PDF(Pubmed)
Abstract：
The objectives of this study were to assess the adequacy of physical parameters/factors (temperature, relative humidity, noise, and illuminance levels) of the work environment in PHC facilities, to evaluate the association between the adequacy of these measured physical parameters and the physical characteristics of the PHC facilities and their surroundings and to assess the association between health professionals\' perceptions about exposure to physical risks in the PHC work environment and the adequacy of physical parameters measured in the same facilities. The study monitored 23 PHC facilities in southern Brazil and interviewed 210 health professionals. Data analysis involved Pearson\'s chi-square, Fisher\'s exact test, Spearman\'s correlation, and multivariate linear regression analysis was used to control for confounding factors. The significance level was set at 5% (p ≤ 0.05). The combination of temperature and relative humidity presented thermal comfort levels outside the adopted criteria for adequacy in consultation (outdoor relative humidity, p = 0.013) and procedure rooms (front door open, p = 0.034). Inadequate sound comfort (noise) levels in the morning shift were found in the vaccination (front door open, p = 0.021) and consultation rooms (movement of people, p = 0.016). In PHC facilities where reception rooms had insufficient lighting, internal curtains were opened less frequently (p = 0.047). The analysis of health professionals\' perceptions of physical factors demonstrated that physicians more frequently perceive the physical risk of temperature and humidity (p = 0.044). The higher the number of nurses (p = 0.004) and oral health technicians in the PHC facilities (p = 0.031), the greater the general percentage of adequacy of monitored physical parameters. It was also confirmed that the higher the perception of moderate or severe physical risk among health professionals, the lower the general percentage of the adequacy of the physical parameters of the work environment of the PHC facilities evaluated (rs = -0.450, p = 0.031). This study\'s evidence contributes to a better understanding of physical conditions and future occupational interventions to ensure the comfort, safety, and well-being of PHC workers.
摘要：
这项研究的目的是评估物理参数/因素(温度，相对湿度,噪音,和照度水平)PHC设施中的工作环境，评估这些测量的物理参数的适当性与PHC设施及其周围环境的物理特征之间的关联，并评估卫生专业人员对PHC工作环境中暴露于物理风险的看法与在相同设施中测量的物理参数的适当性之间的关联。该研究监测了巴西南部的23个PHC设施，并采访了210名卫生专业人员。数据分析涉及皮尔逊卡方，费希尔的精确检验，斯皮尔曼的相关性，多元线性回归分析用于控制混杂因素。显著性水平设定为5%(p≤0.05)。温度和相对湿度的组合显示热舒适水平超出了所采用的咨询充分性标准(室外相对湿度，p=0.013)和手术室(前门打开,p=0.034)。在疫苗接种中发现早班的声音舒适度（噪音）水平不足（前门打开，p=0.021)和咨询室(人员流动，p=0.016)。在接待室照明不足的PHC设施中，内部窗帘的打开频率较低（p=0.047）。对卫生专业人员对物理因素的看法的分析表明，医生更频繁地感知温度和湿度的物理风险（p=0.044）。PHC设施中的护士（p=0.004）和口腔卫生技术人员（p=0.031）越多，监测的物理参数的一般充分性百分比越大。还证实，卫生专业人员对中度或重度身体风险的看法越高，评估的PHC设施的工作环境的物理参数的适当性的一般百分比越低（rs=-0.450，p=0.031）。这项研究的证据有助于更好地了解身体状况和未来的职业干预措施，以确保舒适，安全,以及PHC工人的福祉。
