Emotional problems of adolescents during the treatment of scoliosis with halo - femoral traction
Emotional problems of adolescents during the treatment of scoliosis with halo – femoral traction.pdf

Keywords

scoliosis
halo - femoral traction
emotional problems
adolescents

Abstract

EMOTIONAL PROBLEMS OF ADOLESCENTS DURING THE TREATMENT OF SCOLIOSIS WITH HALO - FEMORAL TRACTION

Introduction. The adolescence period is a special stage in the development of every human being. During puberty, significant changes occur in the somatic, psychological and spiritual spheres. The main feature of adolescence is intensified emotionality. During this period there are significant changes in the range of body growth; very often the appearance of idiopathic scoliosis is observed. In the majority of cases, this disorder concerns adolescent girls. The etiology of idiopathic scoliosis is unknown. Treatment of severe scoliosis is complicated and involves high risk. One of the methods of surgical treatment of scoliosis with a severe primary curve is a two-stage surgery. The first stage consists of anterior release with halo – femoral traction. This kind of treatment is a very difficult period of time for patient, both in somatic and psychological terms. Negative emotional states can generate or increase the existing pain, what creates a vicious cause and effect circle.

Aim. Diagnose emotional problems of adolescents treated with the halo - femoral traction.

Conclusions. Emotional problems of surgically treated patients are often marginalized, although the emotional state influences the assessment of satisfaction with the treatment effects. The period of treatment with the halo - femoral traction is one of the most difficult stages of treatment for a young patient also in terms of emotions. Empathy, support and understanding are essential to successfully engage the patient in cooperation with a multidisciplinary therapeutic team and to minimize the negative emotional effects of trauma.

Emotional problems of adolescents during the treatment of scoliosis with halo – femoral traction.pdf

References

1. Czerwińska-Jasiewicz M. Psychologia rozwoju młodzieży w kontekście biegu ludzkiego życia. Warszawa: Wyd. DIFIN; 2015, s. 20-105.

2. Obuchowska I. Adolescencja. [w:] Harwas-Napierała B, Trempała J, red. Psychologia rozwoju człowieka. Charakterystyka okresów życia człowieka. Warszawa: Wyd. PWN: 2008, s. 163-201.

3. Oleszkowicz A, Senejko A. Dorastanie. [w:] Trempała J. red. Psychologia rozwoju człowieka. Warszawa: Wyd. PWN: 2012, s. 259-286.

4. Żechowski C. Trudności diagnostyczne u pacjentów w okresie dojrzewania - czynniki subiektywne po stronie lekarza. Psychiatr Pol. 2012; XLVI, (2): 241–247.

5. Kołodziejek M. Depresja u dzieci i młodzieży: podstawy teoretyczne, psychoterapia poznawczo-behawioralna. Psychoterapia. 2008; 2 (145): 15 – 33.

6. Maryl M, Korolczuk A. Relacje z rodzicami i rówieśnikami – ich wpływ na funkcjonowanie adolescentów. Psychiatr Psychol Klin. 2008; 8 (1): 46-56.

7. Unnikrishnan R, Renjitkumar J, Menon VK. Adolescent idiopathic scoliosis: Retrospective analysis of 235 surgically treated cases. Indian J Orthop 2010; 44:35–41.

8. Di Silvestre M, Bakaloudis G, Lolli F, et al. Posterior fusion only for thoracic adolescent idiopathic scoliosis of more than 80 degrees: pedicle screws versus hybrid instrumentation. Eur Spine J 2008; 7:1336–1349.

9. Hamzaoglu A, Ozturk C, Aydogan M, et al. Posterior only pedicle screw instrumentation with intraoperative halo-femoral traction in the surgical treatment of severe scoliosis (>100 degrees). Spine 2008;33:979-83.

10. Potaczek T, Jasiewicz B, Tęsiorowski M. Leczenie skolioz idiopatycznych o kącie skrzywienia przekraczającym 100 stopni – porównanie technik operacyjnych. Ortop Traumatol Rehab. 2009; 6(6); Vol. 11, 485-494.

11. Watanabe K, Lenke LG, Bridwell KH, et al. Comparison of radiographic outcomes for the treatment of scoliotic curves greater than 100 degrees: wires versus hooks versus screws. Spine 2008;33:1084–1092.

