Proposta de programa de saúde do bombeiro militar

Abstract

The characteristics of the work of the military firefighter require that the professional act in situations of accident, which require high-performance physical performance and emotional control. Thus, it is understood that it is necessary to carry out periodic health monitoring of military firefighters, in order to monitor the physical and psychological health of these professionals, identifying risk factors that may be related to the work process, intervening to reduce them or eliminate them. This study aimed to develop a proposal for a periodic health monitoring program for the military firefighter. Crosssectional, quantitative study, developed using three strategies for data collection in the first stage: conditions related to laboratory tests, assessment of cardiac risk by the Framingham Risk Score and measurement of stress through the inventory of symptoms of LIPP . The second stage consisted of developing the proposal for the periodic health monitoring program for these professionals. The research site was the Battalion of the Military Fire Brigade of the City of Chapecó-SC. The target population of this study consisted of professionals who are part of that Battalion. 52 military firefighters participated in the survey, the majority of whom were male (94.2%). The average age was 40 years, with a PD of 9.5 years. The average length of service in the Military Fire Brigade was 17 years, with a DP of 11.6 years. Considering the clinical health conditions, the mean BMI value was 26.8, with a SD of 3.3. The average male abdominal circumference was 95.44 cm, with a SD of 10.20 cm. Regarding Cardiovascular Risk, 75% had low risk, while 21.2% intermediate risk and 3.8% high risk. When analyzing biological samples, the mean cholesterol value was 198.46mg / dL, LDL 122.03mg / dL, HDL 50.76mg / dL, triglycerides had an average value of 132.09mg / dL, and fasting glucose 102.7mg / dL. Even considering the various stressors in the service performed by these professionals, no professional presented stress referred to in the exhaustion phase (phase III of the LIPP scale). However, 25% of the participants presented resistance phase II. In view of this, the proposal to monitor the health of the military firefighter was divided into three axes focusing on assessing risk factors and health promotion actions, the axes being: (1) Characterization of habits / lifestyle; (2) Laboratory tests and clinical evaluation; (3) Prevention and promotion of the health of the military firefighter. Thus, it is concluded that thinking and promoting health, considering its expanded concept, is bold. Assessing all aspects inherent to theconditions surrounding the individual is complex. However, it is the responsibility of this process, that is, including the individual as an active subject, through awareness and reflection.