Avaliação funcional de servidores da prefeitura de Santos com doenças do sistema osteomuscular e do tecido conjuntivo
Data
2017
Autores
Silva, Livia Mansur 
Orientadores
Cockell, Fernanda Flávia
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: As doenças do sistema osteomuscular e do tecido conjuntivo podem estar
relacionadas ao trabalho, podendo afetar as relações interpessoais no ambiente de trabalho e
podendo levar ao afastamento os servidores e consequentemente aumentando o custo social
com indenizações. Atualmente, os serviços de medicina do trabalho, realizam a avaliação dos
servidores baseadas na Classificação Internacional de Doenças, o que faz com que não
considerada a funcionalidade e incapacidade de cada servidor individualmente. A necessidade
da criação da Classificação Internacional de Funcionalidade, Incapacidade e Saúde, criada
pela Organização Mundial de Saúde, se deu pela falta da capacidade de compreensão da
doença em um contexto biomédico e biopsicossocial-espiritual. Objetivo: Avaliar os níveis
de funcionalidade dos servidores afastados por licença médica ou reintegrados da Prefeitura
Municipal de Santos, com os códigos CID M00 a M99.9, em relação ao tempo de
afastamento. Métodos: Trata-se de um estudo transversal quantitativo, constituído por
servidores da Prefeitura Municipal de Santos, de ambos os sexos, afastados por doenças do
sistema osteomuscular e do tecido conjuntivo (CID M00 a M99.9). Setenta e três servidores
responderam corretamente todos os questionários e foram divididos em três grupos de acordo
com o tempo de afastamento. Foram utilizados três questionários: um de funcionalidade
(WHODAS 2.0) e dois de dor (Questionário Nórdico de Sintomas Osteomusculares e a Escala
Visual Analógica de Dor). Resultados: Os grupos eram homogêneos nos quesitos sexo, em
idade, causa do afastamento, índice de massa corpórea e escolaridade. Encontramos diferença
significativa entre os grupos no quesito dor pela Escala Visual Analógica de dor (EVA) nas
regiões do pescoço, parte superior das costas e quadril/coxa. As de acordo com o tempo de
afastamento. O questionário WHODAS 2.0 apresentou pontuação menor no grupo 2 na
pontuação total e nos domínios 1, 2, 3, 4 e 6.Conclusão: O questionário WHODAS 2.0 não
consegue diferenciar as incapacidades da população estudada de acordo com o tempo de
afastamento
Introduction: Musculoskeletal system and connective tissue disorders may be work related, affecting interpersonal relationship at workplace and may lead to workers sick leave and consequently increasing the social cost with indemnities. Currently, occupational health services evaluates the workers health condition through the International Classification of Diseases, which does not consider the functionality and disability of each server individually. The necessity of creating the International Classification of Functioning, Disability and Health, created by the World Health Organization, was due to the lack of understanding of the disease in a biomedical and biopsychosocial-spiritual context. Objectives: Evaluate the functioning levels of workers who went on sick leave in the Municipal City Hall of Santos, caused by the ICD M00 to M99.9, and relate the functioning to the absence periods. Methods: This is a transverse quantitative study, formed by public employees of the Municipal City Hall of Santos, of both genders, who went on sick leaves caused by diseases of the musculoskeletal system and connective tissue (ICD M00 to M99.9). Seventy-three workers correctly answered all questionnaires and were divided into three groups according to the absence time. Three questionnaires were used: one related to functioning (WHODAS 2.0) and two related to pain (Nordic Questionnaire for the Analysis of Musculoskeletal Symptoms and the Visual Analogue Scale for pain). Results: The groups were similar in terms of gender, age, causes of the sick leave, body mass index and scholarity. There was found clinically significant difference between the groups for pain, analyzed by the Visual Analogue Scale for pain (VAS), in neck, upper back and hip/thigh regions. There was no difference in functioning and disabilities evaluated by WHODAS 2.0 according to the sick leave period. WHODAS 2.0 showed lower punctuation of the second group in the total score and the domains 1, 2, 3, 4 and 6. Conclusion: WHODAS 2.0 cannot differ the studied population disabilities according to the sick leave period
Introduction: Musculoskeletal system and connective tissue disorders may be work related, affecting interpersonal relationship at workplace and may lead to workers sick leave and consequently increasing the social cost with indemnities. Currently, occupational health services evaluates the workers health condition through the International Classification of Diseases, which does not consider the functionality and disability of each server individually. The necessity of creating the International Classification of Functioning, Disability and Health, created by the World Health Organization, was due to the lack of understanding of the disease in a biomedical and biopsychosocial-spiritual context. Objectives: Evaluate the functioning levels of workers who went on sick leave in the Municipal City Hall of Santos, caused by the ICD M00 to M99.9, and relate the functioning to the absence periods. Methods: This is a transverse quantitative study, formed by public employees of the Municipal City Hall of Santos, of both genders, who went on sick leaves caused by diseases of the musculoskeletal system and connective tissue (ICD M00 to M99.9). Seventy-three workers correctly answered all questionnaires and were divided into three groups according to the absence time. Three questionnaires were used: one related to functioning (WHODAS 2.0) and two related to pain (Nordic Questionnaire for the Analysis of Musculoskeletal Symptoms and the Visual Analogue Scale for pain). Results: The groups were similar in terms of gender, age, causes of the sick leave, body mass index and scholarity. There was found clinically significant difference between the groups for pain, analyzed by the Visual Analogue Scale for pain (VAS), in neck, upper back and hip/thigh regions. There was no difference in functioning and disabilities evaluated by WHODAS 2.0 according to the sick leave period. WHODAS 2.0 showed lower punctuation of the second group in the total score and the domains 1, 2, 3, 4 and 6. Conclusion: WHODAS 2.0 cannot differ the studied population disabilities according to the sick leave period
Descrição
Citação
SILVA, Livia Mansur. Avaliação funcional de servidores da prefeitura de Santos com doenças do sistema osteomuscular e do tecido conjuntivo. 2017. 55 f. Trabalho de conclusão de curso de graduação (Fisioterapia) - Instituto de Saúde e Sociedade (ISS), Universidade Federal de São Paulo (UNIFESP), Santos, 2017.