Nursing diagnoses in trauma victims attended in a mobile advanced pre-hospital care service

Abstract

Mobile pre-hospital emergency care services deliver care to all requests for help outside the hospital environment, aiming at the maintenance of life and minimization of sequelae, demanding specific knowledge and skills from nurses. This study aimed to identify the nursing diagnoses in trauma victims who receive care in a Mobile Advanced Urgency Care Service (SAMU) in the interior of the state of São Paulo, Brazil. A data collection instrument was developed and validated according to Horta’s conceptual model. Collected data were validated by experts in the area. The project was approved by the Research and Ethics Committee. Twenty-three trauma victims were evaluated, 17 (74%) men, 16 (69.5%) aged between 18 and 30 years old and 14 (60.1%) were victims of traffic accidents. The most frequent nursing diagnoses were: Risk for infection (91%), Risk for trauma (82%), Acute pain (74%), Impaired tissue integrity (65%), Deficient fluid volume (43%) and Risk for deficient fluid volume (43%). The study contributed for the identification of the main nursing diagnoses in this specific clientele. Results can support future researches, mainly addressing nursing interventions.