Adolescent experience with traumatic injury and orthopaedic external fixation: forever changed.
Adolescent experience with traumatic injury and orthopaedic external fixation: forever changed.
复制标题
青少年遭受创伤和骨科外固定的经历：永远改变了。
DOI：
10.1097/nor.0b013e3181db5459
复制
发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Patterson,MikiM
中科院分区：
文献类型：
--
作者：
Patterson,MikiM
背景技术每年有超过 1300 万青少年遭受外伤，导致功能残疾、毁容、社会心理问题和骨折，越来越多地使用骨科外固定装置进行治疗。人们对受伤青少年的经历知之甚少。方法这项纵向、定性描述性研究描述了使用外固定装置治疗的创伤性受伤青少年的经历。结果对 5 名男性和 4 名女性青少年进行的 26 次开放式、半结构化访谈的数据进行分析，揭示了他们在努力回归“原来的自我”，却发现自己“永远改变了”。主要主题包括什么风险？（导致创伤事件的环境）、处理事件、吸收并处理它（策略）、太空时代的机器人，他们会自己做（针护理自我管理）。结论他们的经历影响了青春期的所有任务：独立于父母、接受身体形象、同伴关系和形成身份。与使用自我管理的镇痛药、信息技术、细节回忆和应对中的性别差异相关的发现可能会导致未来的干预措施，并为未来的研究奠定基础，从而改善青少年在创伤性损伤急性恢复期间的护理。
BACKGROUNDMore than 13 million adolescents sustain traumatic injuries yearly, resulting in functional disability, disfigurement, psychosocial problems, and fractures that are increasingly treated with orthopaedic external fixation devices. Little is known about the experiences of injured adolescents.METHODThis longitudinal, qualitative descriptive study described the experiences of traumatically injured adolescents treated with external fixation devices.RESULTSAnalysis of data from 26 open-ended, semistructured interviews with 5 male and 4 female adolescents revealed a struggle to return “to their old self” only to recognize that they were “forever changed.” Major themes included what risk?(circumstances leading to the traumatic event), processing the event, suck it up and deal with it (strategies), space-age robot, and they'll do it themselves (pin care self-management).CONCLUSIONTheir experiences affected all tasks of adolescence: independence from parents, accepting body image, peer relations, and forming an identity. Findings related to the use of self-administered analgesics, information technology, recall of detail, and gender differences in coping may lead to future interventions and lay the groundwork for future studies that may improve care of adolescents during acute recovery from traumatic injury.