Department of Children's Nursing, Faculty of Health & Social Care, London South Bank University, 103 Borough Road, London SE1 0AA, United Kingdom.
Qual Health Res. 2010 Aug;20(8):1076-90. doi: 10.1177/1049732310368405. Epub 2010 May 4.
Adolescence is a difficult time for those with chronic illness because of the constraints of the illness on developmental tasks. Little is known about the impact liver transplantation has during adolescence. In this study we aimed to explore, in their own words, young people's lived experience of life after transplantation. We used semistructured interviews to collect narrative data, and used a purposive sample of 14 young people in early, middle, and late adolescence, transplanted for a range of chronic, acute, and metabolic liver diseases. We analyzed the transcripts using a framework in which analysis progresses through a five-stage process of matrices. Six main themes emerged, related to relationships, affect on schooling, tiredness and fatigue, acceptance of the burden of medication, communication with health professionals, and view of the future. These findings add new insight into the transplantation experience, which might lead to improvements in care and help direct further research in this important aspect of clinical care.
青少年时期对于患有慢性疾病的人来说是一个困难的时期,因为疾病会限制他们的发展任务。对于肝移植在青少年时期的影响知之甚少。在这项研究中,我们旨在用他们自己的话来探索年轻人在移植后的生活体验。我们使用半结构化访谈收集叙述性数据,并使用了一个有目的的样本,包括 14 名处于青春期早期、中期和晚期的年轻人,他们患有各种慢性、急性和代谢性肝脏疾病。我们使用一种框架分析转录本,该框架的分析过程通过矩阵的五个阶段进行。出现了六个主要主题,与人际关系、对学业的影响、疲劳、对药物治疗负担的接受程度、与医疗专业人员的沟通以及对未来的看法有关。这些发现为移植体验增添了新的见解,这可能有助于改善护理,并有助于指导这一重要临床护理方面的进一步研究。