Dissertations / Theses: 'Occupational fatigue'

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Gillisdotter, Anna. "Att delta i en Fatigue Management kurs – upplevelser från personer med MS-fatigue." Thesis, Luleå tekniska universitet, Hälsa och rehabilitering, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-67521.

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Syftet med denna studie var att beskriva hur personer med MS-fatigue upplever upplägg och innehåll i FM-kursen, samt vilken betydelse de upplever att kursen haft för deras möjligheter att hantera sin MS-fatigue i vardagen. En kvalitativ metod med semistrukturerade intervjuer användes. Data är analyserad med riktad kvalitativ innehållsanalys. Resultatet visade att deltagarna upplevde att kursen var lärorik men ansträngande. Samtidigt gav kursen dem kunskap och strategier för att hantera MS-fatigue i vardagen. Huvudfyndet anses vara hur deltagarna upplever kursen stöttat dem hantera MS-fatiguen i vardagen genom användning av strategier och hjälpmedel. I diskussionen tas aspekten av resultatet om hur deltagarna blivit mer aktiva trots de infört vila i relation till aktivitetsbalans. Även aspekten om arbetsterapeutens expertis inom hjälpmedel och stödja deltagarna i användning av detta kunde möjliggöras i kursen. Konklusionen är att fler studier behövs för att studera Fatigue Management påverkan på aktivitet ur aktivitetsbalansperspektivet.
The purpose of this study was to describe how people with MS fatigue experience the structure and content of the FM course, and if the course helped them to handle their MS fatigue in their daily lives. A qualitative method of semi structured interviews was used. Data is analysed with directed qualitative content analysis. The result shows that the participants felt that the course was educative but strenuous. The course gave them knowledge and strategies for managing MS fatigue in everyday life. The main finding is considered how the participants experience the course supported them managing the MS fatigue in everyday life through the use of strategies and tools. In the discussion, the aspect of the result of how participants became more active, despite the added rest in relation to the activity balance, is taken. The aspect of the occupational assistant's expertise in assistive devices and supporting participants in using this could also be made possible in the course. The conclusion is that more studies are needed to study Fatigue Management's impact on activity from the activity balance perspective.

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Lindberg, Monika. "Arbetsterapeutiska interventioner vid sjukdomsrelaterad fatigue - en litteraturstudie." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-69600.

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Sammanfattning Syftet med denna litteraturstudie var att beskriva arbetsterapeutiska interventioner vid sjukdomsrelaterad fatigue samt deras effekter. För att besvara studiens syfte valdes en litteraturstudie med grund i analys av kvantitativ forskning, resultatet av denna litteraturstudie baserades på arton artiklar. Resultatet visade att de flesta av de arbetsterapeutiska interventionerna var aktivitetsfokuserade och byggde på self-management principen där arbetsterapeutens roll är att hjälpa och stötta personen att hantera sin fatigue. Den mest förekommande interventionen var Fatigue Management kurs som beskrevs i nio artiklar och där alla inkluderade personer med MS-diagnos. I elva av artiklarna framkom att interventionerna hade effekt på sjukdomsrelaterad fatigue. Fatigue var det primära utfallsmåttet som mättes i de flesta artiklarna. Det mest förekommande bedömningsinstrument som användes för att mäta effekten av interventionerna var instrument som bedömde påverkan av fatigue till exempel Modified Fatigue Impact Scale (MFIS) och Fatigue Severity Scale (FSS). Slutsatsen av denna studie är att det främst finns studier där arbetsterapeutiska interventioner vid MS relaterad fatigue är studerat och att dessa har positiv effekt på fatigue. Däremot finns en kunskaplucka om vilka arbetsterapeutiska interventioner som används vid sjukdomsrelaterad fatigue vid till exempel cancer, reumatiska sjukdomar eller förvärvade hjärnskador samt vilken eventuell effekt de har. Nyckelord: Occupational therapy, fatigue, patient education, self-management.
Abstract The purpose of this literature study was to describe occupational therapeutic interventions in illness-related fatigue and their effects. In order to answer the purpose of the study, a literature study was chosen based on analysis of quantitative research. The results of this literature study were based on eighteen articles. The results showed that most of the occupational therapy interventions were activity-focused and based on the self-management principle, where the role of the occupational therapist is to help and support the person to handle his fatigue. The most common intervention was the Fatigue Management course described in nine articles, and all of which were conducted with people with MS diagnosis. In eleven of the articles it showed that the interventions had effect on illness-related fatigue. Fatigue was the primary outcome measure measured in most articles. The most commonly used assessment tool used to measure the effect of interventions was instruments that assessed the impact of fatigue, such as Modified Fatigue Impact Scale (MFIS) and Fatigue Severity Scale (FSS). The conclusion of this study is that there are mainly studies where occupational therapy interventions in MS related fatigue have been studied and that they affect fatigue positively. On the other hand, there is a knowledge gap about which occupational therapy interventions are used in illness-related fatigue in, for example, cancer, rheumatic diseases or acquired brain injuries as well as any possible effect. Keywords: Occupational therapy, fatigue, patient education, self-management.

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Rashedi, Ehsan. "Localized Muscle Fatigue: Theoretical and Practical Aspects in Occupational Environments." Diss., Virginia Tech, 2016. http://hdl.handle.net/10919/78324.

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Localized muscle fatigue (LMF) is a complex, multifactorial phenomenon that involves exercise-induced decrements in the ability to generate force or power. LMF can adversely affect performance and may increase the risk of work-related musculoskeletal disorders (WMSDs), and is thus of contemporary occupational relevance. Despite considerable progress in understanding and predicting muscle fatigue, there are many uncertainties and unresolved issues that are principally associated with the physiological complexity of LMF and the diverse mechanisms that underlie LMF development. This research thus aimed to address some of the theoretical and practical issues related to muscle fatigue and recovery. Regarding the theoretical aspects, two specific muscle fatigue models (MFMs) were directly compared and some important differences in their predictions were identified. These differences were used, in part, as a basis for developing testable hypotheses and designing associated experiments. Further theoretical evaluations were conducted to explore the sensitivity of these models to the model parameters and their ability to predict endurance time in both prolonged and intermittent exertions. Sensitivity to inherent model parameters was quantified, which was relatively high in conditions involving lower to moderate levels of effort. Further assessments indicated substantial variability related to model recovery parameters, which might be related to the inability of these MFMs in simulating the recovery process. From a practical viewpoint, the effect of cycle time on the development and consequences of LMF was determined during intermittent isometric exertions. A shorter cycle time led to less fatigue development as reflected by rates of change in perceived discomfort, performance, and muscle capacity. Lastly, the dependency of muscle recovery on these different histories of fatiguing muscle contractions was explored. How a muscle recovers appeared to depend only on the state from which it starts to recover, though not the exertion history that led to that state. In summary, results of these studies may help in enhancing our understanding of fatigue and recovery processes, and in improving existing models of muscle fatigue and recovery. More accurate predictions of LMF development may help in enhancing muscle performance and in reducing the risk of musculoskeletal injuries and their associated healthcare costs.
Ph. D.

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Cox, Diane Lindsey. "An evaluation of an occupational therapy inpatient intervention for chronic fatigue syndrome." Thesis, King's College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327012.

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Mollica, John A. "Exploring the Relationship between Patient Acuity and Fatigue among Nurses." Ohio University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1587375659501817.

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Edwards, Noreen L. "The Effects of Person-centered Expressive Arts on Compassion Fatigue in Social Workers." Thesis, Saybrook University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10791070.

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Social workers witness tragedy on a daily basis, meaning they regularly face significant risks for mental and physical exhaustion, vicarious trauma, and compassion fatigue. Compassion fatigue is a state experienced by those helping people or animals in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper. Person-Centered Expressive Arts (PCEA) is a group process that facilitates therapeutic growth through integrated use of art, movement, writing, and music.

This mixed method case study examined the impact of a PCEA group process on compassion fatigue in social workers. Two research questions were examined: “What is the impact of PCEA group process on participants’ compassion satisfaction, burnout, and secondary traumatic stress?” and, “What other impacts do participants report resulting from the PCEA group process?” Five social workers with M.S. degrees and at least 3 years of full-time work experience and who self-reported feeling tired, depressed, and/or stressed as a result of their job participated in the study. The group process was conducted over four 3-hour sessions and included movement or meditation, a visual art activity, and group sharing. Compassion fatigue was assessed prior to the group process through an online compassion fatigue assessment.

During the group process, data were collected through the researcher’s direct observation and participant-observation, and participants’ art expression. After the group process, participants completed the online assessment again and took part in one in-depth interview that was audio-recorded and transcribed. Within- and cross-case analyses were produced to determine the effects of the group process on participants’ experiences of compassion fatigue.

Findings indicated that all participants suffered from compassion fatigue before the study began and, to a lesser degree, after the study ended. Four out of the five participants outlined ways that PCEA eased their compassion fatigue by helping them regain lost parts of themselves, release pent-up emotions and energy, and recognize anew the need for work-life balance and self-care.

These findings align with past research, which found that the use of expressive arts increased participants’ abilities to identify, voice, and understand emotions; discover intuitive and spiritual aspects of themselves; release energy; and improve problem solving. Future studies are advised to further expand the body of research on the specific impacts of these group processes for compassion fatigue in helping professionals.

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Lee, Jung Yong. "Quantifying the effects of experience on motor behaviors during simulated occupational tasks." Diss., Virginia Tech, 2013. http://hdl.handle.net/10919/19243.

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Work-related low back disorders (WRLBDs) are common and costly in the U.S. and numerous interventions aiming to reduce WRLBD risk have been developed. In one approach, training programs incorporating the work strategies (or work methods) of experienced workers have often been proposed as a training model or a behavior target of training. However, both the specific role of work experience in contributing to WRLBDs and the effectiveness of such an intervention approach are not well understood. In the current research, differential work strategies of experienced workers and associated WRLBD risk were identified, in the context of several common occupational activities. Three experiments were completed, in which both experienced workers and matched novices participated. These experiments involved relatively short duration repetitive lifts/lowers, more prolonged lifts/lowers that induced fatigue, and dynamic pushes/pulls. Diverse aspects of work strategies were quantified, emphasizing torso kinematics/kinetics, balance maintenance, and/or torso movement stability. During short-term repetitive lifts/lowers, experienced workers exhibited higher torso kinematics and kinetics, suggestive of a higher risk for WRLBDs, though better balance maintenance and torso stability were evident in this group. Thus, experienced workers may trade off an increased risk for WRLBDs to achieve better balance and torso stability. Fatigue modified work methods during repetitive lifts/lowers in both the novice and experienced groups, though the associated contribution to WRLBDs was unclear due to opposite changes in torso kinematics vs. kinetics. More consistently, fatigue decreased balance maintenance during lifts/lowers. Fatigue also modified work methods adopted by experienced workers, leading to higher torso kinetics, that were suggestive of a higher risk for WRLBDs during lifts/lowers. For dynamic pushes/pulls, experienced workers used lower torso kinematics and kinetics, suggestive of a lower risk for WRLBDs. As a whole, these results suggest that work methods are distinct between novices and experienced workers. Further, work experience may not consistently reduce WRLBD risk, and the influences of experience may be task specific. Such findings can help guide the development of future interventions, particularly training, targeting the control of WRLBDs.
Ph. D.

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Cavallaro, Liz. "Employee Wellbeing and Compassion Fatigue among Animal Caregivers| A Hermeneutic Phenomenological Study." Thesis, The George Washington University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3740298.

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The purpose of this study was to develop an understanding of the experience of employee wellbeing and compassion fatigue (CF) in the animal care industry. According to Figley and Roop (2006) in Compassion Fatigue in the Animal-Care Community, compassion fatigue is found at every level among the caregivers in animal-related fields. Utilizing hermeneutic phenomenology, this study explored the experience of employee wellbeing (EW) and compassion fatigue via interviews with 11 participants who are paid, full-time employees from a diverse array of animal shelters. Data analysis followed van Manen’s (1990) description of the inventive thoughtful attitude, which takes place through an ongoing process of writing and reflecting throughout and after data collection to capture participant narratives.

The interpretation of the findings and incorporation of relevant literature led to the development of six key conclusions: 1. Personal History: Participants’ prior life experiences and personal histories are relevant to, and may have implications for, the experience of compassion fatigue. 2. Social Construct: Participant understanding of compassion fatigue is socially constructed, developed through comparisons to, interactions with and support from others. 3. Dirty Work: The perception of animal caregiving as a form of “dirty work” has consequences for the experience of employee wellbeing and compassion fatigue. 4. Three-Tier Approach: Participants use two frequently promoted strategies to combat compassion fatigue: self-care and compassion satisfaction, but they also engage in proactive behaviors, implying a three-tier approach to coping with and combatting CF and improving employee wellbeing. 5. Levels of Responsibility: Participants believe the responsibility to develop and employ appropriate solutions to address issues of compassion fatigue and employee wellbeing exists on three different levels: individual, organizational, and societal. 6. Primary Outcomes: Two primary outcomes are evident from the experience of compassion fatigue—if caregivers are unable to combat the syndrome, they may reach a breaking point and burn out of the field; alternatively they may overcome CF, continue in their work and thrive.

Implications for research, theory and practice are presented. A better understanding of CF will allow for more effective planning, preparation and intervention at each level of responsibility. The contributions of this study offer constructive ideas for both individuals and organizations to incorporate into their efforts to reduce CF, improve EW, and hopefully avoid burnout and turnover.

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David, Daniel P. "Resilience as a Protective Factor Against Compassion Fatigue in Trauma Therapists." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1027.

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Many adults in the United States experience posttraumatic stress disorder (PTSD) within their lifetimes. Researchers have identified compassion fatigue (CF), which debilitates mental health providers as a result of being exposed to their clients' traumatic experiences, as an occupational hazard. The purpose of this study was to examine whether a correlation exists between the presence of CF and the level of resilience. A confidential survey using the Connors-Davidson Resilience Scale, the Professional Quality of Life Scale Version 5, and a demographic questionnaire were given to graduate-level mental health clinicians who self-identified as routinely working with and/or treating trauma victims in the past 6 months. Participants were recruited from the New England Society for the Treatment of Trauma and Dissociation, the Metropolitan Atlanta Therapists Network, Dallas Chapter NASW listserv, and the Georgia Therapist Network. A multivariate analysis on the collected data was conducted to determine whether a relationship exists between the resilience scale and the subscales of CF within these population samples. According to study findings, there is a correlation between resilience and the 3 compassion fatigue subscales---CF, burnout, and compassion satisfaction. This study may lead to positive social change by helping guide clinicians to find ways to enhance resilience, and therefore, decrease risks of CF.

