Estresse e síndrome de burnout entre trabalhadores da equipe de Saúde da Família Estrés y síndrome de burnout entre trabajadores del equipo de Salud de la Familia Stress and burnout syndrome among workers of the Family Health team

OBJETIVO: Compreender o estresse laboral vivenciado pelos trabalhadores das equipes de Saúde da Família (ESF), do município de Santa Maria, Rio Grande do Sul e as implicações para sua saúde. MÉTODOS: Estudo descritivo, com integração de métodos quantitativos e qualitativos, desenvolvido com 86 trabalhadores de todas as ESF do município. Na primeira etapa, foi aplicado o Maslach Burnout Inventory (MBI) e na segunda, foi aplicada entrevista semiestruturada com os 12 trabalhadores que apresentaram os maiores (seis) e os menores (seis) escores no MBI. RESULTADOS: A idade jovem teve associação estatisticamente significativa com os níveis de estresse apresentados pelos trabalhadores (p= 0,034). Os trabalhadores esgotados utilizavam formas de enfrentamento direcionadas às emoções, ou seja, recursos pessoais, enquanto os não esgotados resolviam os problemas do cotidiano laboral com apoio do grupo de trabalho. CONCLUSÃO: Os principais motivos para o desenvolvimento da Síndrome de Burnout estavam vinculados a problemas relacionais e organizacionais.<br>OBJETIVO: Comprender el estrés laboral experimentado por los trabajadores de los Equipos de Salud de la Familia (ESF), del municipio de Santa Maria, Rio Grande del Sur y las implicaciones para su salud. MÉTODOS: Se trata de un estudio descriptivo con integración de métodos cuantitativos y cualitativos, desarrollados con 86 trabajadores de todas los ESF del municipio. En la primera etapa, fue aplicado el Maslach Burnout Inventory (MBI) y en la segunda etapa, fue aplicada la entrevista semiestructurada con los 12 trabajadores que presentaron los mayores (seis) y los menores (seis) puntajes en el MBI. RESULTADOS: la edad joven presentó una asociación estadísticamente significativa con los niveles de estrés presentados por los trabajadores (p= 0,034). Los trabajadores agotados utilizaban formas de enfrentar los problemas utilizando las emociones, o sea, usando recursos personales, en cuanto que los no agotados resolvían los problemas del cotidiano laboral con apoyo del equipo de trabajo. CONCLUSIÓN: Los principales motivos para el desarrollo del Síndrome de Burnout estuvieron asociados a problemas de relaciones y de organización.<br>OBJECTIVE: To understand the stress experienced by workers in the Family Health Teams (FHT) - in the municipality of Santa Maria, Rio Grande do Sul - and the implications for their health. METHODS: This is a descriptive study to integrate quantitative and qualitative methods, developed with 86 workers of all teams, in the municipality of Santa Maria. In the first stage, was applied the Maslach Burnout Inventory (MBI) and in the second stage was applied semi-structured interviews with 12 workers who had the highest (6) and lowest (6) scores on the MBI. RESULTS: Younger age showed a statistically significant association with levels of stress presented by the workers (p = 0.034). The exhausted workers used ways of coping problems using emotions which are personal resources; the not exhausted, solved the everyday work problems using the team support. CONCLUSION: The main reasons for development of the burnout syndrome were associated with relationship problems and organization

Socio-behavioral factors influence prevalence and severity of dental caries in children with primary dentition

The aim of this study was to analyze the influence of socio-behavioral variables on the prevalence and severity of dental caries in 4- to 6-year-old children. A cross-sectional study was performed on a sample of 1993 children enrolled in 58 public preschools from Araçatuba City, São Paulo State, Brazil, during 2010. The exams were made using the decayed, missing, and filled teeth index (World Health Organization methodology) and detection criteria for non-cavitated lesions. A tested, self-administered questionnaire was sent to parents to obtain information about their socio-behavioral characteristics. Standardization was performed to verify concordance among examiners (kappa = 0.84). The prevalence of cavitated caries lesions was 41.2% (821), and the prevalence of both, cavitated and non-cavitated caries lesions, was 43.9% (875). The means ± standard deviations of the decayed, missing, and filled teeth index for children aged 4, 5, and 6 years were 1.18 ± 2.45, 1.65 ± 2.67, and 1.73 ± 2.77, respectively. Caries were significantly more prevalent in children from families with low incomes and low educational levels. The presence of dental caries was associated with access to dental services (p < 0.05). The associations between both, cavitated and non-cavitated dental caries lesions, and the frequency of oral hygiene were statistically significant. The prevalence of dental caries in preschoolers was strongly associated with factors related to the children's parents. Therefore, information about parents' socio-economic status, behaviors, and attitudes in relation to oral health should be considered when planning prevention and educational programs for the oral health of preschool children