mpacto da capacitação em suporte básico de vida para profissionais da Estratégia Saúde da Família

Abstract

Cardiovascular diseases are the leading cause of death worldwide. In many situations, cardiopulmonary arrest (CPA) is the final event of these diseases. It is necessary that the health professional have the ability to readily identify the grievances related to these diseases and take the initial steps of cardiopulmonary resuscitation (CPR) when needed. For this, the enhancement of their skills through specific training and upgrade programs is essential. This study aimed to evaluate the impact of a training course in Basic Life Support (BLS) for doctors and nurses of the Family Health Strategy (FHS) of Montes Claros, Brazil. This is a prospective study with random selection of the sample, with a quasi-experimental approach, performed with the doctors and nurses of the ESF. In the first part of the study, 36 doctors and nurses underwent a questionnaire to assess sociodemographic characteristics, a multiple choice test covering an initial response to a cardiopulmonary arrest (CPA) and then participated in a simulated response to a PCR from a clinical case. Compliance was assessed according to a checklist previously developed and validated by three medical experts in the field, based on the recommendations of the American Heart Association (AHA) in basic life support (BLS). Professionals then participated in an eight-hour course, divided into two weekly meetings of 4 hours in length, designed as per current AHA BLS developed with both theoretical and practical in low-fidelity mannequins for skills training as the Resusci Anne CPR manikin with PC Skillreporting System (Laerdal Medical Corporation, Stavanger, Norway). After finishing the course, the third week, the group of professionals was reassessed with the multiple choice test and a new simulated attendance PCR. Statistical analysis was performed using non-parametric test for paired samples (Wilcoxon test). Data were analyzed in IBM SPSS Statistics version 20 (SPSS 20) program. Of the 36 professionals who started the study, 32 completed it. Of these, 38% reported some prior course in the area of emergency care; almost 72% said they felt anxious or very anxious about the procedures of the course. A level of knowledge and unsatisfactory for professionals in the FHS skills before the course was recorded. The mean score for both domains assessed (theoretical and practical) increased significantly (p <0.001) after the training course. We conclude that there was a positive impact on training in BLS and it is recommended that the FHT professionals participate in continuing and ongoing in-service training to be able to cope with situations of emergency care (including CRP) in their workplaces.