<p>Objetivo: descrever o perfil clínico-epidemiológico dos indivíduos com histórico de Traumatismo Cranioencefálico atendidos em um hospital público do interior do estado da Bahia e conhecer as características clínico-epidemiológicas desses indivíduos segundo sexo e causas (violentas e não violentas). Método: estudo descritivo de abordagem quantitativa, exploratório, realizado com pacientes internados por Traumatismo Cranioencefálico. Os dados foram submetidos à análise bivariada, utilizando o Teste Qui-quadrado de Pearson. Resultado: compôs a amostra, um total de 1.140 prontuários de indivíduos com média de idade de 37,6 (± 20,5) anos, sendo a maioria do sexo masculino (81,9%). Predominou, na casuística, indivíduos com traumatismo cranioencefálico leve (36%), sendo as causas mais incidentes os acidentes de transportes envolvendo motocicleta (30,5%), automóvel (16,4%) e as quedas da própria altura (14,6%). Conclusão: as principais vítimas de traumatismo cranioencefálico foram adultos jovens do sexo masculino e as principais causas foram os acidentes de transporte e as quedas.</p><p><br />Descritores: Traumatismos Cranioencefálicos. Lesão Encefálica Traumática. Epidemiologia. Perfil de Saúde. Morbidade.</p>

Objective To validate the defining characteristics of the nursing diagnosis “labile emotional control” in traumatic brain injury (TBI) outpatients. Design This was a descriptive, cross‐sectional, quantitative study. Methods Thirty‐one Brazilian nurses who were experts in the area of TBI answered a semistructured questionnaire on the diagnosis “labile emotional control” based on NANDA‐International (NANDA‐I) Taxonomy II (2015–2017) using a Likert‐type scale to rate the 13 defining characteristics. Based on Fehring's model, the weighted average of ≥80 was used to define the main characteristic and the mean of ≥0.50 was considered for total content validation. Results Out of the 13 defining characteristics of the nursing diagnosis studied, “leaving a social situation” (0.80) and “expression of emotions inconsistent with the triggering factor” (0.81) were classified as principal characteristics, while the 11 others were classified as secondary characteristics. The diagnosis “labile emotional control” obtained a total score of 0.69, which was considered valid according to NANDA‐I Taxonomy II. Conclusions Because this is a new diagnosis with subjective characteristics, there is a need to train nurses to recognize the defining characteristics for the diagnosis. Clinical Relevance The validation of this diagnosis helps nurses understand and identify the subjective characteristics of the emotional impressions expressed by patients with TBI. These defining characteristics will help improve TBI nurses’ clinical practice.

Objective: To describe children’s perception of risk and preventive factors related to traffic accidents using the Edutherapeutic Method. Methods: This is a qualitative descriptive study carried out with 173 students from public schools aged seven to 14 years in Lagarto, Sergipe, Brazil. Data were collected in the second half of 2014. The first stage consisted of an activity with drawing/writing sheets in all classes selected by the Nursing undergraduate students. Next, the children answered a questionnaire on sociodemographic data. The qualitative analysis of the expressive language of the children’s drawings generated two categories: positive and negative factors for the prevention of traffic accidents and their subcategories. Results: The children’s perception regarding preventive and risk factors for traffic accidents was considered adequate according to other studies found in the literature on the same subject. The drawings and descriptions were used later to provide the students with a better understanding of these factors. Conclusions: The study lends support to educational activities and interventions about prevention with schoolchildren. This is one of the main goals proposed by Brazil in the National Plan of Action for Road Traffic Safety for the decade 2011-2020.

ResumoO estudo busca conhecer as percepções dos pacientes com traumatismo cranioencefálico (TCE) quanto à temática da hospitalização e do retorno para casa. A pesquisa contemplou uma abordagem qualitativa, empírica, intervencionista e grupal, com levantamento de dados baseado em dinâmicas que incentivavam os participantes a expressar em fi guras os sentimentos relacionados ao objeto do estudo, e a discorrer sobre eles. A amostra compreendeu 10 indivíduos com TCE, atendidos no Programa de Reabilitação do Trauma do Hospital Universitário de Sergipe. Os dados, categorizados e interpretados sob a perspectiva da Teoria Psicanalítica Freudiana. Os resultados demonstram que o processo de acolhimento em grupo é favorável para compartilhar as afl ições e enfrentar o processo de adoecer; o grupo de terapia auxilia na busca de estratégias para enfrentar o convívio familiar; os conhecimentos adquiridos possibilitam o alívio das angústias e contribuem para o enfrentamento das difi culdades diárias e para o aumento na qualidade de vida. Palavras-chave: traumatismo cranioencefálico, psicoterapia de grupo, psicanálise, relações familiares Abstract This study seeks to understand traumatic brain injury (TBI) patients' perceptions concerning hospitalization and home return. It´s a qualitative, empirical, interventional and group research, with data collection based on dynamic group that encouraged the participants to express in fi gures the feelings related to the object of study, and discuss about them. The sample included 10 individuals with TBI, registered at the Trauma Rehabilitation Program University Hospital of Sergipe. The data was categorized and interpreted based on the perspective of Freudian Psychoanalytic Theory. The results demonstrate that the process of host group is favorable to share the sufferings and face the process of becoming ill; the therapy group assists in the search for strategies to tackle family life; the acquired knowledge enables the relief of anxiety and contributes to face the daily diffi culties and the increase in quality of life. Keywords: traumatic brain injury, group psychotherapy, psychoanalysis, family relationships Resumen El estudio busca comprender las percepciones de los pacientes con lesión cerebral traumática como el tema de la hospitalización y regreso a casa. La investigación incluyó un enfoque cualitativo, empírica, de intervención y el grupo, con la recogida de datos basado en dinámica que animó a los participantes a expresar en cifras los sentimientos relacionados con el objeto

