SAMU no sistema prisional da Paraíba: Perfil de atendimentos e percepção do enfermeiro sobre o motivo do chamado e o local da assistência

Abstract

Introduction: The Emergency Mobile Assistance Service (SAMU) aims to provide early care and adequate, fast and resolutive transportation to victims affected by various diseases, with care taken at any place requested. Objectives: to describe the epidemiological profile of SAMU care in penitentiaries; analyze the reason for the call and the place of assistance in the care given by SAMU nurses in penitentiaries. Methodology: a cross-sectional epidemiological study of a quantitative-qualitative approach carried out between August and December 2017 in four cities in the state of Paraíba, Brazil, which present SAMUs with Centers of Emergency Medical Regulation, which served in penitentiaries from January to December of 2016. The data collection was divided in two phases, the quantitative one to obtain data in forms destined to the registry of the consultations and the qualitative step by interviews with nurses who worked in the selected services. For the variables of the quantitative phase, descriptive analyzes were performed, the Chi-Square test was applied and the Odds Ratio was calculated in the statistical software R. The analysis of the qualitative data followed the theoretical framework proposed by Bardin. The research protocol was approved by the Research Ethics Committee of the UEPB, having as CAAE: 69599217.8.0000.5187. Results: Of the consultations performed 335 (90.54%) were clinical emergencies; for male users 306 (82.70%); ages between 20-29 years 161 (43.51%); (p-value = 0.0015, odds ratio = 6.46 [2.35, 17.77]). The highest frequency of visits was in penitentiaries with a basic prison care team (p-value = 0.0382) and requests made on working days, 194 (52.43%) were assisted without any referral to other health facilities and when performed 129 (89.58) were transported to hospitals. Regarding the qualitative step, the following categories emerged from the nurses' speeches: Reasons for Emergency and Local Assistance for SAMU Team Assistance, which show difficulties during care such as non-service demands, inadequate assistance, lack of escort and privacy during calls. Conclusions: The characteristics of SAMU care in prisons to prisoners, as well as the experiences described by nurses, can provide support for reflections in the area of public health, on the organization of actions aimed at prevention and diseases and diseases that may arise during the enforcement of judicial measures and assist in the qualification of the management of the services that can serve this population.