Knipp Diana K
Systems Management Program, University of Arizona College of Nursing, Tucson, AZ, USA.
J Sch Nurs. 2006 Apr;22(2):120-5.
This qualitative study describes teens' perceptions about attention deficit/hyperactivity disorder (AD/HD) and medications. The four modes of adaptation of the Roy Adaptation Model were the framework for this study. Data were collected through semistructured interviews with 15 high school teens aged 14-17 with parent-reported AD/HD. An inductive analysis identified four themes: (1) physiologic (medication)--"Medications are a hassle, but they work"; (2) role function--"I do better in school when I take the meds"; (3) interdependence-"With meds things are better with my family, and friends don't know I am any different"; and (4) self-concept/group identity--"I'm just an everyday teenager, pretty much." The composite main theme was, "Meds help me." School nurses can use this information to guide interventions for families and teens with AD/HD and in working with health care providers, teachers, staff, and communities in a multidisciplinary effort toward an adaptive educational experience for teens.
这项定性研究描述了青少年对注意力缺陷多动障碍(AD/HD)及相关药物的看法。罗伊适应模式的四种适应方式是本研究的框架。通过对15名年龄在14 - 17岁、父母报告患有AD/HD的高中生进行半结构化访谈收集数据。归纳分析确定了四个主题:(1)生理(药物)——“药物很麻烦,但有效果”;(2)角色功能——“吃药时我在学校表现更好”;(3)相互依赖——“吃药后我和家人关系更好,朋友们也没觉得我有什么不同”;(4)自我概念/群体认同——“我就是个普通的青少年”。综合主题是“药物帮助了我”。学校护士可利用这些信息指导针对患有AD/HD的家庭和青少年的干预措施,并与医疗保健提供者、教师、工作人员及社区合作,通过多学科努力为青少年提供适应性教育体验。