Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Telephone support after traffic accidents reduces problems and improves quality of life

14.01.2009
People who were injured in road accidents had fewer problems and a much higher quality of life if they received a simple follow-up call from a nurse three weeks after being discharged from hospital, according to research in the January issue of the Journal of Clinical Nursing.

During the two-year study, researchers from Umea University in Sweden followed up 568 car occupants, cyclists and pedestrians who had attended the same emergency department after an accident.

They found that patients in the telephone support group were 35% less likely to complain of pain and discomfort than patients in the control group and that this rose to 40% when it came to car occupants. Patients who received support also reported fewer problems with anxiety, depression, everyday tasks and mobility.

The patients, who were between 18 and 70, were randomly assigned to the intervention group (288 people) or the control group (280). People with mental health problems or dementia were specifically excluded. 510 people completed the six-month study – 147 were car drivers, 178 were cyclists and 185 were pedestrians.

All the patients were asked to fill in the same quality of life questionnaire two weeks and six months after their accident.

Patients in the intervention group also received a follow-up call after three weeks. These ranged from an average of 12 minutes in the 38% of patients who didn’t need advice and 24 minutes in the 62% of patients who did ask for advice.

Key findings from the nurse-led phone calls included:

•Women were more than twice as likely to seek advice as men (69% versus 31%).

•Two-thirds of the problems mentioned by the intervention group were physical, such as pain and decreased mobility, and a third were psychological, such as emotional instability and feeling tense in traffic.

•Women were almost twice as likely to report physical problems as men (66% versus 34%) and almost four times as likely to report emotional problems (79% versus 21%).

•29% received advice on self care, 26% were advised to visit their local medical centre or hospital for further medical attention, 25% received advice on ongoing symptoms, 11% were advised to see a physiotherapist, 5% received advice on their prognosis and 4% received advice on medication like painkillers.

“The data collected two weeks and six months after the accidents showed that the intervention group had a significantly higher health-related quality of life than the control group” says lead author Carin Franzen from the Division of Surgery at the University.

“This was most noticeable in the patients who asked for, and received, advice during the follow-up phonecall from the nurse. When we looked at the different types of road users, we found that car occupants gained the greatest benefit from the phone call and reported fewer problems with pain, discomfort and usual activities than pedestrians and cyclists.”

Key findings from the six-month survey included:

•Patients in the intervention group reported fewer moderate or severe problems in four of the five quality of life categories looked at. 49% had mobility problems (59% in the control group), 17% reported anxiety or depression (26%), 14% had problems with usual activities (18%) and 9% had issues with mobility (12%). Self-care was the only issue where they had slightly more problems (4% in the intervention group and 2% in the control group).

•The most significant differences were in the car group. Pain and discomfort were reported by 38% in the support group, but 63% in the control group. Anxiety and depression were 20% and 32% in the support and control groups, usual activities were 12% and 25% and mobility was 6% and 13% respectively. Self-care was 1% in both groups.

“Our study clearly demonstrates that this simple scheme, which provided nurse-led support and advice for people involved in traffic accidents, was effective and led to reduced health problems and improved quality of life” says Carin Franzen.

Annette Whibley | alfa
Further information:
http://www.blackwellpublishing.com/jcn

More articles from Health and Medicine:

nachricht New High-Performance Center Translational Medical Engineering
26.04.2017 | Fraunhofer ITEM

nachricht A promising target for kidney fibrosis
21.04.2017 | Brigham and Women's Hospital

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Making lightweight construction suitable for series production

More and more automobile companies are focusing on body parts made of carbon fiber reinforced plastics (CFRP). However, manufacturing and repair costs must be further reduced in order to make CFRP more economical in use. Together with the Volkswagen AG and five other partners in the project HolQueSt 3D, the Laser Zentrum Hannover e.V. (LZH) has developed laser processes for the automatic trimming, drilling and repair of three-dimensional components.

Automated manufacturing processes are the basis for ultimately establishing the series production of CFRP components. In the project HolQueSt 3D, the LZH has...

Im Focus: Wonder material? Novel nanotube structure strengthens thin films for flexible electronics

Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.

"The structural robustness of thin metal films has significant importance for the reliable operation of smart skin and flexible electronics including...

Im Focus: Deep inside Galaxy M87

The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.

Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...

Im Focus: A Quantum Low Pass for Photons

Physicists in Garching observe novel quantum effect that limits the number of emitted photons.

The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...

Im Focus: Microprocessors based on a layer of just three atoms

Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.

Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Expert meeting “Health Business Connect” will connect international medical technology companies

20.04.2017 | Event News

Wenn der Computer das Gehirn austrickst

18.04.2017 | Event News

7th International Conference on Crystalline Silicon Photovoltaics in Freiburg on April 3-5, 2017

03.04.2017 | Event News

 
Latest News

Scientist invents way to trigger artificial photosynthesis to clean air

26.04.2017 | Materials Sciences

Ammonium nitrogen input increases the synthesis of anticarcinogenic compounds in broccoli

26.04.2017 | Agricultural and Forestry Science

SwRI-led team discovers lull in Mars' giant impact history

26.04.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>