Relação entre distúrbio de voz e trabalho em um grupo de agentes comunitários de saúde do município de São Paulo

Detalhes bibliográficos
Ano de defesa: 2010
Autor(a) principal: Cipriano, Fabiana Gonçalves lattes
Orientador(a): Ferreira, Leslie Piccolotto
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Pontifícia Universidade Católica de São Paulo
Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Fonoaudiologia
Departamento: Fonoaudiologia
País: BR
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://tede2.pucsp.br/handle/handle/12279
Resumo: INTRODUCTION: Vocal illness has been leading various professional categories to situations of work leaves and inability, which implies in financial, personal and social costs. The workers involved in this study were Community Health Agents (CHA), since their work activity has particular details that make them more susceptible to compromise their vocal well-being. The hypothesis is that there is association between the development in vocal disorders by the CHA and the adversities present in their work environment and organization. AIM: To analyze the relationship between voice disorders and work in a group of CHA. METHODS: The subjects of this study were 65 CHA working in the East region of the city of São Paulo. The instrument used for data collection was an adaptation of the questionnaire named Conditions of Vocal Production Teachers (CPV-P), which comprised 40 questions divided into four different parts: Basic Health Unit Identification (questions 1-4); Subject Identification (questions 5-9); Work Situation (questions 10-38) and Vocal Aspects (questions 39 and 40). The results were keyed in twice and submitted to statistical analysis (parametric chi-squared test) in order to verify: the self-reported frequency of voice disorder in the past or present; frequency of present vocal symptoms; the association among the three most frequently reported present symptoms and environmental and organization aspects of work; p values ≤ 5% (0,050) were considered significant. The statistics program used was Stata 8.0. RESULTS: Of the 65 (100%) CHA in the study, 37 (56,9%) self-reported having present or past vocal disorders. The most frequently reported present symptoms were: dry throat (40 61,5%), tiredness when speaking (35 53,9%) and burning in the throat (33 50,8%). There was significant association between: taking work home, having personal items stolen, police intervention, violence against employees and vocal symptom dry throat (p=0,012, p=0,021, p=0,027 and p=0,033, respectively); not having enough time to complete all tasks, inadequate furniture, intense physical strain, objects stolen from the health unit, racism and the vocal symptom tiredness when speaking (p=0,023, p=0,043, p=0,019, p=0,040 and p=0,023, respectively); dust, job dissatisfaction, work stress, building destruction, drug issues and vocal symptom burning in throat (p=0,001, p=0,014, p=0,018, p=0,018 and p=0,011, respectively). CONCLUSIONS: Based on the obtained results, the initial hypothesis of association between the development of vocal disorders among the subjects and the adversities present in their work environment and organization was confirmed. Thus, these findings may contribute so that the Speech-Language Pathologists can broaden their knowledge of the CHA work processes, as well as providing important subsidies to plan actions aimed towards the vocal well-being of this population