Qualidade de vida dos trabalhadores de enfermagem de
unidades de terapia intensiva*
4XDOLW\RIOLIHDPRQJQXUVLQJDVVLVWDQWVDQGOLFHQVHGSUDFWLFDOQXUVHVIURPLQWHQVLYHFDUHXQLWV
&DOLGDGGHYLGDGHWUDEDMDGRUHVGHHQIHUPHUtDGHXQLGDGHVGHFXLGDGRVLQWHQVLYRV
6LPRQH3DVFKRD6XHO\6XHNR9LVNL=DQHL,YHWK<DPDJXFKL:KLWDNHU
RESUMO
2EMHWLYRV$YDOLDUDTXDOLGDGHGHYLGD49GRVWpFQLFRVHDX[LOLDUHVGHHQIHUPDJHPTXHWUDEDOKDPHP8QLGDGHVGH7HUDSLD,QWHQVLYDH LGHQWLILFDURVIDWRUHVVRFLRGHPRJUiILFRVHUHODFLRQDGRVDRWUDEDOKRTXHSRGHPLQIOXHQFLDUD490pWRGR:(VWXGRWUDQVYHUVDOUHDOL]DGRHP XPKRVSLWDOHVFRODGDFLGDGHGH6mR3DXOR$FROHWDGHGDGRVGHWUDEDOKDGRUHVGHHQIHUPDJHPHPQRYH8QLGDGHVGH7HUDSLD,QWHQVLYD IRLUHDOL]DGDHPRXWXEURHQRYHPEURGH8WLOL]RXVHFRPRLQVWUXPHQWRGHDYDOLDomRGH49R:+242/%5()5HVXOWDGRV$V PpGLDV HP FDGD GRPtQLR GD 49 IRUDP 5HODo}HV 6RFLDLV 3VLFROyJLFR )tVLFR H 0HLR$PELHQWH $ YDULiYHO LGDGH DSUHVHQWRXFRUUHODomRSRVLWLYDVRPHQWHFRPRGRPtQLRItVLFRHRQ~PHURGHHPSUHJRVVHFRUUHODFLRQRXLQYHUVDPHQWHFRPRVGRPtQLRV)tVLFR 3VLFROyJLFRH5HODo}HV6RFLDLV&RQFOXVmR$TXDOLGDGHGHYLGDGRVWUDEDOKDGRUHVGHHQIHUPDJHPHPWRGDVDVGLPHQV}HVpUHODWLYDPHQWH EDL[DFRQVLGHUDQGRVHRVYDORUHVHQWUH+iIUDFDFRUUHODomRGRVGRPtQLRVFRPLGDGHHQ~PHURGHHPSUHJRV
'HVFULWRUHV4XDOLGDGHGHYLGD8QLGDGHVGHWHUDSLDLQWHQVLYD(TXLSHGHHQIHUPDJHP4XHVWLRQiULR
ABSTRACT
2EMHFWLYHV7RDVVHVVWKHTXDOLW\RI OLIHRI QXUVLQJDVVLVWDQWVDQGOLFHQVHGSUDFWLFDOQXUVHVIURPQLQH,QWHQVLYH&DUH8QLWVDQGWRGHWHUPLQH ZKHWKHUWKHLUGHPRJUDSKLFFKDUDFWHULVWLFVLQIOXHQFHWKHLUTXDOLW\RIOLIH0HWKRGV7KLVFURVVVHFWLRQDOVWXG\ZDVFRQGXFWHGLQDWHDFKLQJ KRVSLWDOLQ6mR3DXORFLW\%UD]LO7KHVDPSOHFRQVLVWHGRI QXUVLQJDVVLVWDQWVRUOLFHQVHGSUDFWLFDOQXUVHV'DWDZHUHFROOHFWHGIURP 2FWREHUWR1RYHPEHU4XDOLW\RIOLIHZDVPHDVXUHGZLWKWKH:+242/%5()WRRO5HVXOWV7KHDYHUDJHVFRUHRQHDFKGRPDLQRI WKH:+242/%5()ZHUH6RFLDOUHODWLRQVSV\FKRORJLFDOSK\VLFDODQGHQYLURQPHQW$PRQJWKHGHPRJUDSKLFV DJHZDVSRVLWLYHO\FRUUHODWHGZLWKWKHSK\VLFDOGRPDLQRITXDOLW\RIOLIHDQGQXPEHURIMREVZDVLQYHUVHO\FRUUHODWHGZLWKWKHSK\VLFDO SV\FKRORJLFDODQGVRFLDOUHODWLRQVGRPDLQV7KHUHZDVDOVRDZHDNFRUUHODWLRQEHWZHHQDJHDQGQXPEHURIMREV&RQFOXVLRQ7KHVFRUHV RQWKHGRPDLQVRI TXDOLW\RI OLIHDPRQJWKHVDPSOHRI WKLVVWXG\ZHUHORZ
.H\ZRUGV4XDOLW\RIOLIH,QWHQVLYHFDUHXQLWV1XUVLQJWHDP4XHVWLRQQDULHV
RESUMEN
2EMHWLYRV(YDOXDUODFDOLGDGGHYLGD&9GHORVWpFQLFRV\DX[LOLDUHVGHHQIHUPHUtDTXHWUDEDMDQHQ8QLGDGHVGH&XLGDGRV,QWHQVLYRVH LGHQWLILFDU ORV IDFWRUHV VRFLRGHPRJUiILFRV \ ORV UHODFLRQDGRV DO WUDEDMR TXH SXHGHQ LQIOXLU HQ OD &90pWRGRV: 6H WUDWD GH XQ HVWXGLR WUDQVYHUVDOUHDOL]DGRHQXQKRVSLWDOHVFXHODGHODFLXGDGGH6DR3DXOR/DUHFROHFFLyQGHGDWRVGHWUDEDMDGRUHVGHHQIHUPHUtDHQQXHYH 8QLGDGHVGH&XLGDGRV,QWHQVLYRVVHOOHYyDFDERHQRFWXEUH\QRYLHPEUHGHO6HXWLOL]yFRPRLQVWUXPHQWRGHHYDOXDFLyQGH&$HO
:+242/%5()5HVXOWDGRV/RVSURPHGLRVHQFDGDGRPLQLRGHOD&9IXHURQ5HODFLRQHV6RFLDOHV3VLFROyJLFR)tVLFR\ 0HGLR$PELHQWH/DYDULDEOHHGDGSUHVHQWyFRUUHODFLyQSRVLWLYDVRODPHQWHFRQHOGRPLQLRItVLFR\HOQ~PHURGHHPSOHRVVHFRUUHODFLRQy LQYHUVDPHQWHFRQORVGRPLQLRV)tVLFR3VLFROyJLFR\5HODFLRQHV6RFLDOHV&RQFOXVLyQ/DFDOLGDGGHYLGDGHORVWUDEDMDGRUHVGHHQIHUPHUtD HQWRGDVODVGLPHQVLRQHVHVUHODWLYDPHQWHEDMDFRQVLGHUiQGRVHORVYDORUHVHQWUH+D\XQDGpELOFRUUHODFLyQGHORVGRPLQLRVFRQODHGDG \Q~PHURGHHPSOHRV