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Lindh, Caroline, and Veronica Persson. "En litteraturöversikt om arbetsterapeutiska strategier vid hjärntrötthet efter stroke samt personers erfarenheter av hjärntrötthet efter stroke." Thesis, Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-86090.

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Bakgrund: Hjärntrötthet är en vanlig konsekvens efter stroke. Hjärntrötthet innebär att personen är mentalt trött och hjärnan orkar inte processa flera saker samtidigt vilket påverkar personens vardag. Hjärntröttheten kan beskrivas som en dold funktionsnedsättning och det kan vara svårt för personen samt omgivningen att förstå hjärntröttheten. Med hjälp av arbetsterapeutiska strategier så kan personer med hjärntrötthet lära sig att hantera sin trötthet och skapa en meningsfull fungerande vardag. Syfte: Syftet var att beskriva erfarenheter av att leva med hjärntrötthet efter stroke samt arbetsterapeutiska strategier som underlättar vardagen för personer som lever med hjärntrötthet efter stroke. Metod: En litteraturöversikt valdes som metod. Datainsamlingen gjordes i fem databaser som innehöll vetenskapliga artiklar om medicin och hälsa. Åtta kvalitativa studier och en RCT-studie inkluderades efter inklusionskriterierna och kvalitetsgranskningen. Studierna analyserades i fyra steg och analysen resulterade i fyra kategorier. Resultat: Artiklarna kommer från olika länder, publicerade mellan 2008 och 2021 och samtliga deltagare var över 18 år. Analysen resulterade i fyra kategorier: Erfarenhet av hjärntrötthet, Vila och återhämtning, Anpassad miljö och Val av aktiviteter. Resultatet visade att deltagarna hade svårt att hantera vardagen och hjärntröttheten påverkade aktivitetsutförandet. Flera deltagare upplevde oro och rädsla för att drabbas av en ny stroke i framtiden. Slutats: Resultatet visade att personer som lever med hjärntrötthet upplevde svårigheter med att hantera vardagen och det påverkade personernas aktivitetsutförande samt deltagandet i sociala interaktioner. Flera av deltagarna i de granskade studierna uppgav att hjärntröttheten inte gick att vila bort och att det var svårt att veta när hjärntröttheten uppstod. Vidare så upplevde deltagarna att miljön påverkade hjärntröttheten både positivt och negativt beroende på vilken miljö de befann sig i. Litteraturöversikten visade att det fanns begränsad forskning om arbetsterapi och rehabilitering för personer med hjärntrötthet efter stroke. Arbetsterapeuterna hade en viktig roll i rehabiliteringen för att lära ut olika strategier för att hantera hjärntröttheten.
Background: Mental fatigue is a common consequence after a stroke. Mental fatigue implies that the person is mentally tired and the brain is not able to process several things at the same time, which affects the person's everyday life. Mental fatigue can be described as a hidden dysfunction and it could be difficult for the person and the surroundings to understand the mental fatigue. Strategies from occupational therapists can support people with mental fatigue to manage their fatigue and create a meaningful and functioning everyday life. Purpose: The purpose of the literature review was to describe experiences of living with mental fatigue after a stroke and occupational therapy strategies that make everyday life easier for people living with mental fatigue after a stroke. Method: A literature review was chosen as a method. The data collection was done in five databases that contained scientific articles in medicine and health. Eight qualitative studies and one RCT study were included according to the inclusion criteria and the quality review. The studies were analyzed in four steps and the analysis resulted in four categories. Results: The articles come from different countries, published between 2008 and 2021 and all participants were over 18 years old. The analysis resulted in four categories: Experience of mental fatigue, Rest and recovery, Adapted environment and Choice of activities. The participants had difficulty coping with everyday life and the mental fatigue affected the activity performance. Several participants experienced anxiety and fear of suffering a new stroke in the future. Conclusion: The results showed that people living with mental fatigue had difficulty managing everyday life and it affected people’s activity performance as well as participation in social interactions. Several participants in the studies stated that the mental fatigue could not be rested and that it was difficult to know when the mental fatigue occurred. Furthermore, the participants experienced that the environment affected mental fatigue both positively and negatively depending on the environment they were in. The literature review showed that there was limited research on occupational therapy and rehabilitation for people with mental fatigue after stroke. Occupational therapists had an important role in rehabilitation to educate different strategies for managing mental fatigue.

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Granberg, Lisa, and Linette Larsson. "En kartläggning av det arbetsterapeutiska arbetet för att främja aktivitet för personer med MS-relaterad fatigue : En enkätstudie." Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-73479.

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Weckman, Angelica, and Jalmelin Sara Brage. "Post-stroke fatigue och dess påverkan på aktivitetsutförandet - En scoping review." Thesis, Hälsohögskolan, Jönköping University, HHJ, Avd. för rehabilitering, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49250.

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Bakgrund: Post-stroke fatigue är ett vanligt förekommande symtom, av de individer som drabbas av stroke upplever cirka hälften fatigue. Symtomen kan bero på en kombination av stroke och svårigheter med att hantera den nya situationen. Syfte: Identifiera hur aktivitetsutförandet påverkas för individer med post-stroke fatigue utifrån tidigare forskning i ämnet. Metod: Studiens design var en scoping review. Sökning av litteratur resulterade i 16 artiklar samt sju artiklar från manuella sökningar. Resultatet baseras på totalt 23 vetenskapliga artiklar. Innehållsanalys på samtliga artiklars resultat genomfördes. Resultat: Resultatet av denna studie visar att majoriteten av individer som drabbas av stroke upplever fatigue som ett problem i vardagen, som individen har svårt att hantera. Post-stroke fatigue har en negativ påverkan och begränsar individens aktivitetsutförande. Arbetsterapeutisk rehabilitering för individer med post-stroke fatigue visar positiva och ihållande effekter och kan minska individens subjektiva upplevelse av symtomet. Slutsats: Individer med post-stroke fatigue har svårigheter med att anpassa och acceptera sin nuvarande livssituation. Aktivitetsutförande påverkas negativt då dessa individer saknar förståelse för hur deras fatigue ska hanteras. En arbetsterapeut kan underlätta för individer med post-stroke fatigue och hitta strategier för att hantera sin nuvarande livssituation.
Background: Post-stroke fatigue is a common symptom, of the individuals affected by stroke experiencing about half fatigue. The symptoms may be due to a combination of stroke and difficulty in coping with the new situation. Aim: The purpose was to identify how the execution of activities is affected for individuals with post-stroke fatigue based on previous research on the subject. Method: The design of the study was a scoping review. Literature search resulted in 16 articles as well as seven articles from manual searches. The result is based on a total of 23 scientific articles. Content analysis on the results of all articles was conducted. Results: The results of this study show that the majority of stroke sufferers experience fatigue as a problem in everyday life, which the individual has difficulty coping with. Post-stroke fatigue has a negative impact and restricts the individual's activity performance. Occupational therapeutic rehabilitation for individuals with post-stroke fatigue shows positive and lasting effects and can reduce the individual's subjective experience of the symptom. Conclusion: Individuals with post-stroke fatigue have difficulty adapting and accepting their current life situation. Activity performance is negatively affected as these individuals do not understand how their fatigue should be handled. An occupational therapist can facilitate individuals with post-stroke Fatigue and find strategies to deal with their current life situation.

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Bengtsson, Emma, and Julia Wolter. "Arbetsterapeuters erfarenheter av att använda arbetsterapeutiska interventioner för personer med multipel skleros." Thesis, Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-86217.

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Syfte. Syftet med studien var att undersöka och beskriva arbetsterapeuters erfarenheter av att använda arbetsterapeutiska interventioner för personer med multipel skleros (MS). Metod. Ett bekvämlighetsurval användes. Förfrågan skickades ut i gruppen “Arbetsterapeuter på facebook” samt att arbetsterapeuter som arbetade med personer med MS söktes upp via hemsidor på internet och kontaktades för att rekryteras som deltagare i studien. För att besvara syftet valdes en kvalitativ ansats och för att samla in data till studien genomfördes semistrukturerade intervjuer. Insamlad data analyserades genom kvalitativ innehållsanalys. Resultat. Analysen resulterade i fyra kategorier: “Fatigue management kurs” som beskrev hur arbetsterapeuten arbetar med aktivitetsbalans, vardagsstruktur, energibesparande strategier samt vikten av vila. “Att bedriva arbetsterapeutiska interventioner i grupp” belyste hur gruppdynamikens positiva effekter bidrog i arbetet med personer med MS när kognitionsträning, handträning och skapande aktivitet bedrivs i grupp. “Individuella arbetsterapeutiska interventioner” beskrev interventioner som är individanpassade utifrån personer med MS unika behov som exempelvis bostadsanpassning, kompensatoriska hjälpmedel och aktivitetsträning. “Arbetsterapeutens yrkesspecifika kompetenser” beskrev arbetsterapeuters förankring och kompetens i ett klientcentrerat och evidensbaserat arbetssätt, förmåga till teamarbete, förbättrings- och utvecklingsarbete samt färdighet att coacha personer med MS. Slutsats. Fatigue management kurs är en viktig arbetsterapeutisk gruppintervention för personer med MS som ska erbjudas redan i ett tidigt skede i sjukdomsförloppet. Individanpassade hjälpmedel behövs för personer med MS för att underlätta i vardagen. Arbetsterapeuterna måste ställa krav på arbetsgivaren för att kunna avsätta tid till förbättring och kompetensutveckling. Digitala verktyg behöver användas för att gynna personer med MS rehabilitering även under en pandemi. Större studier behövs för att lyfta fram ett större nationellt perspektiv, samt även för att undersöka vilka villkor som behövs för att implementera nationella riktlinjer på ett mer effektivt sätt och mer jämnt inom Sverige.
Purpose. The purpose of the study was to investigate and describe occupational therapists' experiences of using occupational therapy interventions for people with multiple Sclerosis (MS). Method. A convenience sample was used. The request was sent out in the group "Occupational therapists on facebook" and occupational therapists who worked with people with MS were searched via websites on the internet and contacted to be recruited as participants in the study. To answer the purpose, a qualitative approach was chosen and to collect data for the study, semi-structured interviews were conducted. Results. The analysis resulted in four categories: “Fatigue management course” which described how the occupational therapist works with occupational balance, everyday structure, energy saving strategies and the importance of rest. “Conducting occupational therapy interventions in groups” highlighted how the positive effects of group dynamics contributed to the work with people with MS when cognitive training, hand training and creative activity were conducted in groups. “Individual occupational therapy interventions” described interventions that are individualized for people with MS unique needs such as housing adaptation, compensatory aids and activity training. “The occupational therapist's profession-specific competencies” described occupational therapists' abutment and competence in a client-centered and evidence-based approach, ability to teamwork, improvement and development work and ability to coach people with MS. Conclusion. Fatigue management course is an extremely important occupational therapy group intervention for people with MS that should be offered at an early stage of the disease. Individually adapted aids are needed for people with MS to make everyday life easier. Occupational therapists must make demands for improvement and skills development. Digital tools need to be used to benefit people with MS rehabilitation even during a pandemic. Larger studies are needed to highlight a larger national perspective, as well as to investigate what conditions are needed to implement national guidelines in a more efficient way and more evenly within Sweden.

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Wan, Margaret. "Assessment of occupational heat strain." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001661.

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Jönsson, Hanna, and Madelen Ödman. "Påverkan av smärta och fatigue i vardagslivet vid reumatiska sjukdomar : En kvalitativ studie." Thesis, Örebro universitet, Hälsoakademin, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-15691.

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Kilfoil, Monica Rosemonde. "Reliable isokinetic evaluation of strength and neuromuscular fatigue to determine the effects of pyridostigmine in subjects with post-poliomyelitis syndrome." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=56980.

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Two subject groups, seven PPS (4 males, 3 females) and 15 normal controls (9 females, 6 males) were matched on the basis of age, height and weight and participated in this study. Three repeated measurements were conducted to evaluate the reliability of isokinetic measurement of strength (at 4 velocities) and fatigability (25 reciprocal contractions at 3.14 rads.s$ sp{-1}$). Data from two subsequent test days were used to evaluate the fatigue responses of the PPS subjects while ON or OFF pyridostigmine. Significant strength differences were seen between the two groups, however there was no observed difference in the rate of development of fatigue. Reliability of strength was demonstrated for the knee extensors and flexors of the PPS subjects after three consecutive test days. Fatigability of the knee extensors in PPS subjects could be tested reliably after three test days but more time would be required for reliable performance of the knee flexors. Reliability of strength and fatigability was seen for both the knee extensor and flexors of the normal controls after only two consecutive test days. A beneficial effect of the drug on fatigability was not seen in the three female PPS subjects, but was demonstrated in one male subject. The drug appeared to have a beneficial effect on strength in the remaining three male subjects.

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Sedighi, Alireza. "Applications of Motor Variability for Assessing Repetitive Occupational Tasks." Diss., Virginia Tech, 2017. http://hdl.handle.net/10919/77947.

