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1.
J Voice ; 2020 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-32224004

RESUMO

OBJECTIVE: Voice is an essential working tool in the teaching profession and thus needs to be acknowledged and cared for by student teachers. This study aimed to investigate the presence of vocal symptoms among fourth-year students of teacher education programs and whether students had received voice care advice during their education. METHODS: We conducted a descriptive cross-sectional study of 70 students in their final year of 9 teacher education programs at Regional Jataí of Universidade Federal de Goiás, Midwestern Brazil, from January to April 2017. Participants completed a questionnaire on sociodemographic, academic, and work-related characteristics, and were asked to answer an open-ended question on whether they had received any voice care advice during their education (and what type of advice if any). The Screening Index for Voice Disorder was then administered to all participants for self-reported vocal symptoms. RESULTS: Of 70 students included in the study, 81.4% were women with a mean age of 30 years. Overall, 62.9% were employed: 47.7% in the field of education and 52.3% in other activities. As for vocal symptoms, 35.7% reported ≥ 5 symptoms, including strained speech (51.4%), dry throat (50.0%), dry cough (48.6%), hoarseness (37.1%), and phlegm (35.7%). Most students (87.14%) did not receive voice care advice during their education. Among those who received advice (12.86%), voice care was limited to lay advice, such as drinking plenty of water, speaking in a lower voice, avoiding straining the voice by shouting, avoiding cold beverages, and drinking ginger tea. CONCLUSION: Our findings highlight the need for the introduction of voice training during teacher education in order to promote efficient voice production and prevent occupational voice disorders among future teachers by raising awareness of the importance of voice care and the risk factors that may affect the voice directly or indirectly.

2.
Audiol., Commun. res ; 25: e2361, 2020. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1142388

RESUMO

RESUMO Objetivos Identificar como é a formação de profissionais da saúde quanto à Língua Brasileira de Sinais (Libras). Métodos Trata-se de estudo descritivo e transversal, desenvolvido com dados secundários, coletados no banco de dados eletrônico do Ministério da Educação. Foram analisados a grade curricular e o projeto pedagógico de todos os cursos de graduação na área da saúde em Instituições de Ensino Superior (IES) brasileiras, procurando-se identificar e caracterizar a disciplina de Libras. Resultados Foram localizados 5317 cursos e, destes, 2293 (43,1%) ofereciam disciplina de Libras, sendo 16,7% como disciplina obrigatória e a maioria (83,3%) como optativa. Em relação ao período ofertado, não houve um padrão, variando desde o primeiro até o décimo. Quanto à carga horária destinada à disciplina, dentre os 2077 cursos que disponibilizavam essa informação, 11,1% ofertavam a disciplina com carga horária de até 20 horas, 49,4% com carga horária entre 21 e 40 horas, 29,9% entre 41 e 60 horas, 9,1% entre 61 e 80 horas. Apenas 0,5% dos cursos destinavam mais que 80 horas para o ensino de Libras. Em média, os cursos de graduação em IES públicas (N=217) dedicavam 53,1 horas ao ensino de Libras, enquanto os cursos de IES privadas (N=1860) dedicavam 45,8 horas. Conclusão Há evidências de fragilidade na formação dos profissionais de saúde quanto ao ensino da Libras, o que reflete diretamente no atendimento integral dos surdos.


ABSTRACT Purpose To identify how Brazilian Sign Language (Libras) training is being conducted in undergraduate health care courses at Higher Education Institutions. Methods This is a descriptive and cross-sectional study, developed using secondary data taken from the Ministry of Education electronic database. The curriculum and pedagogical design of all undergraduate health care courses at Brazilian Higher Education Institutions (HEIs) were analyzed, aiming to identify and characterize the Libras discipline. Results 5317 courses were found and, from these, 2293 (43.1%) offered Libras, 16.7% as mandatory and the majority (83.3%) as optional. Regarding the period offered, there was no pattern, ranging from the first to the tenth. Regarding the workload for the discipline, among the 2077 courses that provided this information, 11.1% offered the discipline with a workload of up to 20 hours, 49.4% with a workload between 21 and 40 hours, 29.9% between 41 and 60 hours, and 9.1% between 61 and 80 hours. Only 0.5% of the courses devoted more than 80 hours to teaching Libras. On average, undergraduate courses in public HEIs (N = 217) devoted 53.1 hours to teaching Libras, while private HEI courses (N = 1860) dedicated 45.8 hours. Conclusion There is evidence of weakness in training programs for health professionals regarding teaching Libras, which directly reflects in comprehensive care for the deaf.

3.
Ciênc. Saúde Colet ; 24(11): 4111-4123, nov. 2019. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1039511

RESUMO

Resumo O objetivo deste artigo é identificar o impacto da saúde na qualidade de vida (QV) e qualidade da vida profissional (QVT) de professores universitários. Estudo descritivo, transversal, que avaliou 284 professores universitários das áreas da saúde, biologia, agrarias, humanas e exatas. A avaliação ocorreu através da aplicação de um questionário sociodemográfico com questões relacionadas aos dados de saúde, o WHOQOL-bref para avaliar QV e o TQWL-42 para avaliar a qualidade da vida no trabalho (QVT). Verificou-se que os professores que praticam atividade física apresentaram melhor QV e QVT e relataram melhor qualidade de sono, além disso, elas eram menores em professores que usam medicação, que têm uma dieta pobre e têm menos atividades de lazer. Além disso, a idade foi associada a melhor QV. A qualidade de vida e qualidade de vida no trabalho sofrem impacto dos aspectos relacionados à saúde.


