The impact of nurse training in cardiac surgery postoperative care
DOI:
https://doi.org/10.5327/Z1414-4425201800020006Keywords:
Período pós-operatório, Assistência de Enfermagem, Cirurgia Cardíaca, Complicações Pós-OperatóriasAbstract
Objective: To evaluate the impact of a theoretical training program for nurses in care for postoperative cardiac surgery patients. Method: Descriptive,
quantitative study, conducted at a philanthropic hospital in the countryside of the state of São Paulo, and divided into three stages: application of a pre-test,
training with active participation, and application of a post-test. Results: A total of 47 nurses participated in the study, most of them females, with 1 to 3 years
of experience in nursing, and only 4 of them had experience in cardiac surgery. We observed a significant increase in the number of right answers on the test
after the training program, in comparison with the pre-test. Conclusion: The study demonstrated the need for continuing education for nurses working in
postoperative of cardiac surgeries. The theoretical training program for nurses proved to be significant but limited in terms of teaching-learning process.
References
Barretta JC, Auda JM, Antoniolli D, Barancelli MDC. Pós-operatório
em cirurgia cardíaca: refletindo sobre o cuidado de enfermagem. Rev
Fund Care [Internet]. 2017 [citado 12 set. 2017];9(1):259-64. Disponível
em: http://www.seer.unirio.br/index.php/cuidadofundamental/article/
view/4042/pdf. http://dx.doi.org/10.9789/2175-5361.2017.v9i1.259-264
Oliveira JMA, Silva AMF, Cardoso SB, Lima FF, Zierer MS, Carvalho
ML. Complicações no pós-operatório de cirurgia cardiovascular
com circulação extracorpórea. Rev Interd [Internet]. 2015 [citado
set. 2017];8(1):9-15. Disponível em: http://revistainterdisciplinar.
uninovafapi.edu.br/index.php/revinter/article/view/584/pdf_177
Simões TR, Vannuchi MTO, Rossaneis MA, Silva LG, Haddad MCL,
Jenal S. Educação continuada: concepção de enfermeiros em hospital
filantrópico de alta complexidade. Rev Enferm [Internet]. 2013 [citado
set. 2017];21(5):642-7. Disponível em: http://www.e-publicacoes.
uerj.br/index.php/enfermagemuerj/article/view/10042/8069
Stipp MAC, Souza AA, Santos RS. Cardiovascular diseases and their
risk factors - an analysis on the theme. Online Braz J Nurs. 2008;7.
http://dx.doi.org/10.5935/1676-4285.20081229
Dutra D, Duarte M, Albuquerque K, Lima A, Santos J, Souto H.
Cardiovascular disease and associated factors in adults and elderly
registered in a basic health unit. J Res Fundam Care [Internet]. 2016
[citado 12 set. 2017];8(2):4501-9. Disponível em: http://seer.unirio.
br/index.php/cuidadofundamental/article/view/4787/pdf_1905. DOI:
9789/2175-5361.2016.v8i2.4501-4509
Brasil. Cerca de 17,5 milhões pessoas morrem de doenças
cardiovasculares todos os anos [Internet]. Brasília: Portal Brasil;
[citado 12 set. 2017]. Disponível em: http://www.brasil.gov.
br/saude/2016/09/cerca-de-17-5-milhoes-pessoas-morrem-dedoencas-
cardiovasculares-todos-os-anos
Cani KC, Araujo CLP, Karloh M, Alexandrino DFH, Palú M, Rojas DB,
et al. Características clínicas de pacientes submetidos à cirurgia de
revascularização do miocárdio. ASSOBRAFIR Ciência [Internet]. 2015
Dez [citado 15 set. 2017];6(3):43-54. Disponível em: http://www.uel.
br/revistas/uel/index.php/rebrafis/article/view/21754/17846
Umann J, Guido LA, Linen GFC, Freitas EO. Enfermagem perioperatória
em cirurgia cardíaca: revisão integrativa da literatura. Rev Min Enferm
[Internet]. 2011 [citado 13 nov. 2015];15(2):275-81. Disponível em:
http://www.reme.org.br/artigo/detalhes/36. http://www.dx.doi.org/
S1415-27622011000200017
Lira ALBC, Araújo WM, Souza NTC, Frazão CMFQ, Medeiros ABA.
