-
ORIGINAL ARTICLE
The use of assistance flow by nurses to the patient with chest pain: facilities and difficulties
- Valesca Mônica Rodrigues Lima
, - Maria dos Milagres Farias da Silva ,
- Irialda Saboia Carvalho ,
- Cleide Carneiro ,
- Ana Patrícia Pereira Morais , [ ... ],
- Antonio Germane Alves Pinto
04-16-2021
Resumo
ORIGINAL ARTICLEThe use of assistance flow by nurses to the patient with chest pain: facilities and difficulties
Revista Brasileira de Enfermagem. 2021;74(2):e20190849
04-16-2021DOI 10.1590/0034-7167-2019-0849
- Valesca Mônica Rodrigues Lima ,
- Maria dos Milagres Farias da Silva ,
- Irialda Saboia Carvalho ,
- Cleide Carneiro ,
- Ana Patrícia Pereira Morais ,
- Geanne Maria Costa Torres ,
- Antonio Germane Alves Pinto
Visualizações0ABSTRACT
Objective:
to analyze the facilities and difficulties in the use by nurses of the care flow for patients with chest pain.
Methods:
descriptive analytical study, with a qualitative approach, conducted with 17 nurses from an emergency care unit in a municipality of the State of Ceara, in 2018. Data collected through documents and interviews, analyzed in a descriptive manner, in absolute and relative frequencies and through content analysis thematic.
Results:
the use of assistance flow streamlines the process of transferring to referral units, reducing serious and lethal complications in the patient. It considers teamwork and communication as facilitating points in the care of patients with chest pain. The lack of permanent education, physical structure, equipment, transport delay and patient regulation as factors that hamper.
Final considerations:
investments in physical structure and equipment, in the reorganization of the care network and in permanent education to enable benefits to the service of excellence in health care.
Palavras-chave: Chest PainEducation, ContinuingEmergency NursingMyocardial InfarctionQuality of Health CareVer maisVisualizações0
Resumo
ORIGINAL ARTICLEThe use of assistance flow by nurses to the patient with chest pain: facilities and difficulties
Revista Brasileira de Enfermagem. 2021;74(2):e20190849
04-16-2021DOI 10.1590/0034-7167-2019-0849
- Valesca Mônica Rodrigues Lima ,
- Maria dos Milagres Farias da Silva ,
- Irialda Saboia Carvalho ,
- Cleide Carneiro ,
- Ana Patrícia Pereira Morais ,
- Geanne Maria Costa Torres ,
- Antonio Germane Alves Pinto
Visualizações0ABSTRACT
Objective:
to analyze the facilities and difficulties in the use by nurses of the care flow for patients with chest pain.
Methods:
descriptive analytical study, with a qualitative approach, conducted with 17 nurses from an emergency care unit in a municipality of the State of Ceara, in 2018. Data collected through documents and interviews, analyzed in a descriptive manner, in absolute and relative frequencies and through content analysis thematic.
Results:
the use of assistance flow streamlines the process of transferring to referral units, reducing serious and lethal complications in the patient. It considers teamwork and communication as facilitating points in the care of patients with chest pain. The lack of permanent education, physical structure, equipment, transport delay and patient regulation as factors that hamper.
Final considerations:
investments in physical structure and equipment, in the reorganization of the care network and in permanent education to enable benefits to the service of excellence in health care.
Palavras-chave: Chest PainEducation, ContinuingEmergency NursingMyocardial InfarctionQuality of Health CareVer mais - Valesca Mônica Rodrigues Lima
-
ORIGINAL ARTICLE
Adult’s perception of health care after myocardial infarction
- Vanêssa Piccinin Paz ,
- Maria de Fátima Mantovani ,
- Nen Nalú Alves das Mercês ,
- Verônica de Azevedo Mazza ,
- Ângela Taís Mattei da Silva
07-06-2020
Resumo
ORIGINAL ARTICLEAdult’s perception of health care after myocardial infarction
Revista Brasileira de Enfermagem. 2020;73(5):e20190074
07-06-2020DOI 10.1590/0034-7167-2019-0074
- Vanêssa Piccinin Paz ,
- Maria de Fátima Mantovani ,
- Nen Nalú Alves das Mercês ,
- Verônica de Azevedo Mazza ,
- Ângela Taís Mattei da Silva
Visualizações0Ver maisABSTRACT
Objectives:
to describe the Adult's perception of healthcare after Myocardium Infarction.