Abstract This study aimed to determine the impact of health on the quality of life (QoL) and quality of working life (QWL) of university teachers. A cross-sectional study was conducted with 284 teachersin the areas of health, sciences, human sciences, and agricultural sciences using a sociodemographic questionnaire containing health-related questions, the WHOQOL-bref, and TQWL-42. Results: the findings showed that teachers who practiced physical activity had better QoL,QWL, and sleep quality. Advanced age was also associated with better QoL.Furthermore, QoL and QWL were lower in teachers who used medications, had an imbalanced diet, and did not practice leisure activities. QoL and QWL are influenced by health-related factors.

4.
Cien Saude Colet ; 24(11): 4111-4123, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31664384

RESUMO

This study aimed to determine the impact of health on the quality of life (QoL) and quality of working life (QWL) of university teachers. A cross-sectional study was conducted with 284 teachersin the areas of health, sciences, human sciences, and agricultural sciences using a sociodemographic questionnaire containing health-related questions, the WHOQOL-bref, and TQWL-42. Results: the findings showed that teachers who practiced physical activity had better QoL,QWL, and sleep quality. Advanced age was also associated with better QoL.Furthermore, QoL and QWL were lower in teachers who used medications, had an imbalanced diet, and did not practice leisure activities. QoL and QWL are influenced by health-related factors.


Assuntos
Exercício Físico/fisiologia , Docentes/estatística & dados numéricos , Nível de Saúde , Qualidade de Vida , Adulto , Fatores Etários , Estudos Transversais , Docentes/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sono/fisiologia , Inquéritos e Questionários , Universidades , Adulto Jovem
5.
Syst Rev ; 7(1): 243, 2018 12 23.
Artigo em Inglês | MEDLINE | ID: mdl-30579364

RESUMO

BACKGROUND: In this article, conceptualization of well-being is a starting point. According to Diener, subjective well-being refers to all kinds of evaluation, both positive and negative, people make about their own lives. It includes cognitive assessments, such as satisfaction with life and satisfaction with work, as well as affective reactions to life events, such as sadness and contentment. Low levels of health and well-being in workers lead to many consequences. Sick leave, low productivity, and absenteeism are some examples. In this systematic review, the main objective is to assess workers' subjective well-being. METHODS: The studies should include workers, whether they are paid or volunteers. Also, they must assess workers' subjective well-being. Observational peer-reviewed studies will be included. Qualitative studies will be excluded. The primary outcomes to be considered are the subjective well-being indicators described. Only studies that used six (6) instruments, developed by Diener, will be included. The instruments are Satisfaction With Life Scale (SWLS), Scale of Positive and Negative Experience (SPANE), Positive Thinking Scale (PTS), Flourishing Scale (FS), Comprehensive Inventory of Thriving (CIT), and Brief Inventory of Thriving (BIT). The studies will come from Scientific Electronic Library Online (SciELO), Biblioteca Virtual em Saúde (BVS), Portal da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), MEDLINE, Embase, Web of Science, and Global Index Medicus databases. The studies must be written in Portuguese, English, or Spanish. DISCUSSION: As far as we know, this is the first systematic review related specially to workers' subjective well-being. We hope that this study contributes to the "well-being at work" discussion and also to the development of effective interventions, used outside and inside organizations, that could improve well-being scores and increase correlate variables scores such as general health, social relations, and quality of life. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42016039520.


Assuntos
Emoções , Satisfação no Emprego , Satisfação Pessoal , Qualidade de Vida/psicologia , Recursos Humanos , Humanos , Inquéritos e Questionários
6.
Rev. bras. med. trab ; 16(4): 400-406, dez-2018. tab
Artigo em Inglês, Português | LILACS | ID: biblio-980424

RESUMO

Introdução: A qualidade de vida (QV) de trabalhadores do trânsito tem sido foco de atenção, sendo os motociclistas os mais susceptíveis a acidentes e exposição a poluentes. Esses fatores, somados à prática tabagista, podem gerar transtornos respiratórios e influenciar na QV do trabalhador. Objetivo: Avaliar a qualidade de vida de mototaxistas tabagistas e não tabagistas. Método: Estudo longitudinal e epidemiológico, de abordagem quantitativa, desenvolvido com 95 mototaxistas de Jataí, no sudoeste goiano, Brasil, realizado em duas etapas entre 2014 e 2015, utilizando um questionário para avaliar características sociodemográficas e ocupacionais e percepção da saúde dos mototaxistas e o questionário WHOQOL-Bref. Os dados foram analisados nos programas Statistical Package for Social Sciences® e STATA®, por meio de testes estatísticos, considerando os valores de p<0,05 significantes. Resultados: A maioria era do sexo masculino (98,9%), não fumava (89,5%), já havia se acidentado (67,4%); a idade média era de 39,1 anos, e 48,5% deles tinham boa percepção de saúde. O escore de domínio físico reduziu (86,07 versus 74,28; p=0,091) e o escore do domínio ambiental aumentou (58,43 versus 64,06; p=0,285) entre tabagistas. Entre os não tagagistas, o escore do do domínio físico reduziu (79,87 versus 76,38; p=0,014) e do domínio ambiental aumentou (58,27 versus 67,32; p<0,001). Houve associação entre a idade e o uso de tabaco com a QV no domínio físico (p=0,014; 0,027). Conclusão: Os mototaxistas estão expostos a diversos fatores que podem influenciar sua condição de vida e seu trabalho, tornando necessária a adoção de novas políticas públicas de saúde com vistas a essa classe trabalhadora


