Aspects of general, mental, and auditory health among nursing team members of a public hospital affected by Covid-19
Aspectos de saúde geral, mental e auditiva de trabalhadores da equipe de enfermagem de um hospital público acometidos pela Covid-19
Rafael Coelho Damaceno; Denise Maria Vaz Romano França; Adriana Bender Moreira de Lacerda; Débora Lüders
Abstract
Keywords
Resumo
Objetivo: analisar possíveis impactos à saúde geral, mental e auditiva de trabalhadores da enfermagem acometidos pelo vírus da COVID-19.
Métodos: estudo exploratório, transversal, realizado com profissionais da enfermagem de um hospital público da região Sul do Brasil, que responderam a um questionário sobre sintomas gerais e auditivos após a infecção pela COVID-19 e o Oldenburg Burnout Inventory (OLBI). A análise estatística foi realizada com a aplicação do teste do Qui-quadrado de independência, do teste ANOVA com pós-teste de Tukey e da Correlação Linear de Pearson, com p-valor em 5%.
Resultados: participaram 52 trabalhadores (17 enfermeiros, 30 técnicos, cinco auxiliares). Os sintomas de cefaleia, perda do olfato e do paladar, cansaço e dores musculares foram referidos por mais de 75% dos trabalhadores; 80,8% ou já estão classificados com burnout (40,4%) ou já apresentam escores altos para exaustão ou para distanciamento do trabalho (40,4%), havendo correlação com os sintomas tosse (p = 0,0327) e febre (p=0,0235); 44,23% apresentaram sintomas auditivos, sendo a tontura/vertigem referida por 34,6% e zumbido por 13,5%, embora sem correlação com os níveis de burnout (p=0.4250).
Conclusão: houve impactos na saúde geral, mental e auditiva dos trabalhadores da enfermagem que foram diagnosticados com COVID-19, principalmente tosse e febre, burnout, zumbido e tontura.
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References
1. Zhang H, Penninger JM, Li Y, Zhong N, Slutsky AS. Angiotensin-converting enzyme 2 (ACE2) as a SARS-CoV-2 receptor: Molecular mechanisms and potential therapeutic target. Intensive Care Med. 2020;46(4):586-90.
2. Organização Pan-Americana da Saúde (OPAS) [Webpage on the internet]. OMS afirma que COVID-19 é agora caracterizada como pandemia 2020 Mar 11 [Accessed 2020 jul 29]. Available at:
3. Liguori C, Pierantozzi M, Spanetta M, Sarmati L, Cesta N, Iannetta M et al. Depressive and anxiety symptoms in patients with SARS-CoV2 infection. J Affect Disord. 2021 Jan 1;278:339-340.
4. Hajikhani B, Calcagno T, Nasiri MJ, Jamshidi P, Dadashi M, Goudarzi M et al. Olfactory and gustatory dysfunction in COVID-19 patients: A meta-analysis study. Physiol Rep. 2020;8(18):e14578.
5. Bayrak AF, Karaca B, Özkul Y. Could smell and taste dysfunction in COVID-19 patients be a sign of the clinical course of the disease? Egypt J Otolaryngol. 2021;37(1):106.
6. Silva VB, Valentim EG, Romagnoli IB, Filho ASL, Ramos DF, Neto ASB et al. Disfunção do olfato e paladar em pacientes com COVID-19: uma revisão bibliográfica. Braz. J. Hea. Rev. 2021;4(6):25877-25885.
7. Kozan SNG, Conde AG, Júnior HTC. O efeito do vírus SARS-CoV-2 na audição de pacientes adultos. Braz. J. Hea. Rev. 2022;5(3):8817-31.
8. Tan BYQ, Kanneganti A, Lim LJH, Tan M, Chua YX, Tan L et al. Burnout and associated factors among health care workers in Singapore during the COVID-19 pandemic. J Am Med Dir Assoc. 2020;21(12):1751-1758.e5.
9. Antunes CMTB, Lucianno CC, Bahia JC, Bastos RMAFP. Relato de experiência dos atendimentos de enfermagem em triagem para o diagnóstico da COVID-19 em profissionais da saúde. Edição Brasileira Nursing. 2021;24(277):5785-92.
10. Silva LS, Machado EL, Oliveira HN de, Ribeiro AP. Condições de trabalho e falta de informações sobre o impacto da COVID-19 entre trabalhadores da saúde. Rev bras saúde ocup. 2020;45:e24.
11. Hoseinabadi TS, Kakhki S, Teimori G, Nayyeri S. Burnout and its influencing factors between frontline nurses and nurses from other wards during the outbreak of Coronavirus disease - COVID-19- in Iran. Invest Educ Enferm. 2020;38(2):e3.
12. Bellanti F, Buglio AL, Capuano E, Dobrakowski M, Kasperczyk A, Kasperczyk S et al. Factors related to nurses' Burnout during the first wave of Coronavirus Disease-19 in a university hospital in Italy. Int J Environ Res Public Health. 2021;18(10):5051.
13. Sheehan O, Sheehan M, Rau RI, Sullivan IO, McMahon G, Payne A. Burnout on the frontline: The impact of COVID-19 on emergency department staff wellbeing. Ir J Med Sci. 2022;191(5):2325-33.
14. Schuster MS, Dias VV. Oldenburg Burnout Inventory - validação de uma nova forma de mensurar Burnout no Brasil. Ciênc. saúde coletiva. 2018;23(2):553-62.
