Cardiovascular Risk Factors in Nurses at a Teaching Hospital

Lucas Kleebank Fernandes, Gisele Brasil Nobre Chaves Rangel, Renan Luis Martins, Danilo Fernando Martin, Moacir Fernandes de Godoy
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Abstract

Objective: To identify the prevalence of modifiable and non-modifiable risk factors related to cardiovascular diseases [CVDs] in the nursing team of a tertiary hospital in the interior of the state of Sao Paulo and suggest preventive practices. Methods: This is a prospective-analytical epidemiological study, of a quantitative nature, carried out on 226 employees, in two stages: collection of self-declared data and measurement of anthropometric data. Results: Risk factors such as family history of CVD (82.7%), alcoholism (57.1%), sedentary lifestyle (49.1%), insufficient sleep time (27.9%), high consumption of processed meals (98.2%) and sugary beverages (81.7%) were observed, among others. From anthropometric data, it was identified that 69.4% of participants are overweight (38.7%) or obese (30.6%) - evidenced by high waist circumference (48.6%) and a high waist-to-hip ratio (64.0%) - in addition to 17.1% who had blood pressure levels indicative of arterial hypertension. The majority reported not having a diagnosis of CVDs (76.1%), however, among those who do, more than half (53.7%) do not treat them properly. Conclusion: It is observed that the prevalence of CVDs is not irrelevant in the group evaluated and that there is the presence of risk factors indicating a tendency for participants to develop new CVDs or worsen existing ones, due to the presence of harmful habits associated with an unhealthy lifestyle and lack of adherence to treatments. This study suggests the implementation of multidisciplinary action programs with employees, so that the main areas identified as deficient are addressed.
教学医院护士的心血管风险因素
目的确定圣保罗州内陆地区一家三级医院护理团队中与心血管疾病(CVDs)相关的可改变和不可改变风险因素的流行率,并提出预防措施建议。研究方法这是一项前瞻性流行病学定量分析研究,以 226 名员工为对象,分两个阶段进行:收集自我申报数据和测量人体测量数据。研究结果观察到的风险因素包括:心血管疾病家族史(82.7%)、酗酒(57.1%)、久坐不动的生活方式(49.1%)、睡眠时间不足(27.9%)、大量食用加工食品(98.2%)和含糖饮料(81.7%)等。人体测量数据显示,69.4%的参与者超重(38.7%)或肥胖(30.6%),表现为腰围过高(48.6%)和腰臀比过高(64.0%),此外还有 17.1%的参与者血压水平显示为动脉高血压。大多数人表示没有确诊心血管疾病(76.1%),但在确诊的人群中,超过一半(53.7%)的人没有正确治疗心血管疾病。结论在接受评估的人群中,心血管疾病的发病率并非与此无关,而且由于存在与不健康生活方式相关的有害习惯和不坚持治疗,存在着一些风险因素,表明参与者有患上新的心血管疾病或使现有疾病恶化的趋势。这项研究建议与员工一起实施多学科行动方案,以解决发现的主要不足之处。
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