RESUMEN
INTRODUCTION AND HYPOTHESIS: Changes in the mechanisms that modulate sexual response can contribute to the development of female sexual dysfunction (FSD). Although the prevalence of FSD in Brazil has been established, its associated risk factors have not been thoroughly examined. This study aimed to determine the prevalence of FSD in Brazilian women and identify any factors that may be associated with its presence. METHODS: This study used a cross-sectional design and included women aged 18 years or older who had engaged in sexual activity within the past four weeks. Participants completed the Female Sexual Function Index (FSFI) and a sociodemographic and health questionnaire. Two groups were created based on FSFI scores: those with risk for FSD (score >26.55) and those without. The study used t-tests for independent samples to compare quantitative variables between the groups, and the chi-squared test, to compare categorical variables. Binomial logistic regression was used to test the association between sociodemographic and health variables and FSD. RESULTS: FSD had a prevalence of 31.7% (95% CI: 28.2%-35.5%). The results indicated that practice of physical activity was inversely associated with FSD (OR: 0.64, 95% CI: 0.45-0.92), whereas urinary incontinence (OR: 2.55, 95% CI: 1.68-3.87) and post-menopause (OR: 4.69, 95% CI: 1.66-13.3) were directly associated with FSD. CONCLUSIONS: A high prevalence of FSD was observed among Brazilian women in this study. Physically active women are less likely to have FSD. Menopause and the presence of urinary incontinence can negatively impact female sexual function.
RESUMEN
Objetivo: identificar estratégias de promoção à saúde mental dos trabalhadores de enfermagem hospitalar disponíveis na literatura. Método: revisão integrativa desenvolvida por meio de acesso a fontes de informação online. Foram incluídos estudos disponíveis na íntegra entre 2012 e 2022 em português, inglês ou espanhol. Realizada seleção em duplo-cego, apresentação descritiva dos resultados e interpretação à luz do referencial teórico-conceitual. Resultados: onze artigos apontam estratégias individuais focadas no treinamento de habilidades, teleassistência e programas de fortalecimento da resiliência que reduziram sintomas de depressão, ansiedade, estresse, burnout, rotatividade e elevaram satisfação no trabalho, estilos de vida saudáveis, bem-estar e saúde geral. Conclusão: as estratégias para promoção da saúde mental no trabalho mantêm o seu enfoque no indivíduo, e não envolvem aspectos organizacionais e coletivos do trabalho, denotando insuficiência ao não enfocar causas centrais do problema. As intervenções devem ser direcionadas a sanar tal lacuna para promover ambientes de trabalho mais saudáveis.
Objective: identify strategies for promoting the mental health of hospital nursing workers available in the literature. Method: integrative review developed through access to online information sources. Studies available entirely between 2012 and 2022 in Portuguese, English or Spanish were included. Double-blind selection was carried out, as well as descriptive presentation of results and interpretation in light of the theoretical-conceptual framework. Results: eleven articles point to individual strategies focused on skills training, teleassistance and resilience-building programs that reduced symptoms of depression, anxiety, stress, burnout and turnover, and increased job satisfaction, healthy lifestyles, well-being and general health. Conclusion: strategies for promoting mental health at work maintain their focus on the individual, and do not involve organizational and collective aspects of work, denoting insufficiency by not concentrating on the central causes of the problem. Interventions should be aimed at closing this gap to promote healthier work environments.
Objetivo: identificar estrategias de promoción de la salud mental para trabajadores de enfermería hospitalaria disponibles en la literatura. Método: revisión integrativa de la literatura en las bases de datos Lilacs, Scopus, Web of Science, Cochrane Library y Medline. Se incluyeron en la muestra estudios primarios publicados en portugués, inglés o español, disponibles en su totalidad en los últimos diez años (2012 - 2022). La selección se realizó de manera doble ciego, y los resultados se presentan de forma descriptiva e interpretados a la luz del marco teórico-conceptual adoptado. Resultados: once artículos señalan estrategias individuales centradas en la formación de habilidades, la teleasistencia y los programas de desarrollo de la resiliencia, que redujeron los síntomas de depresión, ansiedad, estrés, agotamiento y rotación, y aumentaron la satisfacción laboral, los estilos de vida saludables, el bienestar y la salud general. Conclusión: las estrategias de promoción de la salud mental en el trabajo mantienen su enfoque en lo individual, y no involucran aspectos organizativos y colectivos del trabajo, denotando insuficiencia al no concentrarse en las causas centrales del problema. Las intervenciones deberían estar encaminadas a cerrar esta brecha para promover entornos de trabajo más saludables.