'HVFULSWRUHV&DOLGDGGHYLGD8QLGDGHVGH&XLGDGRV,QWHQVLYRV*UXSRGHHQIHUPHUtD&XHVWLRQDULR
$XWRU &RUUHVSRQGHQWH6XHO\ 6XHNR 9LVNL =DQHL
51DSROHmRGH%DUURV9LOD&OHPHQWLQR6mR3DXOR63 $UWLJR UHFHELGR HP H DSURYDGR HP
7UDEDOKRUHDOL]DGRQR+RVSLWDO6mR3DXORGD8QLYHUVLGDGH)HGHUDOGH6mR3DXOR81,)(63
$FDGrPLFDGR&XUVRGH(VSHFLDOL]DomRHP(QIHUPDJHPHP87,$GXOWR²0RGDOLGDGH5HVLGrQFLDGD8QLYHUVLGDGH)HGHUDOGH6mR3DXOR²81,)(636mR
3DXOR63%UDVLO
,1752'8d®2
$SRSXODomRGHSDFLHQWHVQDV8QLGDGHVGH7HUDSLD ,QWHQVLYD 87,V p DVVLVWLGD SRU XPD HTXLSH PXOWLSURILVVLRQDOHLQWHUGLVFLSOLQDUQDTXDORVSURILVVLRQDLV GHHQIHUPDJHPVmRQXPHULFDPHQWHVXSHULRUHVDRXWURV SURILVVLRQDLVQDPDLRULDGDVLQVWLWXLo}HVGHVD~GH
+LVWRULFDPHQWHDHTXLSHGHHQIHUPDJHPpFRPSRVWD HPVXDPDLRULDSRUPXOKHUHV&RQVLGHUDQGRVHRFRQWH[WR VRFLRHFRQ{PLFRDWXDOSRGHVHLQIHULUTXHJUDQGHSDUWH GR FRQWLQJHQWH GHVVDV WUDEDOKDGRUDV HVWmR VXMHLWDV D YLYHQFLDUFRQIOLWRVHPUD]mRGDVH[LJrQFLDVSURILVVLRQDLVH GHVXDYLGDSHVVRDOHPUD]mRGDGXSODRXWULSODMRUQDGD GHWUDEDOKR$OpPGLVVRKiTXHVHFRQVLGHUDUTXHRKRVSLWDO p XPD LQVWLWXLomR TXH XWLOL]D HVFDODV GH WXUQRV SHOD QHFHVVLGDGHGDPDQXWHQomRGDVDWLYLGDGHVGXUDQWHKRUDV LQLQWHUUXSWDVPHVPRQRVILQDLVGHVHPDQDRXIHULDGRV $VVLPVHQGRUHVVDOWDVHRSUHMXt]RGHVVDVWUDEDOKDGRUDV QDSDUWLFLSDomRGHDWLYLGDGHVFRPRDVHVFRODUHVFXOWXUDLV VRFLDLVHQWUHRXWUDVDOpPGHHVWDUHPVHVXEPHWHQGRDXPD FDUJDPHQWDOH[FHVVLYDGHWUDEDOKR
8PGRVIDWRUHVGHGHVJDVWHItVLFRHSVLFROyJLFRSDUD RVWUDEDOKDGRUHVGDiUHDGDVD~GHpRDF~PXORGHGRLV RXPDLVYtQFXORVHPSUHJDWtFLRV1RDPELHQWHGDV87,V DSUR[LPLGDGHFRPRVSDFLHQWHVpLQWHQVDYLVWRTXHWRGRV VmRDOWDPHQWHGHSHQGHQWHV$OpPGLVVRPXLWRVGHOHVHP DOJXPD IDVH GD GRHQoD WRUQDPVH H[WUHPDPHQWH ´SHVDGRVµRX´WUDEDOKRVRVµHPUD]mRGDJUDYLGDGHRX GDFRQGLomRItVLFD$SUHVHQoDSRUH[HPSORGRHGHPD JHQHUDOL]DGRFXUDWLYRVH[WHQVRVRXXWLOL]DomRGHYiULRV DUWHIDWRV GLILFXOWDP DV PDQLSXODo}HV H DXPHQWDP R FRQVXPRGRWHPSRSDUDDH[HFXomRGRVFXLGDGRV7DLV H[LJrQFLDVVRPDGDVDRGXSORYtQFXORSRGHPOHYDUPXLWRV WUDEDOKDGRUHVGHHQIHUPDJHPDRSURFHVVRGHGHVJDVWH ItVLFRDGYLQGRGDVREUHFDUJDGHWUDEDOKR
$V 87,V HP JHUDO SRVVXHP XPD URWLQD SHUPHDGD GHLQFHUWH]DVLQVWDELOLGDGHLPHGLDWLVPRHYDULDELOLGDGH SRGHQGRVHUJHUDGRUDVGHHVWUHVVHDRVSURILVVLRQDLVGD HTXLSHPXOWLGLVFLSOLQDU$OpPGLVVRSDUWLFXODUPHQWHSDUD RVSURILVVLRQDLVGHHQIHUPDJHPDVFRQGLo}HVGHWUDEDOKR SRGHP VHU LQVDWLVIDWyULDV HP GHFRUUrQFLD GH LQ~PHURV IDWRUHVEDL[DUHPXQHUDomRKLHUDUTXL]DomRGLYHUVLGDGHH FRPSOH[LGDGHGRVSURFHGLPHQWRVWpFQLFRV
$VVLPFRQVLGHUDVHLPSRUWDQWHDYDOLDUDTXDOLGDGHGH YLGDGRVWUDEDOKDGRUHVGHHQIHUPDJHPXPDYH]TXHD PHVPDHVWiGLUHWDPHQWHUHODFLRQDGDDGLYHUVRVDVSHFWRV GDYLGDFRWLGLDQDGHQWUHHODVDVFRQGLo}HVGHWUDEDOKR
$4XDOLGDGHGHYLGD49VHJXQGRD2UJDQL]DomR 0XQGLDOGD6D~GH²206p´DSHUFHSomRGRLQGLYtGXRGHVXD SRVLomRQDYLGDQRFRQWH[WRGDFXOWXUDHVLVWHPDGHYDORUHVQRV TXDLVHOHYLYHHHPUHODomRDRVVHXVREMHWLYRVH[SHFWDWLYDVSDGU}HVH SUHRFXSDo}HVµe FRQVLGHUDGR XP FRQFHLWR DEVWUDWR
