1. Eficácia da intervenção da enfermagem pré-hospitalar na estabilização das vítimas de trauma.
- Author
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Mota, Mauro, Cunha, Madalena, Santos, Eduardo, Figueiredo, Ândrea, Silva, Márcio, Campos, Rui, and Reis Santos, Margarida
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NURSING audit , *WOUND nursing , *EVALUATION of medical care , *SCIENTIFIC observation , *LIFE support systems in critical care , *BLUNT trauma , *TRAFFIC accidents , *AMBULANCES , *RESEARCH methodology , *PATIENTS , *SEVERITY of illness index , *PRE-tests & post-tests , *DESCRIPTIVE statistics , *EMERGENCY medical services , *QUESTIONNAIRES , *TRAUMA severity indices , *STATISTICAL correlation , *NURSE practitioners , *HEMODYNAMICS , *HEALTH impact assessment , *EMERGENCY medicine , *NURSING interventions , *EMERGENCY nursing , *LONGITUDINAL method , *PAIN management , *EVALUATION - Abstract
Background: Trauma is a public health issue with a significant social and economic impact. However, national data on its characterization and the role of nursing in its management is still scarce. Objective: To assess the effectiveness of prehospital nursing interventions in stabilizing trauma victims provided by nurses of Immediate Life Support Ambulances in Portugal. Methodology: Observational, prospective, and descriptive-correlational study. Data were collected by nurses of the Immediate Life Support Ambulances in mainland Portugal, from 01/03/2019 to 30/04/2020, and the Azores, from 01/10/2019 to 30/04/2020. Trauma severity indices were assessed before and after the nursing interventions. Results: This study included 606 cases (79.4% blunt trauma; 40.8% road accidents) reported by 171 nurses. Nurses performed mostly interventions for hemodynamic support (88.9%) and non-pharmacological pain control (90.6%) of trauma victims. The nursing interventions improved the Revised Trauma Score and the Shock Index (p<0.001). Conclusion: Prehospital nursing interventions improve trauma victims' clinical status. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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