Factors associated with the quality of life of multi-professional health residentes

Pai, Daiane Dal; Olino, Luciana; Eich, Lidiellen; Lautenchleger, Raquel; Fernandes, Marcelo Nunes da Silva; Tavares, Juliana Petri

doi:10.1590/0034-7167-2021-0541

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (6) • 2022 • https://doi.org/10.1590/0034-7167-2021-0541 copy

Factors associated with the quality of life of multi-professional health residentes

Factores relacionados a la calidad de vida de residentes multiprofesionales en salud

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to analyze factors associated with the quality of life of multi-professional health residents.

Methods:

cross-sectional and analytical design, carried out with 94 residents who answered a questionnaire containing general data, the Maslach Burnout Inventory, the Self Reporting Questionnaire, and the World Health Quality of Life. Data was submitted to multiple linear regression, considering p < 0.05.

Results:

minor mental disorders increased, respectively, by 0.31, 0.64 and 0.35 in the Physical, Psychological and General domains of quality of life. Emotional exhaustion had an inverse influence of 0.28 on the Physical and Environment domains. Satisfaction with residence increased the overall quality of life outcome by 0.20; Living alone, at 0.02 the Psychological domain; and Race/color, at 0.19 the Environment domain.

Conclusions:

there is a relationship between emotional exhaustion of the burnout, minor psychic disorders and the quality of life of multi-professional residents.

Descriptors:
Mental Health; Quality of Life; Internship, Nonmedical; Internship and Residency; Personal Satisfaction

Variables	Physical	Psychological	Quality of life Social	Environmental	General
Emotional exhaustion
Low	67.85(±11.37)^a	62.78(±16.51)^a	66.95(±19.09)^a	63.36(±12.74)^a	64.65(±19.49)^a
Moderate	58.66(±11.23)^b	53.98(±11.97)^b	60.10(±15.72)^a	56.25(±12.44)^a	52.92(±18.46)^a ^b
High	48.61(±12.01)^c	48.61(±12.01)^b	49.07(±15.36)^b	47.39(±12.91)^b	47.22(±15.19)^b
p < 0.05 General	0.000	0.001	0.003	0.000	0.004
Professional achievement
Low	65.17(±14.48)^a	57.98(±17.50)^a	69.09(±14.63)^a	62.23(±11.68)^a	59.89(±19.84)^a
Moderate	59.24(±11.29)^ab	55.22(±12.79)^a	57.67(±17.22)^b	54.84(±12.34)^a	52.20(±19.47)^a
High	53.38(±13.70)^b	53.28(±12.23)^a	55.26(±19.28)^b	54.93(±17.68)^a	58.55(±16.69)^a
p < 0.05 General	0.012	0.540	0.012	0.073	0.199
Depersonalization
Low	58.51(±13.44)^a	53.04(±16.13)^a	63.46(±19.73)^a	54.92(±14.76)^a	52.40(±20.92)^a
Moderate	60.15(±12.27)^a	60.15(±12.27)^a	59.07(±15.67)^a	58.05(±11.56)^a	54.72(±19.27)^a
High	59.62(±14.89)^a	59.62(±14.89)^a	58.33(±19.29)^a	56.25(±16.31)^a	60.32(±16.70)^a
p < 0.05 General	0.881	0.545	0.522	0.641	0.336
Dimensions of burnout
Emotional exhaustion	r = -0.51**	r = -0.42**	r = -0.38**	r = -0.42**	r = - 0.36**
Professional achievement	r = -0.32*	r = -0.18	r = -0.26*	r = -0.19	r = -0.47
Depersonalization	r = 0.24	r = 0.48	r = -0.11	r = -0.01	r = 0.12
Minor psychiatric disorders
No	70.73 (±10.64)	71.18 (±8.93)	69.44 (±19.29)	64.06 (±12.53)	68.75 (±17.67)
Yes	55.81 (±11.79)	50.17 (±11.06)	56.9 (±16.04)	54.24 (±13.20)	50.89 (±17.59)
p < 0.05 General	0.000	0.000	0.002	0.002	0.000
Minor psychiatric disorders	r = - 0.54**	r = -0.76**	r = -0.36**	r = -0.41**	r = -0.48**

