Research Article
Volume 3 Issue 3 - 2021
Levels of Capillary Cortisol and Risk Behaviors in Hospital Nursing Staff
Vanessa Augusto Bardaquim1*, Aida Maria de Oliveira Cruz Mendes2, Júlia Trevisan Martins3, Fabio de Souza Terra4 and Maria Lúcia do Carmo Cruz Robazzi5
1PhD in Science from the Ribeirao Preto College of Nursing, University of São Paulo - USP, Brazil
2Professor at the Nursing School of Coimbra. Coimbra, Portugal
3PhD in Nursing, Professor at the Nursing Graduation Course of the Nursing Department of the Health Sciences Center of the State University of Londrina, Brazil
4Associate Professor at the Federal University of Alfenas College of Nursing - UNIFAL-MG, Brazil
5Clinical Nurse Specialist, Senior Professor at the Ribeirao Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
*Corresponding Author: Vanessa Augusto Bardaquim, PhD in Science from the Ribeirao Preto College of Nursing, University of São Paulo - USP, Brazil.
Received: December 10, 2020; Published: February 23, 2021




Abstract

Objective: To associate the levels of capillary cortisol and the risk behavior factors in hospital service nursing staff.

Methods: Descriptive-analytical, cross-sectional, quantitative study, carried out in a hospital institution with 164 nursing staff members, using a self-completion questionnaire to obtain personal and professional profiling data. Staff members' hair samples were collected for capillary cortisol analysis. The data were entered into an MS-Excel spreadsheet, the statistical analysis was carried out by determining the sample size, with the prevalence value of 50%, which results in a sample size that contemplates any value of P. The software used for sample calculation was the R software and the statistical tests used for the analysis consisted of the Pearson's Chi-Squared test. The study was approved by the Research Ethics Committee.

Results: 38.4% of the staff members evaluated were undergoing treatment or using some type of medication, 22.5% were away from work, 18.3% were smokers, 60.4% consumed alcoholic beverages, 57.3% did not practice physical activities and 47.6% had difficulty falling asleep. Regarding cortisol, its levels were above normal among smokers, those who consumed alcoholic beverages, those who led a sedentary lifestyle and those who had difficulty falling asleep. According to statistical analysis, it can be stated that there was no significant association between the variables tested and the results of cortisol levels.

Conclusion: Risk behaviors are present in the clinical service nursing team, but they did not exhibit an association with the levels of capillary cortisol.

Keywords: Nursing; Hydrocortisone; Occupational Health; Tobacco Use Disorder; Alcohol Consumption