Background: The quality of life (QoL) of traffic and transit workers has been a focus of much attention; motorcyclists are the workers most susceptible to accidents and exposure to pollutants. These factors added to smoking might result in respiratory disorders and influence the workers' QoL. Objective: To analyze the QoL of smoking or not motorcycle taxi drivers. Method: Longitudinal and epidemiological study with quantitative approach conducted with 95 motorcycle taxi drivers from Jatai, southeastern Goias, Brazil, in two stages in 2014 and 2015. We administered a questionnaire to collect sociodemographic and occupational data and self-perceived state of health, and WHOQOL-BREF. Statistical analysis was performed with software Statistical Package for Social Sciences® and STATA®; the significance level was set to p<0.05. Results: Most participants were male (98.9%), nonsmokers (89.5%), had already suffered work accidents (67.4%); their average age was 39.1 years old, and 48.5% described their state of health as good. The score on the physical health domain of QoL decreased (from 86.07 to 74.28; p=0.091) and the one on the environment domain increased (from 58.43 to 64.06; p=0.285) among smokers. Also among nonsmokers the score on domain physical health decreased (from 79.87 to 76.38; p=0.014) and the one on domain environment increased (from 58.27 to 67.32; p<0.001). We found association of age and smoking with QoL domain physical health (p=0.014; 0.027). Conclusion: Motorcycle taxi drivers are exposed to several factors which might influence their living and working conditions. New public health policies targeting this population of workers are needed


Assuntos
Qualidade de Vida , Tabagismo/epidemiologia , Saúde do Trabalhador , Poluição do Ar , Motocicletas , Brasil/epidemiologia , Estudos Epidemiológicos , Estudos Longitudinais
7.
Cien Saude Colet ; 23(9): 3021-3030, 2018 Sep.
Artigo em Português | MEDLINE | ID: mdl-30281739

RESUMO

The scope of this article is to analyze the quality of work life of the physical therapy course teachers in the city of Goiânia in the state of Goiás. It involved a cross-sectional study of 65 physical therapy teachers in Goiânia. The participants who had worked for less than six months in the profession and those who failed to fill out the questionnaire in full were excluded from the research. A socio-demographic and the Total Quality of Work Life (TQWL-42) questionnaire were used to assess the quality of work life. It was established that the teachers who taught in graduate courses and who held management positions presented significantly better averages than those who only taught in undergraduate courses. Satisfaction with income and with the teaching activity also showed significant results influencing the quality of work life of the participants. Work in positions and locations that allow greater autonomy, status and remuneration, as well as subjective evaluation of satisfaction with income and teaching work, influenced the quality of work life of physical therapy teachers.


Assuntos
Docentes/psicologia , Satisfação Pessoal , Fisioterapia/educação , Qualidade de Vida , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autonomia Profissional , Salários e Benefícios , Inquéritos e Questionários
8.
Plast Reconstr Surg Glob Open ; 6(8): e1802, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30254825

RESUMO

Background: The quality of life theme is much studied in the area of plastic surgery; however, there are few studies on the quality of life of plastic surgeons. The main aim of this study was to describe the quality of life of the plastic surgeon in Center-West of Brazil. Methods: A cross-sectional study was performed of plastic surgeons in the greater state of Goias, Center-West of Brazil, registered until January 2015. A sample with power of 80%, 115 surgeons from 163 WHOQOL-BREF, and a social-demographic and professional questionnaire were used as instruments. The data were compared between qualitative variables of the questionnaire and WHOQOL-BREF using the Mann-Whitney and Kruskal-Wallis tests. Results: One hundred sixteen surgeons answered; for WHOQOL-BREF, domain statistics were as follows: physical, 57.85; psychological, 62.9; social, 74.13; and environment, 68.56. The higher scores in each domain were related: physical: monthly income higher than US$ 11,200, more than 10 years of experience, weekly work hours lower than 40, being an associate or full member, and more than 4 surgeries/week; psychological: man, married, and having only private patients; social: man, monthly income higher than US$15,000, more than 20 years of experience, and weekly work hours lower than 40; and environment: monthly income higher than US$15,000, more than 10 years of experience, weekly work hours lower than 60, and more than 4 surgeries/week. Conclusion: The study demonstrates that the youngest surgeon, with a duration of less than 10 years, has the worst quality of life.