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The human body has substantial kinetic and kinematic degrees-of-freedoms, so redundant solutions are available for the central nervous system (CNS) to perform a repetitive task. Due to these redundancies, inherent variations exist in human movement, called motor variability (MV). Current evidence suggests that MV can be beneficial, and that there is an inverse association between MV and risk of injury. To better understand how the CNS manipulates MV to reduce injury risks, we investigated the effects of individual differences, task-relevant aspects, and psychological factors as modifiers of MV. Earlier work found that experienced workers adapted more stable movements than novices in repetitive lifting tasks. To expand on this, we quantified how MV differs between experienced workers and novices in different lifting conditions (i.e., lifting asymmetry and fatigue). Three different measures (cycle-to-cycle SD, sample entropy, and the goal equivalent manifold) were used to quantify MV. In a symmetric lifting task, experienced workers had more constrained movement than novices, and experienced workers exhibited more consistent behavior in the asymmetric condition. Novices constrained their movements, and could not maintain the same level of variability in the asymmetric condition. We concluded that experienced workers adapt stable or flexible strategies depending on task difficulty. In a prolonged lifting task, both groups increased their MV to adapt to fatigue; they particularly increased variability in a direction that had no effects on their main task goal. Developing fatigue also makes it difficult for individuals maintain the main goal. Based on these results, we conclude that increasing variability is an adaptive strategy in response to fatigue. We also assessed variability in gait parameters to compare gait adaptability using a head-worn display (HWD) compared with head-down displays for visual information presentation. An effective strategy we observed for performing a cognitive task successfully during walking was to increase gait variability in the goal direction. In addition, we found that head-up walking had smaller effects on MV, suggesting that HWDs are a promising technology to reduce adverse events during gait (e.g., falls). In summary, these results suggest that MV can be a useful indicator for evaluating some occupational injury risks.
Ph. D.

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Miller, Elizabeth M. "Balancing Compassion Satisfaction and Compassion Fatigue| The Professional Quality of Life of Title IX Coordinators." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10825128.

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Title IX Coordinators are educational administrators who play a critical role in providing campus environments free of sex discrimination, harassment, and violence. Their work is demanding, highly regulated, and set in an increasingly volatile political context. There is little research on the experiences of these administrators. Utilizing the Professional Quality of Life framework, this qualitative study explored the experiences of 20 Title IX Coordinators to understand their professional quality of life and organizational factors that influence their experiences. Findings revealed participants’ satisfaction was drawn from passion for “the work” and making a positive impact in their communities, and fatigue and burnout were tied to an intense and overwhelming workload. While fatigue can lead to a breaking point, moderating influences, e.g., coping strategies and balancing compassion with neutrality, mitigated negative factors. Institutional resistance and lack of understanding across stakeholders contributed to compassion fatigue, while institutional commitment and supportive interpersonal relationships affirmed the Title IX Coordinator’s experience. Implications include expanding the Title IX Coordinator’s passion for gender equity across the institution, and building institutional capacity to adequately respond to complaints, to benefit both the experience of the Title IX Coordinator and campus communities at large. Recommendations for policy and practice include creating Title IX teams, institutionalizing campus climate surveys, and supervision committed to building supportive working environments. Future research is recommended on how intersecting identities influence the Title IX Coordinator experience, and understanding campus attitudes toward Title IX and other civil-rights based responsibilities among constituent groups.

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Bojan, Steta, and Lundeberg Sofia. "Arbetsterapeuters erfarenheter av interventioner för individer med hjärntrötthet : En kvalitativ studie." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-36205.

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Introduktion: Tidigare forskning tyder på att hjärntrötthet är ett komplext tillstånd som negativt påverkar individens livssituation och kan skapa obalans i vardagliga aktiviteter. Syfte: Att beskriva arbetsterapeuters erfarenheter av interventioner för individer med hjärntrötthet. Metod: En kvalitativ design valdes för att besvara studiens syfte. Avsiktligt urval användes för att utse tio arbetsterapeuter med erfarenhet inom området. Data samlades in med hjälp av semistrukturerade intervjuer med öppna intervjufrågor. Innehållsanalys genomfördes på de transkriberade intervjuerna, vilket resulterade i ett tema, tre kategorier samt sju underkategorier. Resultat: Resultatet sammanfattades i temat ”Arbetsterapeuten som coach med individen i fokus”. Kategorierna som framkom var; Information och rådgivning: vikten av att informera patienter och anhöriga om innebörden av hjärntrötthet samt nyttan med interaktion där arbetsterapeuten agerade coach och patienten gavs möjlighet att reflektera. Strategier: genom exempelvis identifiering, planering och struktur av aktivitetsmönster erbjöds patienten hantering av hjärntröttheten och kunde därmed bättre klara sin vardag. Hjälpmedel: individanpassade hjälpmedel av olika slag kunde underlätta i patientens vardag. Slutsatser: Det fanns inte några färdiga interventioner för patienter med hjärntrötthet utan åtgärderna behövde anpassas för varje specifik individ. Genom coachning, strategier och hjälpmedel kunde patienterna lära sig att hantera sin hjärntrötthet och få vardagen att fungera.
Introduction: Previous researches indicate that mental fatigue is a complex condition that adversely affects the individual's life situation and can cause imbalance in everyday activities. Aim: To describe occupational therapists' experiences of interventions for individuals with mental fatigue. Method: A qualitative design was chosen to answer the purpose of this study. Target selection was used to elect ten occupational therapists with experience in the field. Data was collected using semi-structured interviews with open interview questions. Content analysis was conducted on the transcribed interviews, resulting in one theme, three categories and seven subcategories. Result: The result was summarized in a theme: Occupational therapist as a coach with focus on the individual. The categories were; Information and counseling: the importance of informing patients and relatives about mental fatigue as well as the benefit of interaction. Strategies: further interventions were enabled through patients identifying and acquiring insight of his or her own situation. Assistive devices: individualized assistive devices could support the patient's everyday life. Conclusions: Results showed that there were no ready-made interventions for patients with mental fatigue and that the interventions had to be individualized for each specific individual. The purpose of the interventions was to teach patients to deal with their mental fatigue and

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Emery, Catherine E. "Relieving Post-stroke Fatigue Using a Group-based Educational Training Approach." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3875.

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Post-stroke fatigue is a common problem that may limit participation in everyday activities. Emerging evidence suggests that group-based training in fatigue management may be an efficient means of reducing the effects of post-stroke fatigue. This mixed methods, quasi-experimental study proposed to determine whether a group-based educational program could be successful in relieving post-stroke fatigue and improving participation in daily activities. A convenience sample of stroke survivors (n=20) from retirement communities in southeastern PA were invited to participate in the research. Participants were screened for depression, motor and cognitive recovery, and sleep quality. Fatigue was measured using the Fatigue Severity Scale (FSS) and activity participation was measured using the Physical Self-Maintenance Scale- Instrumental Activities of Daily Living (PSMS-IADL). The measures were administered in a double pre-test, double post-test format over three seven-week phases; a non-intervention period; a group-based intervention period, and a post-intervention period. Qualitative information was gathered using a self-made Intervention Satisfaction Survey. Data analysis involved measures of central tendency for the demographic information. Tabulations of the survey responses were completed to judge the effectiveness of the group-based program or its’ components from the participants’ perspectives. Results indicated a statistically significant reduction in reported fatigue post-intervention (p= .022), which continued for seven-weeks (p= .240). There was a strong effect size for the post-intervention reduction of fatigue (r= .69). There was a trend toward improved participation in daily activities. Distribution across groups for presence of social support, age, sex, and level of care was found to be equivalent after one-way chi square analysis. There was no significant influence of these variables on fatigue or participation when used as grouping variables in RM-ANOVA. Participants reported feeling most confident scheduling activity to include rest periods and least confident managing sleep problems. Limitations include small sample size, demographics not being representative of the general stroke population, use of self-report measures with possible ceiling effect of PSMS-IADL, instrumentation effect given multiple administrations, and history effects as groups occurred at different time of the year. Overall, the results indicate that participation in a group-based educational program was effective in reducing post-stroke fatigue in chronic stroke.

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Nahi, Pia. "Occupational Adaptation in Individuals with Ehler-Danlos Hypermobility Type: A Qualitative Study of Personal Perspectives." Thesis, Jönköping University, Hälsohögskolan, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-51980.

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ABSTRACT Purpose: This study aims to describe how major symptoms of pain and fatigue affect occupational performance and adaptation of individuals with Ehlers-Danlos Hypermobility Type (hEDS). Method: Eleven individuals with hEDS (2017 diagnostic criteria) were interviewed using a semi-structured questionnaire. The data was analysed following Giorgi’s modified five steps descriptive phenomenological method. Results: The following six occupational adaptations emerged during data analysis: Experiences of body unconsciousness, conserving energy in activities, goal setting, restricted physical and social environment, new family role, and healthcare system interventions. Conclusions: Experiences of severe fatigue and episodes of severe pain affected the occupational adaptation of daily performance, routines, occupational choices and social and physical environment. IMPLICATIONS FOR REHABILITATION Occupational therapists working with individuals with hEDS need to take into consideration the impacts of chronic pain and fatigue on occupational performance and identity.

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Lundblad, Anette, and Minna Kantola. "Arbetsterapeutiska interventioner för vuxna med ME/CFS och betydelsen för aktivitetsbalans : En litteraturöversikt." Thesis, Luleå tekniska universitet, Hälsa och rehabilitering, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-79451.

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Syfte: Att beskriva och kartlägga arbetsterapeutiska interventioner för vuxna med ME/CFS och betydelsen för aktivitetsbalans. Metod: För att besvara syftet så utfördes en litteraturöversikt som inkluderar kvalitativa studier, kvantitativa studier och litteraturstudier, totalt åtta studier. Resultat: Arbetsterapeutiska interventioner har många fördelar som visar att arbetsterapi som används i rehabilitering har betydelse för vuxna med ME/CFS i det dagliga livet på olika sätt. Att aktiviteter skulle delas upp i relation till klientens aktivitetsnivåer och energinivåer synliggjordes. Individuell intervention som Pacing strategier och Gruppintervention som Gruppbaserad self-managementprogram kan användas som arbetsterapeutiska verktyg för diagnosgruppen ME/CFS och har betydelse för aktivitetsbalans. Det framkommer att kortsiktiga individuella interventioner kan vara kan vara effektiva och att Gruppbaserad self-managementprogram visar inga långvariga effekter. Slutsats: Uppsatsen visar fördelar att tillämpa Pacing som copingstrategi inom arbetsterapi för klienter med ME/CFS. Pacing strategier kan vara ett betydelsefullt arbetsterapeutiskt verktyg eftersom klienterna behöver strategier till att bespara sina energinivåer för meningsfulla aktiviteter. Pacing strategier visar ge goda effekter och beskrivs vara den säkraste intervention för klienter med ME/CFS. Pacing möjliggör för klienterna att uppnå aktivitetsbalans i vardagen. Arbetsterapeutisk gruppintervention som Gruppbaserad self-managementprogram kan vara en del av den arbetsterapeutiska rehabiliteringen av klienter med ME/CFS. Gruppbaserade self-managementprogram är funktionellt inom primärvården, vilket uppskattades av klienterna eftersom det möjliggör klientträffar med andra med samma diagnos. Genom gruppinterventionen har klienterna lärt sig att använda Copingstrategier och arbeta med sin acceptans. Gruppinterventionen resulterade att klienter lärde sig att undvika överansträngning, lärde sig att förändra levnadsvanor, energibesparing vilket kan stödja klienterna. Resultatet visar att efter genomförd gruppintervention är det betydelsefullt för klienter att hålla kontakten och skapa nätverk mellan klienterna. Arbetsterapi och arbetsterapeuten har betydelse för rehabiliteringen av klienter med ME/CFS och för deras aktivitetsbalans i dagliga livet. Det är viktigt att ta hänsyn till klientens uppfattningar, värderingar och synpunkter i relation till klientens diagnos. Ett dåligt bemötande och omhändertagande i hälso-och sjukvården kan påverka rehabiliteringen negativt. Det är betydelsefullt att arbetsterapeuten respekterar och har kunskapen om diagnosens pendlande symtom i samband med rehabiliteringsinsatser och interventioner. Det finns ett behov och efterfrågan om vidare forskning inom området, eftersom det är ett begränsat område gällande arbetsterapi och arbetsterapeutens betydelse i rehabilitering för klienter med ME/CFS som kan främja aktivitetsbalans.

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Fu, Xi. "Self-rated health and respiratory symptoms among civil aviation pilots : Occupational and non-occupational risk factors." Doctoral thesis, Uppsala universitet, Arbets- och miljömedicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-318806.

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There is concern about the indoor environment in aircraft but few stud-ies exist on self-rated health (SRH) and respiratory symptoms among pilots. Occupational and non-occupational risk factors for SRH, respira-tory symptoms and other symptoms among commercial pilots were investigated in this thesis. One cohort study and one prevalence study were performed among pilots in one Scandinavian airline company. Fungal DNA, furry pet allergens and volatile organic compounds of microbial origin (MVOC) were measured on board. Cat (fel d1), dog (Can f1) and horse (Ecu cx) allergens were found in all dust samples and allergen levels were 27-75 times higher in aircraft with textile seats as compared to leather surfaces. The sum of MVOCs in the cabin air was 3.7 times higher than in homes in Uppsala and 2-methyl-1-butanol and 3-methyl-1-butanol concentrations were 15-17 times higher. Asper-gillus/Penicillium DNA and Aspergillus versicolor DNA were more common in aircraft with textile seats. One fifth reported SRH as poor or fair, 62% had fatigue, 46% overweight/obesity and 71% insomnia. Poor or fair SRH was associated with overweight/obesity, lack of exercise, insomnia, low sense of coherence (SOC) and high work demand. Re-covery from work was worse among those with insomnia and low social support at work. Fatigue was more common among young or female pilots and related to insomnia and high work demand. Pilots flying MD80 or Saab 2000 aircraft had less fatigue. Pilots exposed to environmental tobacco (ETS) on board had more eye symptoms and fatigue which were reduced after the ban of smoking (in 1997). Pilots with increased work demand developed more rhinitis, dermal symptoms and fartigue and those with decreased work control developed more eye symptoms. The incidence of doctors’ diagnosed asthma and atopy were 2.4 and 16.6 per 1000 person years, respectively. Pilots changing type of flight got more airway infections. Those reporting decreased work control had a higher incidence of atopy. Risk factors in the home environment included ETS, dampness or mould, window pane condensation in winter and living in houses built after 1975. In conclusion, SRH and respiratory health among pilots are associated with specific occupational and non-occupational risk factors.

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Metwali, Mahmoud. "Motor variability, task performance, and muscle fatigue during training of a repetitive lifting task: adapting motor learning topics to occupational ergonomics research." Diss., University of Iowa, 2019. https://ir.uiowa.edu/etd/6803.

