O efeito espelho: como o autocuidado do profissional reflete na saúde do paciente.
DOI:
https://doi.org/10.61661/congresso.cbmev.8.2025.222Palavras-chave:
Esgotamento Profissional, Profissionais da Saúde, Autocuidado, Promoção da Saúde, Estresse OcupacionalResumo
O Efeito Espelho: Como o Autocuidado do Profissional Reflete na Saúde do Paciente.
Introdução: O esgotamento profissional, ou burnout, constitui um desafio significativo na área da saúde, com implicações diretas no bem-estar dos profissionais e na segurança do paciente. Como contraponto, a Medicina do Estilo de Vida (MEV) apresenta-se como um paradigma fundamentado em evidências para prevenir e combater esta condição. Objetivos: O propósito deste estudo é investigar a efetividade das intervenções de autocuidado baseadas nos pilares da MEV para a força de trabalho em saúde. Adicionalmente, busca-se examinar o "efeito espelho", conceito que postula que a saúde do cuidador se reflete positivamente na sua atuação clínica. Metodologia: Foi efetuada uma revisão narrativa com protocolo de busca sistemática nas bases PubMed/MEDLINE, Scopus e Web of Science. Utilizou-se uma sintaxe de busca combinando termos para População ("Health Personnel"[Mesh], "Burnout, Professional"[Mesh]) e Intervenção ("Lifestyle Medicine"[Mesh], "stress management"). Os critérios de inclusão restringiram a seleção a revisões sistemáticas e metanálises dos últimos cinco anos, culminando na seleção de 31 publicações.Resultados: Os dados compilados indicam que abordagens integradas, envolvendo nutrição, exercício, sono e gestão do estresse (especialmente mindfulness), reduzem de forma expressiva a exaustão emocional e a despersonalização. A literatura corrobora a hipótese do "efeito espelho", sugerindo que a prática de autocuidado capacita os profissionais a serem melhores orientadores de saúde, apesar da carência de métricas que quantifiquem diretamente este fenômeno.Conclusão: Conclui-se que a adoção do autocuidado via MEV é fundamental para a resiliência do profissional e a sustentabilidade dos sistemas de saúde. Através do "efeito espelho", estabelece-se um ciclo benéfico para cuidadores e pacientes. A superação do burnout exige uma ação conjunta, combinando o compromisso individual com o suporte de políticas institucionais.
Referências
1.ANCHORS, Zoe G. et al. Effectiveness of interventions on occupational stress, health and well-being, performance, and job satisfaction for midwives: A systematic mixed methods review. Women and Birth, v. 37, art. 101589, 2024. DOI: 10.1016/j.wombi.2024.02.005. DOI: https://doi.org/10.1016/j.wombi.2024.02.005
2. CARDOSO, Carla; LUMINI, Maria José; MARTINS, Teresa. Effects of physical exercise in reducing caregivers burden: a systematic review. Frontiers in Public Health, v. 13, art. 1474913, 2025. DOI: 10.3389/fpubh.2025.1474913. DOI: https://doi.org/10.3389/fpubh.2025.1474913
3. DI NOTA, Paula M. et al. Proactive psychological programs designed to mitigate posttraumatic stress injuries among at-risk workers: a systematic review and meta-analysis. Systematic Reviews, v. 10, art. 126, 2021. DOI: 10.1186/s13643-021-01677-7. DOI: https://doi.org/10.1186/s13643-021-01677-7
4. ERKIN, Özüm; KOCAÇAL, Elem. The impact of laughter yoga as a NIC on health parameters in nurses and nursing students: a systematic review. BMC Complementary Medicine and Therapies, v. 24, art. 378, 2024. DOI: 10.1186/s12906-024-04663-3. DOI: https://doi.org/10.1186/s12906-024-04663-3
