multidisciplinary residents. Therefore, we propose that intervention studies be conducted in order to change such contexts.

Diferencias de género en la percepción de calidad de vida de pacientes con cáncer colorrectal / Diferenças de gênero na percepção de qualidade de vida em pacientes com câncer colorretal / Gender differences in the perception of quality of life of patients with colorectal cancer

Objective. to identify the gender differences in assessing quality of life of patients undergoing chemotherapy treatment for colorectal cancer. Methods. this is a cross-sectional investigation conducted with 144 patients (72 men and 72 women) undergoing chemotherapy treatment in a southeastern Brazilian hospital. Data were gathered trough a sociodemographic and clinical information form and the Health-related Quality of Life instrument from the European Organization for Research and Treatment of Cancer. Results. cognitive function leads to lower general quality of life, with higher effect in men when compared to women. Body image (p=0.023), abdominal pain (p=0.020) and dry mouth (p=0.001) produced lower quality of life in women. On other hand, men showed lower quality of life related to the following symptoms: fecal incontinency (p<0.001), sexual impotency (p=0.027) and sexual arousal (p<0.001). Conclusion. the illness symptoms and chemotherapy treatment effects that negatively impact on quality of life differ between men and women. Thus, healthcare needs to be focused on these specific factors that affect the quality of life according to the patient's gender.(AU)

Objetivo. Identificar las diferencias de género en la percepción de la calidad de vida de pacientes con cáncer colorrectal. Métodos. Estudio transversal, realizado con 144 pacientes (72 hombres y 72 mujeres) en tratamiento quimioterapéutico en un hospital del sudeste brasilero. Los datos se recogieron a partir de un cuestionario sociodemográfico y clínico y del instrumento de Cualidad de Vida Relacionada a Salud del European Organization for Reseach and Treatment of Cancer. Resultados. La función cognitiva lleva a menor calidad de vida general, con mayor impacto en los hombres comparados con las mujeres. La imagen corporal (p=0.023), el dolor abdominal (p=0.020) y la boca seca (p=0.001) representan menor calidad de vida en las mujeres, mientras que en los hombres son los síntomas: incontinencia fecal (p<0.001), impotencia sexual (p=0.027) y el interés sexual (p<0.001). Conclusión. Los síntomas de la patología y los efectos del tratamiento quimioterapéutico reducen la calidad de vida en forma diferente en hombres y mujeres. Así, los cuidados en salud deben enfocarse en los factores específicos que impactan en la calidad de vida según el sexo.(AU)

Objetivo. Identificar as diferenças de gênero na avaliação de qualidade de vida dos pacientes em tratamento quimioterápico para câncer colorretal. Metodologia. Estudo transversal, realizado com 144 pacientes (72 homens e 72 mulheres) em tratamento quimioterápico. Para coletar os dados, aplicaram-se um questionário sócio-demográfico e clínico e o instrumento de Qualidade de Vida Relacionada à Saúde da European Organization for Reseach and Treatment of Cancer. Resultados. A função cognitiva leva a menor qualidade de vida geral, com maior impacto nos homens quando comparado às mulheres. A imagem corporal (p=0.023), a dor abdominal (p=0.020) e a boca seca (p=0.001) representam menor qualidade de vida às mulheres. Já os homens apresentam menor qualidade de vida devido aos sintomas: incontinência fecal (p<0.001), impotência sexual (p=0.027) e interesse sexual (p<0.001). Conclusão. Os sintomas da doença e os efeitos do tratamento quimioterápico que reduzem a qualidade de vida diferem entre homens e mulheres. Assim, os cuidados em saúde devem se voltar aos fatores específicos que impactam na qualidade de vida segundo o gênero.(AU)