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Low back problems are among the most common nonfatal occupational injuries reported in the United States, and account for substantial healthcare expenditures (e.g., medical care costs) and losses to worker productivity. A strong association has been well-documented between occupational exposure to repetitive trunk motion and low back problems, particularly among workers performing manual material handling (i.e., lifting) activities. A feature of repetitive motion believed important to the development of work-related musculoskeletal disorders (MSDs), including low back problems, is a lack of within-individual, between-cycle variation of physical exposure summary measures, e.g., when observed visually, the cycle-to-cycle motion pattern appears consistent. An active literature has emerged using concepts of motor control to improve ergonomists’ understanding of physical exposure variation (i.e., motor variability) arising from individual-level mechanisms during repetitive work. Fundamentally, for any particular individual, the onset of exposure to a repetitive physical activity (i.e., task training) involves a learning process during which motor control strategies are developed to accomplish the task effectively. The cycle-to-cycle variability of motor learning metrics, such as postural and task performance summary measures, has been observed to exponentially decay during task training. From an ergonomics perspective, a temporal reduction in postural variability may lead to greater cumulative loading and physiological fatiguing of the underlying muscle tissues (due to more consistent cycle-to-cycle movements), thus increasing MSD risk over time. However, it is not known if, or to what extent, physical task characteristics (e.g., work pace) modify the temporal behavior of motor variability during training of a repetitive occupational activity. Moreover, the relationships between motor variability, task performance, and muscle fatigue during occupational task training are not well understood. The goal of this dissertation was to present new information concerning occupationally relevant metrics of motor learning during training of a laboratory-simulated, repetitive lifting activity. In this study, participants performed 100 repetitions (i.e., cycles) of the lifting task in each of four experimental sessions (i.e., visits) at different combinations of box load (low or high) and work pace (slow or fast). Three main observations were discussed in this dissertation: (i) participants exhibited a greater temporal reduction in the cycle-to-cycle variability of trunk postural summary measures during training of a heavier-weighted and faster-paced lifting activity (Chapter 3), which may have facilitated increases in the efficiency and repeatability of box movements (Chapter 4), (ii) the cycle-to-cycle variability of the erector spinae (back) muscle activity summary measures increased, but the variability of the multifidus muscle activity summary measures decreased, over time during faster-paced lifting (Chapter 3), and (iii) a greater temporal increase in trunk postural variability (i.e., a more “flexible” trunk movement strategy) was generally associated with lesser electromyographic back muscle fatigue during training of the lifting task (Chapter 5). Collectively, these research findings may open pathways to the development of new task design criteria and ergonomic guidelines to promote motor variability in the workplace and, ultimately, improve workers’ musculoskeletal health.

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Hedberg, Eva-Karin, and Amanda Granberg. "Arbetsterapeuters erfarenheter av att arbeta med personer som har hjärntrötthet efter stroke." Thesis, Umeå universitet, Avdelningen för arbetsterapi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-168720.

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I Sverige insjuknar ca 25 000 människor varje år i stroke och en vanlig konsekvens är hjärntrötthet. Det finns forskning kring hjärntrötthet men begränsad forskning om hur arbetsterapeuter arbetar med dessa individer. Syftet med studien var att beskriva arbetsterapeuters erfarenheter av att arbeta med personer som drabbats av hjärntrötthet efter stroke. Fem arbetsterapeuter intervjuades varefter intervjuerna analyserades med kvalitativ innehållsanalys. Resultatet visade att en central del i arbetet var att informera och stödja de drabbade. En viktig del i arbetet innan implementeringen utav olika strategier, var att låta personen få insikt i den nya rollen. Insikten ansågs avgörande för personens process framåt. De strategier som erbjöds syftade till att individerna skulle kunna hantera sin hjärntrötthet och uppleva en fungerande vardag. En slutsats är att anhörigas förståelse och stöd i rehabiliteringsprocessen är viktig. Arbetsterapeuter beskriver att ett klientcentrerat förhållningssätt är avgörande eftersom hjärntröttheten påverkar varje individ olika. Därför betonades att en noggrann kartläggning är av största vikt.

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Engström, Madelene, and Ella Brehme. "Unga vuxna med stressproblematik : – Arbetsterapeuters upplevelser och erfarenheter." Thesis, Hälsohögskolan, Jönköping University, HHJ, Avd. för rehabilitering, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49302.

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Syftet med studien var att beskriva hur arbetsterapeuter i primärvården upplever att arbeta med unga vuxna med stressproblematik. Studien utgick ifrån kvalitativ forskningsansats bestående av semistrukturerade intervjuer. Deltagarna rekryterades med avsiktligt urval och snöbollsurval. Totalt deltog tio respondenter, samtliga befann sig på olika vårdcentraler runt om i Sverige. Materialet analyserades och tolkades av författarna och resulterade i tre huvudkategorier: Att ge patienter professionellt och känslomässigt stöd, Att skapa förståelse för aktivitetens betydelse och Att skapa förändring. Resultatet visade att arbetsterapeuter upplever att det ofta finns en obalans i aktiviteterna bland unga vuxna. Unga vuxna uppmuntras av samhällsnormer att ha många bollar i luften och har därför svårt att få återhämtande aktiviteter i sin vardag. Det resulterade i ökad stress och till slut total utmattning. Arbetsterapeuterna upplever att stressen hos unga vuxna växer på grund av obalansen i vardagen, attityder och att de har otillräckligt med strategier för att hantera stressfyllda situationer. Gruppbehandling upplevs som ett bra verktyg att skapa diskussioner kring stress och lyfta bort stigmat från stressproblematiken. Arbetsterapeuterna upplevde svårigheter vid målformuleringen då patienterna formulerade prestationsinriktade mål. Störst förändring upplevdes vara de små förändringarna i vardagen. Detta gjorde skillnad för rehabiliteringen. Slutsatsen var att känslomässigt och professionellt stöd upplevdes som viktigt. Erfarenhet visar att förståelse för aktivitetens betydelse behövs för att skapa förändring.
The aim of this study was to investigate occupational therapists, working in primary health care center, experience and perception of working with young adults with stress related disorders. The study progressed emanated from a qualitative method consisting of semi structured interviews. Participants were recruited from different health care centers, with a purposive sampling and a snowball sampling, totally ten participants participated. The material was analyzed and interpreted and resulted in three main categories: To give the patient professional and emotional support, To create understanding for the significance of activities and To create change. The results show that occupational therapists perceived that the cause of stress was imbalance in the activities of young adults. They are encouraged by societal norms to multitask and to keep busy and they have difficulties to implement recovering activities. This contributed to increased stress and finally led to exhaustion. Group treatment was perceived as a good tool to create discussions about stress and to remove the stigma from stress related disorders. The occupational therapists experienced difficulties in formulating prestige driven goals. The biggest change was perceived to be the small changes in everyday life, this made a difference for the rehabilitation. The conclusion was that emotional and professional support is important. Experience also shows that creating understanding for the significance of activities is needed to make a change.

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Lundgren, Linnéa, and Hanna Viberg. "Vardagen för personer med hjärtsvikt : En litteraturöversikt." Thesis, Umeå universitet, Avdelningen för arbetsterapi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-168727.

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Hjärtsvikt är en vanligt förekommande sjukdom, framförallt hos äldre personer. Sjukdomen innebär att hjärtat inte kan tillgodose kroppens behov av syre. De vanligaste besvären vid hjärtsvikt är dyspné och fatigue vilket har stor inverkan på personers vardagsaktiviteter. Syftet med studien var att beskriva hur personer med hjärtsvikt upplever sina vardagsaktiviteter. En systematisk litteraturöversikt har utförts med kvalitativa studier. Databaserna som har använts är Cinahl, PubMed och PsycINFO. 13 artiklar inkluderades och kvalitetsgranskades innan de sammanställdes i tre kategorier: Roller och självbild, rädsla och ovisshet samt anpassningar i vardagen. Sammanfattningsvis visar studien att personer med hjärtsvikt har svårt att hantera omställningen med rollförlust och förändrad utförandekapacitet. Studien indikerar att anpassningar, strategier och inställningar kan främja ett självständigt aktivitetsutförande i vardagen. Vilken påverkan hjärtsvikt har på vardagsaktiviteter och på vilket sätt arbetsterapeuter kan bidra med sin kunskap är inte tillräckligt studerade.

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Andersson, Daniel, and Emma Hellmark. "Arbetsterapeutens roll för personer med diagnosen myalgisk encefalomyelit/kroniskt trötthetssyndrom : En litteraturöversikt." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-79099.

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Bakgrund: ME/CFS är en allvarlig, kronisk och komplex multisystemsjukdom som ofta och dramatiskt begränsar de drabbade personernas aktivitet. De vetenskapliga beläggen gällande effekten av interventioner riktade mot funktion och funktionsnedsättning är begränsade. Nuvarande kunskapsläge indikerar att arbetsterapeuten kan bidra i vården av personer med ME/CFS, men behov av vidare forskning finns. Syfte: Att med denna litteraturöversikt kartlägga och beskriva aktuell forskning gällande arbetsterapeutens roll för personer med diagnosen ME/CFS. Metod: Datainsamling för litteraturöversikten genomfördes baserat på utarbetade urvalskriterier i tre relevanta databaser; PubMed, CINAHL och PsycINFO och resulterade i tio artiklar, sju kvantitativa och tre kvalitativa studier. Studiernas kvalitet granskades och sedan utfördes en latent innehållsanalys. Resultat: Analysen resulterade i fyra kategorier: Att ge klientcentrerat stöd för strategier i aktivitet, Att justera terapeutiskt förhållningssätt vid aktivitetsanpassning, Att beakta gruppbehandlingens terapeutiska värde samt Att bidra till professionernas teamsamverkan. Slutsats: Arbetsterapeutens kompetens är ett viktigt bidrag i rehabiliteringen på grund av den komplexa aktivitetssituation som diagnosen innebär.
Background: ME/CFS is a serious, chronic and complex systemic disease which often and dramatically limits the activity of the affected. The existing scientific evidence of interventions regarding function and disability is limited. The current level of knowledge indicates that the occupational therapist can contribute to the care for people with ME/CFS, but there is a need for further research. Aim: The aim of this literature overview was to map out and describe current research regarding the role of the occupational therapist for people diagnosed with ME/CFS. Method: Data collection for the literature overview was conducted based on developed selection criterias in three relevant databases; PubMed, CINAHL and PsycINFO which resulted in ten articles, seven quantitative and three qualitative studies. The quality of the included studies were assessed and finally a latent content analysis was completed which resulted in four categories. Result: The content analysis resulted in four categories: to supply a client centered support for strategies in activity, to adjust therapeutic approach in occupational adaptation, to consider the therapeutic value of the group treatment, and to contribute to the professional team collaboration. Conclusion: The expertise of the occupational therapist is an important contribution to rehabilitation due to the complex occupational situation for people diagnosed with ME/CFS.

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Allin, Leigh Jouett. "Identification and Modification of Risk Factors Contributing to Slip- and Trip-Induced Falls." Diss., Virginia Tech, 2020. http://hdl.handle.net/10919/104155.

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Slips, trips, and falls are a serious public health concern, particularly among older adults and within occupational settings, given that falls contribute to a large number of injuries and associate with high medical costs. To reduce the number of falls, there is a need to better understand risk factors contributing to falls, and to develop and evaluate improved balance training interventions to prevent falls. To address these needs, this work has two primary goals: first, to better understand risk factors contributing to falls, including fatigue and balance reactions after a large postural perturbation, and, second, to develop and evaluate improved reactive balance training (RBT) interventions to reduce risk of falls due to slipping and tripping. The first study investigated the effects of performing occupationally-relevant fatigue-inducing physical work on trip and fall risk. Healthy young adults performed a simulated manual material handling (MMH) task, using either heavy or light boxes, for two hours. Gait measures related to risk of tripping and slipping were assessed before and after the task. Reactive balance during one laboratory-induced trip was also assessed after the task. Results showed that performing the heavy MMH task did not affect risk of tripping or slipping, or reactive balance after tripping. These results may have resulted from insufficient fatigue due to the MMH task. The second study investigated the relationship between feet kinematics upon slipping while walking, and the outcome of the slip. Seventy-one laboratory-induced slips were analyzed, which included recoveries, feet-split falls, feet-forward falls, and lateral falls. Feet kinematics differed between these four slip outcomes, and a discriminant model including six measures of feet kinematics correctly predicted 87% of slip outcomes. Two potentially modifiable characteristics of feet kinematics upon slipping that can improve the likelihood of successfully averting a fall were identified: (1) quickly arresting the motion of the slipping foot; and (2) a recovery step that places the trailing toe approximately 0-10% body height anterior to the sacrum. This information may be used to guide the development of improved RBT interventions to reduce risk of slip-induced falls. The third study evaluated the efficacy of two low-cost, low-tech RBT methods for improving reactive balance after slipping. The two methods were: unexpected slip training (UST), which involved repeated unexpected slips while walking and volitional slip-recovery training (VST), which involved practicing balance reactions after volitionally inducing a slip-like perturbation. Young adults completed one session of an assigned intervention (UST, VST, or control), followed by one unexpected, laboratory-induced slip while walking. Compared to controls, UST and VST resulted in a higher proportion of successful balance recoveries from the laboratory-induced slips. UST improved both proactive control and reactive stepping after slipping, while VST primarily improved the ability to arrest slipping foot motion. These results support the use of UST and VST as practical, low-tech methods of slip training. The fourth study evaluated the efficacy of RBT that targets both slipping and tripping. Community-dwelling, healthy older adults (61-75 years) completed four sessions of either RBT (treadmill-based trip-recovery training and VST) or control training (general strength and balance exercises). Reactive balance during unexpected laboratory-induced slips and trips was assessed before and after RBT, and compared between subjects at baseline (before the intervention), after control training, and after RBT. The incidence of slip-induced falls differed between groups in that 80% fell at baseline, 60% fell after control training, and 18% fell after RBT. Post-RBT subjects also exhibited less severe slips, compared to baseline and post-control subjects. The incidence of trip-induced falls did not differ between groups, but margin of stability after tripping was greater for post-RBT subjects, compared to post-control subjects. These results show promise for the use of RBT applied to both slipping and tripping to reduce fall risk among older adults.
Doctor of Philosophy
Slips, trips, and falls are a serious public health concern, given that falls contribute to a large number of injuries and deaths. Falls are particularly concerning among older adults, who are reported to fall more frequently, and within occupational settings, where falls cause a larger number of injuries and a significant economic burden. To reduce the number of falls, there is a need to better understand risk factors contributing to falls, and to develop and evaluate improved balance training interventions to prevent falls. Four studies were conducted to address these needs: two studies aimed to better understand risk factors contributing to falls, including fatigue and balance reactions after slipping, and two studies aimed to develop and evaluate improved balance training interventions to reduce risk of falls due to slipping and tripping. This work focused on slipping and tripping, because slips and trips are reported to cause a large number of injuries and falls among both workers and older adults. The first study investigated the effect of performing occupationally-relevant fatigue-inducing physical work on trip and fall risk among healthy young adults, and results showed that performing a simulated manual material handling task (i.e. moving and stacking boxes using a two-wheeled dolly) did not affect risk of tripping and falling. The second study investigated the relationship between balance reactions after slipping and the outcome of the slip. Results showed that balance reactions of the feet predicted the outcome of the slip (i.e. recovering balance or one of three types of slip-induced falls) with 87% accuracy. We also identified characteristics of balance reactions that can improve the likelihood of successfully averting a fall. The third study evaluated the efficacy of two low-tech reactive balance training (RBT) methods for reducing slip-induced fall risk among young adults. These methods involved practicing balance reactions after slip-like perturbations, induced either unexpectedly or volitionally. Results showed that both RBT methods improved reactive balance after slipping, but through different mechanisms. The fourth study evaluated the efficacy of a RBT intervention targeting both slipping and tripping among older adults. Results showed that RBT improved reactive balance during both slipping and tripping, and reduced the incidence of slip-induced falls. In conclusion, these results help to better understand risk factors contributing to falls, and support the use of practical reactive balance training interventions targeting both slipping and tripping to reduce fall risk.

