Associação entre transtornos mentais comuns e acidentes de trabalho em auxiliares de enfermagem de uma universidade: Estudo Pró-Saúde.

Abstract

In this thesis, epidemiological data on the interrelationship between mental health and work accidents are analyzed. The theoretical perspective of health deterioration in the work process of nursing professionals contributes to the understanding of the association between the presence of common mental disorders (CMD) and the occurrence of occupational accidents (OA). The literature points to a direct association between CMD and OA, but with limitations due to the lack of multidimensional and longitudinal studies, besides the nature and direction of the association are not clear. The study population consisted of 581 female nursing assistants who participated in both Phases 1 (1999) and 2 (2001-2) of the Pró-Saúde Study (EPS), a prospective study conducted among technical-administrative employees of a university in Rio de Janeiro. The total incidence of OA in the 12-month period (number of professionals who suffered at least one OA) previous participation in phase 2 (2001-2) was 239 injured individuals, equivalent to 37% of the study population. Among those who suffered OA in 2001-2, 41% had CMD in 1999; for those who suffered OA with the presence of TMC in 2001-2, this percentage reached 51.4%. OA´s was associated with a 1.70 times greater (95% CI: 1.21-2.40) chance of CMD in 2001-2, after adjustment for age, schooling and per capita income. The persistence of CMD in 1999-2001-2 was associated with a 1.58 times greater chance (95% CI: 1.02-2.47) of the incidence of OA in 2001-2, when adjusted for age, schooling and per capita income. . The persistence of CMD in 1999-2001-2 was associated with to leave work motivated by OA in 2001-2, odds ratio of 2.10 (95% CI: 1.1-4.02), and OA with musculoskeletal implications em 2001-2 with odds ratio of 2.18 (95% CI: 1.26-3.75), both of which were adjusted for age, schooling, and per capita income. An expanded multivariate model was composed of sociodemographic, occupational and health variables derived from the theoretical model of the thesis and considered as intervenient to the occurrence of OA with an adequate statistical significance, in this the persistence of CMD in 1999-2001-2 was associated with almost three times greater odds for OA in 2001-2, odds ratio of 2.72 (95% CI: 1.22-6.07), adjusted for age, schooling, per capita income, time of profession and alcohol consumption. The OA with musculoskeletal implications presented greater strength of association for the presence of CMD. Sensitivity analyzes were conducted, restricting OA to two probably more serious subsets: those who were the object of medical attention and those who motivated them to leave work. In these analyzes, the magnitude of the associations of interest was accentuated, especially for OA that motivated them to leave work. The study pointed out relevant associations between OA and the presence of CMD in nursing assistant women. New studies, investigating this association in other populations of nursing professionals and the health area, as well as among professionals from other areas, will be able to evaluate the issue in labor relations in a more diverse way.