The evolution of coping and adaptation in hospitalised adults who have suffered traffic accident-related musculoskeletal trauma
Supporting Agencies
- Paola Sarmiento
- Lucy Muñoz de Rodriguez
- Facultad de Enfermería y Rehabilitación de la Universidad de la Sabana
Abstract
Objective: Exploring the evolution of coping and adaptation strategies by 11 cases of adults who had suffered traffic accident-related musculoskeletal trauma during their stay in hospital at Clínica Universidad de la Sabana during 2015.
Methods: Studying the aforementioned cases enabled describing and comparing the 11 patients’ coping and adaptation strategies. The abridged Spanish version of Roy’s Coping Adaptation Processing Scale (CAPS) was used for measuring such strategies; it was used on patient admission to and discharge from hospital. This research took the relevant ethical principles into account; the patients gave their written informed consent and the Universidad de la Sabana and its hospital where the study was carried out authorised the study (i.e. the Faculty of Nursing and Rehabilitation’s Research Subcommittee).
Results: This study’s findings showed that eight of the eleven cases maintained a high coping ability, or improved from moderate (on admission to hospital) to high level ability (on discharge).
Conclusion: Problem-centred coping and adaptation strategies were involved in most cases. Patients approached this through resolving situation-related questions before acting, using past experiences considered useful, adopting new skills to cope with difficult situations and using alternative solutions and resources.
Downloads
References
Quintero MT, Gómez M. El cuidado de Enfermería significa ayuda. Aquichan. 2010;Abril:8–18.
Richmond T AL. A model to advance nursing science in trauma practice and injury outcomes research. J Adv Nursing. 2011;Abril:2741–53.
Espinoza J. Atención básica y avanzada del politraumatizado. Acta médica peruana. Lima; 2011.
Vargas Castillo D. Comportamiento de muertes y lesiones por accidentes de transporte, Colombia [Internet]. Instituto Nacional de Medicina Legal y Ciencias Forenses—INMLCF Grupo Centro de Referencia Nacional sobre Violencia—GCRNV. 2014 [cited 2015 Dec 30]. Available from:
Martín Ayala JL OJ. Trastorno por estrés postraumático en víctimas de situaciones traumáticas. Psicothema. 2004;16 (1):45–9.
Cáceres Rodríguez DE, Montoya Camargo Z RHA. Intervención psicosocial para el incremento de la calidad de vida en pacientes con trauma craneoencefálico moderado a severo. Rev Colomb Psicol. 2003;12:60–72.
Zavala Yoe L, Rivas Lira RA APP. Validación del instrumento de estilos de enfrentamiento de Lazarus y Folkman en adultos de la ciudad de México. Rev Int Psicol y Educ. 2008;10 (2):159–182.
Vera B, Carbelo B VJ. La experiencia traumática desde la psicología positiva: resiliencia y crecimiento postraumático. Papeles del Psicólogo. 2006;27 (1):40–9.
Harms. L. After the accident: Survivors’ perceptions of recovery following road trauma. Aust Soc Work. 57 (2):161–74.
Ching Hui W, Shiow Luan T EB. Post-traumatic stress disorder, depression, anxiety and quality of life in patients with traffic-related injuries. J Adv Nurs. 2005;52 (1):22–30.
Pérez Rincón E, González Forteza C, Ramos Lira M JTJ. TEPT en pacientes con lesiones no intencionales producidas en accidentes de tránsito. Salud Ment. 2007;30 (6):43–8.
Heron M, Kenardy J, Charlton E MY. A systematic review of predictors of posttraumatic stress disorder (PTSD) for adult road traffic crash survivors. Int. J. Care Inj. 2013;44:1413–1422.
Pirente N, Blum C, Wortberg S, Bostanci S, Berger E LR et al. Quality of life after multiple trauma: the effect of early onset psychotherapy on quality of life in trauma patients. Langenbecks Arch Surg. 2007;392:739–745.
Lee B, Chaboyer W WM. Predictors of Health-Related Quality of Life 3 Months after Traumatic Injury. J Nurs Scholarsh. 2008;40 (1):83–90.
Livneh H ME. The Impact of Perceptions of Health Control and Coping Modes on Negative Affect Among Individuals with Spinal Cord Injuries. J Clin Psychol Med Settings. 2011;18:243–256.
Paiva L, Aparecida LR, Silva Costa MC, Aparecida R DS. Experiencia del paciente politraumatizado y sus consecuencias. Rev Latino-Am Enfermagem. 2010;18 (6).
Mi-Ling Wong E, Wai-Chi Chan S CS. Effectiveness of an educational intervention on levels of pain, anxiety and self-efficacy for patients with musculoskeletal trauma. J Adv Nursing. 2010;66 (5).
O’Donnell M, Susannah Tipping WL, Holmes A, Rodney Judson S, Tracey Varker E, Richard A PE et al. Stepped early psychological intervention for posttraumatic stress disorder, other anxiety disorders, and depression following serious injury. J Trauma Stress. 2012;25(2):125–133.
Denholm C. Coping strategies during hospitalization and recovery following motor vehicle trauma: A personal account. Clin Psychol. 2009;13 (3):116–121.
Jeavons S, Horne DJ GK. Coping style and psychological trauma after road accidents. Psychol Health Med. 2000;5 (2).
