The effect of person-centered care on the triage accuracy, pain control and patient experience of trauma patients

Not Applicable

Recruiting

Conditions: trauma.
G89.11
Acute pain due to trauma

Registration Number: IRCT20150919024080N20

Lead Sponsor: Khoram-Abad University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 86

Inclusion Criteria

(age 18-60 years)
Abdominal, chest and orthopedic trauma (musculoskeletal)
Having triage level 3 or 4 according to the ESI triage system
Having acute pain means that the pain started 6 hours ago
Having a minimum score of mild pain based on NRS
having the ability to communicate
The patient is alert and aware
Injury Severity Score (ISS) in terms of anatomical area in the mild to moderate range
No history of admission to the emergency room for 6 months
Absence of sleeping pills, herbal medicines and other complementary medicine treatments from one month ago
All injured transported by 115 emergency

Exclusion Criteria

Mental illness or cognitive impairment
Unstable hemodynamic status
Drug and alcohol abuse
Serious diseases such as advanced liver disease, acute infectious diseases and chronic pain syndrome
Active bleeding
Transfer to the ICU or operating room
Traumas of the face, head and neck and spinal cord
Pregnancy
Allergy to analgesics used in the present study
Being treated with other pain and restlessness management protocols
Participate in other emergency service enhancement interventions affecting experience
Being admitted in an emergency department for less than 90 minutes
Unwillingness to participate in the study

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Triage score: It is measured according to the specialized triage criteria of trauma patients. Timepoint: Patients' triage score is measured at the time of admission to the emergency room. Method of measurement: Using the specialized triage criteria of mREMS trauma patients.;Pain intensity: Measured using the NRS criterion. Timepoint: Pain intensity is assessed upon arrival, 15, 30, and 60 minutes after analgesia according to the pain control protocol. Method of measurement: Using the NRS criterion.

Secondary Outcome Measures

Name	Time	Method
Triage accuracy: comes from the degree of agreement between the scorers, which includes the principal investigator and the emergency physician. Timepoint: Upon arrival of patients to the emergency room. Method of measurement: comes from the degree of agreement between the scorers, which includes the principal investigator and the emergency physician.;Pain control and management. Timepoint: At the onset and at 15, 30 and 60 minutes after the implementation of the pain control protocol. Method of measurement: It is measured in patients using the NRS system.;Satisfaction with pain control. Timepoint: When leaving the emergency department. Method of measurement: Using a questionnaire to assess patient satisfaction with pain control.;Patients' experiences. Timepoint: When leaving the emergency department. Method of measurement: Using the AEDQ questionnaire.