Conhecimento da aplicação da oximetria de pulso para triagem de cardiopatia congênita crítica por graduandos de enfermagem, medicina e equipe hospitalar do noroeste paulista

Abstract

Critical congenital heart disease is a serious malformation of the heart and large vessels that accounts for high morbidity and mortality of children in the first year of life, considered a global public health issue. Some critical congenital heart diseases result in a difference of saturation between the upper limb and the lower limb of the newborn that can be identified by means of Pulse Oximetry screening. Objective: To observe if public hospitals in the Northwest of Sao Paulo state which have maternity have been performing Pulse Oximetry, as screening, for some critical congenital heart diseases in newborns before hospital discharge, and if the Professionals performing this screening have been trained, as well as if undergraduate students of the last year of Nursing and Medicine know this type of screening. Method: This is a cross-sectional field study with a quantitative approach from March 2017 to December 2017, including 90 volunteers; students of the last year of Medicine and Nursing; in addition, to Medical professionals and Nursing team of seven public hospitals, with maternity, from the Northwest of São Paulo state. Results: The present study showed that only 63% of the participating hospitals carry out the screening. Regarding to training; 49% of Medical and 0% of Nursing students underwent to training. Among the Professionals who attend in these hospitals, only 28% underwent to training. Conclusion; In conclusion, Pulse Oximetry is not used universally in public hospitals, with maternity, in the Northwest of São Paulo state , according to the Administrative Ruling of Brazilian Health Ministry. The professionals who manage this have superficial knowledge and need more training. There is a need to review the curriculum of the Nursing as well as Medicine courses, and to strengthen the knowledge about the screening and training of all these groups analyzed