9.
Ciênc. Saúde Colet ; 23(9): 3021-3030, set. 2018. tab
Artigo em Português | LILACS-Express | LILACS | ID: biblio-952759

RESUMO

Resumo O objetivo deste artigo é avaliar a qualidade de vida no trabalho de fisioterapeutas docentes de cursos de fisioterapia no município de Goiânia-GO. Trata-se de um estudo transversal com 65 docentes. Foram incluídos fisioterapeutas docentes do curso de fisioterapia no município de Goiânia. Foram excluídos aqueles que estavam afastados, com menos de seis meses de atividade e que responderam os questionários de forma incompleta. Utilizou-se um questionário sociodemográfico e o Total Quality of Work Life (TQWL-42) para avaliação da qualidade de vida no trabalho. Verificou-se que os docentes que atuavam em pós-graduação, ou exerciam cargo de chefia apresentaram médias significativamente melhores que aqueles que atuavam apenas na graduação. A satisfação com a renda e com a atividade docente também apresentou resultados significativos, influenciando a qualidade de vida no trabalho dos participantes. A atuação em cargos e locais que permitem maior autonomia, posição social e remuneração, assim como a avaliação subjetiva da satisfação com a renda e com a atuação na docência, influenciaram a qualidade de vida no trabalho dos fisioterapeutas docentes.


Abstract The scope of this article is to analyze the quality of work life of the physical therapy course teachers in the city of Goiânia in the state of Goiás. It involved a cross-sectional study of 65 physical therapy teachers in Goiânia. The participants who had worked for less than six months in the profession and those who failed to fill out the questionnaire in full were excluded from the research. A socio-demographic and the Total Quality of Work Life (TQWL-42) questionnaire were used to assess the quality of work life. It was established that the teachers who taught in graduate courses and who held management positions presented significantly better averages than those who only taught in undergraduate courses. Satisfaction with income and with the teaching activity also showed significant results influencing the quality of work life of the participants. Work in positions and locations that allow greater autonomy, status and remuneration, as well as subjective evaluation of satisfaction with income and teaching work, influenced the quality of work life of physical therapy teachers.

10.
Syst Rev ; 7(1): 92, 2018 07 10.
Artigo em Inglês | MEDLINE | ID: mdl-29991355

RESUMO

BACKGROUND: As general population life expectancy has increased, the need to investigate the quality of life has arisen, especially because it is important that people have a healthy long life and with good quality. Studies are done with specific populations, and in the case of this investigation, the target studies are the ones done with women. Female population is growing demographically and professionally. Women have shown increased levels of stress and higher number of illness. It is known that many practices can be used to improve the level of quality of life and that one of them is the dance. Dance is an activity which combines physical and psychosocial aspects. Moreover, it promotes self-expression, self-esteem, and self-confidence. It relieves women of stress. And it also helps in a variety of aspects such as group interaction, motivation, and positive emotions. In this systematic review, the main objective is to assess the effect of dance on quality of life of adult women. METHODS: Only quantitative studies will be included. Studies will be accepted with any amount of dance practice time. They will have been published in the following bibliographic databases: Scientific Electronic Library Online (SciELO), Biblioteca Virtual em Saúde (BVS), Portal da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), MEDLINE, Embase, and Cochrane from inception until June 30, 2018. There will be no restrictions for geographical location. It will be included studies published in Portuguese, English, and Spanish. Only published ones will be included in the review. DISCUSSION: There is a variety of systematic review studies with men and women on quality of life and dance, but this is the first one focused exclusively on adult female audience. It is expected that this review will be useful to promote the discussion about quality of life of adult women and the interest of this population for dance practice. In order to summarize and to explain the characteristics and findings of those studies, tables and information from texts will be used in a systematic narrative synthesis. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42016039961.


Assuntos
Dança/fisiologia , Motivação , Qualidade de Vida/psicologia , Feminino , Humanos , Estresse Psicológico/prevenção & controle
11.
Biosci. j. (Online) ; 34(2): 477-485, mar./apr. 2018. ilus, tab, graf
Artigo em Inglês | LILACS | ID: biblio-966731

RESUMO

Studies related to environmental pollution, carbon monoxide levels and smoking need to be deepened, especially in the case of traffic workers. Therefore, the objective was to verify the association between environmental carbon monoxide and carboxyhemoglobin levels among smoking and non-smoking motorcycle taxi drivers. A longitudinal epidemiological study was carried out with 95 motorcycle taxi drivers with measurement of the environmental carbon monoxide, carboxyhemoglobin in the exhaled air in three moments with interval of six months, between June 2014 and March 2015, as well as sociodemographic and occupational characteristics of these workers. The seasons of the year presented different carbon monoxide averages (p <0.05), with higher levels in the spring and lower in the autumn, while carboxyhemoglobin levels among smokers and non-smokers were high in the winter, fair in the spring and low in the autumn. Statistical differences were observed between subgroups: between autumn and spring for nonsmokers (p = 0.024) and between winter and autumn for smokers (p = 0.042). There was a positive correlation between carbon monoxide and carboxyhemoglobin levels for non-smokers (rs = 0.9983; p < 0.01). Environmental pollution represented different levels in the four seasons of the year and significant association with carboxyhemoglobin levels.Thecarboxyhemoglobin levels were higher among smokers, with statistical significance between winter and fall seasons, while non-smokers presented normal levels, whatconfirms the direct influence of tobacco in carboxyhemoglobin levels.


