Adolescent Experience with Trauma and External Fixation

每年有超过1300万青少年遭受创伤性伤害，其中许多会导致功能残疾， 毁容、心理社会问题和骨折。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销， 穿透皮肤(针位)固定在骨骼中，从而稳定骨折。尽管EFDS的收益率更高 骨折的结局，钉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 体验EFD治疗带来的不良心理社会影响。针脚护理自我管理，对 预防感染，还没有在青少年中进行研究，也没有EFD治疗对 遭受创伤性伤害的青少年。在拟议的纵向定性描述性研究中， 在应用EFDS后，将对12-20岁的青少年进行三次访谈 创伤性损伤。具体的目的是用青少年的话来说，描述1)导致 对于创伤事件，2)受伤后的日常经历，3)与 4)青少年在创伤后康复过程中的自我护理中的作用。建议数 这项研究将为未来可能改善预防和创伤后护理的研究奠定基础 通过重点了解遭受重大创伤和 他们目前正在接受EFDS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.