Edilene Curvelo Hora

Os efeitos das alterações comportamentais das vítimas de trauma crânio-encefálico para o cuidador familiar

This study aimed to identify alterations in the intensity at which the negative behaviors of the victims of traumatic brain injury (TBI) affect the main family caregiver comparing the periods before and after the trauma and to verify the relation between the intensity of these alterations and time passed after the traumatic event. Participants were 50 caregivers of victims with different levels of dependence after TBI. The effect of the victims behaviors on the caregiver was measured by means of a Likert scale, in view of eleven negative behaviors cited in literature. According to the caregiver, the victim was more aggressive, anxious, dependent, depressed, irritated, and forgetful after the trauma, with a more explosive temperament, more self-centered, impulsive, with greater social inadequacy and mood oscillation. The first six cited behaviors were the ones that affected the caregiver more negatively. No relation was found between the passed time and the effect of the behavioral alterations.This study aimed to identify alterations in the intensity at which the negative behaviors of the victims of traumatic brain injury (TBI) affect the main family caregiver comparing the periods before and after the trauma and to verify the relation between the intensity of these alterations and time passed after the traumatic event. Participants were 50 caregivers of victims with different levels of dependence after TBI. The effect of the victim’s behaviors on the caregiver was measured by means of a Likert scale, in view of eleven negative behaviors cited in literature. According to the caregiver, the victim was more aggressive, anxious, dependent, depressed, irritated, and forgetful after the trauma, with a more explosive temperament, more self-centered, impulsive, with greater social inadequacy and mood oscillation. The first six cited behaviors were the ones that affected the caregiver more negatively. No relation was found between the passed time and the effect of the behavioral alterationsO estudo teve como objetivos identificar alteracoes na intensidade que os comportamentos negativos das vitimas de Trauma Craniencefalico (TCE) afetavam o cuidador familiar principal, comparando o periodo anterior ao posterior ao trauma e verificar a relacao entre intensidade dessas alteracoes e tempo decorrido apos o evento traumatico. Incluiu 50 cuidadores de vitimas com diferentes niveis de dependencia apos TCE. Os efeitos dos comportamentos da vitima para o cuidador foram mensurados por meio da escala Likert, tendo em vista onze comportamentos negativos citados em literatura. Na visao do cuidador, a vitima ficou mais agressiva, ansiosa, dependente, deprimida, irritada, esquecida, com temperamento mais explosivo, apos o trauma, alem de mais egocentrica, impulsiva, com maior inadequacao social e oscilacao de humor. Os seis primeiros comportamentos citados eram os que afetaram mais negativamente o cuidador. Nao houve relacao entre o tempo decorrido e os efeitos das alteracoes comportamentais.

Levantamento epidemiológico dos acidentes motociclísticos atendidos em um Centro de Referência ao Trauma de Sergipe

The trauma caused by motorcycle accidents affects a large number of victims and is a serious public health problem in Brazil. This documental study was performed with a quantitative approach with the objective to raise epidemiological data from 554 motorcycle accident victims assisted in September and October 2006 in a referral center for trauma of Sergipe. The result analysis shows a predominance of men (82.7%) with mean age of 27.78 years, who were admitted during the night shift (45.9%), Sunday (27.3%), whose injuries were abrasions (n=169) on the head, face and neck. The victims stayed in the hospital for up to 12 hours (76%) and were discharged. Of the registered cases, 14.6% were suspected of having consumed alcohol and 19.3% were not wearing a helmet during the accident.The trauma caused by motorcycle accidents affects a large number of victims and is a serious public health problem in Brazil. This documental study was performed with a quantitative approach with the objective to raise epidemiological data from 554 motorcycle accident victims assisted in September and October 2006 in a referral center for trauma of Sergipe. The result analysis shows a predominance of men (82.7%) with mean age of 27.78 years, who were admitted during the night shift (45.9%), Sunday (27.3%), whose injuries were abrasions (n=169) on the head, face and neck. The victims stayed in the hospital for up to 12 hours (76%) and were discharged. Of the registered cases, 14.6% were suspected of having consumed alcohol and 19.3% were not wearing a helmet during the accident.

Sentimentos dos familiares em relação ao paciente internado na unidade de terapia intensiva

Trata-se de um estudo de abordagem qualitativa sobre os sentimentos dos familiares em relacao ao paciente internado na unidade de terapia intensiva. Foram entrevistados 24 familiares de um hospital publico da cidade de Aracaju nos meses de julho e agosto de 2007. Os dados foram coletados por meio de uma entrevista, sendo analisados por meio da analise de conteudo. Os resultados evidenciaram os seguintes sentimentos: ansiedade; preocupacao; angustia e tristeza; impotencia; dor e magoa; perda; medo e pânico; confianca e seguranca; inseguranca; fe e esperanca; e inexplicavel. A ansiedade foi o mais frequente que decorreu entre outros fatores, do ambiente estranho, procedimentos diversificados, incerteza do amanha ou expectativa da melhora do familiar.

