Morsa Maxime, Lombrail Pierre, Boudailliez Bernard, Godot Cécile, Jeantils Vincent, Gagnayre Rémi
Laboratory of Education and Health Practices (EA3412), Université Paris 13, Bobigny, Paris, France,
Department of Public Health, Paris Seine St-Denis Hospital, AP-HP, Paris, France.
Patient Prefer Adherence. 2018 Dec 12;12:2649-2660. doi: 10.2147/PPA.S184991. eCollection 2018.
Although patient education is recommended to facilitate the transition from pediatric to adult care, a consensus has not been reached for a particular model. The specific skills needed for the transition to help in facilitating the life plans and health of young people are still poorly understood. This study explored the educational needs of young people with diverse chronic conditions during their transition from pediatric to adult care.
Qualitative semi-structured interviews were conducted with 17 young people with chronic conditions. A thematic analysis was conducted to examine the data.
Five themes emerged from the data, identified through the following core topics: learning how to have a new role, learning how to adopt a new lifestyle, learning how to use a new health care service, maintaining a dual relationship with pediatric and adult care, and having experience sharing with peers.
A shift in perspective takes place when the transition is examined through the words of young people themselves. To them, moving from pediatric to adult care is not viewed as the heart of the process. It is instead a change among other changes. In order to encourage a transition in which the needs of young people are met, educational measures could focus on the acquisition of broad skills, while also being person-centered.
尽管建议开展患者教育以促进从儿科护理向成人护理的过渡,但尚未就特定模式达成共识。对于过渡所需的具体技能,以帮助促进年轻人的生活规划和健康,目前仍知之甚少。本研究探讨了患有各种慢性病的年轻人从儿科护理过渡到成人护理期间的教育需求。
对17名患有慢性病的年轻人进行了定性半结构化访谈。对数据进行了主题分析。
数据中出现了五个主题,通过以下核心主题确定:学习如何扮演新角色、学习如何采用新的生活方式、学习如何使用新的医疗保健服务、与儿科和成人护理保持双重关系以及与同龄人分享经验。
当通过年轻人自己的话语审视过渡时,视角会发生转变。对他们来说,从儿科护理过渡到成人护理并非该过程的核心。相反,这只是众多变化中的一种变化。为了鼓励满足年轻人需求的过渡,教育措施可以侧重于广泛技能的获取,同时以人为本。