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Atypical secretion of cortisol in Nursing professionals* * Extracted from the dissertation entitled “Padrão atípico de secreção de cortisol em profissionais de enfermagem”, Escola de Enfermagem, Universidade de São Paulo, 2014.

ABSTRACT

Objective

To describe the frequency with which nursing staff in hospitals presents an altered diurnal pattern of cortisol secretion.

Method

These findings were based on results obtained from 56 randomly selected professional nursing staff working in outpatient clinics, medical clinics, surgical clinics, operating theaters, pediatric and adult emergency units, adult and pediatric intensive care units of a university hospital. The analysis of the diurnal cortisol pattern was based on saliva samples collected over two consecutive working days.

Results

42.5% of these nursing staff members presented an atypical pattern of cortisol secretion. Furthermore, the longer the period of exercising this profession, the higher the cortisol concentration (r=0.346; p=0.020).

Conclusion

Over one-third of nursing staff samples displayed atypical cortisol secretion patterns. This suggests that these professionals are exposed, not only to a mental, but also to a biological, overload and thus, to a risk of contracting stress-related illnesses.

Nursing; Stress; Psychological; Hydrocortisone; Occupational Diseases; Occupational Health

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br