Variables	Physical	Psychological	Quality of life Social	Environmental	General
Use of caffeine
Yes	60 (±12.3)^a	56.3 (±13.7)^b	60 (±17.7)^a	57.3 (±13.0)^a	56.4(±19.2)^b
No	52.9 (±22.8)	44.4 (±14.1)	51.4 (±16.8)	48.9 (±21.2)	41.6 (±12.9)
p value	0.487	0.04	0.214	0.15	0.037
Increased caffeine consumption
Yes	59.5 (±11.6)^a	56.5 (±12.6)^a	59 (±15.7)^a	55.9 (±12.3)^a	56 (±18.1)^a
No	60 (±17.0)	52.8 (±17.2)	63 (±22.3)	58.9 (±17)	52 (±21.8)
p value	0.851	0.334	0.343	0.441	0.342
Caffeine consumption interferes with sleep
Yes	54.4 (±10.3)^b	51.4 (±11.4)^a	53 (±15.9)^b	52 (±14.9)^b	48.8(±18.9)^b
No	61.8 (±12.4)	57.8 (±14.0)	62.8 (±17.8)	58.9 (±12.0)	58.7 (±18.8)
p value	0.016	0.06	0.045	0.035	0.038
Controlled psychoactive medication use
Yes	54.3 (±12.0)*	50.6 (±15.1)^b	57 (±17.7)^a	53.6 (±13.1)^a	51 (±17.8)^a
No	62.3 (±12.9)	58.0 (±12.7)	61.5 (±17.7)	58.4 (±13.7)	57.7 (±19.7)
p value	0.005	0.014	0.270	0.11	0.121
Use of controlled psychoactive medication before residency
Yes	54.8 (±11.0)^a	50.2 (±11.9)^a	52 (±15.5)^b	51.5 (±14.4)^a	51 (±18.7)^a
No	60.6 (±13.4)	56.7 (±14.2)	61.8 (±17.8)	57.9 (±13.3)	56.3 (±19.3)
p value	0.101	0.084	0.048	0.078	0.347
Addition of controlled psychoactive medication
Yes	55.1 (±11.5)^a	46.9 (±14.8)^b	55 (±17.7)^a	51.9 (±15.6)^a	48.4 (±18)^a
No	60.5 (±13.3)	57.3 (±13.2)	61.2 (±17.6)	57.7 (±13.1)	56.9 (±19.1)
p value	0.139	0.006	0.180	0.124	0.109
Use of over-the-counter medication
Yes	58.1 (±12.3)^a	54.6 (±13.8)^a	60 (±19.0)^a	54.6 (±13.6)^a	54 (±17.9)^a
No	61.6 (±14.1)	56.9 (±14.2)	60.1 (±15.7)	59.8 (±13.3)	56.6 (±21.1)
p value	0.208	0.438	0.993	0.068	0.652
Use of over-the-counter medication without professional indication
Yes	59.3 (±16.1)^a	60 (±12.6)^a	63 (±16.7)^a	52.5 (±13.4)^a	56 (±19.7)^a
No	57.7 (±11.2)	53.8 (±13.8)	59.9 (±19.3)	54.8 (±13.4)	54.4 (±17.4)
p value	0.703	0.197	0.604	0.621	0.769

Quality of life domains	Standardized beta	β (CI95%)	p	R²
Physical domain
Emotional exhaustion	-0.282	-0.537(-0.996;-0.079)	0.022	0.416
Depersonalization	0.064	0.286(-0.611;1.182)	0.528
Professional achievement	-0.047	-0.114(-0.699;0.472)	0.700
Minor psychic disorders	-0.315	-1.058(-1.768;-0.349)	0.004
Use of psychoactive medication	-0.099	-2.736(-7.872;2.399)	0.292
Caffeine disrupts sleep	0.024	0.759(-5.084;6.603)	0.797
Days away from work	-0.058	-0.059(-0.237;0.120)	0.516
Satisfaction with the residence	0.056	1.061(-2.433;4.555)	0.547
Marital status	0.156	4.390(0.800;9.580)	0.096
Psychological domain
Emotional exhaustion	-0.107	-0215(-0.599;0.168)	0.267	0.655
Depersonalization	-0.013	-0.060(-0.780;0.660)	0.869
Professional achievement	0.101	0.261(-0.218;0.739)	0.281
Minor psychic disorders	-0.646	-2.306(-2.908;-1.704)	<0.001
Use of psychoactive medication	0.027	0.798(-4.770;6.367)	0.776
Use of caffeine	0.126	7.450(-1.005;15.906)	0.083
Addition of psychoactive	-0.159	-5.817(-12.391;0.757)	0.082
Satisfaction with the residence	0.055	1.139(-1.906;4.184)	0.459
Marital status	0.106	3.136(-1.241;7.513)	0.158
Resides alone	-0.181	-7.515(-13.848;-1.181)	0.021
Social relations d.
Emotional exhaustion	-0.188	-0.481(-1.175;0.213)	0.172	0.203
Depersonalization	-0.054	-0.323(-1.591;0.945)	0.614
Professional achievement	-0.035	-0.111(-0.963;0.740)	0.796
Minor psychic disorders	-0.210	-0.962(-2.019;0.096)	0.074
Prior use of psychoactive	-0.096	-4.398(-13.550;4.753)	0.342
Satisfaction with the residence	0.067	1.757(-3.575;7.088)	0.514
Caffeine disrupts sleep	-0.041	-1.713(-10.483;7.057)	0.699
Environment d.
Emotional exhaustion	-0.286	-0.561(-1.058;-0.063)	0.028	0.311
Depersonalization	0.062	0.280(-0.647;1.207)	0.550
Professional achievement	0.038	0.095(-0.516;0.705)	0.758
Minor psychic disorders	-0.171	-0.594(-1.377;0.190)	0.136
Race/color	0.191	5.083(0.068;10.099)	0.047
Satisfaction with the residence	0.182	3.608(-0.240;7.456)	0.066
Marital status	0.163	4.675(-0.682;10.033)	0.086
Caffeine disrupts sleep	-0.026	-0.845(-7.145;5.456)	0.790
General domain of quality of life
Emotional exhaustion	-0.232	-0.642(-1.328;0.044)	0.066	0.354
Depersonalization	0.71	0.461(-0.879;1.801)	0.495
Professional achievement	0.205	0.717(-0.162;1.596)	0.108
Minor psychic disorders	-0.354	-1.742(-2.774;-0.710)	0.001
Race/color	-0.116	-0.171(-0.435;0.093)	0.201
Satisfaction with the residence	0.196	5.492(0.297;10.688)	0.039
Marital status	0.136	10.450(-3.333;24.232)	0.135
Caffeine disrupts sleep	-0.089	-4.109(-12.794;4.576)	0.349

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[1] Corresponding author: Daiane Dal Pai E-mail: daiane.dalpai@gmail.com