Children's Nursing, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
School of Nursing and Midwifery, University College Cork, Cork, Ireland.
J Clin Nurs. 2018 Jan;27(1-2):212-222. doi: 10.1111/jocn.13874. Epub 2017 Jun 28.
The aim of this study was to develop an explanatory theory on the lives of young people with asthma, issues affecting them and the impact of asthma on their day-to-day lives.
Accommodating Interruptions is a theory that explains young people's concerns about living with asthma. Although national and international asthma management guidelines exist, it is accepted that the symptom control of asthma among the young people population is poor.
This study was undertaken using Classic Grounded Theory.
Data were collected through in-depth interviews and clinic consultations with young people aged 11-16 years who had asthma for over 1 year. Data were also collected from participant diaries. Constant comparative analysis, theoretical coding and memo writing were used to develop the substantive theory.
The theory explains how young people resolve their main concern of being restricted by Accommodating Interruptions in their lives. They do this by assimilating behaviours in balance finding, moderating influence, fitting in and assuming control minimising the effects of asthma on their everyday lives.
The theory of Accommodating Interruptions explains young people's asthma management behaviours in a new way. It allows us to understand how and why young people behave the way they do because they want to participate and be included in everyday activities, events and relationships. The theory adds to the body of knowledge on how young people with asthma live their day-to-day lives and it challenges some existing viewpoints in the literature regarding their behaviours.
The findings have implications for developing services to support young people in a more meaningful way as they accommodate the interruptions associated with asthma in their lives.
本研究旨在建立一个关于患有哮喘的年轻人的生活、影响他们的问题以及哮喘对他们日常生活影响的解释性理论。
适应中断是一种解释年轻人对哮喘生活担忧的理论。尽管有国家和国际的哮喘管理指南，但人们承认，年轻人的哮喘症状控制不佳。
本研究采用经典扎根理论进行。
通过对 11-16 岁患有哮喘超过 1 年的年轻人进行深入访谈和临床咨询，以及从参与者日记中收集数据。采用恒定比较分析、理论编码和备忘录写作来发展实质性理论。
该理论解释了年轻人如何解决他们生活中被适应中断所限制的主要问题。他们通过在平衡寻找、影响调节、适应和控制假设中同化行为，将哮喘对日常生活的影响降到最低。
适应中断理论以一种新的方式解释了年轻人的哮喘管理行为。它使我们能够理解年轻人为什么会这样做，因为他们想参与和融入日常活动、事件和关系。该理论增加了关于患有哮喘的年轻人如何过日常生活的知识体系，挑战了文献中关于他们行为的一些现有观点。
研究结果对以更有意义的方式为年轻人提供支持服务具有启示意义，因为他们需要适应哮喘相关的生活中断。
