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Introdução: Alguns estudos mostram que a retenção da competência em suporte básico de vida (SBV) é baixa e que há um declínio significativo ao longo do tempo, tanto em profissionais de saúde como no público em geral.
O conhecimento e as habilidades na prestação de SBV, dos colaboradores de um hospital, é de grande importância para melhorar a probabilidade de sobrevivência dos pacientes. Por este motivo, de modo a perceber se também existe a referida deterioração e se há necessidade de melhorar a prestação dos seus colaboradores, este trabalho tem como objetivo o estudo da retenção da competência dos colaboradores do Centro Hospitalar da Cova da Beira (CHCB) em SBV
Materiais e Métodos: Estudo observacional transversal. Foram convidados a participar voluntariamente neste estudo todos os colaboradores do CHCB que realizaram com aprovação pelo menos um curso de SBV no CHCB. A recolha de dados foi efectuada, através de simulações de SBV, seguida do preenchimento de um questionário. Foi realizado o processamento e análise estatística dos dados.
Resultados: Dos 75 colaboradores inquiridos, apenas 1 obteve a pontuação máxima nas questões teóricas, sendo que o desempenho médio rondou os 50% da pontuação máxima. No desempenho prático, apenas 36%, 14,7% e 26,7%, fizeram corretamente todos os passos das nas etapas 1, 2 e 3 do algoritmo, respetivamente (Etapa 1 - Avaliação de condições de segurança, Etapa 2 - Avaliação inicial da vítima e pedido de ajuda e Etapa 3 - Parâmetros de Qualidade do RCP). Existe uma associação estatisticamente significativa entre o conhecimento teórico e o desempenho prático.
Verificou-se que os profissionais de saúde tiveram um melhor desempenho teórico e prático do que os não profissionais de saúde e que vivenciar uma paragem cardiorrespiratória e realizar manobras influencia positivamente o conhecimento teórico, mas não o desempenho prático a um nível significativo.
Conclusões: A competência de SBV nos colaboradores do CHCB é escassa e o grupo de não profissionais de saúde obteve os piores resultados. Por essa razão, podem ser um dos alvos principais de possíveis medidas de melhoria.
Este estudo serve de incentivo para uma discussão a nível dos órgãos competentes do CHCB, de formas para melhorar a competência em SBV dos seus colaboradores.
Introduction: Some studies show that retention of basic life support (BLS) is low and that there is a significant decline over time in both health professionals and the general public. The hospital staff knowledge and skills in providing BLS is of great importance in improving patient survival probability. For this reason, in order to understand if there is also deterioration and if there is a need to improve the performance of its employees, this study aims to study the retention of BLS of the employees of Centro Hospitalar da Cova da Beira (CHCB). Materials and Methods: Cross-sectional observational study. All CHCB employees who completed at least one BLS course at CHCB were invited to participate voluntarily in this study. The data collection was done through simulations of BLS, followed by the completion of a questionnaire. The data were processed and statistically analysed. Results: Of the 75 interviewed employees, only 1 obtained the maximum score in theoretical questions, and the average performance was around 50% of the maximum score. In the practical performance, only 36%, 14.7% and 26.7% correctly did all the steps in steps 1, 2 and 3 of the algorithm, respectively (Step 1 - Evaluation of safety conditions, Step 2 - Initial assessment of the victim and request for help and Step 3 - CPR Quality Parameters). There is a statistically significant association between theoretical knowledge and practical performance. Health professionals had a better theoretical and practical performance than non-health professionals and experiencing a cardiorespiratory arrest and performing manoeuvres positively influences theoretical knowledge, but not practical performance at a significant level. Conclusions: The skill of BLS in CHCB employees is scarce and the group of non-health professionals obtained the worst results. For this reason, they may be one of the main targets of possible improvement measures. This study serves as an incentive for a discussion at the level of the relevant CHCB bodies, in ways to improve their employees' BLS competence.
Introduction: Some studies show that retention of basic life support (BLS) is low and that there is a significant decline over time in both health professionals and the general public. The hospital staff knowledge and skills in providing BLS is of great importance in improving patient survival probability. For this reason, in order to understand if there is also deterioration and if there is a need to improve the performance of its employees, this study aims to study the retention of BLS of the employees of Centro Hospitalar da Cova da Beira (CHCB). Materials and Methods: Cross-sectional observational study. All CHCB employees who completed at least one BLS course at CHCB were invited to participate voluntarily in this study. The data collection was done through simulations of BLS, followed by the completion of a questionnaire. The data were processed and statistically analysed. Results: Of the 75 interviewed employees, only 1 obtained the maximum score in theoretical questions, and the average performance was around 50% of the maximum score. In the practical performance, only 36%, 14.7% and 26.7% correctly did all the steps in steps 1, 2 and 3 of the algorithm, respectively (Step 1 - Evaluation of safety conditions, Step 2 - Initial assessment of the victim and request for help and Step 3 - CPR Quality Parameters). There is a statistically significant association between theoretical knowledge and practical performance. Health professionals had a better theoretical and practical performance than non-health professionals and experiencing a cardiorespiratory arrest and performing manoeuvres positively influences theoretical knowledge, but not practical performance at a significant level. Conclusions: The skill of BLS in CHCB employees is scarce and the group of non-health professionals obtained the worst results. For this reason, they may be one of the main targets of possible improvement measures. This study serves as an incentive for a discussion at the level of the relevant CHCB bodies, in ways to improve their employees' BLS competence.
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Keywords
Retenção Suporte Básico de Vida