VXEMHWLYRHPXOWLGLPHQVLRQDOSRUHQYROYHUYiULRVDVSHFWRV GDYLGDKXPDQDWDLVFRPRUHODo}HVVRFLDLVVD~GHIDPtOLD
WUDEDOKR PHLRDPELHQWH GHQWUH RXWURV e GLQkPLFR H SRGHVHULQIOXHQFLDGRSRUDVSHFWRVFXOWXUDLVUHOLJLRVRV pWLFRVHYDORUHVSHVVRDLV
,QGLUHWDPHQWHDPi49HPXPDRXPDLVGLPHQV}HV SRUH[HPSORItVLFDHRXHPRFLRQDOGRVSURILVVLRQDLV GDHTXLSHGHVD~GHSRGHFRPSURPHWHUDGLQkPLFDGH DWHQGLPHQWRJHUDQGRSUHVWDomRLQDGHTXDGDGHVHUYLoRV FRP SUHMXt]R LQVWLWXFLRQDO H SULQFLSDOPHQWH SDUD D DVVLVWrQFLDDRVSDFLHQWHV
$VVLPVHQGRFRQVLGHUDQGRVHTXHRWUDEDOKRpXP GRVIDWRUHVTXHSRGHLQIOXHQFLDUDTXDOLGDGHGHYLGDGDV SHVVRDVRVREMHWLYRVGRSUHVHQWHHVWXGRIRUDP
$YDOLDU D TXDOLGDGH GH YLGD GRV WpFQLFRV 7( H DX[LOLDUHV GH HQIHUPDJHP $( DWXDQWHV HP 8QLGDGHV GH7HUDSLD,QWHQVLYDGHXPKRVSLWDOHVFROD
,GHQWLILFDU RV IDWRUHV VRFLRGHPRJUiILFRV H UHODFLRQDGRVDRWUDEDOKRTXHSRGHPLQIOXHQFLDUD49 GHVVHVWUDEDOKDGRUHV
0e72'26
7UDWDVHGHXPHVWXGRWUDQVYHUVDOUHDOL]DGRHPKRVSLWDO HVFRODWHUFLiULRGHJUDQGHSRUWHORFDOL]DGRQDFLGDGHGH 6mR3DXOR$SyVDDSURYDomRGRHVWXGRSHOR&RPLWrGH eWLFDGD,QVWLWXLomRHREWHQomRGDDXWRUL]DomRGDVFKHILDV GHHQIHUPDJHPGHQRYH8QLGDGHVGH7HUDSLD,QWHQVLYD QRVPHVHVGHRXWXEURHQRYHPEURGHUHDOL]RXVH DFROHWDGHGDGRV$DPRVWUDIRLFRPSRVWDSRU7( H $( GDV XQLGDGHV FLWDGDV TXH FRQFRUGDUDP HP SDUWLFLSDU GD SHVTXLVD H DVVLQDUDP R 7HUPR GH &RQVHQWLPHQWR/LYUHH(VFODUHFLGR
&DGD SDUWLFLSDQWH UHFHEHX GRLV TXHVWLRQiULRV DXWR DSOLFiYHLV2SULPHLURFRQWHQGRTXHVW}HVVREUHRSHUILO VRFLRGHPRJUiILFRHFRQGLo}HVGHWUDEDOKRHRVHJXQGR R LQVWUXPHQWR HVSHFtILFR GH DYDOLDomR GH 49 :+242/%5()
2:+242/%5()pXPLQVWUXPHQWRGHDYDOLDomR GDTXDOLGDGHGHYLGDHODERUDGRHPSRUXPJUXSR PXOWLFHQWULFR LQWHUHVVDGR HP HVWXGRV VREUH 49 :+242/ *URXS GD 206 (VWH LQVWUXPHQWR p
YLGDDSDUWLUGDGpFDGD
$VDQiOLVHVHVWDWtVWLFDVIRUDPUHDOL]DGDVQRSURJUDPD 63666WDWLVWLFDO3DFNDJHIRUWKH6RFLDO6FLHQFHVYHUVmR $V TXHVW}HV UHODFLRQDGDV DR :+242/%5() IRUDPUHFRGLILFDGDVVHJXLQGRVHRVSDVVRVUHFRPHQGDGRV SDUD SRQWXDomR GRV HVFRUHV $ YHULILFDomR GD
FRQILDELOLGDGH GR LQVWUXPHQWR SDUD HVVD SRSXODomR IRL YHULILFDGDDWUDYpVGR&RHILFLHQWH$OIDGH&URQEDFK3DUD DV DQiOLVHV GHVFULWLYDV GRV GDGRV VRFLRGHPRJUiILFRV H FRQGLo}HV GH WUDEDOKR IRUDP XWLOL]DGDV PHGLGDV GH WHQGrQFLDFHQWUDOHPHGLGDVGHGLVSHUVmR
3DUDYHULILFDUDUHODomRHQWUHDVYDULiYHLVHVWXGDGDVH RVGRPtQLRVGR:+242/%5()IRUDPDSOLFDGRVRV VHJXLQWHVWHVWHV.ROPRJRURY6PLUQRYSDUDYHULILFDUVH DV YDULiYHLV TXDQWLWDWLYDV FRQWtQXDV DSUHVHQWDYDP GLVWULEXLomRQRUPDOWHVWHGH.UXVNDO²:DOOLVHD$QiOLVH GH 9DULkQFLD $129$2QHZD\ SDUD DQiOLVH GH GDGRV FRQWtQXRVTXHQmRDSUHVHQWDUDPGLVWULEXLomRQRUPDOH SRVVXtDP WUrV RX PDLV FDWHJRULDV 3DUD D DQiOLVH GDV YDULiYHLVTXDOLWDWLYDVFDWHJyULFDVIRLXWLOL]DGRRWHVWH4XL ²4XDGUDGRHSDUDDVYDULiYHLVTXDQWLWDWLYDVIRLXWLOL]DGR R&RHILFLHQWHGH&RUUHODomRGH6SHDUPDQ
(VSHFLILFDPHQWH HP UHODomR j FODVVLILFDomR GD PDJQLWXGH GDV FRUUHODo}HV HQWUH DV YDULiYHLV IRUDP DGRWDGRVRVYDORUHVUHFRPHQGDGRVSHOD%0-²%ULWLVK 0HGLFDO-RXUQDO²DXVHQWHRXPXLWRIUDFD
²IUDFD²PRGHUDGD²IRUWHH ²PXLWRIRUWH
