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Authors
Advisor(s)
Abstract(s)
Introdução: A prática especializada em Enfermagem Médico-Cirúrgica necessita que se
desenvolvam competências comuns e específicas perante a pessoa em situação crítica a
vivenciar processos complexos, nomeadamente dar resposta às suas necessidades afetadas, de
forma a manter as funções básicas de vida, prevenir complicações e limitar incapacidades,
visando sempre a sua recuperação total tão rápido quanto possível. Nesse contexto, os estágios
realizados foram exemplo de uma prestação de cuidados de saúde de elevada qualidade,
baseados na melhor evidência disponível, o que serviu de mote para uma investigação sobre o
perfil da pessoa vítima de trauma no serviço de urgência de um centro hospitalar da região
centro de Portugal.
Objetivo: Evidenciar as competências específicas adquiridas em Enfermagem Médico Cirúrgica na área da pessoa em situação crítica e avaliar o perfil da pessoa vítima de trauma no
serviço de urgência de um centro hospitalar da região centro de Portugal.
Métodos: Estudo quantitativo, de coorte retrospetivo, descritivo e correlacional, com recolha
de dados clínicos para identificar o perfil de características diferenciadoras das pessoas vítimas
de trauma no serviço de urgência de um centro hospitalar da região centro de Portugal. A
recolha de dados abrange os episódios de urgência cuja etiologia seja o trauma, de janeiro a
julho de 2020, através da informação a obter pelo Sistema de Informação Alert®, perfil
administrativo e consulta dos episódios de urgência, após aplicação dos critérios de inclusão e
de exclusão, suportada numa grelha elaborada para a recolha de dados.
Resultados: Predomínio no género masculino (60,6%), com média de idade de 46,72 anos,
maior prevalência de admissões no mês de fevereiro (22,9%), no turno da manhã (45,0%) e nas
sextas-feiras (19,1%), maior atribuição na prioridade urgente (56,6%), fluxograma prevalecente
foi o grande traumatismo (72,8%), com um discriminador mais presente de dor moderada
(45,3%), como principal diagnóstico o acidente de viação (n=152; 41,0%), com automóvel
(67,9%). O nível de risco clínico mais prevalente foi o risco moderado, em 94,7%, com
distribuição também mais elevada para ambos os géneros.
Conclusão: A partir da análise crítica dos dados obtidos, pretende-se dotar uma abordagem de
enfermagem especializada e sistematizada, com consequente sobrevida da pessoa vítima de
trauma e com o intuito de otimizar os cuidados de enfermagem prestados.
Palavras-chave: Trauma; Acidente de viação; Risco clínico; Índice de gravidade de trauma;
Serviço de Urgência.
Abstract Introduction: Specialized practice in Medical-Surgical Nursing requires the development of common and specific skills for people in critical situations to experience complex processes, namely to respond to their affected needs, in order to allow themselves to maintain basic life functions, prevent complications and limit disabilities, always aiming for full recovery as quickly as possible. In this context, the internships performed were an example of high quality health care provision, based on the best available evidence, which served as the basis for an investigation into the profile of trauma victims in the emergency department of a hospital in the central region of Portugal. Objective: Highlight the specific skills acquired in Medical-Surgical Nursing in the area of the person in critical condition and assess the profile of the person victim of trauma in the emergency department of a hospital in the central region of Portugal. Methods: Quantitative, retrospective, descriptive and correlational cohort study, with clinical data collection to identify the profile of differentiating characteristics of trauma victims in the emergency department of a hospital in the central region of Portugal. Data collection covers emergency episodes whose etiology is trauma, from January to July 2020, through information to be obtained by the Alert® Information System, administrative profile and consultation of emergency episodes, after applying the inclusion criteria and exclusion, supported by a grid designed for data collection. Results: Predominance in males (60.6%), with a mean age of 46.72 years, higher prevalence of admissions in February (22.9%), in the morning shift (45.0%) and on Fridays. fairs (19.1%), the highest attribution in the yellow priority (56.6%), the prevailing flowchart was major trauma (72.8%), with a more present discriminator of moderate pain (45.3%), as the main diagnosis the road accident (n=152; 41.0%), with a car (67.9%). The most prevalent clinical risk level was moderate risk, at 94.7%, with a higher distribution for both genders. Conclusion: From the critical analysis of the data obtained, it is intended to provide a specialized and systematized nursing approach, with consequent survival of the trauma victim and with the aim of optimizing the nursing care provided. Keywords: Trauma; Road accident; Clinical risk; Trauma severity index; Emergency Service.
Abstract Introduction: Specialized practice in Medical-Surgical Nursing requires the development of common and specific skills for people in critical situations to experience complex processes, namely to respond to their affected needs, in order to allow themselves to maintain basic life functions, prevent complications and limit disabilities, always aiming for full recovery as quickly as possible. In this context, the internships performed were an example of high quality health care provision, based on the best available evidence, which served as the basis for an investigation into the profile of trauma victims in the emergency department of a hospital in the central region of Portugal. Objective: Highlight the specific skills acquired in Medical-Surgical Nursing in the area of the person in critical condition and assess the profile of the person victim of trauma in the emergency department of a hospital in the central region of Portugal. Methods: Quantitative, retrospective, descriptive and correlational cohort study, with clinical data collection to identify the profile of differentiating characteristics of trauma victims in the emergency department of a hospital in the central region of Portugal. Data collection covers emergency episodes whose etiology is trauma, from January to July 2020, through information to be obtained by the Alert® Information System, administrative profile and consultation of emergency episodes, after applying the inclusion criteria and exclusion, supported by a grid designed for data collection. Results: Predominance in males (60.6%), with a mean age of 46.72 years, higher prevalence of admissions in February (22.9%), in the morning shift (45.0%) and on Fridays. fairs (19.1%), the highest attribution in the yellow priority (56.6%), the prevailing flowchart was major trauma (72.8%), with a more present discriminator of moderate pain (45.3%), as the main diagnosis the road accident (n=152; 41.0%), with a car (67.9%). The most prevalent clinical risk level was moderate risk, at 94.7%, with a higher distribution for both genders. Conclusion: From the critical analysis of the data obtained, it is intended to provide a specialized and systematized nursing approach, with consequent survival of the trauma victim and with the aim of optimizing the nursing care provided. Keywords: Trauma; Road accident; Clinical risk; Trauma severity index; Emergency Service.
Description
Keywords
Acidentes de trânsito Competência clínica Doença crítica Ferimentos e lesões Índice de gravidade do trauma Risco Serviço de urgência hospitalar Accidents, traffic Clinical competence Critical illness Emergency service, hospital Risk Trauma severity indices Wounds and injuries