Keywords
Nursing
Nursing diagnosis
Hospital emergency department
Emergency nursing
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To describe the frequency of sociodemographic, clinical, and nursing diagnostic variables among individuals with chest pain in an emergency department. Methods: A cross-sectional, quantitative study with retrospective data collection, conducted at a medium-sized hospital. The sample consisted of 1,656 individuals. Data were collected using a research instrument and nursing diagnoses designated by the researchers, entered into a spreadsheet, and analyzed using descriptive statistics. Results: Of the analyzed sample, 184 (11.11%) individuals presented with chest pain, with 74.46% classified as high priority. The sample was predominantly composed of older adults (37.5%) with comorbidities (65.76%). Clinical care was predominant (92.39%); the most frequent nursing diagnoses were: acute pain (84.78%), risk of impaired cardiovascular function (57.61%), and impaired comfort (55.98%). Conclusion: The causes of chest pain were found to be multifaceted, highlighting the need for nurses to take ownership of the nursing process in order to identify altered human responses and plan timely outcomes and interventions in situations requiring rapid clinical reasoning and critical thinking.
References
BEZERRA VS, et al. Prevalência do infarto agudo do miocárdio e seus desfechos clínicos em um hospital de urgência de Teresina-PI. Rev. Contemp., 2024; 4(4): e3976.
BRASIL. Política Nacional de Humanização da Atenção e Gestão do SUS. Acolhimento e classificação de risco nos serviços de urgência. Ministério da Saúde [Internet]. Brasília (DF), 2009. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/acolhimento_classificaao_risco_servico_urgencia.pdf.
BRASIL. Resolução COFEN nº 736. Conselho Federal de Enfermagem [Internet]. 2024 Jan 17. Dispõe sobre a implementação do Processo de Enfermagem em todo contexto socioambiental onde ocorre o cuidado de enfermagem. Disponível em: https://www.cofen.gov.br/resolucao-cofen-no-736-de-17-de-janeiro-de-2024/.
BYRNE RA, et al. ESC Guidelines for the management of acute coronary syndromes. European Heart Journal, 2023; 44(38): 3720-826.
DAWSON LP, et al. Care Models for Acute Chest Pain That Improve Outcomes and Efficiency: JACC State-of-the-Art Review, Journal of the American College of Cardiology, 2022; 79(23): 2333-2348.
DAWSON LP, et al. Sex Differences in Epidemiology, Care, and Outcomes in Patients With Acute Chest Pain. JACC, 2023; 81(10): 933–945.
DELANEY MSILER P. Chest Pain-Specific Legal Risk. Emergency Medicine Clinics Of North America, 2025; 43(1): 57-65.
ELM EV, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Journal of Clinical Epidemiology, 2008; 61(4): 344-349.
FEITOSA ADM, et al. Diretrizes Brasileiras de Medidas da Pressão Arterial Dentro e Fora do Consultório – 2023. Arq Bras Cardiol., 2024; 121(4): e20240113.
FRAZÃO RDF, et al. Evaluation and outcome of patients treated at the emergency department with a complaint of thoracic pain. Revista de Enfermagem e Atenção À Saúde, 2022; 10(3): 1-10.
GLORIA FILHO EA, SODRÉ MCC. Atuação da enfermagem na classificação de risco do serviço de urgência emergência. Rev Ibero-Americana de Humanidades, Ciências e Educação, 2021; 7(10): 2442-2460.
GULATI M, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain. Journal Of The American College Of Cardiology, 2021; 78(22): 187-285.
HAMADÉ DCE, et al. Nursing diagnoses with coronary patients in the light of. Callista Roy's theory. Rev Fun Care Online, 2020; 12: 130-137.
HERDMAN TH, et al. Diagnósticos de Enfermagem da NANDA: definições e classificações 2021-2023. Artmed, 2021; 12.
HERDMAN TH, et al. Diagnósticos de Enfermagem da NANDA: definições e classificações 2024-2026. Artmed, 2024; 13.
IMHOF S, et al. Cardiac, possible cardiac, and likely non-cardiac origin of chest pain. Herz, 2023; 49(3): 175-180.
JUKNEVIČIENĖ R, et al. Chest pain in the emergency department: From score to coreA prospective clinical study. Medicine, 2022; 101(29): e29579.
OLIVEIRA GMM, et al. Estatística Cardiovascular – Brasil 2023. Arq. Bras. Cardiol., 2024; 121(2): e20240079.
RAHMAN A. Chest pain. Australian Journal Of General Practice, 2024; 53(7): 437442.
REIS APP, et al. Risk Stratification in Chest Pain: Impact on the Diagnosis of Acute Coronary Syndrome. Int J Cardiovasc Sci., 2021; 34(1): 67–73.
RISNER PB. Diagnosis: analysis and synthesis of date. In: CHRISTENSEN PJ e KENNEY JW. Nursing process: application of conceptual models. St. Louis: Mosby; 1990.
SCHRADER CD, et al. Using HEART2 score to risk stratify chest pain patients in the Emergency Department: an observational study. BMC cardiovascular disorders, 2022; 22(1): 79.
SEGALLA AVZ, et al. Determining factors of service priority in the risk classification of patients with chest pain. Rev Gaúcha Enferm., 2023; 44: e20220100.
STEWART J, et al. Short-Term Outcomes and Sex-Based Analysis Following Chest Pain Presentations to Emergency Departments in Western Australia—An AUS-MOCHA Substudy, Emergency Medicine Australasia, 2026; 38(1): e70235.
ZANETTINI A, et al. Dor torácica aguda: enfermeiro desafiando uma patologia tempo dependente nas portas de entrada hospitalares. Revista de Enfermagem da Ufsm, 2020; 10: e42.