Adolescent Experience with Trauma and External Fixation

每年有1 300多万青少年遭受创伤，许多人造成功能残疾， 毁容心理问题和骨折这些骨折越来越多地被治疗， 骨科外固定装置（EFD），具有外部金属框架和骨骼钉， 穿透皮肤（销部位）以在骨中锚，从而稳定骨折。虽然EFD的产量上级 对于骨折，针部位感染是一个严重的问题，特别是在青少年中，他们也可能 经历EFD治疗的有害心理社会影响。别针护理自我管理，至关重要， 预防感染，尚未在青少年中进行研究，EFD治疗对 遭受创伤的青少年。在拟议的纵向定性描述性研究中， 研究对象为12-20岁的青少年，在应用EFD后，将进行三次访谈 治疗外伤具体目标是用青少年的话来描述：1）导致 创伤事件，2）受伤后的日常经历，3）日常经历， EFD，和4）青少年的作用，在引脚护理自我管理，而从创伤中恢复。拟议 这项研究将为未来的研究奠定基础，这些研究可能会改善预防和创伤后护理， 通过重点了解遭受重大创伤的青少年的经历， 目前正在接受EFD治疗

Over 13 million adolescents sustain traumatic injuries yearly, many resulting in functional disability, disfigurement, psychosocial problems and fractures. These fractures are increasingly being treated with orthopedic external fixation devices (EFDs), which have external metal frames and skeletal pins that penetrate the skin (pin site) to anchor in the bone, thus stabilizing fractures. Although EFDs yield superior outcomes for fractures, pin-site infections are a serious problem, particularly in adolescents who may also experience detrimental psychosocial effects from EFD treatment. Pin-care self-management, crucial to preventing infection, has not been studied in adolescents, nor has the impact of EFD treatment on adolescents who sustain traumatic injuries. In the proposed longitudinal qualitative descriptive study, a purposive sample of adolescents, 12-20 years old, will be interviewed three times after EFDs are applied for traumatic injury. The specific aims are to describe, in the adolescents' words, 1) circumstances leading to the traumatic event, 2) day-to-day experiences following the injury, 3) day-to-day experiences with the EFD, and 4) the adolescent role in pin-care self-management while recovering from trauma. The proposed study will lay the groundwork for future studies that may improve preventive and post-trauma care and recovery by focusing on understanding experiences of adolescents who have sustained major trauma and who are currently being treated with EFDs.