12. Nepple JJ, Lenke LG. Severe idiopathic scoliosis with respiratory insufficiency treated with preoperative traction and staged anteroposterior spinal fusion with a 2-level apical vertebrectomy. Spine J 2009; 9:E9–E13.

13. Hero N, Vengust R, Topolovec M. Comparative Analysis of Combined (First Anterior, Then Posterior) Versus Only Posterior Approach for Treating Severe Scoliosis. Spine 2017; 42(11):831–837.

14. Lehman RA, Lenke LG, Keeler KA, et al. Operative treatment of adolescent idiopathic scoliosis with posterior pedicle screw-only constructs: minimum three-year followup of one hundred fourteen cases. Spine 2008; 33(14): 1598–1604.

15. Yamin S, Li L, Tianjun G, et al. Staged surgical treatment for severe and rigid scoliosis. J Orthop Surg 2008; 3:1–9.

16. Wang Y, Zheng G, Zhang X, et al. Comparative analysis between shape memory alloy-based correction and traditional correction technique in pedicle screws constructs for treating severe scoliosis. Eur Spine J 2010; 19:394–399.

17. Sucato DJ. Management of severe spinal deformity. Scoliosis and kyphosis. Spine 2010; 35:2186–2192.

18. Ayvaz M, Akalan N, Yazici M, et al. Is it necessary to operate all split cord malformations before corrective surgery for patients with congenital spinal deformities. Spine 2009; 34:2413–2418.

19. Sponseller PD, Takenaga RK, Newton P, et al. The use of traction in the treatment of severe spinal deformity. Spine 2008; 33(21): 2305-2309.

20. Suk S, Kim JH, Kim SS, et al. Pedicle screw instrumentation in adolescent idiopathic scoliosis (AIS). Eur Spine J 2012; 21:13-22.

21. Franic M, Kujundzic Tiljak M, Pozar M, et al. Anterior versus posterior approach in 3D correction of adolescent idiopathic thoracic scoliosis: a meta-analysis. Orthop Traumatol Surg Res OTSR 2012; 98:795–802.

22. Limpaphayom N, Skaggs DL, McComb G. Complications of Halo Use in Children. Spine: 2009; 4 (15) 34;8: 779-784.

23. Barion A. Circadian rhythm sleep disorders. Dis. Mon. 2011; 57: 423–437.

24. Łopacińska I. Pacjent i jego rodzina na oddziale intensywnej opieki medycznej. – Probl Pielęg. 2009; 17(1):50-53.

25. Sivertsen B, Harvey AG, Pallesen S. et al. Mental health problems in adolescents with delayed sleep phase: Results from a large population-based study in Norway. J. Sleep Res. 2015; 24: 11–18.

26. Blackmer AB, Feinstein JA. Management of sleep disorders in children with neurodevelopmental disorders: A review. Pharmacotherapy 2016; 36: 84–98.

27. Goldstein TR, Bridge JA, Brent DA. Sleep disturbance preceding completed suicide in adolescents. J. Consult. Clin. Psychol. 2008; 76 (1): 84–91.

28. Lofthouse N, Gilchrist R, Splaingard M. Mood-related sleep problems in children and adolescents. Child. Adolesc. Psychiatr. Clin. N. Am.2009; 18 (4): 893–916.

29. Ivarsson T, LarssonB. Sleep problems as reported by parents in Swedish children and adolescents with obsessive-compulsive disorder, child psychiatric outpatients and school children. Nord J. Psychiatry 2009; 63 (6): 480–484.

30. Heitzman J. Zaburzenia snuprzyczyna czy skutek depresji? Psychiatria Polska 2009; XLIII(5): 499-511.

31. Jakubik M, Kierys A, Bednarek A. Participation of the nurse in the adaptation of the child to hospital conditions. Probl Pielęg. 2011; 19 (4): 545–550.

32. Jakubik M, Kierys A, Bednarek A. Udział pielęgniarki w adaptacji dziecka do warunków szpitalnych. Probl Pielęg. 2011; 19(4): 545-550.

33. Perek M, Cepuch G. Dziecko w szpitalu a ryzyko krzywdzenia instytucjonalnego. Stud Med. 2008; 11: 23-27.

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