OBJETIVO: Avaliar a associação entre demanda psicológica e controle sobre o trabalho e a ocorrência de distúrbios psíquicos menores entre trabalhadoras de enfermagem. MÉTODOS: Estudo de corte transversal, incluindo 502 trabalhadoras de enfermagem de um hospital público de Salvador, Bahia. O Modelo Demanda-Controle, de Karasek, foi utilizado para avaliar as dimensões psicossociais estudadas. Para mensuração de distúrbios psíquicos menores (DPM), utilizou-se o SRQ-20. RESULTADOS: A prevalência de DPM foi 33,3%, variando de 20,0% entre enfermeiras a 36,4% entre auxiliares. Observou-se nítido gradiente tipo dose-resposta de associação positiva entre demanda psicológica e DPM, e associação negativa entre controle sobre o trabalho e DPM. A prevalência de DPM foi mais elevada (RP=2,6; IC95%: 1,81-3,75) no quadrante de trabalho em alta exigência (alta demanda, baixo controle), quando comparado às profissionais em trabalho de baixa exigência (baixa demanda, alto controle), depois de ajustado, num modelo de regressão logística múltipla, por potenciais confundidores. CONCLUSÕES: Os achados reforçam a relevância da adoção de medidas de intervenção na estrutura organizacional, de modo a elevar o controle sobre o trabalho e redimensionar os níveis de demanda psicológica.
OBJECTIVES: This study aims to present the confirmed cases of SARS-CoV-2 infection in pediatric patients with chronic and acute kidney diseases admitted to a tertiary pediatric hospital. METHODS: Descriptive and retrospective observational study with all children hospitalized between March and June 2020 who had, simultaneously, SARS-CoV-2 infection and renal pathologies. Of this total of patients, those who had another underlying disease besides the renal disease were excluded. RESULTS: During the period, nine children with kidney disease were admitted to the hospital and had infection confirmed by the new coronavirus through positive RT-PCR. Regarding the underlying disease, seven had only kidney disease, three of whom had stage 5 chronic kidney disease; one, with stage 1 chronic kidney disease; one, with cortic-sensitive nephrotic syndrome; and two, with acute kidney injury. Two patients in this study had already undergone kidney transplantation, used immunosuppressants and had their doses reduced due to the infectious condition. Only one required oxygen therapy and transfer to the intensive care unit, but was not intubated and returned to the ward within 24 hours. CONCLUSIONS: According to the cases described, the pediatric population with kidney disease, including those using immunosuppressants due to acute transplant rejection, seems to evolve without severe COVID-19, therefore there is no great divergence in relation to the population of the same healthy age group.
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