5. MINCARONE, Pierpaolo et al. Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review.JMIR Public Health and Surveillance, v. 10, art. e49772, 2024. DOI: 10.2196/49772. DOI: https://doi.org/10.2196/49772
6. MULLER, Ashley Elizabeth et al. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research, v. 293, art. 113441, 2020. DOI: 10.1016/j.psychres.2020.113441. DOI: https://doi.org/10.1016/j.psychres.2020.113441
7. SERRANO-RIPOLL, Maria J. et al. Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis. Journal of Affective Disorders, v. 277, p. 347-357, 2020. DOI: 10.1016/j.jad.2020.08.034. DOI: https://doi.org/10.1016/j.jad.2020.08.034
8. TAMMINGA, Sietske J. et al. Individual-level interventions for reducing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews, n. 5, art. CD002892, 2023. DOI: 10.1002/14651858.CD002892.pub6. DOI: https://doi.org/10.1002/14651858.CD002892.pub6
9. VASQUEZ, Taylor S.; CLOSE, Julia; BYLUND, Carma L. Skills-Based Programs Used to Reduce Physician Burnout in Graduate Medical Education: A Systematic Review. Journal of Graduate Medical Education, p. 471-489, ago. 2021. DOI: 10.4300/JGME-D-20-01433.1. DOI: https://doi.org/10.4300/JGME-D-20-01433.1
10. ZHANG, Michael et al. Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials.Journal of Occupational Health, v. 63, art. e12243, 2021. DOI: 10.1002/1348-9585.12243. DOI: https://doi.org/10.1002/1348-9585.12243
11. BENAVIDES-GIL, Gemma et al. Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review. Systematic Reviews, v. 13, n. 1, p. 160, 2024. DOI: 10.1186/s13643-024-02574-5. DOI: https://doi.org/10.1186/s13643-024-02574-5
12. CHAHAL, K.; MATWALA, K. A systematic review of the prevalence of burnout in orthopaedic surgeons. Annals of The Royal College of Surgeons of England, v. 107, p. 61-67, 2025. DOI: 10.1308/rcsann.2024.0009. DOI: https://doi.org/10.1308/rcsann.2024.0009
13. HOEDL, Manuela et al. Psychosocial interventions for healthcare workers during the COVID-19 pandemic: rapid review and meta-analysis. Wiener Medizinische Wochenschrift, v. 174, p. 79-86, 2024. DOI: 10.1007/s10354-023-01013-9. DOI: https://doi.org/10.1007/s10354-023-01013-9
14. LÓPEZ-DEL-HOYO, Yolanda et al. Effects of eHealth interventions on stress reduction and mental health promotion in healthcare professionals: A systematic review. Journal of Clinical Nursing, v. 32, n. 17-18, p. 5514-5533, 2023. DOI: 10.1111/jocn.16634. DOI: https://doi.org/10.1111/jocn.16634
15. LV, Jia et al. Prevalence and risk factors of compassion fatigue in gynecological and obstetric nurses: a systematic review and meta-analysis. Frontiers in Public Health, v. 13, art. 1590995, 2025. DOI: 10.3389/fpubh.2025.1590995. DOI: https://doi.org/10.3389/fpubh.2025.1590995
16. AMANULLAH, Shabbir; SHANKAR, Rashmi Ramesh. The Impact of COVID-19 on Physician Burnout Globally: A Review. Healthcare, v. 8, n. 4, p. 421, 2020. DOI: 10.3390/healthcare8040421. DOI: https://doi.org/10.3390/healthcare8040421
17. CABALLOL AVENDAÑO, Francisca et al. Prevención del síndrome de burnout en enfermería en pandemia COVID-19: una revisión sistemática. Revista de Salud Pública, v. 26, n. 2, p. 48-59, dez. 2021. DOI: https://doi.org/10.31052/1853.1180.v26.n2.33447
18. COTOBAL RODELES, Santiago; MARTÍN SÁNCHEZ, Francisco Javier; MARTÍNEZ-SELLÉS, Manuel. Physician and Medical Student Burnout, a Narrative Literature Review: Challenges, Strategies, and a Call to Action. Journal of Clinical Medicine, v. 14, n. 7, p. 2263, 2025. DOI: 10.3390/jcm14072263. DOI: https://doi.org/10.3390/jcm14072263