Methods:
qualitative descriptive analysis carried out with 12 adults who had myocardial infarction and conducted from February to May 2018. The research design was based on the “Consolidated Criteria for Reporting Qualitative Research”. Data collection was performed through semi-structured questionnaire, interview script and field diary. The interviews were encoded, and their content was analyzed using software support.
Results:
three classes were obtained: “Fear, (un) certainty and (un) awareness”; “Lifestyle and beliefs of illness” and “Health care search”. Unhealthy lifestyle habits, lack of health prevention / promotion, difficulties in accessing services and lack of knowledge about the disease generated fear and uncertainty about the future.
Final Considerations:
the perception of acute myocardial infarction is related to the trajectory of illness, lifestyle and the belief that the infarction only affects others.
Visualizações0Resumo
ORIGINAL ARTICLEAdult’s perception of health care after myocardial infarction
Revista Brasileira de Enfermagem. 2020;73(5):e20190074
07-06-2020DOI 10.1590/0034-7167-2019-0074
- Vanêssa Piccinin Paz ,
- Maria de Fátima Mantovani ,
- Nen Nalú Alves das Mercês ,
- Verônica de Azevedo Mazza ,
- Ângela Taís Mattei da Silva
Visualizações0Ver maisABSTRACT
Objectives:
to describe the Adult's perception of healthcare after Myocardium Infarction.
Methods:
qualitative descriptive analysis carried out with 12 adults who had myocardial infarction and conducted from February to May 2018. The research design was based on the “Consolidated Criteria for Reporting Qualitative Research”. Data collection was performed through semi-structured questionnaire, interview script and field diary. The interviews were encoded, and their content was analyzed using software support.
Results:
three classes were obtained: “Fear, (un) certainty and (un) awareness”; “Lifestyle and beliefs of illness” and “Health care search”. Unhealthy lifestyle habits, lack of health prevention / promotion, difficulties in accessing services and lack of knowledge about the disease generated fear and uncertainty about the future.
Final Considerations:
the perception of acute myocardial infarction is related to the trajectory of illness, lifestyle and the belief that the infarction only affects others.
- Vanêssa Piccinin Paz
-
ORIGINAL ARTICLE
Individualized parameterization of multiparametric monitors alarms in infarcted patients
- Allan Peixoto de Assis ,
- Francimar Tinoco de Oliveira ,
- Flávia Giron Camerini ,
- Roberto Carlos Lyra da Silva ,
- Camila Mendonça de Moraes
06-27-2019
Resumo
ORIGINAL ARTICLEIndividualized parameterization of multiparametric monitors alarms in infarcted patients
Revista Brasileira de Enfermagem. 2019;72(3):609-616
06-27-2019DOI 10.1590/0034-7167-2018-0485
- Allan Peixoto de Assis ,
- Francimar Tinoco de Oliveira ,
- Flávia Giron Camerini ,
- Roberto Carlos Lyra da Silva ,
- Camila Mendonça de Moraes
Visualizações0Ver maisABSTRACT
Objective:
To measure the magnitude of the effect of an individualized parameterization protocol for hemodynamic alarms in patients with acute myocardial infarction.
Method:
Pragmatic clinical trial, open label and single arm, whose intervention was performed through a protocol validated and tested in 32 patients using multiparametric monitors. The heart rate, blood pressure, respiratory rate, oxygen saturation and ST segment-monitoring were measured and classified for clinical consistency one hour before and after the intervention, for 64 hours.
