Programas de promoción de la salud en el lugar de trabajo entre el personal sanitario: una revisión sistemática de la literatura

Autores/as

  • Andrés Carrillo González Fundación Universitaria del Área Andina https://orcid.org/0000-0001-8667-5807
  • Lady Catherine Cantor Cutiva The University of Iowa

DOI:

https://doi.org/10.17533/udea.rfnsp.e352614

Palabras clave:

Promoción de la salud en el lugar de trabajo, trabajadores sanitarios, salud laboral

Resumen

Objetivo: Identificar el efecto de las actividades de promoción de la salud en el lugar de trabajo (APST) sobre el estado de salud del personal sanitario.

Metodología: Se realizó una revisión sistemática de la literatura. Se utilizaron seis bases de datos computarizadas para buscar estudios sobre el efecto de al menos una actividad de promoción de la salud en el estado de salud del personal sanitario. Se incluyeron los estudios publicados en revistas revisadas por pares e indexadas y escritos en inglés, español o portugués. De cada publicación se extrajo información como la población del estudio, el tamaño de la muestra, el tipo de estudio, el resultado y las actividades de promoción de la salud realizadas. Se analizaron todos los artículos incluidos en términos de su calidad metodológica, teniendo en cuenta el riesgo de sesgo.

Resultados: Se registraron puntuaciones menos elevadas en el estrés percibido, agotamiento emocional y alteración del estado de ánimo. Se informó de una mejoría en las horas y la calidad del sueño, y de una reducción de la ingesta de sodio en la dieta. Se registraron mejorías en los hábitos alimentarios de los participantes, pérdida de peso y porcentaje de grasa corporal, así como un aumento de la actividad física y una reducción de los niveles de dolor. Se observó una reducción de la prevalencia del tabaquismo.

Conclusiones: Las AMPS pueden mejorar la salud física y mental, así como el bienestar general, y fomentar comportamientos más saludables entre el personal sanitario. La mayoría de los estudios dirigidos a la salud mental centraron sus esfuerzos principalmente en reducir el estrés percibido por el personal sanitario. Las AMPS que abordaron tanto los comportamientos relacionados con la alimentación como con la actividad física fueron más eficaces a la hora de mejorar los resultados en cuanto al peso que las que sólo utilizaron una aproximación. En general, este estudio ofrece información valiosa sobre el impacto de las intervenciones de promoción de la salud en el lugar de trabajo, así como el efecto de las distintas estrategias aplicadas.

|Resumen
= 343 veces | PDF INGLÉS
= 126 veces| | HTML
= 16 veces|

Descargas

Los datos de descargas todavía no están disponibles.

Biografía del autor/a

Andrés Carrillo González, Fundación Universitaria del Área Andina

M.Sc in Occupational Health and Safety.

Lady Catherine Cantor Cutiva, The University of Iowa

Ph.D in Health Sciences

Citas

United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment. A Discursive Dictionary of Health Care [Internet]. U.S. Government Printing Office; 1976.

Edwards D, Burnard P. A systematic review of stress and stress management interventions for mental health nurses. J Adv Nurs. 2003;42(2):169-200.

Lee DJ, Fleming LE, LeBlanc WG, Arheart KL, Ferraro KF, Pitt-Catsouphes M, et al. Health status and risk indicator trends of the aging US health care workforce. J Occup Environ Med. 2012;54(4):497-503.

Nowrouzi B, Lightfoot N, Larivière M, Carter L, Rukholm E, Schinke R, et al. Occupational Stress Management and Burnout Interventions in Nursing and Their Implications for Healthy Work Environments: A Literature Review. Workplace Health Saf. 2015;63(7):308-15.

Upadhyaya M, Sharma S, Pompeii LA, Sianez M, Morgan RO. Obesity Prevention Worksite Wellness Interventions for Health Care Workers: A Narrative Review. Workplace Health Saf. 2020;68(1):32-49.