1HVWH HVWXGR RV UHVXOWDGRV IRUDP FRQVLGHUDGRV HVWDWLVWLFDPHQWHVLJQLILFDWLYRVTXDQGRRQtYHOGHVFULWLYR IRLPHQRUTXHS
5(68/7$'26
$SRSXODomRGH7(H$(QDV87,VVHJXQGRDVHVFDODV VHWRULDLVWRWDOL]RXWUDEDOKDGRUHV(QWUHWDQWRDRORQJR GRSHUtRGRIRLGHIODJUDGRHVWDGRGHJUHYHQDLQVWLWXLomR RTXHRFDVLRQRXDXVrQFLDV$VVLPDDPRVWUDIRLFRQVWLWXtGD GHWUDEDOKDGRUHVGDHTXLSHGHHQIHUPDJHP GRWRWDO
4XDQWR jV FDUDFWHUtVWLFDV VRFLRGHPRJUiILFDV H SURILVVLRQDLVHUDPGRVH[RIHPLQLQR$IDL[D HWiULDPpGLDIRLGHDQRVPtQLPRPi[LPR
H '3 VHQGR TXH HUDP VROWHLUDV H HUDP FDVDGDV 4XDQWR j HVFRODULGDGH SRVVXtDP R QtYHO WpFQLFR GH HQVLQR H UHODWDUDP HVWXGDUHWUDEDOKDUFRQFRPLWDQWHPHQWH
(PUHODomRDRQ~PHURGHHPSUHJRV'3 GDVHQWUHYLVWDGDVGHGLFDYDPVHSURILVVLRQDOPHQWHD DSHQDVXPHPSUHJR(QWUHDVTXHSRVVXtDPGRLVRXPDLV YtQFXORV HPSUHJDWtFLRV YHULILFRXVH TXH R VHJXQGR HPSUHJR HUD SUHGRPLQDQWHPHQWH QD iUHD GD VD~GH FRP XPD PpGLD GH KRUDV Pi[LPR PtQLPRH'3GHWUDEDOKRVHPDQDO
2VWXUQRVGHWUDEDOKRIRUDPYDULDGRVVHQGRHVWHV jQRLWHSHODPDQKmD WDUGH'HQWUHDVTXHSRVVXtDPGRLVHPSUHJRV WUDEDOKDYDPDWDUGHHDQRLWHGXUDQWHDPDQKmH DWDUGHSHODPDQKmHDQRLWH7UrVSDUWLFLSDQWHV UHIHULUDPSRVVXLUWUrVYtQFXORVHWUDEDOKDYDPQRV WUrVSHUtRGRV&RQVLGHUDQGRVHRVHJXQGRHPSUHJRRV VHWRUHV GH WUDEDOKR IRUDP 87,$GXOWR 87, 3HGLiWULFD(QIHUPDULDHRXWURVVHWRUHV (PUHODomRjUHQGDSDUWLFLSDQWHVQmR LQIRUPDUDP UHODWDUDP SRVVXLU XPD UHQGD SHVVRDO PHQVDO GH D VDOiULRV PtQLPRV UHFHELDPGHDVDOiULRVHDFLPDGHVDOiULRV PtQLPRV
4XDQWR j DYDOLDomR GD 49 GDV HQWUHYLVWDGDV GRLV TXHVWLRQiULRVIRUDPGHYROYLGRVHPEUDQFRWRWDOL]DQGR SDUWLFLSDQWHV2LQVWUXPHQWRXWLOL]DGR:+242/ %5()IRLDYDOLDGRTXDQWRDVXDFRQILDELOLGDGHDWUDYpV GDDQiOLVHGHFRQVLVWrQFLDLQWHUQDGRVLWHQVXWLOL]DQGRVH R&RHILFLHQWH$OIDGH&URQEDFK2UHVXOWDGRREWLGRIRL GH DWHVWDQGR TXH R LQVWUXPHQWR DSUHVHQWRX H[FHOHQWH FRQILDELOLGDGH SDUD D SRSXODomR HVWXGDGD 4XDQWR DRV GRPtQLRV GD 49 D 7DEHOD PRVWUD RV UHVXOWDGRVHQFRQWUDGRV
$7DEHODSRVVLELOLWDFRQVWDWDURGRPtQLRUHODo}HV VRFLDLVFRPRVHQGRRPHOKRUDVSHFWRGD49GRV7(H $((PVHJXQGROXJDUWHPVHRGRPtQLRSVLFROyJLFRR ItVLFR FRPR WHUFHLUR H SRU ~OWLPR R GRPtQLR PHLR DPELHQWH
3URFXUDQGR UHVSRQGHU DR VHJXQGR REMHWLYR GHVWH HVWXGR IRUDP OHYDQWDGRV RV LWHQV UHODFLRQDGRV jV FRQGLo}HV VRFLRGHPRJUiILFDV H SURILVVLRQDLV TXH
'RPtQLRVGR:+242/%5() 1 0tQLPR 0i[LPR 0pGLD 'HVYLR3DGUmR
)tVLFR
3VLFROyJLFR
5HODo}HV6RFLDLV
0HLR$PELHQWH
SRGHULDPFRUUHODFLRQDUVHFRPRVGRPtQLRVGD49$V YDULiYHLV TXH DSUHVHQWDUDP DOJXPD FRUUHODomR IRUDP D LGDGHHRQ~PHURGHHPSUHJRVFRQIRUPHDSUHVHQWDGR QD7DEHOD$VYDULiYHLVHVFRODULGDGHUHQGDSHVVRDOH WXUQRGHWUDEDOKRQmRHYLGHQFLDUDPFRUUHODo}HVFRPRV GRPtQLRVGH49VHJXQGRR:+242/%5()
7DEHOD&RUUHODomRGH6SHDUPDQHQWUHRVHVFRUHV GRV GRPtQLRV GR :+242/%5()FRP YDULiYHLV VRFLRGHPRJUiILFDVHSURILVVLRQDLV6mR3DXOR
GHQtYHOPpGLR$(H7(DSHQDVRVHQIHUPHLURV
RXDLQGDDHTXLSHFRPRXPWRGR
$OJXQV HVWXGRV HQIRFDP FDWHJRULDV HVSHFtILFDV GH HQIHUPDJHP WDLV FRPR HQIHUPHLURVUHVLGHQWHV H
HQIHUPHLURVGRFHQWHV$SHVDUGRVGLIHUHQWHVHQIRTXHV
