Gullbrå Frøydis, Smith-Sivertsen Tone, Graungaard Anette Hauskov, Rortveit Guri, Hafting Marit
a Uni Research Health, Research Unit for General Practice , Bergen , Norway.
b Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.
Scand J Prim Health Care. 2016 Dec;34(4):360-367. doi: 10.1080/02813432.2016.1253819. Epub 2016 Nov 15.
To explore significant experiences of adolescents as next of kin that the general practitioner (GP) should identify and recognize.
Qualitative study with focus-group interviews.
Three focus-group interviews were conducted with a total of 15 Norwegian adolescents each with an ill or substance-abusing parent. The participants were recruited from existing support groups.
The adolescents' days were dominated by unpredictability in their family situation and their own exhausting efforts to keep up an ordinary youth life. Mostly, they consulted GPs for somatic complaints. In encounters with the GP, they wanted to be met both as a unique person and as a member of a family with burdens. Their expectations from the GP were partly negatively formed by their experiences. Some had experienced that both their own and their parent's health problems were not addressed properly. Others reported that the GP did not act when he or she should have been concerned about their adverse life situation. The GP may contribute to better long-term psychosocial outcomes by ensuring that the adolescents receive information about the parent's illness and have someone to talk to about their feelings and experiences. In addition, the GP may help by supporting their participation in relieving activities.
Burdened adolescents seek a GP most often for somatic complaints. The GP has a potential to support them by taking the initiative to talk about their life situation, and by recognizing their special efforts. Key points Little is known about how a general practitioner can support adolescents with ill or substance-abusing parents. Adolescents experience unpredictability in life and strive to find balance between their own needs and the restrictions caused by parental illness. In encounters with adolescents having ill parents, the GP should take the initiative to talk about their family situation. The GP may help them by recognizing their experiences and struggles, give information, offer talks and support coping strategies.
探讨青少年作为近亲的重要经历，以便全科医生能够识别和认识到这些经历。
采用焦点小组访谈的定性研究。
进行了三次焦点小组访谈，共有15名挪威青少年参与，他们的父母均患有疾病或有药物滥用问题。参与者是从现有的支持小组中招募的。
青少年的日常生活被家庭状况的不可预测性以及他们自己为维持普通青少年生活所付出的疲惫努力所主导。大多数情况下，他们因躯体不适而咨询全科医生。在与全科医生的接触中，他们希望被当作一个独特的个体以及一个背负负担的家庭中的一员来对待。他们对全科医生的期望部分受到自身经历的负面影响。一些人曾经历过自己和父母的健康问题都未得到妥善处理。另一些人则表示，当全科医生本应关注他们不利的生活状况时却未采取行动。全科医生可以通过确保青少年获得有关父母疾病的信息，并为他们提供倾诉感受和经历的对象，从而有助于实现更好的长期心理社会结果。此外，全科医生可以通过支持他们参与缓解压力的活动来提供帮助。
负担沉重的青少年最常因躯体不适而寻求全科医生的帮助。全科医生有潜力通过主动谈论他们的生活状况并认可他们的特殊努力来支持他们。要点 对于全科医生如何支持父母患病或有药物滥用问题的青少年，我们了解甚少。青少年经历着生活中的不可预测性，并努力在自身需求与父母疾病所带来的限制之间找到平衡。在与父母患病的青少年接触时，全科医生应主动谈论他们的家庭状况。全科医生可以通过认可他们的经历和挣扎、提供信息、进行谈话并支持应对策略来帮助他们。