Bischoff L, Otto A, Hold C, Wollesen B. The effect of physical activity interventions on occupational stress for health personnel: A systematic review. Int J Nurs Stud. 2019;97:94-104.

Bernburg M, Vitzthum K, Groneberg DA, Mache S. Physicians’ occupational stress, depressive symptoms and work ability in relation to their working environment: a cross-sectional study of differences among medical residents with various specialties working in German hospitals. BMJ Open. 2016;6(6):e011369.

McVicar A. Workplace stress in nursing: a literature review. J Adv Nurs. 2003;44(6):633-42.

Pedrazza M, Berlanda S, Trifiletti E, Bressan F. Exploring Physicians’ Dissatisfaction and Work-Related Stress: Development of the PhyDis Scale. Front Psychol. 2016; 7:1238.

Bridger RS, Day AJ, Morton K. Occupational stress and employee turnover. Ergonomics. 2013;56(11):1629-39.

Luckhaupt SE, Cohen MA, Li J, Calvert GM. Prevalence of obesity among U.S. workers and associations with occupational factors. Am J Prev Med. 2014;46(3):237-48.

Sharma SV, Upadhyaya M, Karhade M, Baun WB, Perkison WB, Pompeii LA, et al. Are Hospital Workers Healthy?: A Study of Cardiometabolic, Behavioral, and Psychosocial Factors Associated With Obesity Among Hospital Workers. J Occup Environ Med. 2016;58(12):1231-8.

Alexandrova-Karamanova A, Todorova I, Montgomery A, Panagopoulou E, Costa P, Baban A, et al. Burnout and health behaviors in health professionals from seven European countries. Int Arch Occup Environ Health. 2016;89(7):1059-75.

Blake H, Suggs LS, Coman E, Aguirre L, Batt ME. Active8! Technology-Based Intervention to Promote Physical Activity in Hospital Employees. Am J Health Promot. 2017;31(2):109-18.

Yakarta C. Declaración de Yakarta sobre la Promoción de la Salud en el Siglo XXI. En 1997.

Pino O, Rossini G. Perceived Organizational Stressors and Interpersonal Relationships as Predictors of Job Satisfaction and Well-Being among Hospital Nurses. Int J Psychol Behav Sci. 2012;2012:196-207.

Armitage CJ. Field experiment of a very brief worksite intervention to improve nutrition among health care workers. J Behav Med. 2015;38(4):599-608.

Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, et al. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med. 2009;37(4):340-57.

Katz DL, O’Connell M, Yeh MC, Nawaz H, Njike V, Anderson LM, et al. Public health strategies for preventing and controlling overweight and obesity in school and worksite settings: a report on recommendations of the Task Force on Community Preventive Services. MMWR Recomm Rep Morb Mortal Wkly Rep Recomm Rep. 2005;54(RR-10):1-12.

Gray P, Senabe S, Naicker N, Kgalamono S, Yassi A, Spiegel JM. Workplace-Based Organizational Interventions Promoting Mental Health and Happiness among Healthcare Workers: A Realist Review. Int J Env Res Public Health Online [Internet]. 2019;16(22).

WHO. Mental Health in the Workplace. 2017; Available in: http://www.who.int/mental_health/in_the_ workplace/en/

Schultz AB, Edington DW. Employee health and presenteeism: a systematic review. J Occup Rehabil. 2007;17(3):547-79.

Baicker K, Cutler D, Song Z. Workplace wellness programs can generate savings. Health Aff Proj Hope. 2010;29(2):304-11.

Dement JM, Epling C, Joyner J, Cavanaugh K. Impacts of Workplace Health Promotion and Wellness Programs on Health Care Utilization and Costs: Results From an Academic Workplace. J Occup Environ Med. 2015;57(11):1159-69.

Milani RV, Lavie CJ. Impact of worksite wellness intervention on cardiac risk factors and one-year health care costs. Am J Cardiol. 2009;104(10):1389-92.