19. ESQUIVEL, Monica Kazlausky. Nutrition Strategies for Reducing Risk of Burnout Among Physicians and Health Care Professionals. American Journal of Lifestyle Medicine, v. 15, n. 2, p. 126-129, 2021. DOI: 10.1177/1559827620978411. DOI: https://doi.org/10.1177/1559827620976538
20. LIANOV, Liana. A Powerful Antidote to Physician Burnout: Intensive Healthy Lifestyle and Positive Psychology Approaches. American Journal of Lifestyle Medicine, v. 15, n. 5, p. 468-471, 2021. DOI: 10.1177/15598276211025816. DOI: https://doi.org/10.1177/15598276211006626
21. MEMBRIVE-JIMÉNEZ, María José et al. Relation between Burnout and Sleep Problems in Nurses: A Systematic Review with Meta-Analysis. Healthcare, v. 10, n. 5, p. 954, 2022. DOI: 10.3390/healthcare10050954. DOI: https://doi.org/10.3390/healthcare10050954
22. MERLO, Gia; RIPPE, James. Physician Burnout: A Lifestyle Medicine Perspective. American Journal of Lifestyle Medicine, v. 15, n. 2, p. 148-151, 2021. DOI: 10.1177/1559827620967395. DOI: https://doi.org/10.1177/1559827620980420
23. SILVA, Amina Regina et al. Processo de trabalho hospitalar e a Síndrome de Burnout em profissionais de enfermagem. Revista de Pesquisa Cuidado é Fundamental Online, v. 12, p. 921-927, 2020. DOI: 10.9789/2175-5361.rpcfo.v12.7989. DOI: https://doi.org/10.9789/2175-5361.rpcfo.v12.7989
24. SULEIMAN-MARTOS, Nora et al. The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis. Journal of Advanced Nursing, v. 76, n. 5, p. 1124-1140, 2020. DOI: 10.1111/jan.14318. DOI: https://doi.org/10.1111/jan.14318
25. ZHANG, Xiu-jie et al. Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses. Medicine, v. 99, n. 26, p. e20992, 2020. DOI: 10.1097/MD.0000000000020992. DOI: https://doi.org/10.1097/MD.0000000000020992
26. ABDULLAH SHARIN, Ili et al. Psychoeducational Burnout Intervention for Nurses: Protocol for a Systematic Review. JMIR Research Protocols, v. 13, p. e58692, 2024. DOI: 10.2196/58692. DOI: https://doi.org/10.2196/58692
27. DE LA FUENTE-SOLANA, Emilia Inmaculada et al. Burnout Syndrome in Paediatric Oncology Nurses: A Systematic Review and Meta-Analysis. Healthcare, v. 8, n. 3, p. 309, 2020. DOI: 10.3390/healthcare8030309. DOI: https://doi.org/10.3390/healthcare8030309
28. FINNERTY, Rachael et al. The Use of Music to Manage Burnout in Nurses: A Systematic Review. American Journal of Health Promotion, v. 36, n. 8, p. 1386-1398, 2022. DOI: 10.1177/08901171221105862. DOI: https://doi.org/10.1177/08901171221105862
29. QTAIT, Mohammed; ALIA, Mohammad Fisal; JARADAT, Yousef. The Impact of Rotating Shift Work on Nurse Burnout: A Systematic Review of Contributing Factors and Organizational Strategies. SAGE Open Nursing, v. 11, p. 1-9, 2025. DOI: 10.1177/23779608251374232. DOI: https://doi.org/10.1177/23779608251374232
30. SEO, Chanhee et al. Addressing the physician burnout epidemic with resilience curricula in medical education: a systematic review. BMC Medical Education, v. 21, n. 1, p. 80, 2021. DOI: 10.1186/s12909-021-02495-0. DOI: https://doi.org/10.1186/s12909-021-02495-0
31. ZAREEI, Mahdi et al. Job burnout among nurses during COVID-19 pandemic: A systematic review. Journal of Education and Health Promotion, v. 11, p. 107, 2022. DOI: 10.4103/jehp.jehp_797_21. DOI: https://doi.org/10.4103/jehp.jehp_797_21
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Copyright (c) 2026 Letícia Carvalho Corrêa, João Pedro Frizzeira Lopes, Áurea Barcelos Sperandio, Isa de Oliveira Rocha

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