![]() ![]() Research has demonstrated that triage time to diagnostics decreased, and patient and family perceptions of care increased. A trauma nurse lead (TNL) program ensures the presence of highly trained trauma nurses to assist other medical staff with continuing care. Individuals' traumatic stress symptoms could be reduced by early multiple session psychological interventions, such as cognitive behaviour therapy, structured writing therapy and internet-based guided self-help. Previous studies have demonstrated that psychological care for trauma patients could save more lives, relieve ongoing stress or severe pain, and improve patient outcomes. Trauma-focused whole-course management should begin in the emergent phase and continue from acute to convalescent phases. ![]() Psychological problems caused by trauma are significantly associated with generalized anxiety disorder, ineffective coping behaviour, and inactive participation in rehabilitation. Numerous studies have reported that even if the physical trauma of survivors has been cured, psychological trauma can still continue for decades. This could cause patient's psychological distress, which is a common health problem during the first year after injury. Moreover, Granieri and colleagues surveyed 322 volunteers who had suffered traumatic events, and found that exposure to multiple traumatic experiences might generate severe impairments in self-regulation and identity integration of personality functioning. Persistent posttraumatic pain, risk of infection, economic stress and physical dysfunction are all great strikes to the psychological state of patients. For example, trauma-related adverse symptoms, such as sleep problems, temper tantrums or nightmares should not continue beyond a few weeks, and 10 ~ 30% of patients developed to posttraumatic stress disorder (PTSD), which could have long-term adverse effects. These features could lead to negative psychological outcomes, including fear, anger, resistance, and unassisted, outcomes not conducive to patient's treatment and health care. The features of the trauma, for instance, unpredictability, complexity, and uncertain prognosis, might result in patients and their families being unacceptable in the short term. In developing countries, traumatic events are the third leading cause of death with more than 5 million deaths each year, and the rate of disability is exceptionally high. We also focused on the experience and demands of health professionals in conducting psychological care, which could provide references for managers to formulate corresponding psychological care procedures and norms. ConclusionĪccording to the TPB, this article explored the internal and external promotion and hindrance factors that affecting the intentions and behaviors of doctors and nurses in implementing psychological care for trauma patients. ![]() Some demands, such as training diversity, multidisciplinary cooperation and families' support, reflected by doctors and nurses were important for them to carry out psychological care. Important advantages (mutual trust, patients' adherence and recovery), disadvantages (workload, short-term ineffective, practice unconfidently), referents (supportive: managers, patients, kinsfolk, nursing culture unsupportive: some colleagues and patients), barriers (insufficient time or energy, resources situations), and facilitators (access to psychologist, training/education, reminders) were identified. According to the framework of TPB, the researchers identified and summarized the themes. Data analysis was performed using the approach of Colaizzi. The participants came from six tertiary hospitals in Chongqing, China. MethodĪ qualitative study of in-depth semi-structured interviews was conducted among 14 doctors and nurses engaging in trauma care. ![]() We examined attitudinal, normative, and control beliefs underpinning medical staffs’ decisions to perform psychological care. However, few qualitative studies had based on the framework of the Theory of Planned Behavior (TPB) to explore the experiences in providing psychological care for trauma patients. Doctors and nurses are at the forefront of caring trauma patients and they play a crucial role in psychological supports and mental health care. Trauma patients are often in a state of psychological stress, experiencing helplessness, sadness, frustration, irritation, avoidance, irritability and other adverse emotions. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |