Abstract
Resumo Objetivo Relacionar os transtornos traumáticos cumulativos autorreferidos por trabalhadores portuários e seus condicionantes socioambientais. Métodos Estudo transversal com 232 portuários (136 em terra e 96 a bordo) com média de idade de 48,7 anos. Os transtornos traumáticos cumulativos foram autorreferidos; a intensidade foi medida pela atribuição de uma nota de 1 a 4. Foi realizada análise do coeficiente de Spearman para relacionar intensidade dos transtornos e variáveis de caracterização, e teste qui quadrado de Pearson foi usado para relacionar grupos de trabalhadores aos transtornos. Resultados Ambas as categorias de portuários destacaram lombocitalgias (36,8% em terra e 28,1% a bordo) e tendinite (27,9% em terra e 31,3% a bordo de navio). Houve correlação estatística entre a idade e tempo de trabalho com a intensidade dos adoecimentos. Conclusão A autorreferência de adoecimentos ressaltou doenças lombares e tendinosas que inferiram causalidade às doenças autorreferidas, cuja clínica deve integrar o processamento do raciocínio clínico da enfermagem.
Highlights
The process of illness associated with work requires a continuous and systemic performance from nurses, to operate elements conditioning to the workers’ health, to eliminate or control them
Spearman’s correlation coefficient was used to associate the intensity of disorders with characterization variables, and Pearson’s chi-square test was used to associate groups of workers with the disorders. Both categories of port workers pointed out lumboischialgia (36.8% onshore and 28.1% on board) and tendinitis (27.9% onshore and 31.3% on board)
The self-reporting of illnesses pointed out low back pain and tendon disorders that inferred causality to the self-reported diseases, whose practice should integrate the processing of the nursing clinical reasoning
Summary
The process of illness associated with work requires a continuous and systemic performance from nurses, to operate elements conditioning to the workers’ health, to eliminate or control them. It is understood that the muscular health of port workers is conditioned by the cargo handling operations in the organized ports, whose activities of foremanship, stowage, cargo checking, cargo repair, group work and vessel surveillance constitute mixed work processes, integrating manual, automated and computerized activities These characteristics propitiate the muscular pathological triggering, as already identified in studies, and the most prevalent diseases, according to medical diagnosis, are tendinitis and arthrosis.[5,6,7]. A specific process of clinical reasoning is implemented, which might contribute to deepen the relationship among health, environment, work and disease of port workers, mediating the communication of occupational risks for the healthy maintenance of the port work process and other occupational realities.[8,9] the objective of this study was to associate the cumulative post-traumatic disorders self-reported by port workers with the socio-environmental constraints of their work
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