Immediate post-craniotomy headache.

Introduction Headache is the most common adverse event immediately following craniotomy and is due to the surgical procedure and meningeal irritation. Objectives The aim of this study was to investigate the prevalence of headache during the first week after a craniotomy, as well as headache intensity, whether pain was registered in the patients medical records, the use of analgesics and predictors of headache. Methods Ninety-one patients who underwent craniotomy were evaluated from the first to the seventh post-operative day. The variables analysed were gender, age, medical history, indication for craniotomy, surgery, occurrence of headache, pain registration in the medical records, length of hospital stay and analgesics consumption. Results On the second post-operative day, 29.2% of patients had a headache and there was under-reporting of this pain in the patients’ records. The analgesics used were non-steroidal anti-inflammatory in 75% of cases. An age of <45 years (odds ratio = 3.0, p = 0.041) and surgery duration lasting >4 hours (odds ratio = 3.7, p = 0.019) were associated with the occurrence of immediate post-craniotomy headache. Conclusion Further training should be provided to professionals caring for patients undergoing craniotomy to better manage post-operative headache.

Quality of life of victims of traumatic brain injury six months after the trauma

OBJECTIVE to describe the quality of life of victims of traumatic brain injury six months after the event and to show the relationship between the results observed and the clinical, sociodemographic and return to productivity data. METHOD data were analyzed from 47 victims assisted in a trauma reference hospital in the municipality of Aracaju and monitored in an outpatient neurosurgery clinic. The data were obtained through analysis of the patient records and structured interviews, with the application of the World Health Organization Quality of Life, brief version, questionnaire. RESULTS the victims presented positive perceptions of their quality of life, and the physical domain presented the highest mean value (68.4±22.9). Among the sociodemographic characteristics, a statistically significant correlation was found between marital status and the psychological domain. However, the return to productivity was related to all the domains. CONCLUSION the return to productivity was an important factor for the quality of life of the victims of traumatic brain injury and should direct the public policies in promoting the health of these victims.OBJETIVOS: descrever a qualidade de vida das vitimas de trauma craniencefalico, apos seis meses do evento, e mostrar a relacao entre os resultados observados e os dados clinicos, sociodemograficos e retorno a produtividade. METODO: foram analisados dados de 47 vitimas assistidas em hospital referencia ao trauma, no municipio de Aracaju, SE, e acompanhadas em ambulatorio de neurocirurgia. Os dados foram obtidos pela analise dos prontuarios e entrevistas estruturadas, com aplicacao do questionario World Health Organization Quality of Life, versao breve. RESULTADOS: as vitimas apresentaram percepcao positiva de sua qualidade de vida e o dominio fisico (68,4±22,9) apresentou o maior valor medio. Entre as caracteristicas sociodemograficas, correlacao estatisticamente significante foi verificada entre estado civil e o dominio psicologico. Entretanto, o retorno a produtividade se relacionou com todos os dominios. CONCLUSAO: o retorno a produtividade foi fator importante para a qualidade de vida das vitimas de trauma craniencefalico e deve direcionar as politicas publicas na promocao a saude dessas vitimas.

O enfermeiro no cuidado à vítima de trauma com dor: o quinto sinal vital

Estudo qualitativo que avaliou o conhecimento do enfermeiro acerca da dor na vitima de trauma. Desenvolvido em um hospital publico, por meio da aplicacao de questionario e teste de conhecimento e tratados pela Analise de Conteudo. A amostra compreendeu 27 enfermeiros, em sua quase totalidade de mulheres (92,6%), idade media 31 ±10,3 anos e maioria com formacao inferior a 1 ano (51,8%). Os resultados evidenciaram a dor como sensacao desagradavel, sinal de alerta e uma experiencia subjetiva. A avaliacao da dor e vista por aspectos subjetivos e objetivos. A maioria (59,3%) desconhece os instrumentos de avaliacao e dentre os que conhecem a escala numerica foi a mais referida. As estrategias de controle de dor mencionadas foram medidas em farmacologicas, nao farmacologicas e combinadas. Todos os enfermeiros consideraram a avaliacao da dor importante e um caminho para o tratamento humanizado e qualificado, que orienta a conduta terapeutica e restabelece o bem-estar do paciente.

