Abstract
The objective of this study was to identify and analyze the nursing diagnoses that constitute risk factors for death in trauma victims in the first 6 hours post-event. This is a cross-sectional, descriptive and exploratory study using quantitative analysis. A total of 406 patients were evaluated over six months of data collection in a tertiary hospital in the municipality of São Paulo, according to an instrument created for this purpose. Of the total, 44 (10.7%) suffered death. Multivariate analysis indicated the nursing diagnoses ineffective respiratory pattern, impaired spontaneous ventilation, risk of bleeding and risk of ineffective gastrointestinal tissue perfusion as risk factors for death and ineffective airway clearance, impaired comfort, and acute pain as protective factors, data that can direct health teams for different interventionist actions faced with the complexity of the trauma.
Highlights
External causes have been a serious Public Health problem in our country for over four decades, since they are responsible for a substantial part of morbidity, mortality, disability and sequelae, as well as considerable socioeconomic cost[1]
An example of these statistics refers to road traffic accidents, which, in the year 2007, amounted to 383,371 with the number of casualties of 513,510, which projected a mean of 1,406 accidents/ day and 1,369 victims/day (1.30 victims per accident), which equates to 15.5% of all hospitalizations for injuries and demonstrates the impact of these injuries[2]
From a list made by the researcher and judged by seven nurses, specialists in nursing diagnoses and trauma for over 15 years, the final definition was arrived at of an instrument with 43 nursing diagnoses and numerous defining characteristics and risk factors associated with the six hours post-trauma period[9]
Summary
External causes have been a serious Public Health problem in our country for over four decades, since they are responsible for a substantial part of morbidity, mortality, disability and sequelae, as well as considerable socioeconomic cost[1] An example of these statistics refers to road traffic accidents, which, in the year 2007, amounted to 383,371 with the number of casualties of 513,510, which projected a mean of 1,406 accidents/ day and 1,369 victims/day (1.30 victims per accident), which equates to 15.5% of all hospitalizations for injuries and demonstrates the impact of these injuries[2]. In pursuing of this route and after an extensive literature review on the theme, a knowledge gap was identified in the area of nursing diagnoses related to fatal victims resulting from trauma in our environment and in the international scenario, which seems a paradox due to the importance of the nurse in this care
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