GH XP PRGR JHUDO REVHUYDVH TXH D 49 JHUDO GRV SURILVVLRQDLV GH HQIHUPDJHP WHP VLGR SRXFR DYDOLDGD SRU PHLR GH LQVWUXPHQWRV SUySULRV (QWUH RV HVWXGRV TXH XWLOL]DUDP XP LQVWUXPHQWR GH 49 WUDGX]LGR H YDOLGDGRGRLVDSOLFDUDPR0HGLFDO2XWFRPHV6WXG\ LWHP 6KRUW )RUP +HDOWK 6XUYH\6) HQWUH RV WUDEDOKDGRUHVGHHQIHUPDJHPGH&HQWUR&LU~UJLFRH
HQWUH RV UHVLGHQWHV GH HQIHUPDJHP 2XWURV
LQVWUXPHQWRVGH49XWLOL]DGRVSDUDSRSXODo}HVJHUDLV VmR RV GR JUXSR :+242/ :+242/ H :+242/%5() SRUpP D DSOLFDomR GH XPD GDV
YHUV}HVHQWUHWUDEDOKDGRUHVGHTXDOTXHUiUHDpUDUDVHQGR ORFDOL]DGR HP QRVVR PHLR DSHQDV XP HVWXGR FRP PpGLFRVUHVLGHQWHV
1HVVHFRQWH[WRRSUHVHQWHHVWXGRDSUHVHQWDGDGRV DWp HQWmR GHVFRQKHFLGRV H SRUWDQWR GH GLItFLO FRPSDUDomR 2 TXH VH HYLGHQFLD p TXH D 49 GRV WUDEDOKDGRUHV GH HQIHUPDJHP GDV 87,VDYDOLDGD SHOR :+242/ %5() p HP WRGDV DV GLPHQV}HV ItVLFD SVLFROyJLFD UHODo}HV VRFLDLV H PHLRDPELHQWH UHODWLYDPHQWHEDL[DFRQVLGHUDQGRVHRVYDORUHVPtQLPR SLRUHPi[LPRPHOKRUHQWUHUHVSHFWLYDPHQWH 2GRPtQLRUHODo}HVVRFLDLVDSUHVHQWRXDPpGLDPDLV HOHYDGD9DOHUHVVDOWDUTXHQHVVHDVSHFWRTXHVWLRQD VHRQtYHOGHVDWLVIDomRFRPDVSHVVRDVGRFtUFXORVRFLDO RDSRLRTXHUHFHEHHDVDWLVIDomRFRPDDWLYLGDGHVH[XDO TXHVW}HVH&RQVLGHUDQGRVHTXHDSRSXODomR HVWXGDGDIRLFRQVWLWXtGDGHWUDEDOKDGRUHVHVSHUDYDVHTXH RV HVFRUHV IRVVHP VXSHULRUHV DRV REVHUYDGRV HP SRSXODo}HVFRPDOJXPSUREOHPDGHVD~GH'HIDWRR HVFRUH YHULILFDGR QHVWD DPRVWUD IRL VXSHULRU VH FRPSDUDGRSRUH[HPSORDRGHLQGLYtGXRVLGRVRVFRP GHSUHVVmRTXHREWLYHUDPDPpGLDGHHSHVVRDV
FRPGRUORPEDUFU{QLFDFXMDPpGLDQHVVHGRPtQLRIRL GH 2 HVFRUH ILQDO GR GRPtQLR QD DPRVWUD
HVWXGDGDSRVVLYHOPHQWHQmRIRLPDLVHOHYDGRSRLVFHUFD GH GRV UHVSRQGHQWHV RSWDUDP SHOD DOWHUQDWLYD QHXWUDQHPVDWLVIHLWRQHPLQVDWLVIHLWRDRUHVSRQGHUHP DVTXHVW}HV
1RGRPtQLRSVLFROyJLFRTXHDYDOLDSRUH[HPSORVH RHQWUHYLVWDGRHVWiVDWLVIHLWRFRQVLJRPHVPRHFRPVXD DSDUrQFLDRXDIUHTrQFLDGHVHQWLPHQWRVQHJDWLYRVD PpGLD GD DPRVWUD HVWXGDGD IRL GH (VWH YDORU p VXSHULRUDRVGRVLGRVRVGHSUHVVLYRVRXSDFLHQWHV
HVTXL]RIUrQLFRV HQWUHWDQWR QmR SRGH VHU
FRQVLGHUDGDVDWLVIDWyULD$VTXHVW}HVTXHSRVVLYHOPHQWH LQIOXHQFLDUDPHVVHHVFRUHIRUDP´RTXDQWRDSURYHLWDD YLGD"µ TXHVWmR H ´FRP TXH IUHTrQFLD WHP VHQWLPHQWRVQHJDWLYRV"µTXHVWmR$VUHVSRVWDVPXLWR 'RPtQLRVGR
WHOQOL-BREF
9DULiYHLV
,GDGH 1GH(PSUHJRV
)tVLFR
3VLFROyJLFR
5HODo}HV6RFLDLV
0HLRDPELHQWH
1D7DEHODDFRUUHODomRSRVLWLYDHVLJQLILFDWLYDGD LGDGHSRGHVHUREVHUYDGDVRPHQWHFRPRGRPtQLRItVLFR $FRUUHODomRSRVLWLYDQHVVHFDVRVLJQLILFDTXHTXDQWR PDLRU D LGDGH PDLRU R HVFRUH QHVVH GRPtQLR $ PDJQLWXGH GD FRUUHODomR IRL HQWUHWDQWR GH IUDFD LQWHQVLGDGH 4XDQWR DR Q~PHUR GH HPSUHJRV Ki FRUUHODomR QHJDWLYD RX LQYHUVD DSRQWDQGR TXH TXDQWR PDLRU R Q~PHUR GH HPSUHJRV PHQRU R HVFRUH GRV GRPtQLRVFRUUHODFLRQDGRV,JXDOPHQWHHVVDVFRUUHODo}HV IRUDPGHIUDFDPDJQLWXGHHPWRGRVRVGRPtQLRVVHQGR VLJQLILFDWLYD QRV DVSHFWRV ItVLFR SVLFROyJLFR H UHODo}HV VRFLDLV 3DUD DV YDULiYHLV HVFRODULGDGH UHQGD SHVVRDO H WXUQRVGHWUDEDOKRIRUDPXWLOL]DGRVRWHVWHHVWDWtVWLFR4XL 4XDGUDGRQmRVHQGRHQFRQWUDGRQtYHLVGHVLJQLILFkQFLD HVWDWtVWLFDS!HQWUHHVWDVHRVGRPtQLRVGD49
',6&866®2