Results:
The protocol obtained Content Validity Index of 0.92. Of the 460 registered alarms, 261 were considered inconsistent before the intervention and 47 after it. The Relative Risk of inconsistent alarms after the protocol was 0.32 (95% CI 0.23-0.43, p <0.0001).
Conclusion:
The protocol proved to be a protective factor to the appearance of inconsistent clinical alarms of multiparametric monitors.
Visualizações0Resumo
ORIGINAL ARTICLEIndividualized parameterization of multiparametric monitors alarms in infarcted patients
Revista Brasileira de Enfermagem. 2019;72(3):609-616
06-27-2019DOI 10.1590/0034-7167-2018-0485
- Allan Peixoto de Assis ,
- Francimar Tinoco de Oliveira ,
- Flávia Giron Camerini ,
- Roberto Carlos Lyra da Silva ,
- Camila Mendonça de Moraes
Visualizações0Ver maisABSTRACT
Objective:
To measure the magnitude of the effect of an individualized parameterization protocol for hemodynamic alarms in patients with acute myocardial infarction.
Method:
Pragmatic clinical trial, open label and single arm, whose intervention was performed through a protocol validated and tested in 32 patients using multiparametric monitors. The heart rate, blood pressure, respiratory rate, oxygen saturation and ST segment-monitoring were measured and classified for clinical consistency one hour before and after the intervention, for 64 hours.
Results:
The protocol obtained Content Validity Index of 0.92. Of the 460 registered alarms, 261 were considered inconsistent before the intervention and 47 after it. The Relative Risk of inconsistent alarms after the protocol was 0.32 (95% CI 0.23-0.43, p <0.0001).
Conclusion:
The protocol proved to be a protective factor to the appearance of inconsistent clinical alarms of multiparametric monitors.
- Allan Peixoto de Assis
-
RESEARCH
Clinical-epidemiological aspects of patients submitted to Percutaneous Coronary Intervention in a university hospital
Revista Brasileira de Enfermagem. 2018;71(6):2883-2890
01-01-2018
Resumo
RESEARCHClinical-epidemiological aspects of patients submitted to Percutaneous Coronary Intervention in a university hospital
Revista Brasileira de Enfermagem. 2018;71(6):2883-2890
01-01-2018DOI 10.1590/0034-7167-2018-0012
Visualizações0ABSTRACT
Objective:
To outline the clinical-epidemiological profile of patients submitted to Percutaneous Coronary Intervention in a Reference Hospital in Urgent Cardiology Clinic of the state of Rio Grande do Norte.
Method:
This is a descriptive, exploratory, prospective study with a quantitative approach developed in a Brazilian University Hospital with patients submitted to Percutaneous Coronary Intervention. Data collection occurred between April and October 2017.
Results:
The sample consisted of 222 patients, of whom 58.10% underwent Elective Percutaneous Coronary Intervention and 41.89% were primary, 65.3% males, with a mean age of 62.7. In comorbidities “Hypertension”, “Acute Myocardial Infarction”, “Current Smoking” and “Physical Inactivity” were highlighted.
Conclusion:
In the elective patients, there was a high prevalence of risk factors and in patients with urgent cases, high time of total ischemia. It is necessary to create strategies to structure the care line, to improve the effectiveness of treatment and to minimize adverse outcomes.
Palavras-chave: AngioplastyCardiovascular DiseasesMyocardial InfarctionPercutaneous Coronary InterventionRisk FactorsVer maisVisualizações0Resumo
RESEARCHClinical-epidemiological aspects of patients submitted to Percutaneous Coronary Intervention in a university hospital
Revista Brasileira de Enfermagem. 2018;71(6):2883-2890
01-01-2018DOI 10.1590/0034-7167-2018-0012
Visualizações0ABSTRACT
Objective:
To outline the clinical-epidemiological profile of patients submitted to Percutaneous Coronary Intervention in a Reference Hospital in Urgent Cardiology Clinic of the state of Rio Grande do Norte.
