الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Due to the potentially life-threatening complications of abdominal trauma, it is important to begin treating the patient immediately. In some instances, treatment will occur in conjunction with the assessment. However, in other situations, treatment will be postponed until all assessments have been administered. (41-43). The current study aimed to determine the effectiveness of implementing emergency nursing intervention on clinical outcomes of abdominal trauma patients. A quasi-experimental research design was used in the present study. The study was conducted at causality hospital affiliated with Tanta University and Elminshawy general hospital affiliated with the ministry of health. A convenience sampling of (60) adult patients who had abdominal trauma injury, had inclusion criteria, and were scheduled for emergency nursing intervention was selected and divided randomly into two equal groups, 30 patients in each group. group one: Control group, 30 patients suffered from recent abdominal trauma injury was received routine nursing care by hospital nursing staff divided into two equally subgroups: Subgroup one: 15 patients from causality hospital and Subgroup two: 15 patients from Elminshawy general hospital group two: Study group; 30 patients suffered from recent abdominal trauma this group was received emergency nursing intervention protocol as designed and implemented by the researcher and divided into two sub equally groups: Subgroup one: 15 patients from causality hospital and subgroup two: 15 patients from Elminshawy general hospital. 110 Tools of data collection: Three tools were used in the current study as the following: Tool I: trauma patient assessment tool:Structured interview sheet was developed by the researcher to collect the data after reviewing of literature and was consists of five parts: - part (1): Biosocio-demographic data, which includes patient name, age, marital status, educational level, and occupation. - Part (2): Health assessment tool that was included past and present medical history,diagnosis, previous & duration of hospitalization, family history, allergy to medication, assessment of circulation, airway, breathing abdominal trauma type, the pattern of an abdominal injury, time of injury, mechanism of trauma, associated injuries and vital signs. - Part (3): -laboratories Investigations: Two types of investigative data were analyzed: routine laboratory investigations and radiographic investigations. - Part (4): Bates-Jensen Wound Assessment Tool to assess and monitor the healing of all types of wounds. - Part (5): Revised trauma score is made up of three categories: Glasgow coma scale, systolic blood pressure, respiratory rate. Tool II: Hemodynamic instability score: It provides a useful framework for classifying a trauma patient’s hemodynamic status with blunt abdominal injury according to responses to resuscitation. Tool III: An observational checklist: for the control group to assess emergency nursing care. 111 The main results of the present study: - There was a noticeable disparity in patient age between the control and study groups, with less than half (43.3 percent) and more than one third (36.6 percent) of the patients in each group being between the ages of 21 and 30. - According to occupation, the control group had 30.0 percent of workers while the research group had 36.6 percent of employees. - Most of the patients in both the control and research groups (86.7 percent and 80.0 percent, respectively) had never been hospitalised before. - In terms of abdominal trauma, fewer than two-thirds (60.0 percent) of the control group and more than two-thirds (66.7 percent) of the study group had blunt trauma. - In terms of duration of stay, the control group’s mean score was 21.8 5.719, whereas the study group’s mean score was 11.46 2.012. - Standard precautions were observed in 100% of the research and control groups. The research and control groups implemented all of the covid-19 precaution procedures, with 100 percent of the participants doing so. covid-19 safety measures - It was shown that 40.0% of the control patients and 50.0% of the research patient had a clean airway. - Before and after the emergency nursing intervention regimen, there were statistically significant differences between the control and study groups for indications of airway blockage. - When comparing the study and control groups for arterial blood gases and electrolytes, it was observed that the study group had statistically significant changes prior to intervention, whereas the control group did not. 112 - Both groups’ abdominal organs were found to impact 100 percent of the participants. - In terms of pain treatment, 100 percent of the patients in the research group and 40 percent of the patients in the control group get nurse care and receive massages. - Study group had no statistically significant difference in the mean total score before nursing intervention using Bates-Jensen Wound Assessment Tool. - There was a statistically significant difference in the mean total score of the control and study groups after nursing intervention using the Bates- Jensen Wound Assessment Tool. - No change in mean total score before and after nursing intervention was found with respect to revised trauma score, although there was a statistically significant difference after treatment • There was no statistically significant difference in the mean total score of the control and study groups before the nursing intervention compared to the mean total score of the control and study groups after the nursing intervention in hemodynamic evaluation of the studied patient. - It was discovered that 100 percent of the nurses in the study performed poorly in the first, second, third 8-hour to 48-hour period, and at the end of the week. - There was no statistically significant change in the overall mean scores of 37.503.38, 36.503.62, 36.963.75, and 36.303.33 from the third 8 hours to 48 hours and after a week, respectively. - After the nursing intervention, the Bates-Jensen Wound Assessment had a strong negative connection with the study group’s age. - After the nursing intervention, it was shown that the study group’s age and educational level differed positively with a statistically significant difference in the Revised trauma score. 113 - Pre-intervention Bates-Jensen Wound Assessment Tool (BWAT) and Revised Trauma Score (RTS) and patient length of stay showed a negative correlation without a statistically significant difference, whereas post-intervention BWAT and RTS showed a positive correlation with a statistically significant difference. The study concluded that patients showed an improvement in their hemodynamic stabilization, Glasgow coma scale (GCS) equals 15, decrease the length of stay, and free from complications after the received emergency nursing intervention. There was no statistically significant difference in nurses’ performance for emergency nursing intervention on abdominal trauma patients throughout the study. The study recommended that: 1-Implementation of emergency nursing intervention for abdominal trauma patients upon admission until discharge. 2-Using Bates-Jensen Wound Assessment Tool to assess and monitor healing of all types of wounds upon admission, follow up and after discharge. 3-Using Revised trauma score and hemodynamic instability score upon admission to assess the severity of injury. 4-Universal protocols for emergency nursing intervention should be integrated into Medical Surgical Nursing curricula. 5-Resources such as articles, Journals, Computers and Internet should be accessible in the Medical Surgical department as a reference to units’ staff members in hospitals. 6-Ongoing in-service education programs must be designed and implemented for nurses at causality hospital to enhance their knowledge and practice about emergency nursing intervention. 114 7-Using protocol of care for abdominal trauma patient to the emergency units. 8-The study should be replicatedon large sample and different hospilals in order to generalize the results.