Os estudos relacionados à poluição ambiental, níveis de monóxido de carbono e o tabagismo, necessitam de aprofundamento, com destaque para os trabalhadores do trânsito. Para tanto, verificar associação entre níveis de monóxido de carbono ambiental e carboxihemoglobina em mototaxistas tabagistas e não tabagistas. Estudo epidemiológico, longitudinal, realizado com 95 mototaxistas com mensuração do monóxido de carbono ambiental, carboxihemoglobina no ar exalado em três momentos com intervalo de seis meses, entre junho de 2014 e março de 2015, assim como as características sociodemográficas e ocupacionais desses trabalhadores. As estações do ano apresentaram diferentes médias de monóxido de carbono (p<0,05), com níveis maiores na primavera e menores no outono, enquanto os níveis de carboxihemoglobina entre tabagistas e não tabagistas apresentaram-se elevados no inverno, intermediário na primavera e baixos no outono. Observou-se diferença estatística entre subgrupos, no outono e na primavera para os não tabagitas (p=0,024) e entre o inverno e outono para os tabagistas (p=0,042). Houve correlação positiva entre os níveis de monóxido de carbono e carboxihemoglobina para não fumantes (rs=0,9983; p<0,01). A poluição ambiental representou diferentes níveis nas quatro estações do ano e associação significativa com os níveis de carboxihemoglobina. Os níveis de carboxihemoglobina mostraram-se mais elevados nos tabagistas, com significância estatística entre a estação inverno e a do outono, enquanto os não tabagistas apresentaram níveis normais, o que reforça a participação direta do tabaco nos níveis de carboxihemoglobina.


Assuntos
Saúde do Trabalhador , Poluição Ambiental , Produtos do Tabaco , Fumar Tabaco , Tabaco , Carboxihemoglobina , Monóxido de Carbono
12.
Rev. méd. Minas Gerais ; 28: [1-3], jan.-dez. 2018.
Artigo em Português | LILACS | ID: biblio-969956

RESUMO

O curso de medicina pode ser fonte de ansiedade? Várias são as situações a que o estudante de medicina é exposto, e que são de elevada tensão, como: a singularidade de cada paciente; a verdade relativa e provisória em medicina, o que obriga a convivência com dúvidas e incertezas; a imensidão de conhecimentos necessários em reduzido tempo de formação; a inexistência e ineficácia de tratamento específico para várias doenças, o que exige que atue de forma a aliviar o sofrimento, e pouca influência sobre a evolução da história natural da enfermidade. Cada estudante, entretanto, reage a essas tensões de acordo com sua maturidade emocional, e muitas delas são inevitáveis e se dissipam naturalmente, sem maior consequência, à medida que avança no curso. É importante que o estudante seja provocado a desenvolver juízo crítico e discernimento, para que não se limite à objetividade da medicina, nem aceite passivamente esquemas, normas, diretrizes, e que esse desafio o projete para sua inserção decisiva em defesa do bem-estar do paciente. (AU)


Can medical school be a source of anxiety? There are several situations to which the medical student is exposed, and which are of high tension, such as: the singularity of each patient; the relative and provisional truth in medicine, which requires the coexistence with doubts and uncertainties; the immensity of knowledge required in a short period of training; the inexistence and inefficacy of specific treatment for various diseases, which requires that it act in a way to relieve suffering, and little influence on the evolution of the natural history of the disease. Each student, however, reacts to these tensions according to their emotional maturity, and many of them are inevitable and dissipate naturally, without further consequence, as the course progresses. It is important that the student be challenged to develop critical judgment and discernment, so that it is not limited to the objectivity of medicine, or passively accepted schemes, norms, guidelines, and that this challenge projects him to his decisive insertion in defense of the well-being of the patient. (AU)


Assuntos
Relações Médico-Paciente , Conforto do Paciente , Estudantes , Estudantes de Medicina , Consultórios Médicos/ética , Anamnese
13.
Rev. méd. Minas Gerais ; 28: [1-2], jan.-dez. 2018.
Artigo em Português | LILACS | ID: biblio-969959

RESUMO

O relacionamento médico-paciente requer não só o conhecimento das técnicas da entrevista clínica, mas, também, é preciso ter a consciência de que o mundo do paciente e sua família, pode ser tão diverso daquele domédico, que a comunicação só será possível se souberusar a principal qualidade do método clínico, a sua flexibilidade. (AU)


The doctor-patient relationship requires not only the knowledge of the techniques of clinical interview, but also, it is necessary to be aware that the world of the patient and his family may be so different from that of the doctor, that communication will only be possible if able to use the main quality of the clinical method, its flexibility. (AU)


Assuntos
Relações Médico-Paciente , Estudantes de Medicina , Consultórios Médicos , Anamnese
14.
Rev Bras Med Trab ; 16(4): 400-406, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-32754654

