Stress in Trauma Patients in Triage Categories 3-5
Assessment of Acute Stress and Main Sources of Concern Among Trauma Patients in Triage Categories 3-5 in the Emergency Department: A Prospective Observational Study
調査の概要
詳細な説明
Traumatic injuries are a common reason for seeking care in an Emergency Department. Beyond the physical effects of an injury, patients may also experience considerable emotional stress. They may worry about pain, how serious the injury is, whether surgery will be necessary, how long recovery will take, possible long-term consequences, and how the injury may affect their family, children, work, or financial situation.
In patients who are medically stable, especially those with less immediately life-threatening injuries, this emotional burden is not always assessed in a structured way. However, these patients are often able to complete a short questionnaire about their concerns and stress. Understanding their experiences may help healthcare professionals improve communication, provide clearer information, and offer better support during emergency care.
The aim of this study is to measure acute stress in trauma patients and identify the concerns that matter most to them shortly after injury. For patients who are admitted to the hospital, the study will also examine how stress levels and the main sources of concern change during the first 24 hours after admission.
研究の種類
入学 (推定)
連絡先と場所
研究連絡先
- 名前：Gabriela K Pomper, MD, PHD
- 電話番号：003834254532
- メール：gabrielakatharina@pozeska-bolnica.hr
研究場所
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Požega、クロアチア、34000
- OŽB Požega
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コンタクト：
- Director of the General County Hospital Požega., MD, PHD
- 電話番号：003834254506
- メール：ivan.vukoja@pozeska-bolnica.hr
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コンタクト：
- Head of Emergency Department, MD
- 電話番号：003834254804
- メール：matko.šperanda@pozeska-bolnica.hr
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Age 18 years or older.
- Presentation to the Emergency Department because of an acute traumatic injury.
- Triage category 3, 4, or 5.
- Clinical stability after the initial assessment.
- Ability to understand the study information and the questionnaire.
- Ability to provide written informed consent
Exclusion Criteria:
- Triage category 1 or 2 (an acutely life-threatening condition or an immediate need for emergency medical or surgical intervention; hemodynamic or respiratory instability).
- Severe impairment of consciousness, disorientation, or inability to cooperate.
- Inability to provide informed consent; cognitive impairment or a language barrier preventing comprehension of the questions.
- Severe alcohol or drug intoxication preventing valid completion of the questionnaire.
- A situation in which completion of the questionnaire is inappropriate for medical, ethical, or organizational reasons.
研究計画
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
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Triage Category 3
Clinically stable adult trauma patients classified as triage category 3 after initial emergency assessment.
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Participants complete a brief questionnaire assessing acute stress, pain, treatment-related concerns, family and work-related concerns, and perceived information and communication.
The T0 questionnaire is administered after initial emergency assessment.
Hospitalized participants complete an additional T1 questionnaire approximately 24 hours after admission.
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Triage Category 4
Clinically stable adult trauma patients classified as triage category 4 after initial emergency assessment.
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Participants complete a brief questionnaire assessing acute stress, pain, treatment-related concerns, family and work-related concerns, and perceived information and communication.
The T0 questionnaire is administered after initial emergency assessment.
Hospitalized participants complete an additional T1 questionnaire approximately 24 hours after admission.
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Triage Category 5
Clinically stable adult trauma patients classified as triage category 5 after initial emergency assessment.
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Participants complete a brief questionnaire assessing acute stress, pain, treatment-related concerns, family and work-related concerns, and perceived information and communication.
The T0 questionnaire is administered after initial emergency assessment.
Hospitalized participants complete an additional T1 questionnaire approximately 24 hours after admission.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Overall Acute Stress Level
時間枠：At day 1, after initial assessment
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Overall level of acute stress measured using a numerical rating scale from 0 to 10, where 0 indicates no stress and 10 indicates the highest possible level of stress.
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At day 1, after initial assessment
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Individual Sources of Stress at T0
時間枠：At day 1, after initial Emergency Department assessment.
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Severity of specific stressors, including pain, concerns about injury severity, possible surgery, anesthesia, treatment uncertainty, permanent consequences, family, children, work, and financial concerns, each rated on a 0-10 numerical scale.
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At day 1, after initial Emergency Department assessment.
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Difference in Overall Stress Between Triage Categories 3, 4, and 5
時間枠：At day 1.
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Description: Comparison of overall acute stress scores among trauma patients classified as triage category 3, 4, or 5.
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At day 1.
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Association Between Pain Intensity and Overall Stress
時間枠：At day 1.
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Description: Association between self-reported pain intensity and overall acute stress level, both measured on numerical rating scales from 0 to 10.
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At day 1.
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Overall Stress Score According to Injury Type and Anatomical Location
時間枠：At day 1.
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Overall stress will be assessed using a patient-reported 11-point Numeric Rating Scale (NRS) ranging from 0 to 10, where 0 indicates no stress and 10 indicates the highest imaginable level of stress. Overall stress scores will be compared according to the type of traumatic injury and the anatomical location of the injury. Injury type and anatomical location will be determined from the clinical assessment and medical documentation at presentation to the Emergency Department and categorized for analysis. Higher scores indicate a higher level of overall stress. |
At day 1.
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Change in Overall Stress Score Assessed by the Study-Specific Acute Trauma Stress Questionnaire From T0 to T1
時間枠：From day 1 to approximately 24 hours after admission.
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Change in overall stress level between the initial Emergency Department assessment and approximately 24 hours after hospital admission among hospitalized participants.
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From day 1 to approximately 24 hours after admission.
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Change in Dominant Sources of Stress Assessed by the Study-Specific Acute Trauma Stress Questionnaire From T0 to T1
時間枠：From day 1 to approximately 24 hours after admission.
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Change in the most important patient-reported sources of stress between the initial assessment and approximately 24 hours after admission.
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From day 1 to approximately 24 hours after admission.
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Correlation Between Overall Stress Score and Patient-Reported Information and Understanding Score
時間枠：At day 1 and, for hospitalized participants, approximately 24 hours after admission.
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Correlation between the patient's overall stress level and the patient's perceived level of information and understanding regarding the current treatment plan. Overall stress will be assessed using a patient-reported Numeric Rating Scale (NRS) ranging from 0 to 10, where 0 indicates no stress and 10 indicates the highest imaginable level of stress. The perceived level of information and understanding of the treatment plan will be assessed using a patient-reported Numeric Rating Scale (NRS) ranging from 0 to 10, where 0 indicates feeling not informed/not understanding the treatment plan at all and 10 indicates feeling fully informed and having |
At day 1 and, for hospitalized participants, approximately 24 hours after admission.
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- PozegaBolnica
- Ur.broj: 02-7/3-3/2-2-2026 (その他の識別子：Ethics Committee of the General County Hospital Požega)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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