Method:
This is a descriptive, exploratory, prospective study with a quantitative approach developed in a Brazilian University Hospital with patients submitted to Percutaneous Coronary Intervention. Data collection occurred between April and October 2017.
Results:
The sample consisted of 222 patients, of whom 58.10% underwent Elective Percutaneous Coronary Intervention and 41.89% were primary, 65.3% males, with a mean age of 62.7. In comorbidities “Hypertension”, “Acute Myocardial Infarction”, “Current Smoking” and “Physical Inactivity” were highlighted.
Conclusion:
In the elective patients, there was a high prevalence of risk factors and in patients with urgent cases, high time of total ischemia. It is necessary to create strategies to structure the care line, to improve the effectiveness of treatment and to minimize adverse outcomes.
Palavras-chave: AngioplastyCardiovascular DiseasesMyocardial InfarctionPercutaneous Coronary InterventionRisk FactorsVer mais -
RESEARCH
Cross-cultural adaptation of the General Comfort Questionnaire to Brazilian patients with myocardial infarction
Revista Brasileira de Enfermagem. 2018;71(6):2998-3005
01-01-2018
Resumo
RESEARCHCross-cultural adaptation of the General Comfort Questionnaire to Brazilian patients with myocardial infarction
Revista Brasileira de Enfermagem. 2018;71(6):2998-3005
01-01-2018DOI 10.1590/0034-7167-2017-0557
Visualizações0ABSTRACT
Objective:
Describe the first stages of the cross-cultural adaptation process of the General Comfort Questionnaire for myocardial infarction patients in intensive care units.
Method:
This is a study of qualitative and quantitative research and analysis techniques. Conceptual, item, semantic and operational equivalence was performed. Fifteen items were added to the original instrument to better represent the comfort experienced by myocardial infarction patients in intensive care units. The content validity index was applied to analyze the answers of the experts; it was considered adequate above 0.78.
Results:
Some changes suggested by the experts for better understanding were adopted. All items were kept, obtaining a scale of sixty-three items. In the pre-test conducted with 30 subjects, the instrument was considered adequate to the target audience.
Conclusion:
The adapted version of the General Comfort Questionnaire for people with myocardial infarction is adequate to the target audience.
Palavras-chave: Comfort CareCross-Cultural ComparisonMyocardial InfarctionQuestionnairesValidation StudiesVer maisVisualizações0Resumo
RESEARCHCross-cultural adaptation of the General Comfort Questionnaire to Brazilian patients with myocardial infarction
Revista Brasileira de Enfermagem. 2018;71(6):2998-3005
01-01-2018DOI 10.1590/0034-7167-2017-0557
Visualizações0ABSTRACT
Objective:
Describe the first stages of the cross-cultural adaptation process of the General Comfort Questionnaire for myocardial infarction patients in intensive care units.
Method:
This is a study of qualitative and quantitative research and analysis techniques. Conceptual, item, semantic and operational equivalence was performed. Fifteen items were added to the original instrument to better represent the comfort experienced by myocardial infarction patients in intensive care units. The content validity index was applied to analyze the answers of the experts; it was considered adequate above 0.78.
Results:
Some changes suggested by the experts for better understanding were adopted. All items were kept, obtaining a scale of sixty-three items. In the pre-test conducted with 30 subjects, the instrument was considered adequate to the target audience.
Conclusion:
The adapted version of the General Comfort Questionnaire for people with myocardial infarction is adequate to the target audience.
Palavras-chave: Comfort CareCross-Cultural ComparisonMyocardial InfarctionQuestionnairesValidation StudiesVer mais
-
RESEARCH
Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome
Revista Brasileira de Enfermagem. 2018;71(6):3048-3053
01-01-2018
Resumo
RESEARCHImpact of anxiety and depression on morbidity and mortality of patients with coronary syndrome
Revista Brasileira de Enfermagem. 2018;71(6):3048-3053
01-01-2018DOI 10.1590/0034-7167-2017-0709
Visualizações0Ver maisABSTRACT
Objective:
Evaluate the impact of anxiety and depression on morbidity and mortality of patients with acute coronary syndrome.