RESUMO

Background: The quality of life (QoL) of traffic and transit workers has been a focus of much attention; motorcyclists are the workers most susceptible to accidents and exposure to pollutants. These factors added to smoking might result in respiratory disorders and influence the workers' QoL. Objective: To analyze the QoL of smoking or not motorcycle taxi drivers. Method: Longitudinal and epidemiological study with quantitative approach conducted with 95 motorcycle taxi drivers from Jatai, southeastern Goias, Brazil, in two stages in 2014 and 2015. We administered a questionnaire to collect sociodemographic and occupational data and self-perceived state of health, and WHOQOL-BREF. Statistical analysis was performed with software Statistical Package for Social Sciences® and STATA®; the significance level was set to p<0.05. Results: Most participants were male (98.9%), nonsmokers (89.5%), had already suffered work accidents (67.4%); their average age was 39.1 years old, and 48.5% described their state of health as good. The score on the physical health domain of QoL decreased (from 86.07 to 74.28; p=0.091) and the one on the environment domain increased (from 58.43 to 64.06; p=0.285) among smokers. Also among nonsmokers the score on domain physical health decreased (from 79.87 to 76.38; p=0.014) and the one on domain environment increased (from 58.27 to 67.32; p<0.001). We found association of age and smoking with QoL domain physical health (p=0.014; 0.027). Conclusion: Motorcycle taxi drivers are exposed to several factors which might influence their living and working conditions. New public health policies targeting this population of workers are needed.

15.
Health Qual Life Outcomes ; 15(1): 223, 2017 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-29149893

RESUMO

BACKGROUND: Quality of life must be one of the main purposes for the treatment of drug users, requiring a better understanding of the association between the quality of life and the severity of dependency. This study aimed to investigate the correlation between severity of substance use in various areas of human functioning and quality of life of illicit drug users in a psychosocial care center for alcohol and drugs. METHODS: This cross-sectional study included 60 participants - illicit drug users - treated at a psychosocial care center for alcohol and drugs. Participants were evaluated with the short version of World Health Organization Quality of Life (WHOQOL-Bref) instrument to measure the quality of life, the 6th version of Addiction Severity Index (ASI-6) to assess the severity of dependence in several areas and the Mini International Neuropsychiatric Interview (MINI) to identify the presence of psychiatric disorders. Pearson and Spearman correlation tests and linear regression were applied to verify the association between the severity of dependence and the quality of life, and Student's t-test to compare the mean quality of life between individuals with and without psychiatric comorbidities. RESULTS: Negative correlation was found between the severity of dependence on the drugs dimensions: alcohol, psychiatric, medical, legal, family/social support and family/social problems of ASI-6, and the quality of life domains measured by the WHOQOL-Bref. The evidence was strongest in the psychiatric and medical dimensions. There was a significant difference in the quality of life mean among participants presenting or not presenting psychiatric comorbidities, for the psychological domain in anxiety disorders, and for the physical and psychological domains in mood disorders. CONCLUSION: The quality of life decreased as the severity of dependence increased, with different results in the various areas of the participant's life. This result emphasizes the need for training the professional team which works in the substance use disorders area for more comprehensive diagnostic evaluations and more appropriate therapeutic interventions for each area. The associations were more evident in the medical and psychiatric fields, indicating the need for greater attention to be paid in relation to medical and psychiatric comorbidities.


Assuntos
Qualidade de Vida/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Índice de Gravidade de Doença , Inquéritos e Questionários
16.
J. Health NPEPS ; 2(1): 272-284, Janeiro-Junho. 2017.
Artigo em Português | LILACS, BDENF - Enfermagem, Coleciona SUS | ID: biblio-1053076

RESUMO

Objetivo: identificar na literatura científica produções sobre a formação e saberes para a docência nos cursos de graduação em Enfermagem no período de 2001 a 2015. Método: revisão integrativa realizada nas bases de dados LILACS, BDENF e MEDILINE. Adotados os critérios de inclusão e exclusão, foram selecionados 18 artigos. Resultados: após a análise, leitura e releitura dos artigos, foram estabelecidas duas categorias: A expansão dos cursos de graduação e a formação docente e A reorientação da formação dos profissionais de saúde e a formação docente. Conclusão: a docência é uma função complexa que exige saberes e formação específica para o exercício da mesma e as pós-graduações tem um papel preponderante na formação para a docência em seus programas e precisa incentivar ações de educação permanente.


Objective: analyzing the scientific evidence relating to the training and skills for teaching in nursing undergraduate courses from 2001 to 2015. Method: integrative review conducted in the databases LILACS, BDENF and Medline. Adopting the criteria for inclusion and exclusion, we selected 18 articles. Results: after analyzing, reading and re-reading of articles, two categories were established: The expansion of undergraduate courses and teacher training and the reorientation of training of health professionals and teacher training. Conclusion: teaching is a complex function that requires skills and specific training to the performance of it and graduate studies courses have a leading role in teaching training in their programs and it needs to encourage permanent learning activities.


Objetivo: identificar las producciones literatura científica sobre formación y conocimiento para la enseñanza en cursos de grado de enfermería de 2001 a 2015. Método: una revisión integradora llevado a cabo en las bases de datos LILACS, BDENF y Mediline. Adoptados los criterios de inclusión y exclusión se seleccionaron 18 artículos. Resultados: tras el análisis, la lectura y la relectura de los artículos, se establecieron dos categorías: La expansión de la formación de grado y del maestro y la reorientación de la formación de los profesionales de la salud y la formación del profesorado. Conclusión: la enseñanza es una función compleja que requiere conocimientos y formación específica para el ejercicio de los mismos y Postgrados tener un papel destacado en la formación de profesores en sus programas y debe fomentar las actividades de educación continua.