Rivka T, Freedman S, Bargai N, Boker R, Hadar H SA. Coping with Trauma: Narrative and Cognitive Perspectives Psychiatry. 2004;67(3):280–93.
Dorfel D, Rabe S KA. Coping strategies in daily life as protective and risk factors for post-traumatic stress in motor vehicle accident survivors. J Loss Trauma. 2008;13:422–440.
Rueda Ruiz MB, Aguado Díaz AL ARM. Estrés, afrontamiento y variables psicológicas intervinientes en el proceso de adaptación a la Lesión Medular (LM): una revisión de la bibliografía. Interv Psicosoc. 2008;17 (2):109–124.
Gustafsson M, Olof Persson L AA. A qualitative study of coping in the early stage of acute traumatic hand injury. J Clin Nurs. 2002;11:594–602.
Söderlund A LP. Whiplash-associated disorders – predicting disability from a process-oriented perspective of coping. Clin Rehabil. 2003;1 (7):101–107.
Hall P, Marshall J, Mercado A TG. Changes in Coping Style and Treatment Outcome Following Motor. Rehabil Psychol. 2011;56 (1):43–51.
Bernal C. Metodología de la investigación. Administración, economía, humanidades y ciencias sociales. 3a edición. Hall; P, editor. Colombia; 119-120. p.
Sarmiento González P, Botero Giraldo J CCG. Validez de constructo de la Escala de Medición del Proceso de Afrontamiento y Adaptación de Roy, versión modificada en español. Index Enferm [Internet]. 2013;22(4):233–6. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962013000300009&lng=es. http://dx.doi.org/10.4321/S1132-12962013000300009.
Gutiérrez López C, Veloza Gómez MM, Moreno Fergusson ME, Durán de Villalobos MM, López de Mesa C CO. Validez y confiabilidad de la versión en español del instrumento “Escala de medición del proceso de afrontamiento y adaptación de Callista Roy.” Aquichán. 2007;7 (1):54–63.
Zavala S A– MJ. Ética e investigación. Rev Peru Med Exp y Salud Publica. 2011;28 (4):664.
Carrasco – Aldunate P, Rubio –Acuña M F– OD. Consentimiento informado: un pilar de la investigación clínica. Aquichán. 12 (1):32–41.
Salud M de. Resolución 008430 por la cual se establecen las normas académicas, técnicas y administrativas para la investigación en salud. Santa Fe de Bogotá; 1993.
Fitzharris M, Fildes B CJ. Anxiety, Acute- and Post-Traumatic Stress Symptoms Following Involvement in Traffic Crashes. 50th Annu Proc Assoc Adv Automot Med. 2006;
Sabana. CU de la. Campus 2.0: Noticias, Eventos y Opinión Incremento de 14 % de atención en Hospitalización. [Internet]. [cited 2015 Feb 9]. Available from: http://www.unisabana.edu.co/nc/la-sabana/campus 20/noticia/articulo/incremento-de-14-de-atencion-en-hospitalizacion/
Walter R. Terapia cognitiva. Fundamentos teóricos y conceptualización del caso clínico. Grupo Edit. Bogotá; 2006. 177 p.
J. B. Asociación entre la capacidad del proceso de afrontamiento y adaptación y los grados de riesgo para la adherencia a los tratamientos farmacológicos y no farmacológicos en personas que presentan hipertensión arterial. Universidad Nacional de Colombia; 2011.
Callista R. Generating Middle Range Theory. From evidence to practice. Company SP, editor. New York; 2014.
J. V. El aprendizaje de los adultos. Afrontamiento cognitivo y adaptación de padres o madres con hijos en post operatorio de cardiopatía congénita en la Fundación Cardioinfantil de Bogotá. Universidad de la Sabana; 2010.
Reynoso Erazo L SI. Psicología y salud. Primera ed. Universidad Autónoma de México;, editor. México; 2002. 75 p.
Moos RH SJ. Coping resources and processes: Current concepts and measures. Citado por: Jiménez VF; Zapata LS; Díaz L. Capacidad de afrontamiento y adaptación de los familiares del paciente adulto hospitalizado en una unidad de cuidado intensivo. Aquichan. 2013;13 (2):159–72.
Gutiérrez C LC. Escala de Medición del proceso de afrontamiento y adaptación de Callista Roy: una propuesta metodológica para su interpretación. Rev Investig. 2009;6 (12):201–13.
Flórez Torres IE. Herrera Alarcón E. Carpio Jiménez E. Veccino Amador MA, Zambrano Barrios D RNY et al. Afrontamiento y adaptación en pacientes egresados de unidades de cuidado intensivo. Aquichán. 2011;11 (1):23–39.
Tan KL, Lim LM CL. Orthopedic patients’ experience of motor vehicle accident in Singapore. J Compil Int Nurs Rev. 2008;55:110–116.
Hepp U, Moergeli S, Wittmann L SU. Coping with Serious Accidental Injury: A One-Year Follow-Up Study. Psychother Psychosom. 2005;74:379–386.
Pacella M, Irish L, Ostrowski S, Sledjeski E, Ciesla J FW et al. Avoidant Coping as a Mediator Between Peritraumatic Dissociation and Posttraumatic Stress Disorder Symptoms. J Trauma Stress. Vol. 24, N:317–325.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