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Almeida, Lenira Maria Wanderley Santos de. "Fadiga no trabalho em enfermeiras/os da estratégia saúde da família." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/83/83131/tde-20022015-161019/.

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Trata-se de pesquisa cujo objeto foi a presença de sinais de fadiga em enfermeiras/os que atuam na Estratégia da Saúde da Família (ESF), no município de Arapiraca, Alagoas, Brasil. Estudo quantitativo, transversal, analítico que objetivou descrever os sinais de fadiga auto-referidos por essas/es enfermeira/os conforme variáveis que constam em questionário validado internacionalmente e amplamente utilizado no Brasil; analisar se as características sociodemográficas desses sujeitos apresentam associação com pontuação de fadiga calculada conforme as respostas a este questionário; analisar se as características ocupacionais desses sujeitos apresentam associação com pontuação de fadiga calculada conforme as respostas a este questionário e discutir as correlações existentes entre os sinais de fadiga auto-referidos e as características sociodemográficas e laborais. Participaram da pesquisa 51 enfermeiras/os das equipes de saúde da família implantadas no referido município que tem 80,4% de cobertura. Após aprovação pelo Comitê de Ética através do Parecer nº 499.997, a coleta dos dados deu-se mediante aplicação de instrumentos de caracterização dos sujeitos (sociodemográficas e ocupacional) e do Questionário auto aplicado de Fadiga. Os dados foram estatísticamente tratados e submetidos à análise bivariada e testes de significância. Os resultados mostraram que as/os enfermeiras/os estudadas/os têm idade média de 32 anos, 86,3% são mulheres, casadas, de cor declarada parda, com renda familiar média de R$7577,00, mais da metade tem mais de um vínculo empregatício, praticam exercício físico ao menos uma vez por semana, trabalham na Enfermagem há sete anos e na Estratégia Saúde da Família há quatro anos, em média. Quanto aos sinais de fadiga, apresentam-nos às vezes ou raramente, prenunciando os efeitos deletérios do trabalho sobre essas/es trabalhadoras/es que, porém, ainda não estão fatigados. Os testes aplicados evidenciaram que há associação significativa entre os sinais auto- referenciados e a idade, a prática de exercícios físicos e o tempo de trabalho na Enfermagem e na ESF. Concluiu-se que as/os trabalhadoras/es que apresentam menos de 32 anos, praticam exercícios físicos ao menos uma vez por semana, têm menos de sete anos de trabalho na Enfermagem e menos de quatro anos de trabalho na ESF estão mais protegidos e, portanto com menor probabilidade de desenvolver fadiga laboral, corroborando os resultados de outras pesquisas publicadas. Recomenda às instâncias responsáveis pela atenção à saúde ocupacional que, providenciem medidas de proteção à saúde dessas/es trabalhadoras/es, com especial atenção para a prática de exercícios físicos e redução das tensões nas relações de trabalho, no sentido de controlar os efeitos deletérios do trabalho sobre o trabalhador.
This is a study about the presence of signs of fatigue in female and male nurses who work in Family Health Strategy (FHS), in the city of Arapiraca, Alagoas, Brazil. It is a quantitative, cross-sectional and analytical study whose objectives were: to describe the self-reported signs of fatigue of female and male nurses according to the variables of an international, validated questionnaire that is widely used in Brazil; to analyze if the socio-demographic characteristics of these professionals present association with the fatigue scores calculated according to the questionnaire; to analyze if the occupational characteristics of these professionals present association with the fatigue scores calculated according to the questionnaire and to discuss the correlations between the self-reported signs of fatigue and the socio-demographic and occupational characteristics. The participants of the study were 51 female and male nurses of family health teams deployed in the municipality whose coverage is 80.4%. After the research was approved by the Research Ethics Committee, opinion nº 499.997, data were collected with the application of tools for the characterization of the subjects (socio-demographic and occupational) and fatigue self-administered questionnaire. Data were statistically treated and subjected to bivariate analysis and significance tests. The results showed that these nurses are 32 years old on average, 86,3% were married women who declared being dark-skinned, with the average family monthly income of R$ 7577,00; 50% or more have more than one job, practice exercise at least once a week, have been working as nurses for at least 7 years and in the Family Health Strategy for at least 4 years. As to the signs of fatigue, they occasionally or rarely present a few signs, foretelling the working deleterious effects on these professionals, but they are not still fatigued. The applied tests showed that there is a significant association between self-referenced signal sand age, physical exercise and work time in nursing and in the FHS. It was concluded that the worker sthatareless than32 years old, who practice physical exercise at least once a week, have less than seven years working in nursing and less than four years of workin the FHS are more protected and there fore are less likely to develop occupational fatigue, corroborating with the results of other published researches. It is recommended that the responsible authorities for care and occupational health provide measures to protect the health of these worker swith special attention to physical exercise in order to reduce tension sin labor relations and to control the deleterious effects of work on the worker\'s health.

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Silva, Fabio José da. "A capacidade para o trabalho e a fadiga entre trabalhadores de enfermagem." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/7/7140/tde-05072011-074244/.

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A saúde dos trabalhadores é imprescindível e a perda desta pode comprometer a qualidade de vida e a produtividade, levando à aposentadoria precoce. As atividades realizadas pelos trabalhadores de enfermagem os expõem às cargas de trabalho geradoras de processos de desgastes físicos e mentais. Este estudo, tipo epidemiológico de recorte transversal, tem o objetivo caracterizar os trabalhadores de enfermagem, das unidades de clínica médica e cirúrgica do Hospital Universitário da Universidade de São Paulo, quanto aos dados sóciodemográficos e profissionais e verificar a associação entre a fadiga e a sua capacidade para o trabalho. A população foi constituída de 117 trabalhadores de enfermagem. Foram usados três instrumentos de coleta de dados: Questionário de Características demográficas e profissionais, Índice de Capacidade para o Trabalho (ICT) e Escala de Fadiga de Chalder. A consistência interna do ICT e do escore de fadiga foi avaliada pelo Alpha de Cronbach. Para verificar o ajustamento à distribuição normal das variáveis do estudo foram aplicados o teste de KolmogovovSmirnov, o coeficiente de correlação de Spearman, o teste de MannWhitney e o de KrushalWallis. Foi realizada a regressão linear múltipla, sendo o ICT a variável dependente e as demais independentes: fadiga, sexo, estado conjugal, idade, escolaridade, renda familiar, função, turno, número de vínculos, o tempo de locomoção e tempo de trabalho na instituição e na profissão. Em todas as análises, considerouse estatisticamente significativo quando p<0,05. Os resultados mostram que os sujeitos têm em média 39,4 anos, 88% são do sexo feminino; 55% são casados e 75% possuem renda familiar entre R$ 1500,00 e R$ 4500,00. Quanto às características profissionais, 24% são enfermeiros, 47% técnicos e 29% auxiliares de enfermagem; 79% têm um vínculo empregatício; 54% trabalham na instituição há mais de 10 anos; e 23% despendem entre duas e seis horas de tempo de locomoção para o trabalho. A restrição de atividades funcionais foi constatada em 19% dos trabalhadores, sendo que 16 apresentam restrição em relação ao encaminhamento e transferências de pacientes, em maca e/ou cadeira de rodas. As morbidades autoreferidas prevalentes, com diagnóstico médico são: as doenças musculoesqueléticas, os transtornos mentais e a obesidade. O ICT médio encontrado é de 39,4 pontos, considerado como boa capacidade para o trabalho e o inadequado (moderado e baixo) de 35%. A fadiga foi detectada em 52% dos sujeitos. Os dados também mostram que as variáveis independentes de fadiga, tempo de trabalho na instituição e função de técnico de enfermagem, comparada a de enfermeiro, apresentam diferença significativa (p<0,05) com o ICT. O investimento tanto em melhorias no estilo de vida do trabalhador, como no ambiente de trabalho são condutas imprescindíveis na redução dos níveis de fadiga e na manutenção, melhora e recuperação da capacidade para o trabalho.
The workers´ health is capital and its loss may jeopardize their quality of life and productivity, and lead to their early retirement. The activities performed by the nursing workers expose them to workloads which may result in a mental and physical strain processes. This epidemiological transversal study aims to characterize the nursing workers in the medical and surgical units in University Hospital of University of São Paulo regarding sociodemographic and professional data, and to verify the association between fatigue and their work ability. The target population was composed of 117 nursing workers. Data were collected using the following three instruments: Questionnaire of demographic and professional characteristics, Work Ability Index (WAI) and Chalder Fatigue Scale. The WAI and the fatigue score internal consistency was evaluated by the Cronbach Alpha.The KolmogonovSmirnov test, the Spearman correlation coefficient and the MannWhitney and KrushalWallis tests were applied to verify the study variables adjustment to normal distribution. A multiple linear regression equation was achieved, in which the WAI was the dependent variable and all the further ones were independent: fatigue, gender, marital status, age, educational level, family income, occupation, shift, number of different workplaces, time spent on transport, working time at the current workplace and as a professional. It was considered statistically expressive when p<0.05 in all the analyses. The results show that the individuals´ average age is 39.4 years old, 88% of them are women, 55% are married and 75% have a monthly family income that ranges from R$ 1,500.00 to R$ 4,500.00. As for the professional characteristics, 24% are nurses, 47% are nursing technicians and 29% are auxiliary nurses: 79% work exclusively at a single place, 54% have been working for more than 10 years at the same workplace; and 23% spend from two to six hours a day on transport to the workplace and back. Functional limitations have been found among 19% of the workers, 16 of whom demonstrate limitations regarding the use of stretchers and/or wheelchairs for patients´ referral or transfer. Among the medical diagnosed selfreported morbidities, the most prevalent ones are: musculoskeletal diseases, mental disorders and obesity. The average WAI scored 39.4, considered as a good workability and the inappropriate one (moderate and low) reached 35% of the sample. Fatigue was detected among 52% of the individuals. Data also show that the following independent variables: fatigue, working time at the same workplace, and nursing technician occupation if compared to the nurse one, have an expressive influence (p<0.05) on the WAI. Investing in improvements in both the worker´s lifestyle and his working environment, is absolutely crucial in order to reduce fatigue levels as well as to maintain, improve and regain his work ability.

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Freeman, Kecia Rachel. "Exploring the Lived Experiences of Supervising Child Protection Social Workers." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2652.

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Social workers in child protective services often handle hundreds of cases regarding children traumatized by abuse and/or neglect. In time, social workers' experiences can become emotionally and psychologically challenging. A problem for supervising child protection social workers (SCPSWs) is that they might experience the same challenges; however, there was no research that described the lived experiences of SCPSWs. This phenomenological study explored the lived experiences of SCPSWs. Conceptually, constructivist self-development theory (CSDT) provided the framework for understanding how SCPSWs managed their lived experiences and the issues related to them. Ten SCPSWs volunteered their time for face-to-face interviews and provided data for this study. Saldana's coding manual was used to guide the identification and coding of key words and phrases. SCPSWs experienced occupational trauma in the form of vicarious trauma, compassion fatigue, secondary traumatic stress, and/or burnout similar to that experienced by front line workers. SCPSWs' experiences required them to set boundaries, stop taking work home and support each other in the workplace. Enhanced resources for training on self-care plus increased administrative and peer support could potentially improve the lives of these SCPSWs and increase their longevity and effectiveness in the workplace. Retaining experienced supervisors also has the potential to promote positive social change by improving the support supervisors can provide to front line staff, thus indirectly helping children, families, and communities they serve.

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Hughes, Ian M. "The "Who", "When", and "How" of Workplace Support Provision: An Exploration of Workplace Support Provision Likelihood and Citizenship Fatigue Assessing Individual and Contextual Factors." Bowling Green State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1617284832734291.

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Welle, Maria Cristina Stolf. "Fadiga e capacidade para o trabalho entre trabalhadores rurais de flores e plantas da região de Holambra - SP." [s.n.], 2008. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310987.

