Identification of cumulative post-traumatic disorders in port workers for clinical reasoning.

Identificação de transtornos traumáticos cumulativos em portuários para o raciocínio clínico. (Portuguese)

Objective: To associate cumulative post-traumatic disorders self-reported by port workers with their socio-environmental constraints. Methods: Cross-sectional study conducted with 232 port workers (136 onshore and 96 on board) with a mean age of 48.7 years. The cumulative post-traumatic disorders were self-reported, and their intensity was measured by a grade from one to four. 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. Results: 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). There was a statistical correlation between age and work time with the intensity of the illnesses. Conclusion: 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. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

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