Schultz AB, Lu C, Barnett TE, Yen LT ching, McDonald T, Hirschland D, et al. Influence of participation in a worksite health-promotion program on disability days. J Occup Environ Med. 2002;44(8):776-80.

Serxner S, Gold D, Anderson D, Williams D. The impact of a worksite health promotion program on short-term disability usage. J Occup Environ Med. 2001;43(1):25-9.

Workforce and Facilities Team Health and Social Care Information Centre. NHS Sickness Absence Rates January 2014 to March 2014 and Annual Summary 2009–10 to 2013–14. 2014

van Dongen JM, Proper KI, van Wier MF, van der Beek AJ, Bongers PM, van Mechelen W, et al. A systematic review of the cost-effectiveness of worksite physical activity and/or nutrition programs. Scand J Work Environ Health. 2012;38(5):393-408.

WHO. Mental Health Atlas 2017. 2018.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.

Lazzeri G, Ferretti F, Pozza A, Dori F, Volpe E, Giovannini V, et al. The Workplace Health Promotion (WHP) programme in an Italian University Hospital. J Prev Med Hyg. 2019;60(3):E243-9.

Scapellato ML, Comiati V, Buja A, Buttignol G, Valentini R, Burati V, et al. Combined Before-and-After Workplace Intervention to Promote Healthy Lifestyles in Healthcare Workers (STI-VI Study): Short-Term Assessment. Int J Env Res Public Health Online [Internet]. 2018;15(9).

Christensen JR, Faber A, Ekner D, Overgaard K, Holtermann A, Søgaard K. Diet, physical exercise and cognitive behavioral training as a combined workplace based intervention to reduce body weight and increase physical capacity in health care workers - a randomized controlled trial. BMC Public Health. 2011; 11:671-671.

Hjorth P, Davidsen AS, Kilian R, Jensen SOW, Munk-Jørgensen P. Intervention to promote physical health in staff within mental health facilities and the impact on patients’ physical health. Nord J Psychiatry. 2016;70(1):62-71.

Mache S, Bernburg M, Baresi L, Groneberg D. Mental health promotion for junior physicians working in emergency medicine: evaluation of a pilot study. Eur J Emerg Med Off J Eur Soc Emerg Med. 2018;25(3):191-8.

Batlle E, Boixet M, Agudo A, Almirall J, Salvador T. Tobacco prevention in hospitals: long-term follow-up of a smoking control programme. Br J Addict. 1991;86(6):709-17.

Brunges M, Avigne G, Wasik M. Health promotion in the operating room--a quality improvement project. AORN J. 2006;83(1):171-2, 175-7.

Parkinson MD, Peele PB, Keyser DJ, Liu Y, Doyle S. UPMC MyHealth: managing the health and costs of U.S. healthcare workers. Am J Prev Med. 2014;47(4):403-10.

Abu Dabrh AM, Gorty A, Jenkins SM, Murad MH, Hensrud DD. Health Habits of Employees in a Large Medical Center: Time Trends and Impact of a Worksite Wellness Facility. Sci Rep. 2016; 6:20804-20804.

Fragala G. Reducing Occupational Risk to Ambulatory Caregivers. Workplace Health Saf. 2016;64(9):414-9.

Pipe TB, Buchda VL, Launder S, Hudak B, Hulvey L, Karns KE, et al. Building personal and professional resources of resilience and agility in the healthcare workplace. Stress Health. 2012;28(1):11-22.

Duncan AD, Liechty JM, Miller C, Chinoy G, Ricciardi R. Employee use and perceived benefit of a complementary and alternative medicine wellness clinic at a major military hospital: evaluation of a pilot program. J Altern Complement Med. 2011;17(9):809-15.

Estabrook B, Zapka J, Lemon SC. Evaluating the implementation of a hospital work-site obesity prevention intervention: applying the RE-AIM framework. Health Promot Pr. 2012;13(2):190-7.

Low V, Gebhart B, Reich C. Effects of a worksite program to improve the cardiovascular health of female health care workers. J Cardiopulm Rehabil Prev. 2015;35(5):342-7.