Objective: To evaluate knowledge, attitudes and preventive practices on traffic accidents in schoolchildren, before and after the implementation of a health education program.Methods: Experimental study carried out in two public schools in Northeastern Brazil. The sample was composed of 173 children from 3rd to 5th grade and was randomized into Experimental Group (EG; n=0) and Control Group (CG; n=8). The educational program was carried out at EG with the use of the educational therapeutic method (Health Magic Box). The data were obtained through the questionnaire Knowledge, Attitudes and Practices (KAP), applied at the beginning of the study, before any educational actions, and one month after the experimental treatment. Paired Student’s t-test was used to compare the moments before and after the intervention in the EG and initial and final evaluation in the CG.Results: The children in the EG and CG were similar in relation to sociodemographic variables, and no significant difference was observed in the level of knowledge, attitudes and preventive practices on traffic accidents between the groups in the initial evaluation. One month after the experimental treatment, a significant improvement in knowledge was observed in EG (p=0.027). Preventive attitudes and practices were also higher in children in the EG, but without significant differences in relation to CG (p=0.060 and p=0.282, respectively).Conclusions: The educational intervention increased the level of knowledge and maintained the preventive attitudes and practices on traffic accidents at the same level in 3rd-5th grade students.

BACKGROUND: Motor vehicle crash (MVC) is a major public health problem worldwide and contributes to a large burden of death, disability, and economic loss. OBJECTIVE: To identify the predictors of hospital readmission in victims of MVC within 1 year after discharge. METHODS: A prospective cohort study conducted with individuals who suffered MVC admitted to a regional hospital and who were followed up for 12 months after discharge. Predictors of hospital readmission were verified by means of Poisson regression models with robust variance, using a hierarchical conceptual model. RESULTS: Of the 241 patients followed up, 200 were contacted and comprised the population of this study. Of these, 50 (25.0%) reported hospital readmission during the 12-month period after discharge. It was evidenced that being male (relative risk [RR] = 0.58; 95% CI [0.36, 0.95], p = .033) was a protective factor, whereas occurrences of greater severity (RR = 1.77; 95% CI [1.03, 3.02], p = .036), not receiving pre-hospital care (RR = 2.14; 95% CI [1.24, 3.69], p = .006), the occurrence of postdischarge infection (RR = 2.14; 95% CI [1.37, 3.36], p = .001), and having access to rehabilitation treatment (RR = 1.64; 95% CI [1.03, 2.62], p≤ .001) are configured as risk factors for hospital readmission in individuals who have suffered these events. CONCLUSION: It was found that gender, trauma severity, pre-hospital care, postdischarge infection, and rehabilitation treatment variables predict hospital readmission in MVC victims within 1 year after discharge.

Objective: To determine changes in the functional capacity of elderly victims of external-cause trauma using the Modified Barthel Index and to evaluate related independent risk factors during hospitalization and ninety days after discharge.Method: This prospective study of 247 elderly trauma victims in northeastern Brazil aged ≥ 60 years. Data were analyzed using the software BioEstat 5.0. The Wilcoxon test was used with a significance level of 5%. The independent predictors of incapacity that showed interactions (p<0.2) with the outcome were evaluated using logistic regression with a stepwise selection model and adjusted odds ratios with a confidence interval of 95%. This study was approved by the Research Ethics Committee. Results:The mean age was 70.8 years, and the mean duration of hospitalization was 10.5 days. The logistic regression analysis showed that a history of cardiovascular disease, traumatic brain injury and femoral neck fracture were independent factors associated with moderate/severe functional incapacity in elderly trauma patients during hospitalization. Ninety days after discharge, associated factors were female gender, age greater than or equal to 80 years and femoral neck fracture. Conclusion:The Modified Barthel Index showed improvement in functional capacity in almost all categories, except for elderly who remained in wheelchairs during hospitalization and 90 days after hospital discharge, with evidence of independent factors associated with incapacity, particularly femoral neck fracture. Studies involving the elderly can scientifically support the formulation of public policies.