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Minerva Cardiology and Angiology 2022 Sep 09

DOI: 10.23736/S2724-5683.22.06099-9


language: English

Acute myocardium infarction: difficulties and interventions perceived by the Italian nurses and physicians

Elsa VITALE 1 , Roberto LUPO 2, Filippo INGROSSO 3, Antonino CALABRÒ 4, Maicol CARVELLO 5, Cristina DE DOMINICIS 6, Luana CONTE 7, 8

1 Mental Health Canter, ASL (Local Health Authority) Bari, Bari, Italy; 2 Lecce Local Health Authority, San Giuseppe da Copertino Hospital, Lecce, Italy; 3 Freelance Registered Nurse; 4 Nuovo Ospedale degli Infermi Hospital, ASL (Local Health Authority) Biella, Biella, Italy; 5 Brisighella Community Hospital, ASL (Local Health Authority) of Romagna, Brisighella, Ravenna, Italy; 6 SLOP, Institute of Cognitive Neuropsychological Specialization, Arezzo, Arezzo, Italy; 7 Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics E. De Giorgi, University of Salento, Lecce, LE, Italy; 8 Laboratory of Interdisciplinary Research Applied to Medicine (DReAM), University of Salento and ASL (Local Health Authority) Lecce, Lecce, Italy


BACKGROUND: Among cardiovascular diseases, acute coronary syndrome is the main cause of mortality and morbidity in the Western industrialized countries. Evidence suggested how continuous updating in Cardiovascular Area both for nurses and physicians was essential to improve patient outcomes in clinical process, welfare and rehabilitation, since physicians and nurses could play a key role in empowering the care of patients affected by the Acute Myocardium Infarction (AMI). Although the correlation between continuous training and improvement of nursing care was therefore clear, the difficulties that nurses encountered in AMI patients’ management remained unexplored. The present study aimed to identify any difficulties that both nurses and physicians in emergency / urgent departments encountered in the AMI patient care.
METHODS: An observational, cross sectional, multicentre online study was conducted, in online mode. An ad hoc questionnaire was created and publicized through social networks, collecting only nurses and physicians.
RESULTS: A total of 401 nurses and physicians were recruited. Significant association was assessed between the importance of the re-training participation and the item regarding: “To implement strategies to avoid excessive patient stress” and, since healthcare workers who constantly re-trained their competences encountered less difficulties than the others (p=.002). By considering associations between the re-training condition and any interventions implemented by the interviewer to prevent or reduce the Psycho-Physical Stress in AMI patients, a significant association (p=.017) was assessed between the re-training condition and the improvement of the sleep-rest model (item no. 20), since healthcare professionals who re-trained their competences in the AMI care promoted regular rest condition in the AMI patients.
CONCLUSIONS: The study highlighted the importance of basic and advanced training both for physicians and nurses in the AMI patient care, by demonstrating how health promotion and therapeutic education and information could be important to the AMI patient care.

KEY WORDS: Acute myocardium infarction; Caring; Critical area; Healthcare; Taking care

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