$ 49JHUDOGRVWUDEDOKDGRUHVGHHQIHUPDJHPWHP VLGR DYDOLDGD HP DOJXQV HVWXGRV VRE GLIHUHQWHV SHUVSHFWLYDV WDLV FRPR TXDOLWDWLYD QR HQIRTXH GD
GHWHUPLQDomR VRFLDO RX UHODFLRQDQGRD FRP DV
FRQGLo}HVGHWUDEDOKRVHPWXUQRVSULQFLSDOPHQWHR
QRWXUQRRXDLQGDUHODFLRQDQGRjVFRQGLo}HVGHYLGD
WUDEDOKR H WUDQVWRUQRV PHQWDLV 2XWURV HVWXGRV
DERUGDP D TXDOLGDGH GH YLGD QR WUDEDOKR
SRXFRHPDLVRXPHQRVSDUDDTXHVWmRWRWDOL]DUDP H QD TXHVWmR UHVSRQGHQWHV HVFROKHUDPDDOWHUQDWLYDDOJXPDVYH]HV3HUFHEHVHSRUWDQWR TXHXPDSDUFHODLPSRUWDQWHGDDPRVWUDFRQVLGHUDQmR HVWDUDSURYHLWDQGRDYLGDHTXHDSUHVHQoDGHVHQWLPHQWRV QHJDWLYRV QmR p UDUD R TXH MXVWLILFDULD R HVFRUH UHODWLYDPHQWHEDL[RGRDVSHFWRSVLFROyJLFR
(P UHODomR DR GRPtQLR ItVLFR RV LWHQV SULQFLSDLV HQIRFDPDSUHVHQoDGHGRURXGHVFRQIRUWRGHSHQGrQFLD GHPHGLFDomRVDWLVIDomRFRPRVRQRFDSDFLGDGHSDUDR WUDEDOKRHDWLYLGDGHVGLiULDVHQWUHRXWURV$DPRVWUDGH WUDEDOKDGRUHVHVWXGDGDREWHYHDPpGLDGH(VWHYDORU p FRPSDUiYHO QR PHVPR GRPtQLR FRP RV HVFRUHV GH SDFLHQWHV SRUWDGRUHV GH +,9 SDFLHQWHV
HVTXL]RIUrQLFRV H SDFLHQWHV FRP GRU ORPEDU
FU{QLFD 7DO UHVXOWDGR LQGLFD TXH D DPRVWUD
HVWXGDGD WHP DOJXP JUDX GH FRPSURPHWLPHQWR QHVVH GRPtQLR5HVVDOWDVHTXHRLWHPUHIHUHQWHjTXDOLGDGHGR VRQRSRGHHVWDULQIOXHQFLDQGRQRYDORUGDPpGLDXPD YH]TXHXPWHUoRGDDPRVWUDWUDEDOKDQRSHUtRGRQRWXUQR HDOJXQVHPDWpGRLVSHUtRGRVFRQVHFXWLYRVVHQGRXP GHOHVRQRWXUQR$FRPSURYDomRGDLQVDWLVIDomRFRPR VRQRTXHVWmRpYLVWDSHODUHVSRVWDGHSHVVRDV TXHRSWDUDPSRUPXLWRLQVDWLVIHLWRRXLQVDWLVIHLWR HHVFROKHUDPPDLVRXPHQRV(VVDFRQGLomR SRGHGHL[DURLQGLYtGXRVRQROHQWRGHIRUPDSHUVLVWHQWH SRGHQGRDIHWDUDFDSDFLGDGHSDUDRWUDEDOKRRQtYHOGH HQHUJLDHDFDSDFLGDGHGHUHDOL]DUVDWLVIDWRULDPHQWHDV DWLYLGDGHVFRWLGLDQDV
8PD SRVVLELOLGDGH SDUD H[SOLFDU R EDL[R HVFRUH QR GRPtQLRItVLFRVHULDDSUHVHQoDGHDOJXPDGRHQoDSRUpP HVVHGDGRQmRIRLFROHWDGR7RGDYLDHVWXGRVUHODWDPTXH WUDEDOKDGRUHVQRWXUQRVSRVVXHPXPGHVHTXLOtEULRHQWUH RV KRUiULRV GDV UHIHLo}HV EHP FRPR D PXGDQoD GD TXDOLGDGH GRV DOLPHQWRV DOLPHQWRV FRQJHODGRV SUp FR]LGRV DXPHQWR QD LQJHVWD GH EHELGDV FDIHLQDGDV GLILFXOGDGHVGHGLJHVWmRD]LDFRQVWLSDomRSURSHQVmRD SUREOHPDV FDUGLRYDVFXODUHV FRPR KLSHUWHQVmR DUWHULDO GRHQoDV LVTXrPLFDV PDLRUHV ULVFRV GH LQIDUWR DQJLQD SHFWRULVHQWUHRXWURV1RSUHVHQWHHVWXGR
WUDEDOKDGRUHV LQIRUPDUDP HVWDU PXLWR LQVDWLVIHLWRV RX LQVDWLVIHLWRVFRPDVD~GHTXHVWmRLQGLYtGXRV DVVLQDODUDPTXHDGRUGHVFRQIRUWRRVLPSHGLXPDLVRX PHQRVDWpH[WUHPDPHQWHGHUHDOL]DUDOJXPDFRLVDTXHVWmR HLQIRUPDUDPQHFHVVLWDUGHPHGLFDomRRX WUDWDPHQWRPpGLFR(VVHVGDGRVMXVWLILFDPRHVFRUHEDL[R QRGRPtQLRItVLFR
2GRPtQLRFRPPHQRUHVFRUHIRLRPHLRDPELHQWH FRP YDORU GH 1HVVH GRPtQLR HVWmR LQFOXtGDV SHUJXQWDV UHODFLRQDGDV j VHJXUDQoD FRQGLo}HV GR DPELHQWH ItVLFR GLQKHLUR SDUD DV QHFHVVLGDGHV OD]HU PRUDGLDWUDQVSRUWHHDFHVVRDRVVHUYLoRVGHVD~GH'HQWUH HVVDVDVSRXFDVRSRUWXQLGDGHVGHOD]HUTXHVWmRDIHWDP LQGLYtGXRV RX DTXHOHV TXH LQIRUPDP
