Transtorno mental comum e qualidade de vida relacionada à saúde mental em profissionais da terapia intensiva e avaliação psicométrica do srq 20 e componente de saúde mental do sf 36

Abstract

Introduction: Health professionals in Intensive Care Units (ICUs) live daily with environmental factors, complex human and work relationships, a high level of demands on skills and abilities that can accentuate of exposure to mental illness. Objective: To describe the symptoms of common mental disorders (CMD) and quality of life related to mental health in ICU workers and to evaluate the psychometric properties of the SRQ-20 and the mental health domains of the SF-36v2. Method: This is a quantitative, cross-sectional study, in which a census was carried out with 195 health professionals who work in ICUs of a public hospital in Salvador, Bahia. For collection, a structured, self-administered, anonymous questionnaire was used, composed of three blocks of questions, namely: Sociodemographic data and general work information; Self Reporting Questionnaire (SRQ-20); 36-Item Short Form Health Survey questionnaire (SF36v2). Initially, a descriptive analysis was performed with measures of central tendency and dispersion. Pearson's chi-square test was used to compare proportions between independent samples. Confirmatory factor analysis (AFC) and structural equation modeling were performed to analyze the psychometric properties of the instruments. Results: The frequencies of symptoms of CMD were higher among professionals from the multidisciplinary team. The grouped symptoms of Depressive / Anxious Mood and somatic symptoms had higher percentages. When comparing the proportions between the multidisciplinary team in relation to the medical team, the complaints “Have you been feeling sad lately” (P = 0.01), “Have you been crying more than usual” (P = 0.04), “Have frequent headaches (P = 0.05) and “bad sleep” (P = 0.05) showed significant differences. The quality of life related to mental health showed slightly lower levels in the multiprofessional group, however, without differences (P<0,05) between the teams. The adjustment indexes obtained for the re-specified model of the SRQ-20 questionnaire were: χ2 (gl): 254.54 (162); CFI: 0.88; GFI: 0.89; TLI: 0.86; RMSEA: 0.05 (90% CI: 0.04-0.07), and for SF-36: χ2 (gl): 254.54 (162); CFI: 0.88; GFI: 0.89; TLI: 0.86; RMSEA: 0.05 (90% CI: 0.04-0.07). Regarding reliability, the following values of composite reliability were obtained: SRQ-20 (0.84) and for SF-36v2 (Mental Health - 0.77; Emotional aspects - 0.83; Social aspects - 0.76; Vitality - 0.77). Correlations established between the groups of grouped symptoms of CMD and each of the four dimensions of quality of life related to mental health were observed, and all the relationships found were negative. Conclusion: The multidisciplinary team showed a higher frequency of positive symptoms for CMD when compared to the medical team. The levels of quality of life related to mental health did not show significant differences between the teams. The SRQ-20 instrument and the SF-36 mental health components proved to be adequate indicators, with good reliability and correlation between most of its domains.