References

  1. Farsen TC., et al. “Qualidade de vida, bem-estar-estar e Felicidade no Trabalho: sinônimos ou conceitos que se diferenciam?” Interação em Psicologia [22.1 (2018).
  2. Santana JS., et al. “Instrumento de avaliação do estresse na equipe de enfermagem”. Revista de Atenção à Saúde52 (2017): 61-65.
  3. Harrison RF., et al. “Salivary Cortisone to Estimate Cortisol Exposure and Sampling Frequency Required Based on Serum Cortisol Measurements”. The Journal of Clinical Endocrinology and Metabolism3 (2019): 765-772.
  4. Herr RM., et al. “Associations of work stress with hair cortisol concentrations: initial findings from a prospective study”. Psychoneuroendocrinology 89 (2018): 134-137.
  5. Ramos SMN., et al. “A influência do exercício físico sobre o cortisol e glicose sanguínea de praticantes de atividade física”. RBNE 81 (2019): 666-674.
  6. Stalder T., et al. “Stress-related and basic determinants of hair cortisol in humans: A meta-analysis”. Psychoneuroendocrinology 77 (2017): 261-274.
  7. Tavares JP., et al. “Relationship between psychosocial stress dimensions and salivary cortisol in military police officers”. The Revista Latino-Americana de Enfermagem 25 (2017): e2873.
  8. Dias E., et al. “An integrative review of the methods used for cortisol assessment in clinical studies investigating the association between Blood Pressure and Cortisol Hormone”. Journal of Epidemiology and Infection Control1 (2019).
  9. Pereira AF., et al. “Relação entre o Hormônio Cortisol e a Síndrome Metabólica”. XVII SEPA - Seminário Estudantil de Produção Acadêmica: UNIFACS (2018): 17.
  10. Spoel EV., et al. “Interrelationships Between Pituitary Hormones as Assessed From 24-hour Serum Concentrations in Healthy Older Subjects”. The Journal of Clinical Endocrinology and Metabolism4 (2019): e1201-e1214.
  11. Steptoe A., et al. “The Longitudinal Relationship Between Cortisol Responses to Mental Stress and Leukocyte Telomere Attrition”. The Journal of Clinical Endocrinology and Metabolism3 (2017): 962-969.
  12. Keulen BJ., et al. “Heritability of Cortisol Production and Metabolism Throughout Adolescence: A Twin Study”. The Journal of Clinical Endocrinology and Metabolism2 (2020): 443-452.
  13. Pazza DL., et al. “Cortisol capilar como medida de análise do estresse crônico”. Psicologia, Saúde and Doenças3 (2017): 773-788.
  14. Ceballos-Vásquez P., et al. “Psychosocial factors and mental work load: a reality perceived by nurses in intensive care units”. The Revista Latino-Americana de Enfermagem 2 (2015): 315-322.
  15. Carvalho DP., et al. “Cargas de Trabalho e a Saúde do Trabalhador de Enfermagem: Revisão Integrativa”. Cogitare Enfermagem 1 (2017): 01-11.
  16. Ueno LG., et al. “Estresse Ocupacional: Estressores Referidos pela Equipe de Enfermagem”. Revista de Enfermagem UFPE on line 4 (2017): 1632-1638.
  17. Mendes IA and Trevizan MA. “Na ausência de luz, o farol da mobilização Nursing Now iluminando o porvir”. The Revista Latino-Americana de Enfermagem 28 (2020): e3356.
  18. Junqueira MA., et al. “Uso de álcool e comportamento de saúde entre profissionais da enfermagem”. Revista da Escola de Enfermagem da U S P 51 (2017): e03265.
  19. Soares MS., et al. “Acidentes de Trabalho no Brasil: uma Análise do Estresse Físico, Psicossocial e Fatores Relacionados à Saúde”. XX SEMEAD. in: Seminários em Administração; São Paulo São Paulo 17 (2017): 20.
  20. Fernandes LS., et al. “Associação entre Síndrome de burnout, uso prejudicial de álcool e tabagismo na Enfermagem nas UTIs de um hospital universitário”. Ciênc Saúde Coletiva1 (2018): 203-214.
  21. Meneses-Gaya C., et al. “Is the full version of the AUDIT really necessary? Study of the validity and internal construct of its abbreviated versions”. Alcoholism: Clinical and Experimental Research 8 (2010): 1417-1424.
  22. Dalri RC., et al. “Nurses' workload and its relation with physiological stress reactions”. The Revista Latino-Americana de Enfermagem 6 (2014): 959-965.
  23. Hair Cortisol: Clinical Information for Professionals. Internet: Rocky Mountain Analytics (2014).
  24. Bertussi VC., et al. “Substâncias psicoativas e saúde mental em profissionais de enfermagem da Estratégia Saúde da Família”. Electronic Nursing Journal (2018): 200.
  25. Junqueira MA., et al. “Depressive symptoms and drug use among nursing staff professionals”. Escola Anna Nery 4 (2018): e20180129.
  26. Oliveira CS., et al. “Violence at work in emergency care units: nurses’ experiences”. The Revista Latino-Americana de Enfermagem 28 (2020): e3323.
  27. Vargas I., et al. “Altered ultradian cortisol rhythmicity as a potential neurobiologic substrate for chronic insomnia”. Sleep Medicine Reviews 41 (2018): 234-243.
  28. Dong H., et al. “Sleep disturbances among Chinese clinical nurses in general hospitals and its influencing factors”. BMC Psychiatry241 (2017).
  29. Pappa S., et al. “Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis”. Brain, Behavior, and Immunity 88 (2020): 901-907.
  30. Pham TT and Park B. “Alcohol use disorder and health-related quality of life in Korean night-shift workers: A cross-sectional study using the KNHANES 2007-2015 data”. PloS one (2019).
  31. Prasad N., et al. “Tobacco use among health care workers of tertiary care center of Faridabad, Haryana, India”. Clinical Epidemiology and Global Health 2 (2020).
  32. Azevedo BD., et al. “Occupational Stress and Dissatisfaction with Quality of Work Life in Nursing”. Texto Contexto – Enferm1 (2017): e3940015.
  33. García-León MÁ., et al. “Relationship between resilience and stress: Perceived stress, stressful life events, HPA axis response during a stressful task and hair cortisol”. Physiology and Behavior 202 (2020): 87-93.
  34. Teychenne M., et al. “Sedentary Behaviour and Hair Cortisol Amongst Women Living in Socioeconomically Disadvantaged Neighbourhoods: A Cross-Sectional Study”. International Journal of Environmental Research and Public Health 4 (2018): 586.
Citation: Vanessa Augusto Bardaquim., et al. “Levels of Capillary Cortisol and Risk Behaviors in Hospital Nursing Staff”. EC Nursing and Healthcare 3.3 (2021): 277-288.

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