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 One gene closer to regenerative therapy for muscular disorders
01.06.2017 | Cincinnati Children's Hospital Medical Center

nachricht The gut microbiota plays a key role in treatment with classic diabetes medication
01.06.2017 | University of Gothenburg

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: Can we see monkeys from space? Emerging technologies to map biodiversity

An international team of scientists has proposed a new multi-disciplinary approach in which an array of new technologies will allow us to map biodiversity and the risks that wildlife is facing at the scale of whole landscapes. The findings are published in Nature Ecology and Evolution. This international research is led by the Kunming Institute of Zoology from China, University of East Anglia, University of Leicester and the Leibniz Institute for Zoo and Wildlife Research.

Using a combination of satellite and ground data, the team proposes that it is now possible to map biodiversity with an accuracy that has not been previously...

Im Focus: Climate satellite: Tracking methane with robust laser technology

Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.

Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...

Im Focus: How protons move through a fuel cell

Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.

As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...

Im Focus: A unique data centre for cosmological simulations

Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.

With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...

Im Focus: Scientists develop molecular thermometer for contactless measurement using infrared light

Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine

Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Plants are networkers

19.06.2017 | Event News

Digital Survival Training for Executives

13.06.2017 | Event News

Global Learning Council Summit 2017

13.06.2017 | Event News

 
Latest News

Quantum thermometer or optical refrigerator?

23.06.2017 | Physics and Astronomy

A 100-year-old physics problem has been solved at EPFL

23.06.2017 | Physics and Astronomy

Equipping form with function

23.06.2017 | Information Technology

VideoLinks
B2B-VideoLinks
More VideoLinks >>>