Assuntos
Educação Superior , Docentes , Educação
17.
Rev. bras. med. trab ; 15(1): 18-28, jan.-mar. 2017.
Artigo em Português | LILACS | ID: biblio-833205

RESUMO

Contexto: A pro fissão docente é uma atividade com inúmeras particularidades e de expressão e importância inquestionáveis, todavia sua valorização pela sociedade e governo é questionável. Em razão das diversas atribuições do docente universitário sua qualidade de vida pode se depreciar. Objetivo: A docência é uma atividade pro fissional de suma importância, porém muito estressante, está exposta a ambientes con flituosos e possui alta exigência de trabalho, podendo afetar a qualidade de vida no trabalho (QVT) e a qualidade de vida (QV) desses pro fissionais. Os objetivos deste estudo foram avaliar a QVT e a QV dos docentes universitários da área da saúde em uma instituição de ensino superior (IES), veri ficar a correlação entre a QV e a QVT nos docentes da IES, comparar a QV e a QVT entre os docentes com regimes laborais distintos e também entre os docentes de sexos opostos. Métodos: Foi realizado um estudo observacional descritivo de corte transversal com 114 professores universitários da área da saúde de uma IES pública. Os instrumentos utilizados foram o WHOQOL-abreviado, o TQWL-42 e um questionário de dados sociodemográ ficos. Resultados: Demonstraram que o escore geral da QVT 3,56±2,01 foi considerado satisfatório e o da QV 14,45±4,34 pode ser classi ficado como moderadamente satisfatória. Na comparação da QV e da QVT entre professores estatutários e não estatutários não houve diferença estatística. Na comparação entre os sexos, por sua vez, veri ficou-se que entre professores do sexo masculino estatutários e do sexo feminino não estatutários houve diferenças nos domínios psicológicos (p=0,00), no domínio referente ao meio ambiente (p=0,01) da QV e em seu valor geral (p=0,03), relacionando-se nas esferas biológicas (p=0,02) e econômicas/políticas (p=0,02) da QVT. Ao compararmos professores do sexo masculino não estatutários com o do feminino estatutários, houve diferença no domínio físico (p=0,04) da QV, nas esferas psicológicas/comportamental (p=0,01), sociológica/relacional (p=0,00) e ambiental/organizacional (p=0,04) da QVT, e no valor geral da QVT (p=0,02). Na comparação entre professores do sexo masculino estatutários e do feminino também estatutários, não houve nenhuma diferença signi ficativa. Por meio do coe ciente de correlação de Pearson evidenciou-se uma correlação positiva signi ficante entre a QV e a QVT, tanto no grupo de professores estatutários (r=0,78 e p=0,00) quanto no de não estatutários (r=0,69 e p=0,00). Conclusão: Pode-se concluir que os docentes da área de sapude, independentemente do vínculo empregatício, possuem uma avaliação satisfatória da sua QVT e moderadamente satisfatória com sua QV.


Background: Teaching is a profession with countless singularities, and while having undoubtable relevance and significance its appreciation by the government and society at large is questionable. As a function of the many a ttributions of university professors, their quality of life might be impaired. Aim: Teaching is a profession of paramount importance, but also highly stressful. Professors are exposed to an environment characterized by con flict and high job demands, which might impair their quality of working life (QWL) and quality of life (QOL). e aims of the present study were to assess the QWL and QOL of university health science professors at a higher education institution, to investigate the possible correlation between QOL and QWL, to compare QOL and QWL among professors with di fferent work arrangements, and to compare QOL and QWL as a function of gender. Methods: e main aim of the present study was to assess the QWL and QOL of university health science professors. To achieve this goal we conducted a cross-sectional, descriptive and observational study that included 114 university health science professors from a public higher education institution. e instruments used were WHOQOL-bref, TQWL-42 and a demographic questionnaire. Results: e overall QWL score, 3.56±2.01, was considered to be satisfactory, while the QOL score, 14.45±4.34, might be rated moderately satisfactory. Comparison of QOL and QWL between tenured and non-tenured professors did not evidence statistically signi ficant di fference. On comparison per gender, there was di fference in the psychological (p=0.00) and environment (p=0.01) domains and total score (p=0.03) of QOL between male tenured and non-tenured female professors, having a relationship with the biological (p=0.02) and economic/political (p=0.02) spheres of QWL. ere was also di fference between non-tenured male and tenured female professors relative to the physical domain of QOL (p=0.04), the psychological/behavioral (p=0.01), sociological/relational (p=0.00) and environmental/organizational (p=0.04) spheres of QWL, and QWL total score (p=0.02). Comparison between tenured male and female professors did not evidence any signi ficant di fference. Analysis by means of Pearson's correlation coe cient revealed significant positive correlation between QOL and QWL in both the group of tenured (r=0, 78 and p=0.00) and the one of non-tenured (r=0.69 and p=0.00) professors. Conclusion: One may conclude that independently from the work arrangement, the analyzed health science professors assessed their QWL as satisfactory and their QOL as moderately satisfactory.