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Orientador: Maria Ines Monteiro
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-09-11T21:13:37Z (GMT). No. of bitstreams: 1 Welle_MariaCristinaStolf_M.pdf: 1876316 bytes, checksum: 9e728217adfbbaf65e8ca43d0d930514 (MD5) Previous issue date: 2008
Resumo: Nos últimos anos, ocorreram profundas transformações no meio rural brasileiro. O crescimento, a incorporação tecnológica, competitividade no setor de plantas e flores determinou transformações radicais no processo de trabalho, o que gerou mudanças ambientais, nas cargas de trabalho e nos seus efeitos à saúde, ficando os trabalhadores expostos a riscos diversificados. O objetivo desta pesquisa foi caracterizar o perfil sociodemográfico, estilo de vida e condições de trabalho, avaliar a capacidade para o trabalho e percepção de fadiga dos trabalhadores de flores e plantas na região de Holambra. Trata-se de estudo transversal realizado em quatro empresas no qual foi utilizado um questionário com dados sociodemográficos, estilo de vida, trabalho e riscos no trabalho; Índice de Capacidade para o Trabalho (ICT), Occupational Stress Questionnaire (três questões) e questionário de Fadiga. A amostra foi composta por 154 trabalhadores, dos quais 53,9% eram homens, com média de 30,8 anos de idade (DP 10,6) e baixa escolaridade. A capacidade para o trabalho foi ótima para 66 (42,9%), boa para 65 (42,2%); moderada para 21 (13,6%) e baixa para dois trabalhadores (1,3%). Os principais riscos/perigos no trabalho relatados foram: ergonômicos, movimentos repetitivos e pressão no trabalho. Houve uma correlação significativa entre a baixa capacidade para o trabalho e o sexo feminino (p=0,0011). A média de fadiga das mulheres 66,5 (DP 14,3) foi maior que a dos homens 58,9 (DP 16,0). No sexo feminino e masculino a percepção da fadiga se manifestou mais na dificuldade de concentração e atenção, seguida da sonolência e falta de disposição para o trabalho e projeções de fadiga sobre o corpo. Os três escores parciais apresentaram-se mais elevados no sexo feminino. Estes dados sugerem a necessidade de ações que visem a promoção à saúde, facilidade e melhoria do acesso à educação, e da importância da continuidade de estudos sobre saúde, trabalho e gênero, para analisar a interseção entre a esfera produtiva e a doméstica.
Abstract: In recent years, profound changes have occurred in rural Brazil. The growth, the technological incorporation, competitiveness in the sector of plants and flowers determined radical transformation in the work process, which has generated environmental changes in the work loads and its effects on health, leaving workers exposed to multiple risks. The objective of this research was to point out the social-demographic profile, life style and working conditions, to evaluate the capacity for that work and perception of fatigue by workers of flowers and plants in the region of Holambra. A cross-sectional study was conducted in four companies in which the questionnaire was used with social-demographic data, life style, work and occupational risks: Work Ability Index (WAI), Occupational Stress Questionnaire (three questions) and the Questionnaire of Fatigue. The sample was composed by 154 workers, of which 53,9% were men, with an average age of 30,8 years (SD 10,6), low schooled. The work ability was considered excellent for 66 (42,9%), good for 65 (42,2%), moderate for (13,6%) and low for two workers (1,3%). The main risks/hazards at the workplace were reported: ergonomic, repetitive movements and pressure at work. There was a significant correlation between low capacity for work and the female (p=0,0011). The average of fatigue for women 66,5 (SD 14,3) was higher than that of men 58,9 (SD 16,0). Perception of fatigue by the female and male was higher in the difficulty of concentration and attention, followed by drowsiness and lack of disposal to work and projections of fatigue on the body. The three partial scores are higher among females. These data suggest the need for actions that aim to promote healthcare, facility and improvement in the access to education, and the importance of continuity of studies on health, work and gender, to analyse the intersection between the productive and domestic sphere.
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem

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Johnson, Ryan Christopher. "Exploring the Energy Link between Emotion Regulation at Work and Health Behaviors." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5047.

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The present study explores the process through which the regulation of emotions at work, also known as emotional labor, depletes self-regulatory resources, specifically energy, and distally impacts health behaviors in the form of less physical activity and more unhealthy eating. Differences in relationships between two forms of emotional labor, surface acting and deep acting, as well as differences between psychological and physical energy depletion, are explored. Additionally, the roles of trait mindfulness and future temporal focus are examined as between-individual differences moderating the proposed relationships. Multi-level analysis of daily diary data collected from participants (N = 108 participants) over ten work days (N = 1,273 total days) demonstrates that surface acting at work, but not deep acting, is negatively related to after work energy levels, such that participants reported less energy on days when they engaged in more surface acting. No significant differences in strength of relationships for physical versus psychological energy depletion were found. After work energy depletion related to less time and intensity spent on physical activity, but no support for an overall mediated effect was found. No significant effects were found for unhealthy eating, or future temporal focus, while trait mindfulness did positively relate to energy levels in several models. Theoretical and practical implications, as well as future research directions, and methodological recommendations for researchers wishing to conduct similar studies are presented. As one of the first attempts to examine the mechanisms linking emotional labor and health behaviors, this study highlights the intricate nature of the relationships examined and the resultant need for both broader and more targeted multi-faceted research at multiple-levels of analyses to further explain the complex story of work and health.

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Aasa, Ulrika. "Ambulance Work : Relationships between occupational demands, individual characteristics and health-related outcomes." Doctoral thesis, Umeå : Umeå universitet, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-478.

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Larsman, Pernilla. "On the relation between psychosocial work environment and musculoskeletal symptoms : a structural equation modeling approach /." Stockholm : Arbetslivsinstitutet, förlagstjänst, 2006. http://ebib.arbetslivsinstitutet.se/ah/2006/ah2006_02.pdf.

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Sá, Eduardo Costa. "Fatores de risco para a síndrome visual associado ao uso do computador em operadores de duas centrais de teleatendimento em São Paulo, Brasil." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/6/6134/tde-12032012-150835/.

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A síndrome visual associada ao uso do computador (CVS) é um dos distúrbios oculares que vem sendo estudado atualmente por sua alta prevalência mundial e por ser cada vez mais frequente em determinadas profissões. O objetivo deste estudo é estimar a prevalência desta síndrome entre operadores de duas centrais de atendimento telefônico de São Paulo (n= 476), através de uma pesquisa quantitativa de estudo observacional transversal, com o uso de um questionário estruturado. As questões foram divididas em: sócio-demográficas, hábitos de estilo de vida, história ocupacional, situação de trabalho, fatores de satisfação, fatores de incômodo no trabalho e fatores psicossociais relacionados ao trabalho. A definição de caso foi dada a partir do conceito de Computer Vision Syndrome de Blehm et al. (2005), ou seja, pela presença de um ou mais sintomas oculares específicos verificados, com frequência maior ou igual à alternativa às vezes. A análise estatística foi realizada a partir do estudo das frequências absolutas e relativas e verificada a associação através do teste do chi-quadrado. Foi criado o modelo de regressão logística múltipla utilizando stepwise forward pelo método da razão de verossimilhanças com as variáveis que apresentaram níveis de significância nos testes bivariados inferiores a 20 por cento (p < 0,20) ou variáveis de suma importância clínica para explicação do distúrbio ocular. Permaneceram no modelo final as variáveis que apresentaram níveis descritivos inferiores a 5 por cento (p < 0,05). Os sintomas referidos foram: cansaço nas vistas (73,9 por cento ); peso nos olhos (68,2 por cento ), queimação nos olhos (54,6 por cento ), lacrimejamento (43,9 por cento ) e enfraquecimento da visão (43,5 por cento ). A prevalência da CVS foi de 54,6 por cento entre os operadores estudados. Foi verificada ainda associação entre: ser mulher (OR 2,6; IC95 por cento 1,6-4,1); falta de reconhecimento no trabalho (OR 1,4; IC95 por cento 1,11,8); organização do trabalho em teleatendimento (OR 1,4; IC95 por cento 1,1-1,7) e demanda de trabalho (OR 1,1; IC95 por cento 1,0-1,3). Neste estudo, concluiu-se pela importância das características da organização e dos fatores psicossociais no trabalho como associados à presença de CVS nos operadores de teleatendimento
The visual syndrome associated with computer use (CVS) is an eye disorder that is currently being studied for its high prevalence worldwide and is becoming increasingly common in some professions. This study aimed to estimate the prevalence of this syndrome among operators from two call centers located in São Paulo (n = 476). A quantitative cross-sectional observational study was performed, by means of a questionnaire containing questions about: socio-demographics, lifestyle habits, occupational history, work status, satisfaction factors, discomfort factors at work and psychosocial factors related to work. The case definition was based on the concept of Computer Vision Syndrome from Blehm (2005), i.e. the presence of one or more ocular specific symptoms occurring in a frequency greater than or equal to \"sometimes\". Statistical analysis was performed for absolute and relative frequencies and examined the association by chi-square. The variables that showed p < 0.20 or which were described in the explanation of eye disorders were included in multiple regression analysis. In the final model remained variables that showed descriptive levels below 5 per cent (p < 0.05). The symptoms reported were: visual fatigue (73.9 per cent ), heaviness in the eyes (68.2 per cent ), burning eyes (54.6 per cent ), tearing (43.9 per cent ) and vision impairment (43.5 per cent ). The prevalence of CVS among operators was 54.6 per cent . Other associations found were: being female (OR 2.6, 95 per cent CI 1.6-4.1), lack of recognition during work (OR 1.4, 95 per cent CI 1.1 to 1.8); organization of work in telemarketing (OR 1.4, 95 per cent CI 1.1 to 1.7) and work demands (OR 1.1, 95 per cent CI 1.0 to 1.3).This study showed the importance of organizational characteristics and psychosocial factors at work as related to the presence of CVS in telemarketing operators

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Cherrie, Carron C. "Traumatic loss and transformative life experiences : the lived experience of Green Cross traumatologists deployed to the New York City World Trade Center disaster." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001619.

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Savin, Jonathan. "Simulation de la variabilité du mouvement induite par la fatigue musculaire pour la conception ergonomique de postes de travail." Thesis, Sorbonne université, 2019. http://www.theses.fr/2019SORUS349.

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Tout mouvement humain présente une variabilité inter- et intra-individuelle. Cette variabilité du mouvement (VM) concerne les trajectoires, les coordinations, les forces motrices et les activations musculaires. Pourtant, à ce jour, la VM est quasiment ignorée en conception de postes de travail et il n’existe pas d’outil permettant de la simuler. L’objectif de ces travaux a donc été de développer unhumain virtuel (HV) permettant de simuler les effets d’une source de VM (la fatigue musculaire) sur une tâche de référence (mouvement répétitif de pointage). Un contrôleur d’HV a été développé. Basé sur le modèle de fatigue de Xia et Frey-Law, il implémente des commandes conçues pour simuler certains effets de la fatigue (limitation des efforts, transfert de l’activité motrice, réduction des performances de suivi de trajectoire). L’actionnement de l’HV est calculé par optimisation quadratique à l’aide d’un moteur physiquede simulation dynamique. Des données de mouvement ont été analysées pour identifier la VM induite par la fatigue lors de l’activité de pointage, et valider les commandes d’HV proposées. Une campagne de mesures a été menée en laboratoire. Une analyse en composantes principales (ACP) des données cinématiques a permis d’identifier les degrés de liberté impliqués dans la VM et détecter les transitions d’adaptation du mouvement à la fatigue. Le démonstrateur d’HV restitue certaines caractéristiques de la VM observée.Des améliorations de l’HV sont proposées, mais celui-ci permet déjà de sensibiliser les concepteurs à l’intégration de la VM dans la démarche de prévention dès les premières phases de conception de postes de travail
Every human movement presents an inter- and intra-individual variability. This variability of movement (MV) affects trajectories, coordinations, motor forces as well as muscular activations. However, to date, MV is almost ignored in the workstations design and there is no means to simulate it. The objective of this work was therefore to develop a virtual human (VH) to simulate the effects of one source of VM (muscle fatigue) on a reference task (a repetitive pointing task). A VH controller has been developed. Based on Xia and Frey-Law muscle fatigue model by, it implements controls designed to simulate some effects of muscle fatigue (exertion limitation, transfer of motor activity, reduction of trajectory tracking performance). The actuation of the VH is calculated by quadratic optimization using a dynamic simulation physics engine. Movement data was analyzed to identify fatigue-induced MV during the pointing activity, and to validate the proposed VH controls. An laboratory experiment has been carried out. Principal component analysis (PCA) of kinematic data identified the degrees of freedom involved in the VM and detected transitions of movement patterns with fatigue. This VH demonstrator simulates some characteristics of the MV observed. Improvements of the HV are proposed, however it can already be used to make designers more aware of effects of the VM in occupational risks prevention from the first steps of workstations design

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Lacaze, Denise Helena de Castro. ""Efeitos de um programa de exercícios no desconforto músculoesquelético dos segmentos corporais de operadores de telemarketing"." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-16082006-153109/.

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Este estudo tem por objetivo avaliar o nível de desconforto, através da Escala Visual Analógica (EVA), o Mapa de Segmentos Corporais de Corlett e Bishop (MSC) e o Questionário de Fadiga de Chalder (EFC) em operadores de telemarketing. A coleta de dados foi realizada uma vez por semana, ao longo de 2 meses de aplicação do programa de exercícios. A análise estatística sugere diminuição do crescimento do desconforto postural nos dois grupos, sendo mais acentuada no grupo experimental. Foi observada também diminuição significativa dos níveis de EVA e redução da freqüência e da prevalência de segmentos doloridos no MSC, ao se comparar dados da primeira e da última semana do estudo realizado. Quanto à fadiga também houve melhora em todas as variáveis do questionário de Chalder, indicando presença de efeitos significativos na diminuição dos níveis de fadiga. Assim, os programa de exercícios mostraram-se efetivos para diminuir o desconforto músculo-esquelético e a fadiga entre os operadores de telemarketing
The objective of this survey is to assess the telemarketing operators discomfort and mental and physical fatigue at the airway company call center before and after applying an exercise program. The objective of this survey is to assess the telemarketing operators discomfort and mental and physical fatigue at the airway company call center before and after applying an exercise program. The body map of Corlett and Bishop with a visual analogic scale and the Chalder fatigue questionnaire was applied to 84 telemarketing operators from the experimental and control groups. The experimental group has attended a 10 minutes exercise daily session and the control group a 10 minutes daily rest break. The exercise showed that is more effective than a rest break to prevent discomfort development and is important to repetitive strain injuries prevention because discomfort is one of the main predictors of this group of diseases

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Björklund, Martin. "Effects of repetitive work on proprioception and of stretching on sensory mechanisms : implications for work-related neuromuscular disorders /." Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-211.

