Research on prehospital care for people with aggressive behavior or suicidal behavior, although scarce, can contribute to the planning, evaluation and qualification of care offered to this clientele. This study aimed to investigate the factors associated with the attendance related to aggressive behavior and suicidal behavior occurred in 2014 in the emergency mobile service of a city in the interior of São Paulo-Brazil. Quantitative study, transversal, documentary. A manual consultation of all the nursing care records generated by Basic Support Units in which they were documented called for aggressive behavior or suicidal behavior in the year 2014. The data were recorded in scripts prepared by the researchers and analyzed by means of descriptive statistics , association tests, covariance analysis, and multiple logistic regression. The study was approved by the Research Ethics Committee. In the 627 files analyzed, adult men with aggressive behavior predominated, who were at home and were transported to some health service. Male gender was associated with the manifestation of aggressive behavior. The waiting time for the care was higher in calls for suicidal behavior or occurred in residences. With regard to nursing care, signs and symptoms were more documented in cases of men with aggressive behavior and in the second half. The vital signs were more evaluated in the calls for suicidal behavior occurred in the residence and the nursing procedures were more documented in attendances by suicidal behavior. The chance of being referred to the health service was greater in cases of suicidal behavior or occurred in the second semester. This study allowed the best mapping of the attendances related to the aggressive behavior and suicidal behavior, knowledge relevant to the planning of the nursing care and understanding about the necessary competencies for such care.
Objetivo: Investigar fatores associados aos atendimentos realizados por serviço de atendimento móvel de urgência a comportamento agressivo e comportamento suicida ocorridos em 2014 em um município brasileiro. Método: Estudo quantitativo, retrospectivo e documental. Os dados foram extraídos de fichas de atendimento de enfermagem e analisados por estatística descritiva, testes de associação, análise de covariância e regressão logística múltipla. Resultados: Foram analisadas 627 fichas nas quais predominaram homens adultos, com comportamento agressivo, na própria residência e que foram transportados para algum serviço de saúde. O comportamento agressivo foi mais comum entre homens e teve mais sinais e sintomas documentados e menos tempo de espera pelo atendimento. O comportamento suicida teve mais avaliação de sinais vitais, mais realização de procedimentos e encaminhamento para serviço de saúde. Conclusões: Tais associações revelam características importantes para a organização e planejamento de intervenções para o cuidado às urgências, prevenção da violência e qualificação de recursos humanos para assistência.
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