烧伤和创伤负担以及在COVID-19大流行期间针对人际暴力的查
Sandra E Loza-Avalos1, Elizabeth DeAtkine1, Manuela Ochoa1
1Division of Burns, Department of Surgery, Trauma and Acute Care Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
The Journal of surgical research
|November 13, 2023
概括
疫情期间的住所订单与烧伤和创伤伤害的增加有关. 护士主导的家庭安全查发现了一些问题,强调了在创伤护理中需要持续的心理社会支持.
科学领域:
- 创伤外科手术是什么
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 在大流行期间,全国范围内的住所 (SIP) 命令导致家庭和人际暴力增加.
- 针对暴力的查协议在各机构之间有很大差异.
- 烧伤和创伤病患者的入院率不断上升,需要对与流行病相关的趋势进行审查.
研究的目的:
- 分析SIP订单期间和之后儿科烧伤和成人烧伤/创伤入院的趋势.
- 在大流行期间评估家庭安全查的有效性.
- 为临床护理提供信息,并预测大流行病对创伤入院的系统级影响.
主要方法:
- 在一级创伤/烧伤中心对烧伤和创伤患者的回顾性队列研究 (2019年3月至5月和2020年3月至5月).
- 家庭安全查由护理人员使用标准化问卷进行.
- 患者被分类为SIP前,SIP期间和SIP后,基于与SIP订单相对的入院日期.
主要成果:
- 的创伤是最常见的伤害 (60%),其次是烧伤 (30%).
- 在SIP期间,烧伤和穿透伤害的发生率更高 (P ≤ 0.0001).
- 在SIP之前和期间,家庭安全查的遵守率仍然很高 (94-95%),但在SIP之后降至85%. 报告的安全问题从SIP前的2%增加到SIP期间的3% (P = 0.016).
结论:
- 在SIP订单期间和之后,烧伤和创伤的发生率增加,与其他机构的经验保持一致.
- 一个由护士驱动的查过程表明了高度的合规性,并促进了适当的转诊.
- 持续的烧伤和创伤的负担强调了持续的心理社会查和急性创伤环境中的支持的迫切需要.
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