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将患有脊柱裂的青少年和青年过渡到成人医疗保健:一个示范项目的初步结果。

Transitioning adolescents and young adults with spina bifida to adult healthcare: initial findings from a model program.

作者信息

Sawin Kathleen J, Rauen Karen, Bartelt Tera, Wilson April, O'Connor R Corey, Waring William P, Orr Merle

机构信息

Self Management Science Center, College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA; Research Chair in the Nursing of Children, Children's Hospital of Wisconsin, Milwaukee, WI, USA.

出版信息

Rehabil Nurs. 2015 Jan-Feb;40(1):3-11. doi: 10.1002/rnj.140. Epub 2014 Jan 17.

Abstract

PURPOSE

The Spina Bifida Transition Project (SBTP) was developed by partners from pediatric and adult health care settings using existing best practice information in an effort to transition adolescents to adult health care providers. The purpose of this manuscript is to present the results of an initial evaluation of the SBTP from the adolescent/young adult (AYA) and family perspective.

DESIGN AND METHODS

Qualitative evaluation data were obtained from telephone interviews with 40 individuals (24 AYA and 16 parents representing 28 families) two-three weeks after initial adult clinic visits using a semi-structured interview guide.

FINDINGS

Interview analysis yielded six overall themes: Positive experience, Developing Trust, Unexpected Benefits, Communication, Potential Worries, and Suggestions for Improvement. The study supported both the effectiveness of the SBTP as well as patient desire for earlier initiation of transition activities

CONCLUSION AND CLINICAL RELEVANCE

SBTP is well-received by participants and their parents and may be useful model for other chronic health conditions.

摘要

目的

脊柱裂过渡项目(SBTP)由儿科和成人医疗保健机构的合作伙伴利用现有的最佳实践信息开发,旨在帮助青少年向成人医疗保健提供者过渡。本文的目的是从青少年/青年(AYA)及其家庭的角度呈现SBTP初步评估的结果。

设计与方法

定性评估数据来自在成人诊所首次就诊后两到三周,使用半结构化访谈指南对40人(24名AYA和代表28个家庭的16名家长)进行的电话访谈。

研究结果

访谈分析得出六个总体主题:积极体验、建立信任、意外收获、沟通、潜在担忧以及改进建议。该研究支持了SBTP的有效性以及患者对更早开始过渡活动的渴望。

结论与临床意义

SBTP受到参与者及其家长的好评,可能是其他慢性健康状况的有用模式。

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