Assuntos
Humanos , Qualidade de Vida , Saúde do Trabalhador , Instituições de Ensino Superior , Docentes/psicologia
18.
Cien Saude Colet ; 22(1): 123-134, 2017 Jan.
Artigo em Português | MEDLINE | ID: mdl-28076536

RESUMO

The scope of this study was to analyze the quality of life of family caregivers of adults with spinal cord injury. Two researchers conducted a systematic review independently, based on articles published between 2000 to 2014, using the key words quality of life and caregivers or family and spinal cord, in Portuguese, English and Spanish. The search was conducted in the Virtual Health Library (BVS) and the United States National Library of Medicine (PubMED) databases. Caregivers of tetraplegics have a worse quality of life than caregivers of paraplegics. Changes in the quality of life for the caregivers were not significant over time. Different results were observed when comparing caregivers of adults with spinal cord injury and healthy subjects. Factors that negatively influence the quality of life of caregivers were the presence of chronic disease; greater care time, age and number of children; and lower schooling level of caregivers. There is a need for public health policy development and preparation of more comprehensive intervention strategies that include not only the patient but also the caregiver.


Assuntos
Cuidadores/psicologia , Qualidade de Vida , Traumatismos da Medula Espinal/terapia , Adulto , Família/psicologia , Humanos , Paraplegia/psicologia , Paraplegia/terapia , Quadriplegia/psicologia , Quadriplegia/terapia , Traumatismos da Medula Espinal/fisiopatologia , Fatores de Tempo
19.
Rev. méd. Minas Gerais ; 27: [1-3], jan.-dez. 2017.
Artigo em Português | LILACS | ID: biblio-980992

RESUMO

O bom raciocínio clínico possibilita identificar a doença e conhecer o paciente, propor a melhor alternativa terapêutica e estabelecer com alguma segurança a evolução e o prognóstico da doença. Constitui-se em um processo mental contínuo, flexível, dinâmico, até certo ponto semelhante à busca das peças adequadas para resolver um quebra-cabeça. Baseia-se em quatro etapas em que se estabelece: a correta coleta de dados em que se assentam as bases do raciocínio diagnóstico; a aquisição de conhecimentos que possam ser correlacionados com os sintomas e os sinais encontrados no exame clínico; o estabelecimento do valor de cada elemento semiótico e o estabelecimento de hipótese(s) diagnóstica(s), que poderão ser confirmadas ou não pelos exames complementares, exames que poderão fornecer novas pistas para a identificação, a mais completa possível, da doença; até a comprovação diagnóstica, seja com base nos dados clínicos ou por eles direcionados para a escolha de exames que a(s) confirme(m) ou exclua(m). Com esses dados, é possível decidir por uma proposta terapêutica e avaliação prognóstica, completando o processo que teve início na queixa do paciente. (AU)


Good clinical reasoning makes it possible to identify the disease and know the patient, propose the best therapeutic alternative and establish with some certainty the evolution and the prognosis of the disease. It is a continuous, flexible, dynamic mental process, to some extent similar to the search for the right pieces to solve a puzzle. It is based on four stages in which it is established: the correct collection of data that are based on the bases of the diagnostic reasoning; the acquisition of knowledge that can be correlated with the symptoms and signs found in the clinical examination; the establishment of the value of each semiotic element and the establishment of diagnostic hypothesis (s), which may or may not be confirmed by the complementary examinations, which may provide new clues for the most complete identification of the disease; until the diagnostic confirmation, either on the basis of the clinical data or by them directed to the choice of tests that confirm or exclude it. With these data it is possible to decide for a therapeutic proposal and prognostic evaluation, completing the process that began in the complaint of the patient. (AU)


Assuntos
Relações Médico-Paciente , Estudantes de Medicina , Educação Médica , Estudantes de Medicina/psicologia , Terapêutica/psicologia , Desenvolvimento de Pessoal , Capacitação Profissional , Humanismo
20.
Rev. méd. Minas Gerais ; 27: [1-2], jan.-dez. 2017.
Artigo em Português | LILACS | ID: biblio-981018

RESUMO

Olho clínico é uma antiga expressão aplicada aos médicos que tinham a capacidade de identificar, rapidamente, uma doença, mesmo sem dispor de bons recursos para se chegar a um diagnóstico. Constitui-se em complexo processo cognitivo em busca do diagnóstico, de forma consciente ou inconsciente, rápido, capaz de identificar indícios e encontrar pistas para tirar as melhores conclusões tanto com relação à doença como ao paciente. Não é adivinhação ou intuição e, se a tomada de decisão for correta, pode-se dizer que o médico tem "olho clínico". (AU)


Clinical eye is an old expression applied to doctors who had the ability to quickly identify a disease, even without good resources to arrive at a diagnosis. It is a complex cognitive process in search of the diagnosis, in a conscious or unconscious, fast way, able to identify clues and find clues to obtain the best conclusions regarding both the disease and the patient. It is not guesswork or intuition, and if the decision-making is correct, it can be said that the doctor has a "clinical eye". (AU)


Assuntos
Relações Médico-Paciente , Estudantes de Medicina , Educação Médica , Estudantes de Medicina/psicologia , Terapêutica/psicologia , Desenvolvimento de Pessoal , Capacitação Profissional , Humanismo
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