OCCUPATIONAL STRESS, SALIVARY CORTISOL AND MUSCULOSKELETAL PAIN IN HEMATO-ONCOLOGY NURSES

Guerreiro, Monique Pereira Portella; Dalmolin, Graziele de Lima; Zanon, Roosi Eloisa Bolzan; Schutz, Thaís Costa; Andolhe, Rafaela

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ORIGINAL ARTICLE • Cogitare Enferm. 26 • 2021 • https://doi.org/10.5380/ce.v26i0.74862 copy

OCCUPATIONAL STRESS, SALIVARY CORTISOL AND MUSCULOSKELETAL PAIN IN HEMATO-ONCOLOGY NURSES

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to verify the correlation between occupational stress, salivary cortisol concentration and musculoskeletal pain in hematology-oncology nurses.

Method:

cross-sectional study with 28 hematology-oncology nurses from an institution in southern Brazil. The Job Stress Scale and the Nordic Musculoskeletal Symptoms Questionnaire were used for data collection, and Salivette® tubes were used for saliva collection and salivary cortisol analysis on three moments during a workday, and on two moments during a day off. Descriptive statistics and Spearman’s Correlation test were used.

Results:

there was a significant and positive correlation between cortisol at the beginning of the day off with control. Cortisol values with occupational stress and musculoskeletal pain were not significant.

Conclusion:

the results contribute to the understanding of the health-disease process of hematology-oncology nurses, highlighting the need for concomitant physiological and psychological assessments for better evaluation and definition of strategies.

DESCRIPTORS
Hydrocortisone; Oncology Nursing; Musculoskeletal Pain; Occupational Stress; Occupational Health

Schedules	n	Cortisol concentration (µg/dL)
Upon awakening	28	0,470±0,211 ^† † Mean/Standard Deviation;
Start of Duty	28	0,250 (0,175-0,384) ^‡ ‡ Median (Interquartile Range).
End of Duty	28	0,119 (0,102-0,145) ^‡ ‡ Median (Interquartile Range).
Start of slack	24	0,277±0,128 ^† † Mean/Standard Deviation;
End of slack	24	0,126 (0,076-0,200) ^‡ ‡ Median (Interquartile Range).

		Pain or discomfort in the last year n (%)	This problem got in the way of doing something last year n (%)	Pain or discomfort in the last seven days n (%)
Frequency
	Vertebral Column	27 (96,43)	14 (50)	18 (64,28)
	Upper Members	16 (57,14)	2 (7,14)	4 (14,28)
	Lower Members	21 (75)	10 (35,71)	28 (100)
Intensity
	Painless			5 (17,85)
	Mild pain			10 (35,71)
	Moderate pain			12 (42,86)
	Severe pain			2 (7,14)
	Very severe pain			0

DCM* quadrants (n)	Body Regions	Presence of MSP	Saliva collection times (n)	Cortisol
Passive Work (10)			Awakening (9)	0,464±0,193 ^† † Mean/Standard Deviation;
	CV	6 (60)	Beginning of duty (9)	0,310±0,165 ^† † Mean/Standard Deviation;
	MS	1 (10)	End of duty (9)	0,131±0,043 ^† † Mean/Standard Deviation;
	MI	10 (100)	Start of slack (8)	0,272±0,165 ^† † Mean/Standard Deviation;
			End of slack (8)	0,147±0,571 ^† † Mean/Standard Deviation;
Low Demand (6)			Awakening (6)	0,428±0,305 ^† † Mean/Standard Deviation;
	CV	4 (66,6)	Beginning of duty (6)	0,274±0,141 ^† † Mean/Standard Deviation;
	MS	1 (16,6)	End of duty (6)	0,116 (0,108-0,129)^‡ ‡ Median/Interquartile Range.
	MI	6 (100)	Start of lack (6)	0,345±0,101 ^† † Mean/Standard Deviation;
			End of slack (6)	0,236±0,186 ^† † Mean/Standard Deviation;
Active Work (2)			Awakening (2)	0,528±0,201 ^† † Mean/Standard Deviation;
	CV	1 (50)	Beginning of duty (2)	0,223±0,389 ^† † Mean/Standard Deviation;
	MS	0	End of duty (2)	0,177±0,636 ^† † Mean/Standard Deviation;
	MI	2 (100)	Start of lack (2)	0,256±0,912 ^† † Mean/Standard Deviation;
			End of slack (2)	0,132±0,025 ^† † Mean/Standard Deviation;
High Demand (10)			Awakening (10)	0,492±0,178 ^† † Mean/Standard Deviation;
	CV	7 (70)	Beginning of duty (10)	0,244(0,168-0,322)^‡ ‡ Median/Interquartile Range.
	MS	2 (20)	End of duty (10)	0,119±0,060 ^† † Mean/Standard Deviation;
	MI	10 (100)	Start of lack (7)	0,220±0,103 ^† † Mean/Standard Deviation;
			Awakening (7)	0,073(0,070-0,152)^‡ ‡ Median/Interquartile Range.

	Level of Pain	Cortisol on awakening	Cortisol starting on duty	Cortisol at start of slack	End-of- duty cortisol	Cortisol from the end of slack	Psycho- logical demands	Con- trol
Level of pain	1
Cortisol on awaking	0,024	1
Cortisol starting on duty	-0,171	-0,299	1
Cortisol from off start	0,249	0,034	0,282	1
End-of-duty cortisol	0,032	-0,177	0,441	0,451	1
End-of-off cortisol	0,117	-0,21	0,141	0,146	0,174	1
Psychological demands	0,154	0,106	-0,103	-0,383	-0,031	-0,015	1
Control	-0,036	-0,315	0,113	,446^† † p=0,029.	0,201	0,365	-0,292	1

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author:
Graziele de Lima Dalmolin Universidade Federal de Santa Maria – Santa Maria, RS, Brasil E-mail: graziele.dalmolin@ufsm.br