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青少年在接受健康服务方面的困惑:一项定性研究。

Adolescents Confusion in Receiving Health Services: A Qualitative Study.

作者信息

Azh Nezal, Nahidi Fatemeh, Ozgoli Giti, Ardalan Gelayol

机构信息

PhD Student, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University, Tehran, Iran.

Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University, Tehran, Iran.

出版信息

J Clin Diagn Res. 2017 May;11(5):LC01-LC06. doi: 10.7860/JCDR/2017/23393.9761. Epub 2017 May 1.

Abstract

INTRODUCTION

Providing health services for adolescents requires exploration of hidden factors from the perspective of adolescents, providers, and key individuals. Understanding the process of providing health services from adolescents point of view will help receiving and continuation of services. Although many studies have been conducted in Iran on adolescents health needs, few studies have dealt with provision of these services to adolescents.

AIM

The present study aimed to explain the adolescents and key informants' perception of healthcare provision.

MATERIALS AND METHODS

The present qualitative study was conducted according to grounded theory. Data were collected using deep semi-structured individual interviews and group discussion. Participants were selected through purposive sampling followed by theoretical sampling. Participants in present study were 65 adolescents, nine youths (19-24-year-old), and 19 parents and key people involved in providing health services. Adolescents and their parents were selected from different parts of Tehran. Data collection continued until data saturation, and was analysed using Corbin-Strauss (2008) method.

RESULTS

Issues relating to adolescents perception of the process of providing services included health concerns, society's inappropriate behaviours, and weakness of the health services system in responding to adolescents needs, which as underlying factors contributed to adolescents confusion in receiving services and their proper coping with puberty.

CONCLUSION

Due to lack of education on how to manage puberty by parents, schools, society, and the health system, participating adolescents from Tehran were confused about receiving information and unable to manage puberty problems. Solving this problem requires continuity of services and interaction of family, school and community.

摘要

引言

为青少年提供健康服务需要从青少年、服务提供者和关键人物的角度探索隐藏因素。从青少年的角度理解提供健康服务的过程将有助于服务的接受和持续。尽管伊朗已经开展了许多关于青少年健康需求的研究,但很少有研究涉及向青少年提供这些服务的问题。

目的

本研究旨在解释青少年和关键信息提供者对医疗服务提供的看法。

材料与方法

本定性研究采用扎根理论进行。通过深度半结构化个人访谈和小组讨论收集数据。参与者通过目的抽样然后进行理论抽样选取。本研究的参与者包括65名青少年、9名青年(19 - 24岁)以及19名参与提供健康服务的家长和关键人物。青少年及其家长从德黑兰的不同地区选取。数据收集持续到数据饱和,并使用Corbin - Strauss(2008)方法进行分析。

结果

与青少年对服务提供过程的认知相关的问题包括健康问题、社会的不当行为以及卫生服务系统在满足青少年需求方面的薄弱之处,这些作为潜在因素导致青少年在接受服务时感到困惑以及难以应对青春期。

结论

由于家长、学校、社会和卫生系统在如何应对青春期方面缺乏教育,来自德黑兰的参与研究的青少年在获取信息方面感到困惑,并且无法应对青春期问题。解决这个问题需要服务的持续以及家庭、学校和社区的互动。

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