Mapeamento dos cuidados de enfermagem para pacientes em pósoperatório
de cirurgia cardíaca. Rev Rene [Internet]. 2012 [citado 13
nov. 2015];13(5):1171-81. Disponível em: http://repositorio.ufc.br/
ri/bitstream/riufc/4587/1/2012_art_albclira.pdf
Duarte SCM, Stipp MAC, Mesquita MGR, Silva MM. Enfermagem no
pós-operatório de cirurgia cardíaca. Esc Anna Nery [Internet]. 2012
[citado 13 nov. 2015];16(4):657-65. Disponível em: http://www.
redalyc.org/pdf/1277/127728365003.pdf
Liakopoulos OJ, Choi YH, Haldenwang PL, Strauch J, Wittwer T, Dörge
H, et al. Impact of preoperative statin therapy on adverse postoperative
outcomes in patients undergoing cardiac surgery: a meta-analysis
of over 30,000 patients. Eur Heart J [internet]. 2008 [citado 13 nov.
;29(12):1548-59. Disponível em: https://academic.oup.com/
eurheartj/article-lookup/doi/10.1093/eurheartj/ehn198. https://doi.
org/10.1093/eurheartj/ehn198
Soares GMT, Ferreira DCS, Gonçalves MPC, Alves TGS, David FL,
Henriques KMC, et al. Prevalência das principais complicações
pós-operatórias em cirurgias cardíacas. Rev Bras Cardiol [Internet].
[citado 13 nov. 2015];24(3):139-46. Disponível em: http://www.
onlineijcs.com/detalhes/225/prevalencia-das-principais-complicacoespos-
operatorias-em-cirurgias-cardiacas---prevalence-of-majorpostoperative-
complications-in-cardiac-surgery
Virani SS, Nambi V, Razavi M, Lee VV, Elayda M, Wilson JM, et al.
Preoperative statin therapy is not associated with a decrease in the
incidence of postoperative atrial fibrillation in patients undergoing
cardiac surgery. Am Heart J [Internet]. 2008 [citado 13 nov.
;155(3):541-6. http://dx.doi.org/10.1016/j.ahj.2007.10.027
Polit DF, Beck CT, Hungler BP. Fundamentos de pesquisa em
enfermagem: métodos, avaliação e utilização. Porto Alegre: Artmed;
p.414-5.
Galdeano LE, Rossi LA. Construção e validação de instrumentos
de coleta de dados para o período perioperatório de cirurgia
cardíaca. Rev Latino-am Enferm [Internet]. 2002 [citado 13 nov.
;10(6):800-4. Disponível em: http://www.revistas.usp.br/rlae/
article/view/1720/1765
Bellucci Júnior JA, Matsuda LM. Construção e validação de
instrumento para avaliação do acolhimento com classificação
de risco. Rev Bras Enferm [Internet]. 2012 [citado 17 set.
;65(5):751-7. Disponível em: http://www.scielo.br/scielo.
php?script=sci_arttext&pid=S0034-71672012000500006
Santos FC, Camelo SH. O enfermeiro que atua em unidades de
terapia intensiva: perfil e capacitação profissional. Cultura cuidados
[Internet]. 2015 [citado 16 set. 2017];19(43). Disponível em: https://
rua.ua.es/dspace/bitstream/10045/52599/1/Cult_Cuid_43_13.pdf
Santos APA, Camelo SHH, Santos FC, Leal LA, Silva BR. Nurses
in post-operative heart surgery: professional competencies and
organization strategies. Rev Esc Enferm USP [Internet]. 2016
[citado 16 set. 2017];50(3):472-8. http://dx.doi.org/10.1590/
S0080-623420160000400014
Miotto HC, Camargos FRS, Ribeiro CV, Goulart EMA, Moreira MCV.
Efeito na RCP utilizando treinamento teórico versus treinamento
teórico-prático. Arq Bras Cardiol [Internet]. 2010 [citado 16
set. 2017];95(3). Disponível em: http://www.scielo.br/scielo.
php?script=sci_arttext&pid=S0066-782X2010001300008
Gonçalves MFC, dos Santos R, Silva MA, Fortuna CM, Andrade LS.
Experience-based learning in nursing teacher education: a historicalcultural
research study. Am J Educ Research [Internet]. 2014 [citado
set. 2017];2(5):316-24. Disponível em: http://pubs.sciepub.com/
education/2/5/12/
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