Sorensen G, Nagler EM, Hashimoto D, Dennerlein JT, Theron JV, Stoddard AM, et al. Implementing an Integrated Health Protection/Health Promotion Intervention in the Hospital Setting: Lessons Learned From the Be Well, Work Well Study. J Occup Env Med. 2016;58(2):185-94.

Mistretta EG, Davis MC, Temkit M, Lorenz C, Darby B, Stonnington CM. Resilience Training for Work-Related Stress Among Health Care Workers: Results of a Randomized Clinical Trial Comparing In-Person and Smartphone-Delivered Interventions. J Occup Env Med. 2018;60(6):559-68.

Doran K, Resnick B, Alghzawi H, Zhu S. The worksite heart health improvement project’s impact on behavioral risk factors for cardiovascular disease in long-term care: A randomized control trial. Int J Nurs Stud. 2018;86:107-14.

Gartshore E, Briggs L, Blake H. Development and evaluation of an educational training package to promote health and wellbeing. Br J Nurs. 2017;26(21):1182-6.

Randomized Controlled Trials: Questions, Answers and Musings (Second Edition). Aust N Z J Public Health. 2008;32(3):295-295.

Sanson-Fisher R, Bonevski B, Green L, D’Este C. Limitations of the Randomized Controlled Trial in Evaluating Population-Based Health Interventions. Am J Prev Med. 2007;33:155-61.

Sowers KM, Rowe WS, Clay JR. The Intersection Between Physical Health and Mental Health: A Global Perspective. J Evid-Based Soc Work. 2009;6(1):111-26.

Badash I, Kleinman NP, Barr S, Jang J, Rahman S, Wu BW. Redefining Health: The Evolution of Health Ideas from Antiquity to the Era of Value-Based Care. Cureus. 2017;9(2):e1018-e1018.

Habersack M, Luschin G. WHO-definition of health must be enforced by national law: a debate. BMC Med Ethics. 2013;14(1):24.

Kmietowicz Z. Mental health should have same priority as physical health. BMJ. 2005;330(7505):1408-1408.

Stampfer MJ, Kang JH, Chen J, Cherry R, Grodstein F. Effects of Moderate Alcohol Consumption on Cognitive Function in Women. N Engl J Med. 2005;352(3):245-53.

Das P, Naylor C, Majeed A. Bringing together physical and mental health within primary care: a new frontier for integrated care. J R Soc Med. 2016;109(10):364-6.

Tate DF, Wing RR, Winett RA. Using Internet technology to deliver a behavioral weight loss program. JAMA. 2001;285(9):1172-7.

Bartram T, Joiner TA, Stanton P. Factors affecting the job stress and job satisfaction of Australian nurses: implications for recruitment and retention. Contemp Nurse. 2004;17(3):293-304.

Shapiro S, Astin J, Bishop S, Cordova M. Mindfulness-Based Stress Reduction for Health Care Professionals: Results From a Randomized Trial. Int J Stress Manag - INT J STRESS Manag. 2005;12:164-76.

Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ, et al. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009;302(12):1284-93.

Holton MK, Barry AE, Chaney JD. Employee stress management: An examination of adaptive and maladaptive coping strategies on employee health. Work Read Mass. 2015;53(2):299-305.

Brand SL, Thompson Coon J, Fleming LE, Carroll L, Bethel A, Wyatt K. Whole-system approaches to improving the health and wellbeing of healthcare workers: A systematic review. PLoS One. 2017;12(12):e0188418-e0188418.

Publicado

2023-08-25

Cómo citar

1.
Carrillo González A, Cantor Cutiva LC. Programas de promoción de la salud en el lugar de trabajo entre el personal sanitario: una revisión sistemática de la literatura. Rev. Fac. Nac. Salud Pública [Internet]. 25 de agosto de 2023 [citado 19 de abril de 2024];41(3):e352614. Disponible en: https://revistas.udea.edu.co/index.php/fnsp/article/view/352614