Effectiveness of Implementing Emergency Nursing Intervention on Clinical Outcomes of Abdominal Trauma Patients

Elshanshory, Hala Ali Hamed; Gad, Nagwa Ragab Attia; Ismail, Amany Lotfy Abdul-Aziz; Ebeid, Elghamry Elsayed Elghamry

doi:10.21608/tsnj.2023.298620

Effectiveness of Implementing Emergency Nursing Intervention on Clinical Outcomes of Abdominal Trauma Patients

Document Type : Original Article

Authors

¹ Nursing Specialist at Elmenshawy Hospital.

² Professor of Medical Surgical Nursing Department, Faculty of Nursing, Tanta University, Egypt

³ Lecturer in General Surgery Department, Faculty of Medicine, Tanta University

10.21608/tsnj.2023.298620

Abstract

Background: The nurse must be aware of specific assessment findings that are associated with
abdominal trauma and immediate recognition of problems and prevention of occurrence
complications. The aim of this study was to determine the effectiveness of implementing
emergency nursing intervention on clinical outcomes of abdominal trauma patients. Design quasi
experimental research design was used. Setting the study was conducted at causality hospital
affiliated to Tanta University and Elminshawy general hospital affiliated to Ministry of health.
Sample a convenient sample of (60) adult patients who had abdominal trauma injury, had
inclusion criteria and scheduled for emergency nursing intervention was selected and divided
randomly into two equal groups, 30 patients in each group. Tools of the study: three tools were
used for data collection: trauma patient assessment tool, hemodynamic instability score, and an
observational check list. The results showed that half of the control and study groups had
substantial beginning requirements and that the patient has a robust continuous volume need for
the examined patient (score 4). Also, half of the control and study groups had large-resolved
prearrival hypotension or tachycardia (score 1) before the emergency nursing intervention,
whereas fewer than three quarters of the control and study groups had never been hypotensed or
tachycardic. After the nursing intervention, there was a statistically significant difference in the
mean total score between the control and study groups. Conclusions: patients showed an
improvement in their hemodynamic stabilization, Glasgow coma scale (GCS) equal 15, decrease
length stay and free from complications after received emergency nursing intervention.
Recommendations: Implementation of emergency nursing intervention for abdominal trauma
patients upon admission until