患有慢性心脏病的青少年从儿科护理过渡到成人护理的准备情况。
Readiness for transition from pediatric to adult care for adolescents with chronic heart disease.
作者信息
Ekim Ayfer, Kolay Melek, Ocakci Ayse Ferda
机构信息
Faculty of Health Sciences, Department of Nursing, Istanbul Bilgi University, Istanbul, Turkey.
Department of Pediatric Cardiology, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
出版信息
J Spec Pediatr Nurs. 2018 Jan;23(1). doi: 10.1111/jspn.12199. Epub 2017 Oct 28.
PURPOSE
The purpose of this study was to determine transition readiness of adolescents with chronic heart disease to adult care.
METHODS
The sample of the study comprised 113 adolescents between the ages 12 and 18 years with chronic heart disease. Transition readiness was assessed by the Transition-Q self-administered tool.
RESULTS
The Transition-Q mean score was 63.0 (range = 31-92). The self-management skills of the adolescents increased significantly in direct proportion to their ages. Most of the adolescents had a lack of confidence about medication management and communicating with healthcare providers. No significant difference was detected between boys and girls in terms of total and individual items' scores.
PRACTICE IMPLICATIONS
Transition readiness should be assessed to understand transitional requirements of adolescents with chronic heart disease and to plan appropriate nursing interventions accordingly.
目的
本研究旨在确定患有慢性心脏病的青少年对成人护理的过渡准备情况。
方法
本研究样本包括113名年龄在12至18岁之间患有慢性心脏病的青少年。通过Transition-Q自我管理工具评估过渡准备情况。
结果
Transition-Q平均得分为63.0（范围=31-92）。青少年的自我管理技能与年龄成正比显著提高。大多数青少年在药物管理和与医疗保健提供者沟通方面缺乏信心。在总分和各单项得分方面，男孩和女孩之间未检测到显著差异。
实践意义
应评估过渡准备情况，以了解患有慢性心脏病的青少年的过渡需求，并据此计划适当的护理干预措施。
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