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Abstract(s)
A dor torácica é um dos sinais clínicos mais significativos, integrados na Síndrome coronária aguda (SCA), sendo assim promotora da afluência dos doentes aos serviços de urgência do nosso país. Os enfermeiros deverão ter uma resposta adequada e atempada, de forma a uma minimização continua dos critérios de gravidade, com uma respetiva estratificação deste quadro e um encaminhamento célere, com uma repercussão direta do tempo de isquemia total e consequentes comorbilidades.
Objetivos: Avaliar o conhecimento dos enfermeiros sobre o risco de ocorrência de síndrome coronária aguda na pessoa com dor torácica num serviço de urgência de uma unidade local de saúde do norte do país, bem como a sua relação com as variáveis sociodemográficas e profissionais.
Metodologia: Estudo observacional, analítico-transversal, de cariz quantitativo, com a aplicação de um questionário a uma amostra de 73 enfermeiros de um serviço de urgência do norte do país.
Resultados: A idade média da amostra situa-se nos 33,58 ± 7,33 anos, sendo maioritariamente do sexo feminino (68,5%). O tempo de exercício profissional varia entre os 2 e os 32 anos, com uma média de 10,27 ± 6,69 anos. A média do tempo de exercício profissional no serviço de urgência é de 6,15 ± 6,51 anos. Obteve-se uma pontuação média para a variável conhecimento de 56,03 (DP = 13,51), com valores observados a situarem-se entre 25 e 100. A variável conhecimento revelou associação com a variável “tempo no serviço de urgência” (p<0.05) e com a variável “sexo” (p = 0,022), com os participantes do sexo masculino e os que possuíam maior experiência no serviço de urgência a apresentarem pontuações médias mais elevadas.
Conclusão: As pontuações médias obtidas ficaram abaixo do valor máximo possível e desejado, indicando margem para melhoria. Sugerem-se estratégias educativas transversais no âmbito da temática, com componente prática, para o seu incremento.
Chest pain is one of the most significant clinical signs of acute coronary syndrome (ACS), thus driving patient attendance at emergency departments in our country. Nurses must respond appropriately and promptly to continuously minimize severity criteria, stratify the condition, and ensure prompt referral. This directly impacts total ischemia time and consequent comorbidities. Objectives: To assess nurses' knowledge of nurses regarding the risk of acute coronary syndrome in people with chest pain in an emergency department of a local health unit in the north of the country, as well as its relationship with sociodemographic and professional variables. Methodology: Observational, analytical-cross-sectional, quantitative study, with the application of a questionnaire to a sample of 73 nurses from an emergency service in the north of the country. Results: The mean age of the sample was 33.58 ± 7.33 years, and the majority were female (68.5%). The length of professional experience ranged from 2 to 32 years, with an average of 10.27 ± 6.69 years. The mean length of professional experience in the emergency service was 6.15 ± 6.51 years. An average score of 56.03 (SD = 13.51) was obtained for the knowledge variable, with values ranging from 25 to 100. The knowledge variable showed an association with the variable “time in the emergency service” (p <0.05) and with the variable “gender” (p = 0.022), with male participants and those with greater experience in the emergency service presenting higher mean scores. Conclusion: The average scores obtained were below the maximum possible and expected values, indicating room for improvement. Cross-cutting educational strategies within the topic, with a practical component, are suggested to increase its development.
Chest pain is one of the most significant clinical signs of acute coronary syndrome (ACS), thus driving patient attendance at emergency departments in our country. Nurses must respond appropriately and promptly to continuously minimize severity criteria, stratify the condition, and ensure prompt referral. This directly impacts total ischemia time and consequent comorbidities. Objectives: To assess nurses' knowledge of nurses regarding the risk of acute coronary syndrome in people with chest pain in an emergency department of a local health unit in the north of the country, as well as its relationship with sociodemographic and professional variables. Methodology: Observational, analytical-cross-sectional, quantitative study, with the application of a questionnaire to a sample of 73 nurses from an emergency service in the north of the country. Results: The mean age of the sample was 33.58 ± 7.33 years, and the majority were female (68.5%). The length of professional experience ranged from 2 to 32 years, with an average of 10.27 ± 6.69 years. The mean length of professional experience in the emergency service was 6.15 ± 6.51 years. An average score of 56.03 (SD = 13.51) was obtained for the knowledge variable, with values ranging from 25 to 100. The knowledge variable showed an association with the variable “time in the emergency service” (p <0.05) and with the variable “gender” (p = 0.022), with male participants and those with greater experience in the emergency service presenting higher mean scores. Conclusion: The average scores obtained were below the maximum possible and expected values, indicating room for improvement. Cross-cutting educational strategies within the topic, with a practical component, are suggested to increase its development.
Description
Keywords
Dor torácica Síndrome coronária aguda Doença coronária Risco cardiovascular Enfermagem cardiovascular