Impact of external fixation on adolescents: an integrative research review.

Impact of external fixation on adolescents: an integrative research review. Research Abstract Details 

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Impact of external fixation on adolescents: an integrative research review. Abstract Text:

Miki Patterson,

PURPOSE: To define the state of nursing knowledge about the psychological impact of treating adolescents with external fixation devices (EFDs). METHOD: An 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. RESULTS: All 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. CONCLUSION: Adolescents 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.

Impact of external fixation on adolescents: an integrative research review. Publishing Authors By Initials

M Patterson,

For similar behavior and behavior mechanisms: behavior: behavioral symptoms: self-injurious behavior: suicide research abstracts see: behavior and behavior mechanisms: behavior: behavioral symptoms: self-injurious behavior: suicide research

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Impact of external fixation on adolescents: an integrative research review. Journal Published:

PUBLICATION TYPE: Review

Journal: Orthopaedic nursing / National Association of Orth

VOLUME: 25

Page Numbers: 300-8; quiz 309-10

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ISSN: 0744-6020

DAY: 3

MONTH: 12

YEAR: 2007

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LANGUAGE: eng

NlmUniqueID: 8409486

Impact of external fixation on adolescents: an integrative research review. Keywords Mesh Terms:

KEYWORDS: Suicide

MESH TERMS: psychology

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Grant and Affiliation Information for Impact of external fixation on adolescents: an integrative research review.

AFFILIATION: University of Massachusetts Graduate School of Nursing, Department of Orthopedics, UMass Memorial Medical Center, Worcester, MA, USA.

Country: United States

AGENCY: United States NINR

GRANT: 1 F-31 NR009442-01

ACRONYM: NR

MEDLINETA: Orthop Nurs

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