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Eatough, Erin. "Illegitimate Tasks and Employee Well-Being: A Daily Diary Study." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4476.

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This dissertation focuses on an occupational stressor that has been recently introduced to the literature, illegitimate tasks, or tasks that seem unreasonable or unnecessary at work. Previous work has demonstrated the relationship between illegitimate tasks and a narrow set of discrete emotions as well as negative employee performance behaviors. The current research contributes to the literature by expanding the nomological network associated with illegitimate tasks and uses a rigorous daily diary methodology in a full-time working sample. It was expected that illegitimate tasks reduce state levels of self-esteem as well as other employee well-being indicators including anger, depressive mood, fatigue, job satisfaction, and sleep quality. Ninety participants filled out trait level surveys and subsequently completed daily dairy questionnaires three times daily for two workweeks. Daily diaries assessed experiences of illegitimate tasks as well as self-esteem and well-being. Hierarchical linear modeling was used to test primary hypotheses. Results indicate that anger and job satisfaction are consistently, significantly associated with illegitimate task episodes throughout workdays; however, responses dissipate overnight. Depressive mood and fatigue tend to be related to illegitimate tasks as the workday carries on and these responses appear to persist into the following workday. Results are consistent with the notion that illegitimate tasks reduce state self-esteem. However, high trait levels of self-esteem may negate this relationship. No effects on sleep quality were evident. In sum, daily experience of illegitimate task episodes represents a meaningful occupational stressor that predicts reductions in employee self-esteem and employee well-being.

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Melo, Wilson Viana de Castro. "Avaliação ergonômica do membro superior esquerdo de operadores de trem metropolitano: uma investigação de sobrecargas no sistema osteomuscular." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/39/39132/tde-03072008-094322/.

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A Biomecânica Ocupacional procura aprimorar as condições de trabalho objetivando prevenir e reduzir as lesões, aumentar o desempenho dos operários reduzindo sobrecargas. Pesquisas nesta área indicam que não apenas a manipulação de materiais pesados, mas também posturas pouco naturais e movimentos súbitos e inesperados provocam lesões no sistema osteomuscular que afetam principalmente o pescoço, membros superiores e região lombar. Alguns profissionais apresentam alto risco ao aparecimento desses distúrbios envolvendo principalmente os membros superiores e região lombar, particularmente os digitadores, operadores de caixa de supermercados, dentistas, motoristas profissionais e operadores de trens metropolitanos. Este estudo teve como objetivo estimar a carga mecânica e a atividade muscular no membro superior esquerdo de maquinistas condutores de trens metropolitanos durante o trabalho. Especificamente, o estudo procurou estimar a carga mecânica sobre a articulação do ombro, avaliar a atividade muscular dos músculos tríceps e flexores do punho e verificar a ocorrência de fadiga muscular durante a realização da tarefa, para isto foram investigados o fator de risco relacionado a enfermidades dos membros superiores, o torque sobre a articulação do ombro e a freqüência mediana do sinal eletromiográfico. O método RULA indicou para atividade estudada um escore final quatro, que sugere mais investigações e mudanças podem ser requeridas, pois a postura adotada gera desconforto. O torque calculado sobre a articulação do ombro é aplicado por cerca da metade da jornada de trabalho e apresentou valor médio de -4,1 Nm com o manete na posição 0. A instauração de fadiga sobre os músculos Tríceps Braquial e flexores do punho não foi observada. Estudos futuros são recomendados para desenvolvimento de cabinas de trens metropolitanos com layout ergonômico e posicionamento de instrumentos que possibilite uma postura mais adequada dos operadores
Occupational biomechanics seeks to improve the conditions of work aiming to prevent and to reduce the injuries, to increase the performance of workers reducing overloads. Previous researches in this area indicate that not only handling the of heavy material, inadequate postures and unexpected and sudden movements provoke injuries in the musculoskeletal system that affect mainly the neck, upper limbs and the lumbar region. Some workers present high risk to the develop those disturbances involving mainly the upper limbs and the lumbar region, particularly the keyboarders, supermarket cashiers, dentists, professional drivers and operators metropolitan train. This study aimed to estimate the mechanical load and the muscular activity in the left upper limb of metropolitan train drivers during the work. Specifically, the study sought to estimate the mechanical load on the joint of the shoulder, evaluate the muscular activity of the muscles triceps and flexors of the wrist and verify the occurrence of muscular fatigue during the achievement of the task. For this purpose, it were investigated the risk factor related to the diseases of the upper limbs, the torque on the joint of the shoulder and the median frequency of the electromyographic signal. The method RULA indicated for activity a score final four, which suggests more investigations and changes may be required because the usual posture adopted generates discomfort. The calculated torque on the joint of the shoulder is applied by about half of the day at work and showed the average value of -4.1 Nm with the handle in position 0. The instauration of fatigue on the muscles Tríceps brachial the wrist flexor was not observed. Thus, future studies are recommended to the development of the metropolitan trains\' berths with ergonomic layout and positioning of instruments that enables an adequate posture of its users

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DELVOLVE, ALABERT NICOLE. "Les Activités collatérales : repère de l'instabilité de l'homme au travail." Toulouse 3, 1987. http://www.theses.fr/1987TOU30050.

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Dans l'approche ethologique de l'individu au travail, une classe particuliere d'activites comportementales est analysee: les activites collaterales. Dans ce repertoire, sont regroupes l'ensemble des actes observables au poste de travail, et non imposes par la realisation de la tache: changements de posture, activites gestuelles, gestes autocentres et manipulations d'objets. L'outil ethologique utilise a permis de mettre en evidence l'expression comportementale de la variabilite interne de l'organisme humain (rythmes ultradiens et circadiens, cycles menstruels et fatigue). De plus, le contenu et la duree du travail modulent la production des activites collaterales

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Monteiro, Neto Luís Ferreira. "Estresse físico e psicofisiológico na desossa em frigoríficos bovinos e a macro pausa de descanso durante atividade." Faculdade de Medicina de São José do Rio Preto, 2014. http://hdl.handle.net/tede/295.

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Introduction: Muscle fatigue is a functional impairment caused by increased intensity of effort to perform a task, its causes may be related to different mechanisms within a work environment. To better understand the factors that directly influence the health of employees in the work environment, quantitative functional evaluation methods were used . Among the used methods, deserves spotlight the use of electromyography ( EMG ) surface and the examination of blood lactate level for the assessment of muscle fatigue . Another way to evaluate a fatigue was the analysis of workers psychophysiological characteristics, utilizing a questionnaire. Objective: The objective of this study was to analyze the physical and psychological stress on workers of deboning sector and observe whether the pause macro is sufficient to recover the worker. Material and Methods: Were evaluated eighteen male volunteers, aged 22 to 27 years, mean 24.4 ± 2.3 years, of the boning sector. The chosen muscle, for the analysis, was the extender cuff on the right upper limb. Data from electromyography, samples of blood lactate and bipolar fatigue questionnaire were collected during the normal routine of work of each participant at the beginning of the work week, on a Monday. Data were collected at three different points: the first collection was made at the beginning of the workday (A1), the second after three hours of work (A2) and the third was performed after 30 minutes of macro break of 90 minutes for lunch (A3). The interpretation of the questionnaire was based on a quantitative criterion, checking the numerical value of the difference between the beginning , middle and end of the working day for each item evaluated . For the examination of electromyography was analyzed the median frequency and for the lactate was analyzed the concentration levels between intervals. Results: All three tests showed the onset of labor fatigue. The electromyography showed a decrease in the median frequency from the first sample. There was a significant difference in the median frequency of EMG between each time interval, was also found a progressive increase in lactate levels. It was observed a significant increase in practically all variables in the questionnaire between periods of A1 and A2. Only the variables: nervousness, pain in thighs, leg pain and foot pain were not significantly different. The two variables that showed greater differences were fatigue (154.54%) and arm pain (178,57%). Conclusions: Meatpacking workers develop physical and psychological stress during activities. The macro break interval for rest was not enough for physical and psychological recovery during activities. These activities can lead to occupational diseases, since it is known that their etiological principles, the fatigue, acts as initial marker.
Introdução: A fadiga muscular é uma diminuição da capacidade funcional causada pelo aumento da intensidade do esforço para execução de uma tarefa, suas causas podem ser relacionadas a diversos mecanismos dentro de um ambiente laboral. Para melhor compreensão dos fatores que influenciam diretamente na saúde do colaborador no ambiente laboral, são utilizados métodos quantitativos de avaliação funcional. Dentro dos métodos utilizados, merece destaque o uso do eletromiógrafo (EMG) de superfície e o exame do nível de lactato sanguíneo, sendo métodos utilizados para a avaliação da fadiga muscular. Outra maneira de avaliar uma fadiga, é analisando suas características psicofisiológicas, podendo utilizar para isso questionários. Objetivo: O objetivo deste estudo foi realizar análise do stress físico e psicofisiológico no setor de desossa em frigoríficos e identificar se a macro pausa é suficiente para recuperação do trabalhador. Casuíatica e Métodos: Foram avaliados dezoito trabalhadores da desossa, voluntários, do sexo masculino, com idade entre 22 e 27 anos, com média de 24.4 ± 2.3 anos. O posto avaliado na pesquisa foi da desossa. O músculo escohido para analise foi o extensor de punho no membro superior direito. Os dados da eletromiografia, as amostras do lactato sanguíneo e o questionário bipolar de fadiga foram coletados durante a rotina normal de trabalho de cada participante, no inicio da semana de trabalho, em uma segunda-feira. Os dados foram coletados em três diferentes pontos: a primeira coleta foi realizada no início da jornada de trabalho (A1), a segunda depois de três horas de trabalho (A2) e a terceira foi realizada depois de 30 minutos após o macro pausa de 90 minutos para o almoço (A3). A interpretação do questionário foi baseada em um critério quantitativo, verificando a diferença do valor numérico entre o início, o meio e o final do dia de trabalho para cada item avaliado. Para o exame da eletromiografia foi analisado a frequência mediana e para o lactato os níveis de concentração entre os intervalos. Resultados: Todos os três testes demonstraram o aparecimento da fadiga laboral, a eletromiografia demonstrou um decréscimo da frequência mediana a partir da primeira coleta. Houve diferença significativa na frequência mediana da EMG entre cada intervalo de tempo, também foi encontrado um aumento progressivo nos níveis de lactato. Pode-se observar aumento significativo em praticamente todas as variáveis avaliadas pelo questionário entre os períodos de A1 e A2, apenas as variáveis nervosismo, dor nas coxas, dor nas pernas e dor nos pés não apresentaram diferenças significativas. As duas variáveis que apresentaram maior diferença foram cansaço (154,54%) e dor nos braços (178,57%). Conclusões: Trabalhadores da desossa de frigoríficos desenvolvem stress físico e psicológico durante as atividades. O intervalo da macro pausa de descanso não foi suficiente para recuperação física e psicológica durante as atividades. Essas atividades podem levar a doenças ocupacionais, pois é sabido que os princípios etiológicos destas, a fadiga atua como marcador inicial.

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Masson, Valeria Aparecida 1983. "Promoção da saúde entre jovens trabalhadores de micro e pequenas empresas da Central de Abastecimento de Campinas, SP." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310993.

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Orientador: Maria Inês Monteiro
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Este estudo sobre condições de trabalho, aspectos de saúde e capacidade para o trabalho de jovens trabalhadores de um Entreposto Hortifrutigranjeiro de Campinas visa à promoção da saúde no local de trabalho. Trata-se de estudo de intervenção de delineamento quase-experimental. Foram realizadas entrevistas com 42 jovens na faixa etária de 15 a 29 anos, selecionados no local de trabalho, de maneira intencional, com o objetivo de avaliar a capacidade para o trabalho e os fatores de estilo de vida, condições de trabalho, fadiga e sonolência, para realização de promoção da saúde entre os sujeitos. Após as entrevistas foram realizadas atividades de promoção da saúde como grupos educativos, entrega de folders, exposição de pôster no mercado tomando por base a educação em saúde e a conscientização da população pela adoção de hábitos de vida saudáveis. Após a intervenção, o mesmo grupo de jovens, com perda de 11 sujeitos, foi novamente entrevistado. Foram utilizados os seguintes instrumentos: questionário com dados sociodemográficos, estilo de vida e aspectos de saúde e trabalho; Índice de Capacidade para o Trabalho, Questionário de fadiga e a Escala de Sonolência de Epworth, Escala de Karolinska e Analise Ergonômica do Trabalho. A análise dos dados foi realizada por meio de estatística descritiva, testes estatísticos e análise de conteúdo por meio dos programas estatísticos SPSS e SAS. As atividades de intervenção não tiveram efetividade sobre a saúde, capacidade para o trabalho e percepção de fadiga dos jovens. A prática de atividade física caiu de 54,8% para 42,9%, com aumento do Índice de Massa Corpórea médio (IMC) de 24,3 kg/m² (DP 6,8) para 25,5 kg/m². Após a intervenção, houve diminuição do uso de bebidas alcoólicas entre os sujeitos, de 42,8% para 19,1%, também houve redução do número de fumantes a zero. A maior parte dos sujeitos estudados apresentou capacidade para o trabalho adequada tanto no pré-intervenção quanto no pós-intervenção. Não ocorreu alteração da capacidade para o trabalho e fatores como escolaridade, estresse, dor e uso de medicamentos foram associados à menor capacidade para o trabalho. Fatores como estresse, sonolência, dor e escolaridade foram associados com a fadiga. Os jovens apresentaram riscos ocupacionais em suas atividades de trabalho, como movimentos repetitivos, posições inadequadas, cargas de peso, que devem ser considerados em futuros estudos de intervenção sobre as condições e organização do trabalho. Os resultados analisados mostraram a necessidade de se dar continuidade às intervenções no local de trabalho visando manter a capacidade para o trabalho e reduzir a fadiga da população estudada
Abstract: This study on working conditions, health issues and work ability of young workers from the supply center of Campinas aims to promote health in the workplace, since the working conditions and health are major determinants of inappropriate situations that these workers are exposed to. This is a quasi-experimental design intervention study. The interviews were conducted with a group of 42 young people aged 15 to 29 years, intentionally selected at work with the purpose of evaluating the work ability and lifestyle factors, working conditions, fatigue and drowsiness, in order to conduct health promotion among the individuals. After conducting the interviews, activities to promote health like education groups, delivering of leaflets, and poster exhibition at the market building, all based on health education and the public awareness for adopting healthy life habits. After the intervention, the same group of young people with loss of 11 subjects was interviewed again. We used the following instruments: a questionnaire about socio-demographic, lifestyle and aspects of heath and work; Work Ability Index, Fatigue Questionnaire and the Epworth Sleepiness Scale, Karolinska Sleepiness Scale and Ergonomic Work Analysis. The data was analyzed using descriptive statistics, statistical tests and content analysis by means of statistical programs SPSS and SAS. Intervention activities were not effective on health, work ability and perception of fatigue. Subjects who practiced physical activities before the intervention were 54.8% and after the intervention that number dropped to 42.9%. The average Body Mass Index (BMI) increased from 24.3 kg/m² (SD 6.8) to 25.5 kg/m². After the intervention, there was a decrease in alcohol consumption among the subjects, 42.8% to 19.1%, with respect to smoking, two subjects stopped smoking after the intervention, therefore no subject smoked in the post-intervention. Most of the subjects studied had adequate capacity to work both in the pre-test and post-test. Factors such as education, stress, pain and medication use was associated with reduced capacity for work. Factors associated with increased perception of fatigue, were stress, somnolence, pain and schooling. The youth had occupational risks in their work activities, such as repetitive motions, awkward positions, load weight, which should be considered in future intervention studies on the conditions and work organization. The analyzed results show the need to continue the interventions in the workplace to maintain the ability to work and reduce fatigue of the population studied
Doutorado
Enfermagem
Doutora em Enfermagem

