Transtornos mentais em profissionais de saúde de serviços de alta complexidade

Abstract

The prevalence of mental disorders in health workers has been shown to be higher among other workers. This thesis aimed to analyze mental disorders in health professionals working in high complexity services. Epidemiological, cross-sectional, analytical study conducted in the northern macro-region of Minas Gerais/Brazil, with health professionals working in high complexity services. Data were collected through a questionnaire with socioeconomic, occupational and health conditions variables. In the evaluation of mental disorders, the variables anxiety, depression, work stress and Burnout syndrome were evaluated, respectively, by the Beck Anxiety and Depression Inventories, Work Stress Scale and Maslach Burnout Inventory. To evaluate lifestyle, the Fantastic Lifestyle instrument was used and for quality of life, the Whoqol-bref. Blood pressure levels were measured, nutritional status classification and metabolic profile was assessed. A.s. study included 490 health professionals. This thesis results in two scientific products. Study 1 aimed to analyze the prevalence of anxiety and depression symptoms in health professionals in high complexity services and associated factors. Poisson regression analysis was used to test the association between anxiety and depression and independent variables. These workers presented 26.5% and 19.8% symptoms of anxiety and depression, respectively. The prevalence of anxiety symptoms was higher among females, in whom they used sleeping medications, with altered blood glucose level, with a good and regular/need to improve lifestyle, and with scores below average in the social relations domain. Symptoms of depression were more prevalent among females, those who moved away from work due to stress, depression or anxiety, had a good lifestyle, regular/need to improve and with scores below average in the psychological and environmental domains and lower among nurses and physicians. Study 2 investigated the interrelationships between sociodemographic factors, lifestyle and quality of life associated with mental disorder. A hypothetical model was developed in which depression, anxiety, stress and the three dimensions of Burnout syndrome were treated as latent variables, age, sex, lifestyle, quality of life, were treated as observed variables. Structural equation modeling was used to adjust the final model. Lifestyle had a direct and negative effect on mental disorder and positive direct effect on quality of life. Quality of life had a direct negative effect on mental disorders. Income had a direct positive effect on quality of life and negative effect on lifestyle. Age had a positive direct effect on monthly income. Females were positively associated with mental disorder. It was concluded that the outcomes investigated were associated with the variables gender, income, age, professional category, use of sleeping medication, fasting glucose, stress leave, depression or anxiety, lifestyle and quality of life. Measures for prevention, screening and monitoring of mental disorders are recommended considering the factors identified, in order to reduce the mental illness of health professionals.