15. Demerouti E, Bakker AB, Vardakou I, Kantas A. The convergent validity of two burnout instruments: A multitrait-multimethod analysis. European Journal of Psychological Assessment. 2003;19(1):12-23.
16. Peterson U, Demerouti E, Bergström G, Åsberg M, Nygren A. Work characteristics and sickness absence in Burnout and non Burnout groups: A study of Swedish health care workers. International Journal of Stress Management. 2008;15(2):153-72.
17. Caronna E, Pozo-Rosich P. Headache during COVID-19: Lessons for all, implications for the International Classification of Headache Disorders. Headache. 2021;61(2):385-6.
18. Furcada JM. Síndrome pos-COVID-19: solo sabemos que sabemos poco. Rev. Hosp. Ital. B. Aires. 2021;41(4):201-5.
19. Algahtani SN, Alzarroug AF, Alghamdi HK, Algahtani HK, Alsywina NB, Bin Abdulrahman KA. Investigation on the factors associated with the persistence of anosmia and ageusia in Saudi COVID-19 patients. Int J Environ Res Public Health. 2022;19(3):1047.
20. Fabien DL, Guillaume P, Fabien B, Bastien B, Agnes M, Stephane D et al. Retraído: crioterapia de corpo inteiro como tratamento inovador para anosmia-hiposmia induzida por COVID 19: um estudo de viabilidade. JICM. 2022;28(3):284-8.
21. Trecca EMC, Cassano M, Longo F, Petrone P, Miani C, Hummel T et al. Results from psychophysical tests of smell and taste during the course of SARS-CoV-2 infection: A review. Acta Otorhinolaryngol Ital. 2022;42(Suppl. 1):S20-S35.
22. Lechien JR, Hopkins C, Saussez S. Sniffing out the evidence: It's now time for public health bodies recognize the link between COVID-19 and smell and taste disturbance. Rhinology. 2020;58(4):402-3.
23. Karaarslan F, Güneri FD, Kardes S. Postdischarge rheumatic and musculoskeletal symptoms following hospitalization for COVID-19: Prospective follow-up by phone interviews. Rheumatol Int. 2021;41(7):1263-71.
24. Kacem I, Gharbi A, Harizi C, Souissi E, Safer M, Nasri A et al. Characteristics, onset, and evolution of neurological symptoms in patients with COVID-19. Neurol Sci. 2021;42(1):39-46.
25. Sahin T, Ayyildiz A, Gencer-Atalay K, Akgün C, Özdemir HM, Kuran B. Pain symptoms in COVID-19. Am J Phys Med Rehabil. 2021;100(4):307-12.
26. Huang S, Zhuang W, Wang D, Zha L, Xu X, Li X et al. Persistent somatic symptom burden and sleep disturbance in patients with COVID-19 during hospitalization and after discharge: A prospective cohort study. Med Sci Monit. 2021;27:e930447.
27. Caronna E, Pozo-Rosich P. Headache as a symptom of COVID-19: Narrative review of 1-year research. Curr Pain Headache Rep. 2021;25(11):73.
28. Jafari Z, Kolb BE, Mohajerani MH. Hearing loss, tinnitus, and dizziness in COVID-19: A systematic review and meta-analysis. Can J Neurol Sci. 2022;49(2):184-95.
29. Oliver ME, Hinks TSC. Azitromicina em infecções virais. Rev Med Virol. 2021;31(2):e2163.
30. Bisht M, Bist SS. Ototoxicity: The hidden menace. Indian J Otolaryngol Head Neck Surg. 2011;63(3):255-9.
31. Catalán IP, Martí CR, Sota DP, Álvarez AC, Gimeno MJE, Juana SF et al. Corticosteroids for COVID-19 symptoms and quality of life at 1 year from admission. J Med Virol. 2022;94(1):205-10.
32. Kok N, van Gurp J, Teerenstra S, van der Hoeven H, Fuchs M, Hoedemaekers C et al. Coronavirus disease 2019 immediately increases Burnout symptoms in ICU professionals: A longitudinal cohort study. Crit Care Med. 2021;49(3):419-27.
33. Lasalvia A, Amaddeo F, Porru S, Carta A, Tardivo S, Bovo C et al. Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: A cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy. BMJ Open. 2021;11(1):e045127.
34. Marôco J, Marôco AL, Leite E, Bastos C, Vazão MJ, Campos J. Burnout em profissionais da saúde portugueses: uma análise a nível nacional. Acta Médica Portuguesa. 2016;29(1):24-30.
35. Areosa J, Queirós C. Burnout: uma patologia social reconfigurada na era COVID-19? International Journal on Working Conditions. 2020 Dez;20:71-90.
36. Appel AP, Carvalho ARS, Santos RP. Prevalência e fatores associados à ansiedade, depressão e estresse numa equipe de enfermagem COVID-19. Rev Gaúcha Enferm. 2021;42(spe):e20200403.
37. Hanafin S, Cosgrove J, Hanafin P, Brady AM, Lynch C. Burnout and its prevalence among public health nurses in Ireland. Br J Community Nurs. 2020;25(8):370-5.
38. Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce Burnout. Mayo Clin Proc. 2017;92(1):129-46.
39. Tarcan M, Hikmet N, Schooley B, Top M, Tarcan GY. An analysis of the relationship between Burnout, socio-demographic and workplace factors and job satisfaction among emergency department health professionals. Appl Nurs Res. 2017 Apr;34:40-7.
Submitted date:
04/01/2024
Accepted date:
09/24/2024