Fall-related traumas in urgent care centers

OBJECTIVE: To identify the scope and the characteristics of fall-related traumas in urgent care centers in Sergipe, Brazil and to verify potential associations among the following variables: gender, age, and where the event occurred. METHOD: This descriptive, cross-sectional study with a quantitative approach was conducted in the urgent care centers of two public referral hospitals in the state of Sergipe, Brazil. The data collection was conducted in November 2010, after approval was obtained from the Human Research Ethics Committee, through a structured interview with a sample of 509 fall victims. RESULTS: Most of the participants were male, between 0 and 19 years old, single, with no impairments or preexisting diseases, nor regular use of medication or alcohol. The victims were brought to the hospital by ambulance and were accompanied. Most events occurred at home, were same-level falls, and most frequently resulted from slipping and tripping during recreational activities with a subsequent fracture, contusion or sprain. Most victims were discharged from the hospital after care delivery. Statistically significant associations were found between place of fall and age and gender. CONCLUSION: There is a high incidence of seeking out care in urgent care centers due to falls, which constitutes a severe public health problem that affects both genders in different age groups. The adoption of preventive measures aimed to reduce such events is urgently required.

An epidemiological survey on motorcycle accident victims assisted at a Reference Trauma Center of Sergipe

The trauma caused by motorcycle accidents affects a large number of victims and is a serious public health problem in Brazil. This documental study was performed with a quantitative approach with the objective to raise epidemiological data from 554 motorcycle accident victims assisted in September and October 2006 in a referral center for trauma of Sergipe. The result analysis shows a predominance of men (82.7%) with mean age of 27.78 years, who were admitted during the night shift (45.9%), Sunday (27.3%), whose injuries were abrasions (n=169) on the head, face and neck. The victims stayed in the hospital for up to 12 hours (76%) and were discharged. Of the registered cases, 14.6% were suspected of having consumed alcohol and 19.3% were not wearing a helmet during the accident.The trauma caused by motorcycle accidents affects a large number of victims and is a serious public health problem in Brazil. This documental study was performed with a quantitative approach with the objective to raise epidemiological data from 554 motorcycle accident victims assisted in September and October 2006 in a referral center for trauma of Sergipe. The result analysis shows a predominance of men (82.7%) with mean age of 27.78 years, who were admitted during the night shift (45.9%), Sunday (27.3%), whose injuries were abrasions (n=169) on the head, face and neck. The victims stayed in the hospital for up to 12 hours (76%) and were discharged. Of the registered cases, 14.6% were suspected of having consumed alcohol and 19.3% were not wearing a helmet during the accident.

The nurse providing care to trauma victims in pain: the fifth vital sign

Estudo qualitativo que avaliou o conhecimento do enfermeiro acerca da dor na vitima de trauma. Desenvolvido em um hospital publico, por meio da aplicacao de questionario e teste de conhecimento e tratados pela Analise de Conteudo. A amostra compreendeu 27 enfermeiros, em sua quase totalidade de mulheres (92,6%), idade media 31 ±10,3 anos e maioria com formacao inferior a 1 ano (51,8%). Os resultados evidenciaram a dor como sensacao desagradavel, sinal de alerta e uma experiencia subjetiva. A avaliacao da dor e vista por aspectos subjetivos e objetivos. A maioria (59,3%) desconhece os instrumentos de avaliacao e dentre os que conhecem a escala numerica foi a mais referida. As estrategias de controle de dor mencionadas foram medidas em farmacologicas, nao farmacologicas e combinadas. Todos os enfermeiros consideraram a avaliacao da dor importante e um caminho para o tratamento humanizado e qualificado, que orienta a conduta terapeutica e restabelece o bem-estar do paciente.

Characterization of victims of trauma treated in an emergency hospital

Objective: to describe the socio-demographic profile of victims of trauma treated in an emergency hospital in Sergipe, Brazil. Method: this is an ecological, retrospective, and quantitative study. The sample consisted of 301 medical records of patients treated between January 2006 and July 2008 at Hospital de Urgencia in Sergipe. The collection was carried out within the period from September to December 2008, after the approval by the Research Ethics Committee of Universidade Federal de Sergipe under the Protocol 2448.0.000.107-08. The variables under study were age, gender, external cause, the most severely affected body region, length of hospital stay, Glasgow Coma Scale, and outcome. The data were analyzed through the software Statistical Package for the Social Sciences (SPSS) version 16.0. Results: the average age was 27.8 years, with a prevalence of males (85.7%), individuals from Sergipe state towns, apart from the capital (56.2%), victims of traffic accidents (47.2%) and aggression (27.6%), predominance of cranioencephalic trauma (61.5%), between Friday and Monday (71.5%), average length of hospitalization of 10 days and hospital discharge (74.1%). Conclusion: the higher frequency of cranioencephalic trauma in male young adults, victims of weekend accidents, suggests the need for intensifying the traffic accident prevention strategies to minimize the occurrence and possible consequences related to trauma. Descriptors: wounds and injuries; mortality; accidents, traffic; external causes.