Published 620 / Sadegh / Comparing Urine Analysis and Urine Dipstick Tests Used in the Diagnosis of Renal Injury in Children With Blunt Abdominal Trauma in Shiraz, Iran
Keywords:
patients, brain injuries, nursing services, hospitals, emergenciesAbstract
Background: Head trauma is the main cause of disabilities and death among young people, and the side effects of head trauma pose some of the greatest medical challenges. Rapid diagnosis and the use of proper treatments can prevent more severe brain damage. The purpose of this research was to determine the quality of nursing services provided to brain trauma patients in hospitals in Guilan Province, Iran.
Methods: The study was conducted as a descriptive, cross-sectional study in the emergency wards of selected hospitals in Guilan in 2012. The research population was comprised of all the brain trauma patients in these hospitals. We developed a two-section questionnaire, ascertained its validity, and determined that it had a reliability of 88% (Cronbach’s alpha). Subsequently, we used the questionnaire for gathering data. The data were analyzed using SPSS statistical software, and descriptive analysis tests (frequency rate and average) and deductive analyses tests (chi-squared) also were used.
Results: The results showed that the quality of health services provided to brain-trauma patients in the emergency ward was at the moderate level of 58.8% of the cases and at a low level in 41.2% of the cases.
Conclusion: Based on the results that showed that the services were of moderate quality, the staff members in the emergency ward were required to update their knowledge and use the required measures to minimize or prevent side effects in brain-trauma patients; clearly, mastery of such measures was a real need among the emergency ward’s staff.
References
Spahn DR, Cerny V, Coats TJ, Duranteau J, Fernández-Mondéjar E, Gordini G, et al. Management of bleeding following major trauma: a European guideline. Critical Care. 2007;11:414. [PMC free article] [PubMed] [Google Scholar]
Stranjalis G, Bouras T, Korfias S, Andrianakis I, Pitaridis M, Tsaman douraki K, et al. Outcome in 1,000 head injury hospital admissions: the Athens head trauma registry. J Trauma. 2008;65(4):789–93. [PubMed] [Google Scholar]
Yunesian M, Moradi A, Khaji A, Mesdaghinia AR, Zargar M. Evaluation of the effect of offender motorcyclists’ penalty enforcement project on the incidence of road traffic accident injuries in Tehran. Payesh. 2007;6(1):19–26. [Google Scholar]
Harrison-Felix C, Whiteneck G, Devivo MJ, Hammond FM, Jha A. Causes of death following 1 year postinjury among individuals with traumatic brain injury. J Head Trauma Rehabil. 2006;21(1):22–33. [PubMed] [Google Scholar]
Jones PA, Andrews PJ, Midgley S, Anderson SI, Piper IR, et al. Measuring the burden of secondary insults in head-injured patients during intensive care. J Neurosurg Anesthesiol. 1994 Jan;6(1):4–14. [PubMed] [Google Scholar]
Siddiqui AA, Zafar H, Bashir SH. An audit of head trauma a care and mortality. J Coll Physicians Surg Pak. 2004;14(3):173–7. [PubMed] [Google Scholar]
Suttner N, Price SJ. Have ATLS and national transfer guidelines improved the quality of resuscitation and transfer of head injury patients prospective survey from a region neurosurgical unit. Aspos Ar Injury. 2003;34(11):834–8. [PubMed] [Google Scholar]
Ebrahimi Fakhar HR, Moshiri E, Zand S. An investigation on quality of emergency care of head injury patients in emergency ward, Vali-e-Asr hospital, Arak 2005. Arak Med Uni J. 2007;10(4):1–12. [Persian] [Google Scholar]
Jeevaratnam DR, Menon DK. Survey of Intensive care of severity head injury patients in the United Kingdom. BMJ. 1996 Apr 13;312(7036):944–7. [PMC free article] [PubMed] [Google Scholar]
Terms and Conditions of Service Centers in Health Tourism, Office of Legal Affairs, Ministry of Health and Medical Education 2009. [Persian]. Specific rules available at: http://treatment.tbzmed.ac.ir/uploads/30/CMS/user/file/47/PDF/%D8%A2%D8%A6%D9%8A%D9%86%20%D9%86%D8%A7%D9%85%D9%87%20%D8%A7%D8%AE%D8%B0%20%D9%85%D8%AC%D9%88%D8%B2%20%D8%AE%D8%AF%D9%85%D8%A7%D8%AA%20%DA%AF%D8%B1%D8%AF%D8%B4%DA%AF%D8%B1%D9%8A%20%D8%B3%D9%84%D8%A7%D9%85%D8%AA.pdf.
Baethmann A, Chapunis D, Wirth A. System analysis of patient management during the pre-and early clinical phase in severe head injury. Acta Neurochir suppl. 1999;73:93–7. [PubMed] [Google Scholar]
Ebrahimi Fakhar HR. Outcome of patients with severe brain trauma in Vali Asr hospital on the Glasgow outcome scale. Arak Med Uni J. 2009;12(4):9–1. [Persian] [Google Scholar]
Zargar M, Zafarghandi MR, Modaghegh H, Abbasi K, Razai Shiraz H. Significance of trauma mechanism and its effect on the outcome of trauma patients. Tehran Univ Med J. 1998;5(56):108–11. [Google Scholar]
Matta b, Menon D. Severe head injury in the United Kingdom and Ireland: a survey of practice and implications for management. Crit Care Med. 1996 Oct;24(10):1743–8. [PubMed] [Google Scholar]
Femal MF, Keizum MS. Evaluation of the security of head injury nursing anatomic and indices. Rever Esc Enferm. 1996;30(1):116–37. [PubMed] [Google Scholar]
Hossein Rezaiee H, Khada Bandeh S, Nikian YA. Quality of care airways of head injury in emergency ward of Bahonar hospital in Kerman City. Gilan Med Uni J. 2005;13(52):29–36. [Persian] [Google Scholar]
Phipps W, et al. Medical Surgical Nursing Care Planning Guides. 4th ed. Philadelphia: WB Saunders; 1998. pp. 252–69. [Google Scholar]
Myburgh JA, Cooper DJ, Finfer SR, Venkatesh B, Jones D, Higgin S, et al. Epidemiology and 12-month outcomes from traumatic brain injury in Australia and New Zealand. J Trauma. 2008;64(4):854–62. [PubMed] [Google Scholar]
Published
Issue
Section
License
Copyright (c) 2020 Knowledge Kingdom Publishing
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
