Moraes E Silva Maren de, Schultze Arnon César Brunet, Cavalheiro Beatriz Pyrich, Meyer Lucas Filadelfo, Fronchetti Juliana de Andrade, Mercer Pilar Bueno Siqueira, Witt Maria Carolina Zavagna
Hospital da Cruz Vermelha Brasileira Filial Paraná, Curitiba PR, Brazil.
Faculdades Pequeno Príncipe, Curitiba PR, Brazil.
Arq Neuropsiquiatr. 2020 Jan;78(1):44-49. doi: 10.1590/0004-282X20190198.
Neurological complaints are frequent in emergency department routine. Among them, headache is a common disorder, which requires a certain degree of knowledge on Neurology because of its extensive differential diagnosis.
To assess general practice physicians' level of knowledge about headaches, in addition to outlining the profile of professionals who attend in emergency departments, as well as the profile of their respective workplaces in terms of neurological approach.
We included in evaluation physicians who attend emergency care units for adult public as general practitioners. A questionnaire was applied with questions regarding participants' general knowledge on headache, neurological approach, demographic profile, and workplace profile.
159 physicians answered the questionnaire. The professionals' profile corresponded to recently graduated individuals (mean of 6.31 years). Knowledge about headache management was regular. Those who do not have any specialization or are not majoring a specialization were statistically significantly more confident in neurological patients care (p=0.006). Only 18.24% reported access to Magnetic Resonance Imaging and 35.85% had no access to any type of neuroimaging.
General practice physicians often do not feel confident when performing neurological exams, demonstrating low knowledge about the topic. The profile of professionals working in these departments is predominantly of newly graduates, which may affect in some way on care quality. There was also a lack of structure for adequate care.
在急诊科日常工作中，神经科相关主诉很常见。其中，头痛是一种常见病症，由于其鉴别诊断范围广泛，需要一定程度的神经学知识。
评估全科医生对头痛的知识水平，此外概述在急诊科就诊的专业人员概况，以及他们各自工作场所在神经学诊疗方面的概况。
我们纳入在成人公共急诊科工作的全科医生进行评估。应用一份问卷，其中包含有关参与者对头痛的一般知识、神经学诊疗方法、人口统计学概况和工作场所概况的问题。
159名医生回答了问卷。专业人员概况显示为刚毕业不久的个体（平均6.31年）。对头痛管理的知识水平一般。那些没有任何专科资质或未主修某一专科的人员在神经科患者护理方面的信心在统计学上显著更高（p = 0.006）。只有18.24%的人报告可以使用磁共振成像，35.85%的人无法使用任何类型的神经影像学检查。
全科医生在进行神经学检查时往往缺乏信心，表明对该主题的知识水平较低。在这些科室工作的专业人员主要是刚毕业的，这可能在某种程度上影响护理质量。此外，缺乏足够护理的结构。
