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残疾青年的复原力与向成年期的过渡

Resilience and Transitioning to Adulthood among Emerging Adults with Disabilities.

作者信息

Mannino Jennifer Emilie

机构信息

Molloy College, Division of Nursing, Rockville Centre, NY.

出版信息

J Pediatr Nurs. 2015 Sep-Oct;30(5):e131-45. doi: 10.1016/j.pedn.2015.05.017.

Abstract

Transitioning to adulthood is not without challenges. The move away from family influence towards independence and self-determination is filled with uncertainty. Increased challenges and vulnerabilities in transitioning are evident among emerging adults with disabilities because they face additional challenges related to their disability over and above what others of this developmental stage experience. The purpose of this convergent parallel mixed methods study was to understand resilience in a select group of emerging adults with disabilities, who have been recognized for their accomplishments, as they are transitioning to adulthood. Quantitative instruments were used to measure the relationship among resilience, physical health, mental health, satisfaction with life, future orientation, and social support resources, while a qualitative focus group and individual interviews further explored the central phenomenon of resilience. This study revealed transitioning goals and values, challenges encountered while transitioning, and key attributes of resilience that have aided in transitioning. Findings conclude that resilience mitigates adversity and facilitates transitioning, the capacity for resilience is well within reach, and resilience comes from a variety of individual and environmental attributes. Nurses care for individuals and are uniquely present to intervene throughout all stages of the transitioning process. Knowing which resilient attributes are most effective in facilitating transitioning would be especially useful in the development of preventative holistic patient-centered nursing interventions. The research and practice implications of this study may suggest that resilience is a viable concept for the development of strength-based, patient-centered nursing interventions that facilitate transitioning.

摘要

向成年期过渡并非毫无挑战。从家庭影响转向独立和自主的过程充满了不确定性。残疾青年在过渡过程中面临的挑战和脆弱性增加,因为他们除了面临这个发育阶段其他人所经历的挑战外,还面临与残疾相关的额外挑战。这项聚合平行混合方法研究的目的是了解一组特定的残疾青年在向成年期过渡时的复原力,这些青年因其成就而受到认可。定量工具用于测量复原力、身体健康、心理健康、生活满意度、未来取向和社会支持资源之间的关系,而定性焦点小组和个人访谈则进一步探讨了复原力这一核心现象。这项研究揭示了过渡目标和价值观、过渡过程中遇到的挑战以及有助于过渡的复原力的关键属性。研究结果表明,复原力能减轻逆境并促进过渡,复原力的能力是可以实现的,而且复原力来自各种个人和环境属性。护士照顾个体,并且在过渡过程的各个阶段都能独特地进行干预。了解哪些复原力属性在促进过渡方面最有效,对于制定以患者为中心的预防性整体护理干预措施尤其有用。这项研究的研究和实践意义可能表明,复原力是一个可行的概念,可用于开发基于优势、以患者为中心的护理干预措施,以促进过渡。

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