Method:
Retrospective cohort study, with follow-up of two years, conducted with 94 patients. The morbidity and mortality (readmission, myocardial revascularization, and death) was evaluated immediately after discharge and after one and two years. Anxiety and depression were evaluated by the State-Trait Anxiety Inventory and by Beck’s Depression Inventory. The Kaplan-Meier estimator and the Logrank test were used. The significance level adopted was 0.05.
Results:
We observed that 76.6% of the patients did not present symptoms of depression or had mild signs, while 78.8% had low to moderate anxiety. The symptoms of depression and anxiety were not related to morbidity (need for MR p=0.098 and 0.56, respectively; readmission p=0.962 and 0.369, respectively) and mortality (p=0.434 and 0.077, respectively).
Conclusion:
No relationship was found between levels of anxiety and depression with the morbidity and mortality of patients.
Visualizações0Resumo
RESEARCHImpact of anxiety and depression on morbidity and mortality of patients with coronary syndrome
Revista Brasileira de Enfermagem. 2018;71(6):3048-3053
01-01-2018DOI 10.1590/0034-7167-2017-0709
Visualizações0Ver maisABSTRACT
Objective:
Evaluate the impact of anxiety and depression on morbidity and mortality of patients with acute coronary syndrome.
Method:
Retrospective cohort study, with follow-up of two years, conducted with 94 patients. The morbidity and mortality (readmission, myocardial revascularization, and death) was evaluated immediately after discharge and after one and two years. Anxiety and depression were evaluated by the State-Trait Anxiety Inventory and by Beck’s Depression Inventory. The Kaplan-Meier estimator and the Logrank test were used. The significance level adopted was 0.05.
Results:
We observed that 76.6% of the patients did not present symptoms of depression or had mild signs, while 78.8% had low to moderate anxiety. The symptoms of depression and anxiety were not related to morbidity (need for MR p=0.098 and 0.56, respectively; readmission p=0.962 and 0.369, respectively) and mortality (p=0.434 and 0.077, respectively).
Conclusion:
No relationship was found between levels of anxiety and depression with the morbidity and mortality of patients.
-
PESQUISA
Social support towards the necessity of caring after myocardial infarction
Revista Brasileira de Enfermagem. 2015;68(4):649-655
01-01-2015
Resumo
PESQUISASocial support towards the necessity of caring after myocardial infarction
Revista Brasileira de Enfermagem. 2015;68(4):649-655
01-01-2015DOI 10.1590/0034-7167.2015680411i
Visualizações0Ver maisABSTRACT
Objective:
to know the received or assisted social support by the family towards the necessity of care after acute myocardial infarction.
Method:
qualitative and exploratory research. Data collection was carried out through observation and interviews with six families, from February to May, 2012. Data were also analyzed based on the thematic analysis.
Results:
three categories emerged: Immediate social support; Mediate social support; Late social support.
Conclusion:
social support follows the infarction trajectory, which attains the family members and favors the support according to the needs of care in each lived moments by the patient.
Visualizações0Resumo
PESQUISASocial support towards the necessity of caring after myocardial infarction
Revista Brasileira de Enfermagem. 2015;68(4):649-655
01-01-2015DOI 10.1590/0034-7167.2015680411i
Visualizações0Ver maisABSTRACT
Objective:
to know the received or assisted social support by the family towards the necessity of care after acute myocardial infarction.
Method:
qualitative and exploratory research. Data collection was carried out through observation and interviews with six families, from February to May, 2012. Data were also analyzed based on the thematic analysis.
Results:
three categories emerged: Immediate social support; Mediate social support; Late social support.
Conclusion:
social support follows the infarction trajectory, which attains the family members and favors the support according to the needs of care in each lived moments by the patient.
Myocardial Infarction Archives - Revista Brasileira de Enfermagem