PRGHUDGDV RSRUWXQLGDGHV FRUUHVSRQGHP D SHVVRDV $VRPDWyULDGHVVHVGRLVJUXSRVFRUUHVSRQGHD GRWRWDOLQGLFDQGRTXHHVVHDVSHFWRHVWiORQJHGR GHVHMiYHOSDUDDPDLRULDGRVSDUWLFLSDQWHV2RXWURLWHP TXHFRQWULEXLXSDUDRHVFRUHEDL[RUHODFLRQDVHFRPD TXDQWLGDGHGHGLQKHLURSDUDDVDWLVIDomRGDVQHFHVVLGDGHV TXHVWmR$VRSo}HVQDGDHPXLWRSRXFRVRPDP SHVVRDVHDRSomRPpGLDTXDQWLGDGHIRLHVFROKLGD SRUSHVVRDV2XWUDSRVVtYHOMXVWLILFDWLYDSDUD R HVFRUH EDL[R SRGH HVWDU UHODFLRQDGD DR IDWR GH SHVVRDV UHFHEHUHP QR Pi[LPR VHLV VDOiULRV PtQLPRVTXHFRPRYLVWRQmRDWHQGHVDWLVIDWRULDPHQWHD QHFHVVLGDGHGDPDLRULDGRVHQWUHYLVWDGRV
)LQDOL]DQGRYDOHOHPEUDUTXHDV87,VVmRORFDLVGH WUDEDOKRFRQVLGHUDGDVGHDOWRULVFRRFXSDFLRQDOULVFRV ELROyJLFRV ItVLFRV TXtPLFRV HUJRQ{PLFRV H ULVFRV GH DFLGHQWH GH WUDEDOKR H HVVDV FRQGLo}HV SRGHP WHU
LQIOXHQFLDGRDUHVSRVWDGDTXHVWmRTXmRVDXGiYHOpR DPELHQWH ItVLFR $V UHVSRVWDV QDGD H PXLWR SRXFR WRWDOL]DUDP(QWUHWDQWRRLWHPQmRpHVSHFtILFRH RV UHVSRQGHQWHV SRGHULDP HVWDU VH UHIHULQGR WDQWR DR DPELHQWHGHWUDEDOKRFRPRDRDPELHQWHHPTXHYLYHP $VDQiOLVHVHVWDWtVWLFDVVREUHDLQIOXrQFLDGDVYDULiYHLV VRFLRGHPRJUiILFDVHFRQGLo}HVGHWUDEDOKRUHYHODUDPTXH DLGDGHWHPFRUUHODomRSRVLWLYDFRPRGRPtQLR ItVLFR -i R Q~PHUR GH HPSUHJRV FRUUHODFLRQRXVH QHJDWLYDPHQWH FRP R GRPtQLR ItVLFR FRP R SVLFROyJLFRHFRPUHODo}HVVRFLDLV(VWDV FRUUHODo}HVIRUDPVLJQLILFDWLYDVSSRUpPGHIUDFD PDJQLWXGH LQGLFDQGR TXH DV YDULiYHLV HVWmR FRUUHODFLRQDGDV SRUpP QD DPRVWUD HVWXGDGD QmR IRL SRVVtYHOFRPSURYDUTXHWDLVFRUUHODo}HVVmRLQFRQWHVWiYHLV
&21&/86®2
$TXDOLGDGHGHYLGDGRV$(H7(TXHWUDEDOKDPQDV 87,V DYDOLDGD SHOR LQVWUXPHQWR :+242/%5() DSUHVHQWRXDVVHJXLQWHVPpGLDVGRPtQLRItVLFR GRPtQLR SVLFROyJLFR UHODo}HV VRFLDLV H PHLRDPELHQWH $YDULiYHOLGDGHVHFRUUHODFLRQRX FRP R GRPtQLR ItVLFR H Q~PHUR GH HPSUHJRV VH FRUUHODFLRQRX LQYHUVDPHQWH FRP RV GRPtQLRV ItVLFR SVLFROyJLFRHUHODo}HVVRFLDLV
(VVHVUHVXOWDGRVHYLGHQFLDUDPTXHRVWUDEDOKDGRUHV GHHQIHUPDJHPGHQtYHOPpGLRTXHDWXDPQDV87,VQmR REWLYHUDP HVFRUHV VDWLVIDWyULRV QRV GRPtQLRV GH 49 DYDOLDGRV SHOR :+242/%5() SULQFLSDOPHQWH QRV GRPtQLRVItVLFRHPHLRDPELHQWH
LPSOHPHQWDUSURJUDPDVYROWDGRVDRDWHQGLPHQWRGHVHX SHVVRDOGLUHFLRQDGRVSDUDDVGLPHQV}HVPDLVSUHMXGLFDGDV $ PHOKRULD GD 49 GRV WUDEDOKDGRUHV GH HQIHUPDJHP SRGHIDYRUHFHUDLQVWLWXLomRQDPHGLGDTXHLQGLYtGXRV VDWLVIHLWRVSRGHPPHOKRUDUVXDSURGXWLYLGDGHHTXDOLGDGH GRSRQWRGHYLVWDSURILVVLRQDOUHYHUWHQGRSRUWDQWRHP PHOKRULDGDTXDOLGDGHGDDVVLVWrQFLDSUHVWDGD
5()(5È1&,$6
6SLQGROD76DQWRV560XOKHUHWUDEDOKRDKLVWyULDGHYLGD GH PmHV WUDEDOKDGRUDV GH HQIHUPDJHP 5HY /DWLQRDP (QIHUPDJHP
/RSHV0-02WUDEDOKRGDHQIHUPHLUDQHPS~EOLFRQHP SULYDGRIHPLQLQRGRPpVWLFRHGHVYDORUL]DGR5HY%UDV (QIHUPDJHP
0DU]LDOH0+35R]HVWUDWHQ5-$7XUQRVDOWHUQDQWHVIDGLJD PHQWDO GH HQIHUPDJHP 5HY /DWLQRDP (QIHUPDJHP
0DUN %$ +DJHQPXHOOHU $& 7HFKQRORJLFDO DQG HQYLURQPHQWDO FKDUDFWHULVWLFV RI LQWHQVLYH FDUH XQLWV ,PSOLFDWLRQV IRU MRE UHGHVLJQ - 1XUV $GP 6XSSO
7KH:RUOG+HDOWK2UJDQL]DWLRQ4XDOLW\RI/LIHDVVHVVPHQW :+242/ SRVLWLRQ SDSHU IURP WKH :RUOG +HDOWK 2UJDQL]DWLRQ6RF6FL0HG
8QLYHUVLGDGH)HGHUDOGR5LR*UDQGHGR6XO'HSDUWDPHQWR GH3VLTXLDWULDH0HGLFLQD/HJDO'LYLVmRGH6D~GH0HQWDO *UXSR:+242/9HUVmRHPSRUWXJXrVGRVLQVWUXPHQWRV GHDYDOLDomRGHTXDOLGDGHGHYLGD:+242/>WH[WR QD,QWHUQHW@3RUWR$OHJUH8QLYHUVLGDGH)HGHUDOGR5LR *UDQGHGR6XO>FLWDGR$JR@'LVSRQtYHOHPKWWS
