Avaliação da fadiga ocupacional em anestesiologistas do Amazonas: inovação tecnológica no cenário cirúrgico

Abstract

Background: Given this scenario and the growing demand faced by anesthesiologists, understanding the factors that contribute to occupational fatigue has become necessary, and developing tools for implementing strategies for managing human fatigue and early intervention in factors associated with this occupational condition. Objectives: The general objective of the research is to evaluate the human factors that may be associated with occupational fatigue in anesthesiologists working in the surgical center of a quaternary level hospital in the state of Amazonas. Method: Prospective cross-sectional study, with the application of an online questionnaire aimed at anesthesiologists working in public health in the state of Amazonas. The questionnaire consisted of sociodemographic, organizational and managerial variables, sleep-wake cycle, health and psychological, and performance/coping with adverse situations in the workplace. Results: the study included the participation of 95 anesthesiologists, working in public health in the state of Amazonas, 55.8% of whom were female, 37.9% were between 30 and 39 years old, 49.5% were married or in a stable union, 58.9% had children and of these, 49.5% had 1 to 2 children, 24.2% had graduated between 6 and 10 years ago, 29.5% had worked as anesthesiologists for between 21 and 30 years and 57.0% had up to two people in the family. Most participants work three shifts (63.2%), in public and private health institutions (61.1%), work more than 72 hours a week (42.1%), work on weekends (84.2%), have worked between 21 and 30 12-hour shifts in the last 30 days (44.2%), have average technical conditions in the work environment (449.5%) and work in up to five hospitals (64.2%). Most participants consider their sleep at home to be “good” (43.2%) and “average” at work (51.6%), sleep between 8:30 pm and 11:30 pm (76.8%), have no difficulty sleeping (63.2%), but know that sleeping less than 8 hours a day results in poor quality sleep (69.5%). Of the 95, 8.4% have been diagnosed with a sleep disorder. Regarding the health axis, the majority reported that they do not use medication (55.8%), do not have diseases that affect sleep (67.4%), and engage in leisure activities (89.5%) and physical activities (87.4%). In the psychological axis, 25.3% reported that they are undergoing psychological or psychiatric treatment and 36.8% have already used illicit substances or drugs. In terms of performance, 43.2% reported that they were subjected to an unusual environment or tasks that may have caused underwork or overload. The most worrying factors that were significantly associated with the health and psychological axes of anesthesiologists were having between 21 and 30 years as an anesthesiologist, which was associated with poor sleep quality, and working more than 72 hours per week, which was associated with psychological or psychiatric treatment. Conclusion: Although the participants presented good physical and mental health, and good quality of sleep, work overload remained as one of the most relevant factors in their occupational fatigue. Insert the application functionality, in what way it can manage occupational fatigue.