Impact of external fixation on adolescents: an integrative research review.
Impact of external fixation on adolescents: an integrative research review.
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外固定对青少年的影响：综合研究综述。
DOI：
10.1097/00006416-200609000-00005
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Patterson,Miki
中科院分区：
文献类型：
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作者：
Patterson,Miki
目的了解外固定架治疗青少年心理影响的护理知识状况。方法对CINAHL、MEDLINE和心理信息系统提供的文献进行综合研究综述。使用的关键词包括外固定架、骨折固定架、骨科或矫形外科、肢体延长术、伊利扎罗夫、光环牵引、Orthofix、EBI固定器、骨盆固定器、环形固定器、身体形象、自我概念、自尊、自我知觉、适应、情绪、行为和结果。研究的纳入标准是：(A)1990年至2003年发表，(B)侧重于治疗青少年EFDS的心理社会和功能结果，以及(C)以英文发表。研究按作者、年份、学科(S)、设计、焦点、样本、测量、结果和研究建议进行分类。结果所有研究都报道了EFD治疗后心理和行为的变化。疼痛和针部感染是最有问题的体检结果。抑郁症在不同程度上普遍存在，有一些自杀意念和自毁行为，尽管大多数报道是短暂的。这一主要是回溯性的研究队列报告了社交孤立以及饮食和睡眠障碍。家庭和护理支持、多学科方法和更好的术前准备对青少年EFD治疗后的心理健康至关重要。这些发现揭示了在青少年创伤外固定治疗方面的主要知识差距，并且没有集中在急性期的EFD治疗上。
PURPOSETo define the state of nursing knowledge about the psychological impact of treating adolescents with external fixation devices (EFDs).METHODAn integrated research review was conducted on literature available from CINAHL, MEDLINE, and PsycINFO. Keywords used were external fixation, fracture fixation, orthopaedic or orthopaedic, limb lengthening, Ilizarov, halo traction, Orthofix, EBI fixator, pelvic fixator, ring fixator, body image, self-concept, self-esteem, self-perception, adaptation, emotional, behavior, and outcome. Inclusion criteria for studies were (a) publication from 1990 to 2003,(b) focus on psychosocial and functional outcomes of treating adolescents with EFDs, and (c) publication in English. Studies were categorized by author, year, discipline (s), design, focus, sample, measurement, findings, and research recommendations. Findings and recommendations were compared across publications.RESULTSAll studies reported psychological and behavioral changes after EFD treatment. Pain and pin-site infections were the most problematic physical findings. Depression was universally evident to varying degrees, with some suicidal ideation and self-destructive behaviors, although mostly reported as transient. This predominantly retrospective cohort of studies reported social isolation as well as eating and sleep disturbances. Family and nursing support, a multiple disciplinary approach, and better preoperative preparation were crucial to adolescents psychological health after EFD treatment.CONCLUSIONAdolescents treated with EFDs require significant psychosocial support. The findings reveal major gaps in the knowledge on adolescents treated with external fixation for traumatic injury and none focused on EFD treatment in the acute period.