RESUMO
Introduction: Community health workers are qualified professionals who provide health services that are culturally appropriate for a region. In their work routine, these professionals experience the most diverse and risky situations, which may cause vulnerability to the process of illness and even compromise care to users of the Brazilian Unified Health System. Therefore, understanding the factors associated with the work process that imply the illness of community health workers helps increase the safety of the service provided by these workers. Objectives: To analyze the implications for illness arising from the work process of community health workers. Methods: A cross-sectional, descriptive, quantitative study was conducted with the participation of all community health workers in the municipality of Baixio, state of Ceará, Brazil. The interviews were conducted by means of a questionnaire containing questions to assess the work context with quantitative answers, from February to April 2019. Data were analyzed by the Shapiro-Wilk normality test, followed by Spearman correlation test. Differences were considered significant at a p-value < 0.05. Results: High demand for results in the workplace and insufficient work instruments demonstrated a directly proportional correlation with headache, body pain, back pain, and vision disorders (p < 0.05). Conclusions: Working conditions can directly affect the health of community health workers. Therefore, public strategies are essential to ensure workers' safety and quality of care for users of the Brazilian Unified Health System services.
Introdução: Agentes comunitários de saúde são profissionais habilitados que fornecem serviços de saúde culturalmente adequados a uma região. Em suas rotinas laborais, esses profissionais enfrentam diversas e arriscadas situações, que podem ocasionar vulnerabilidade frente ao processo de adoecimento e, até mesmo, comprometer o atendimento dos usuários do Sistema Único de Saúde. Por isso, compreender os fatores associados ao processo de trabalho que implicam o adoecimento dos agentes comunitários de saúde auxilia no aumento da segurança para a prestação de serviços desses trabalhadores. Objetivos: Analisar as implicações para o adoecimento decorrentes do processo de trabalho dos agentes comunitários de saúde. Métodos: Foi realizado um estudo transversal, descritivo e quantitativo com a participação de todos os agentes comunitários de saúde do município de Baixio, Ceará. As entrevistas foram realizadas por meio de questionário contendo questões de avaliação do contexto de trabalho, com respostas quantitativas, entre os meses de fevereiro e abril de 2019. Os dados foram analisados pelo teste de normalidade Shapiro-Wilk, seguido pelo teste de correlação de Spearman. As diferenças foram consideradas significativas com valor de p < 0,05. Resultados: A forte cobrança por resultados no ambiente de trabalho e os instrumentos insuficientes de trabalho demonstraram uma correlação diretamente proporcional com dor de cabeça, dor no corpo, dor nas costas e distúrbios da visão (p < 0,05). Conclusões: As condições de trabalho podem afetar diretamente a saúde dos agentes comunitários de saúde. Assim, são fundamentais estratégias públicas que garantam a segurança do trabalhador e a qualidade do atendimento dos usuários dos serviços do Sistema Único de Saúde.
RESUMO
PURPOSE: To assess the association between hypertension in pregnancy and women's quality of life (QoL) and the variation in the quality of life over gestational trimesters. METHOD: A questionnaire was applied to 194 hypertensive pregnant women and 195 pregnant women without complications. The questionnaire was composed of two parts: socioeconomic profile and specifically QoL, using the instrument Ferrans & Powers Quality of Life Index. All women included underwent a physical examination. RESULTS: Blood pressure was found to be approximately 20 mmHg higher in hypertensive pregnant women compared to pregnant women without complications. All QoL domains of hypertensive pregnant women had lower scores than those of pregnant women without complications, with health/functioning rated the lowest, averaging 17.63. The least affected domain was family, having the best average score (26.0). The QoL had no significant variations in relation to gestational trimesters. CONCLUSIONS: Pregnancy causes intense changes, both physical and psychological, in women's lives and hypertension was found to be a factor of high interference in pregnant woman's QoL, causing lower scores in all QoL domains of hypertensive pregnant women, compared with pregnant woman without complications.