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Swerts, Fabiana Cristina Taubert de Freitas. "Efeitos do Isostretching na redução de queixas de dor osteomuscular, fadiga e na melhora da flexibilidade em funcionários públicos." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-07012015-142708/.

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O Isostretching é uma técnica de execução de exercícios definida como a arte de abrandar e fortificar o corpo por meio de exercícios próprios, os quais exigem uma posição vertebral correta na duração de uma expiração longa; trabalha-se todo o corpo durante os exercícios, relaxando e fortalecendo os músculos. O objetivo geral do presente estudo foi avaliar o efeito de uma intervenção fisioterapêutica de Isostretching em funcionários públicos na redução de queixas de dor osteomuscular e fadiga e no aumento da flexibilidade. Trata-se de uma pesquisa de delineamento quase-experimental do tipo pré e pós-teste com análise quantitativa e comparativa dos dados, realizada com 25 trabalhadores não-docentes de uma Instituição Pública de Ensino Superior em Saúde (IPESS) do interior de São Paulo. Para a coleta de dados foram utilizados quatro instrumentos: o de caracterização dos trabalhadores que abordou aspectos pessoais e ocupacionais, hábitos de vida e saúde; o Questionário Internacional de Atividade Física (IPAQ), versão curta, para avaliar a prática de atividade física dos sujeitos; o Diagrama de Corlett (DC) para avaliar a presença, localização e intensidade das queixas de dor osteomuscular e o Questionário de Percepção de Fadiga (QPF) para avaliar queixas de fadiga. Para avaliar a flexibilidade foi adotado o teste no Banco de Wells. A coleta de dados foi dividida em três etapas: a primeira, o pré-teste, constou da aplicação dos questionários aos sujeitos; a segunda foi a intervenção por Isostretching a qual teve uma freqüência de duas vezes por semana, duração de 30 minutos cada, no período de 10 semanas e contou com um programa de exercícios de Isostretching. Na terceira etapa, o pós-teste, os sujeitos responderam novamente ao DC e QPF e refizeram o teste de flexibilidade. Os resultados mostraram presença inicial de dor osteomuscular de intensidade leve a moderada nas regiões de coluna vertebral, membro superior e membro inferior, bem como de níveis altos de fadiga. Após a intervenção houve redução estatisticamente significativa dos sintomas de dor osteomuscular em pescoço (p=0,013), região cervical (p=0,011), costas superior (p=0,011), costas inferior (p=0,002), bacia (p=0,012), ombro direito e esquerdo (p=0,021), braço direito (p=0,033) e esquerdo (p=0,034), cotovelo direito (p=0,046), antebraço direito (p=0,020) e esquerdo (p=0,025), pé direto (p=0,017) e esquerdo (p=0,011). Obteve-se, também, redução estatisticamente significativa (p=0,001) dos níveis de fadiga, principalmente nos domínios Sonolência e Moleza (p=0,000) e Projeção da Fadiga sobre o Corpo (p=0,000). A flexibilidade dos participantes apresentou melhora estatisticamente significativa (p=0,000), variando de 11 cm a 34,5 cm no pré-teste e de 16 cm a 36,5 cm no pós-teste. Dessa forma, conclui-se que o protocolo de exercícios de Isostretching aplicado aos participantes deste estudo foi eficaz na redução da dor osteomuscular em segmentos da coluna vertebral e de membro superior, na redução dos níveis de fadiga e na melhora da flexibilidade muscular
Isostretching is a technique of performing exercises defined as the art of slowing and fortify the body through proper exercises, which require a correct vertebral position on the duration of a long expiration; works the whole body during the exercises, relaxing and strengthening the muscles. The overall objective of the present study was to evaluate the effect of a physiotherapeutic intervention of Isostretching in public workers in reducing musculoskeletal pain complaints and fatigue and increasing flexibility. It is a quasi-experimental design research of pre-and post-test type with quantitative and comparative data analysis performed with 25 non-teaching employees of a Public Institution of Higher Learning in Health of the State of São Paulo. For data collection were used four instruments: the characterization of workers who addressed personal and occupational aspects, life habits and health; the International Physical Activity Questionnaire (IPAQ), short version, to evaluate the practice of physical activity of the subjects; the Corlett Diagram (CD) to assess the presence, location and intensity of the complaints of musculoskeletal pain and Fatigue Perception Survey (FPS) to assess complaints of fatigue. To evaluate the flexibility was adopted Bank of Wells test. Data collection was divided into three stages first, the pre-test, consisted of the application of questionnaires to the subjects; the second was the intervention by Isostretching which had a frequency of twice a week, lasting 30 minutes each, during a period of 10 weeks and featured a Isostretching exercise program. In the third stage, the post-test, subjects answered back to CD and FPS and redid the flexibility test. The results showed initial presence of musculoskeletal pain of mild to moderate intensity in the regions of the spine, upper limb and lower limb, as well as high levels of fatigue. After the intervention there was statistically significant reduction in symptoms of musculoskeletal pain in the neck (p=0,013), cervical region (p=0,011), upper back (p=0,011), lower back (p=0,002), pelvis (p=0,012), right and left shoulder (p=0,021), right arm (p=0,033) and left arm (p=0,034), right elbow (p=0,046), right forearm (p=0,020) and left forearm (p=0,025), right foot (p=0,017) and left foot (p=0,011). Also obtained statistically significant reduction (p=0,001) fatigue levels, mainly in the fields Sleepiness and Inertia (p=0,000) and projection of fatigue on the body (p=0,000). The flexibility of the participants showed statistically significant improvement (p=0,000), ranging from 11cm to 34,5cm in the pre-test and 16cm to 36,5cm in the post-test. Thus, it is concluded that the Protocol of Isostretching exercises applied to participants in this study was effective in reducing musculoskeletal pain in spinal segments and upper limb, reduction levels of fatigue and improving muscle flexibility

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49

Johansson, Joel. "Why does a sleepy driver continue to drive?" Thesis, Department of computer and information science, Linköping University, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:vti:diva-596.

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Inom trafikforskningen är det allmänt känt att sömnighet är en starkt bidragande faktor vid trafikolyckor. Tidigare forskning har visat att sömnighet hos förare är närvarande i 16-23 procent av alla bilolyckor. Inom flyg- och järnvägsdomänen har en metod, med en stark influens från human factors-området, kallad Fatigue risk management (FRM) använts för att undersöka hur sociala och organisatoriska faktorer påverkar personalens sömnighetsnivå. Dock har denna metod inte använts för att undersöka lastbilsförares sömnighetsnivå i någon större utsträckning. Studiens syfte var att undersöka hur lastbilsförare upplever, motarbetar och motverkar sömnighet i deras dagliga arbetssituation. Resultaten visar att lastbilsförare i sitt arbete möter en stor mängd trötthetsbidragande faktorer, som kan härledas både till organisatoriska faktorer och individuellt beteende. Möjliga sätt att motverka sömnighet bland lastbilsförare, riktade mot både individen och organisationen, föreslås.
In the traffic domain it is commonly known that sleepiness is a highly contributing factor in traffic accidents. Research has shown that sleepiness among drivers is present in about 16-23 per cent of all car accidents. In the aviation and railway industry a method or framework with some shared influences from the Human Factors approach, called Fatigue Risk Management (FRM) has been used to investigate how social and organisational factors affect the personnels level of sleepiness. The overall aims of this study are to investigate how truck drivers experience, fight and counteract sleepiness in their daily work environment. The results show that drivers face a wide variety of sleep contributing factors, stemming from both organisational factors and individual behaviour. Possible ways of counteracting truck driver sleepiness, concerning both the individual and the organisation, are also suggested.

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50

Sá, Eduardo Costa. "Síndrome da visão do computador e função visual em trabalhadores usuários de computador de um hospital público universitário de São Paulo: prevalência e fatores associados." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/6/6143/tde-06012017-095441/.

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Atualmente, os distúrbios oculares relacionados ao uso do computador são aqueles que vêm sendo mais estudados por sua alta prevalência mundial, e por serem cada vez mais frequentes em determinadas profissões. O objetivo desse estudo foi analisar os sintomas da Síndrome da Visão do Computador (CVS) e os fatores associados à função visual entre os trabalhadores, de ambos os sexos, usuários de computador em função administrativa, do prédio da administração de um hospital público universitário terciário de São Paulo (n=303). Realizada pesquisa quantitativa observacional transversal analítica, entre os anos de 2014 e 2015, em que os trabalhadores foram submetidos a exame clínico oftalmológico e responderam um questionário, com dados: sociodemográficos, ocupacionais, condições de trabalho, fatores psicossociais no trabalho, informações sobre saúde e avaliação da função visual. A avaliação estatística foi realizada a partir da análise descritiva das variáveis, quantitativas e qualitativas. Para o Questionário de Função Visual (VFQ-25) foi realizado teste de Kolmogorov-Smirnov, a fim de caracterizar a população do estudo, e os testes de ANOVA, Mann-Whitney e Kruskal-Wallis, para a análise dos fatores associados. Foi criado um modelo de regressão linear múltipla, utilizando stepwise forward, com as variáveis que apresentaram níveis de significância com p<0,20. Permaneceram no modelo final, as variáveis que apresentaram níveis descritivos p<0,05. Os sintomas mais frequentes foram: cansaço nas vistas no trabalho (47,9 por cento ), peso nos olhos no trabalho (38,3 por cento ) e cansaço nas vistas em casa (36,3 por cento ). Os agravos mais prevalentes foram: a presbiopia (66,3 por cento ) e o astigmatismo (47,9 por cento ). Foi encontrada associação entre a idade (OR 0,218; IC95 por cento -0,276-0,161) e o esforço no trabalho (OR 0,656; IC -0,928-0,383) com a função visual. No esforço no trabalho, os itens que apareceram como principais fontes de estresse foram: interrupções no trabalho (3,7 por cento ), trabalho depois da hora (3,6 por cento ) e aumento da exigência (3,6 por cento ). Nesse estudo, conclui-se pela importância da organização do trabalho, dos fatores psicossociais no trabalho associados à presença de sintomas da CVS e, consequentemente, às alterações da função visual nos trabalhadores usuários de computador. Sugerem-se medidas para melhorar as condições do ambiente de trabalho e a realização de exames oftalmológicos periódicos para essa categoria de trabalhadores.
Currently, computer-use related eye disorders have been the most studied for their high prevalence worldwide, and for being increasingly more usual in some professions. The purpose of this study was to review the symptoms of Computer Vision Syndrome (CVS) and the factors associated with visual function among workers of both genders, computer users in the administrative sector of the administration building of a tertiary public hospital São Paulo (n= 303). The methods included analytical observational cross-sectional quantitative research, between 2014 and 2015, where workers underwent ophthalmologic examination and answered a questionnaire with the following input: sociodemographic, occupational data, work conditions, psychosocial factors at work, health information and assessment of visual function. A statistical evaluation was made based on the descriptive analysis of quantitative and qualitative variables. The Kolmogorov-Smirnov test was performed for the Visual Function Questionnaire (VFQ-25) in order to characterize the study population, and the ANOVA test, Mann-Whitney and Kruskal-Wallis test for the analysis of associated factors. A multiple linear regression model was created using stepwise forward with variables displaying p <0.20significance levels. The variables with p <0.05 descriptive levels were in the final models. The most frequent symptoms were \"fatigue in the views at work\" (47.9 per cent ), \" weight in the eyes at work\" (38.3 per cent ) and \"fatigue in the views at home\" (36.3 per cent ). The most prevalent eye diseases were presbyopia (66.3 per cent ) and astigmatism (47.9 per cent ). Association was found between age (OR 0.218, 95 per cent CI -0,276-0,161) and stress at work (OR 0.656; CI 0,928-0,383) with visual function. In this study, the work organization and the psychosocial factors at work were important causes associated with the presence of CVS symptoms and with problems of visual function in computer-user employees. Measures and timely eye examinations are suggested in order to improve the working environment conditions for this category of workers.

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Dissertations / Theses on the topic 'Occupational fatigue'

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