ZZZXIUJVEUSVLTZKRTROKWPO
)OHFN03$/RX]DGD6;DYLHU0&KDFKDPRYLFK(9LHLUD *6DQWRV/3LQ]RQ9$SOLFDomRGDYHUVmRHPSRUWXJXrV GRLQVWUXPHQWRDEUHYLDGRGHDYDOLDomRGDTXDOLGDGHGHYLGD ´:+242/²EUHI µ5HY6D~GH3~EOLFD -3XEOLF+HDOWK
:RUOG+HDOWK2UJDQL]DWLRQ3URJUDPPHRQ0HQWDO+HDOWK :+242/%5(),QWURGXFWLRQDGPLQLVWUDWLRQVFRULQJ DQGJHQHULFYHUVLRQRIWKHDVVHVVPHQW)LHOGWULDOYHUVLRQ 'HFHPEHU>WH[WRRQWKH,QWHUQHW@>FLWHG2FW@ $YDLODEOH IURP KWWSZZZZKRLQWPHQWDOBKHDOWK PHGLDHQSGI
%0- H%0-6WDWLVWLFV DW 6TXDUH 2QH FRUUHODWLRQ DQG UHJUHVVLRQ>WH[WRRQWKH,QWHUQHW@>FLWHG-XQ@ $YDLODEOH IURP KWWSZZZEPMFRPFROOHFWLRQV VWDWVENGWO
3DGLOKD0,&66RX]D/1$4XDOLGDGHGHYLGDUHIOH[mRGH HQIHUPHLUDV7H[WR &RQWH[WR(QIHUPDJHP
6LOYD9()0DVVDUROOR0&.%$TXDOLGDGHGHYLGDHDVD~GH GR WUDEDOKDGRU GH HQIHUPDJHP 0XQGR 6D~GH
&RVWD(60RULWD,0DUWLQH]0$53HUFHSomRGRVHIHLWRVGR WUDEDOKRHPWXUQRVVREUHDVD~GHHDYLGDVRFLDOHPIXQFLRQiULRV
GDHQIHUPDJHPHPXPKRVSLWDOXQLYHUVLWiULRGR(VWDGRGH 6mR3DXOR&DG6D~GH3~EOLFD
7HSDV',%DUQHV)DUUHOO-/%RENR1)LVKHU)0,VNUD *ROHF,.DOLWHUQD/7KHLPSDFWRIQLJKWZRUNRQVXEMHFWLYH UHSRUWVRIZHOOEHLQJDQH[SORUDWRU\VWXG\RIKHDOWKFDUH ZRUNHUVIURPILYHQDWLRQV5HY6D~GH3~EOLFD -3XEOLF +HDOWK6XSO
1RULHJD 0 *XWLpUUH] * 0pQGH] , 3XOLGR 0 /DV WUDEDMDGRUDVGHODVDOXGYLGDWUDEDMR\WUDVWRUQRVPHQWDOHV &DG6D~GH3~EOLFD
+DGGDG 0&/ 4XDOLGDGH GH YLGD GRV SURILVVLRQDLV GH HQIHUPDJHP5HY(VSDoR6D~GH
0DWRV(5HIOHWLQGRVREUHDTXDOLGDGHGHYLGDQRWUDEDOKR GD HQIHUPDJHP QR +RVSLWDO 8QLYHUVLWiULR 7H[WR &RQWH[WR(QIHUPDJHP
6FKPLGW'5&'DQWDV5$64XDOLGDGHGHYLGDQRWUDEDOKR GHSURILVVLRQDLVGHHQIHUPDJHPDWXDQWHVHPXQLGDGHVGR EORFRFLU~UXJLFRVREDyWLFDGDVDWLVIDomR5HY/DWLQRDP (QIHUPDJHP
3L]]ROL/0/4XDOLGDGHGHYLGDQRWUDEDOKRXPHVWXGRGH FDVRGDVHQIHUPHLUDVGR+RVSLWDO+HOLySROLV&LrQF6D~GH &ROHWLYD
)UDQFR*3%DUURV$/%/1RJXHLUD0DUWLQV/$4XDOLGDGH GHYLGDHVLQWRPDVGHSUHVVLYRVHPUHVLGHQWHVGHHQIHUPDJHP 5HY/DWLQRDP(QIHUPDJHP
5RFKD 66/ )HOOL 9($ 4XDOLGDGH GH YLGD QR WUDEDOKR GRFHQWH HP HQIHUPDJHP 5HY /DWLQRDP (QIHUPDJHP
2OHU )* -HVXV $) %DUER]D '% 'RPLQJRV 1$0 4XDOLGDGHGHYLGDGDHTXLSHGHHQIHUPDJHPGRFHQWUR FLU~UJLFR$UT&LrQF6D~GH
GH2OLYHLUD)LOKR*56WXUP(-6DUWRUDWR$(&RPSOLDQFH ZLWKFRPPRQSURJUDP5HTXLUHPHQWVLQ%UD]LOLWVHIIHFWV RQ UHVLGHQW·V SHUFHSWLRQV DERXW TXDOLW\ RI OLIH DQG WKH HGXFDWLRQDOHQYLURQPHQW$FDG0HG 1DXPDQQ9-%\UQH*-:+242/%5()DVPHDVXUHRI
TXDOLW\ RI OLIH LQ ROGHU SDWLHQWV ZLWK GHSUHVVLRQ ,QW 3V\FKRJHULDWU
+RUQJ<6+ZDQJ<+:X+&/LDQJ+:0KH<-7ZX )&:DQJ-'3UHGLFWLQJKHDOWKUHODWHGTXDOLW\RI OLIHLQ SDWLHQWVZLWKORZEDFNSDLQ6SLQH %HFFKL$5XFFL33ODFHQWLQR$1HUL*GH*LURODPR*
4XDOLW\RIOLIHLQSDWLHQWVZLWKVFKL]RSKUHQLD²FRPSDULVRQ RI VHOIUHSRUW DQG SUR[\ DVVHVVPHQWV 6RF 3V\FKLDWU\ 3V\FKLDWU(SLGHPLRO
+VLXQJ 3& )DQJ &7 &KDQJ << &KHQ 0< :DQJ -' &RPSDULVRQRI:+242/E5()DQG6)LQSDWLHQWV ZLWK+,9LQIHFWLRQ4XDO/LIH5HV &RVWD*6D~GHHWUDEDOKRHPWXUQRVHQRWXUQRV,Q)LVFKHU
)00RUHQR&5&5RWHQEHUJ/7UDEDOKRHPWXUQRVH QRWXUQRQDVRFLHGDGHKRUDV6mR3DXOR$WKHQHX S