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理解脊髓损伤青年的过渡期:青年和照顾者的看法。

Understanding transition for youth with spinal cord injury: Youth and caregiver perceptions.

机构信息

Shriners Hospitals for Children, Chicago, Illinois, USA.

Loyola University of Chicago, Chicago, Illinois, USA.

出版信息

J Spinal Cord Med. 2020 Jul;43(4):505-511. doi: 10.1080/10790268.2019.1574437. Epub 2019 Feb 13.

Abstract

The purpose of this study is to understand facilitators of and barriers to achieving positive transition results among youth with spinal cord injury (SCI), and to identify areas for intervention to improve transition outcomes. This study utilized qualitative methods and analysis was completed using Interpretive Phenomenological Analysis. Participants: Participants included adolescents ( = 9, range = 13-18 years old), young adults ( = 14, range = 22-30 years old) with an SCI, and their respective caregivers ( = 17). The majority of participants had paraplegia (78%) and complete injuries (52%). The majority of caregivers were mothers (88%). Two primary themes were identified: Facilitators of Transition and Barriers to Transition. From these, five subthemes were developed for each category. Youth with SCI and caregivers would benefit from organizations offering dynamic and progressive care options including social reintegration programs, peer-mentoring opportunities, and programs to teach individuals with SCI and families ways to develop motivation, resilience, and independent living skills. Last, better communication among healthcare providers and an increase of interdisciplinary and accessible adult healthcare facilities would foster greater transition successes for individuals with SCI.

摘要

本研究旨在了解脊髓损伤(SCI)青年实现积极过渡结果的促进因素和障碍,并确定干预领域以改善过渡结果。本研究采用定性方法,使用解释性现象学分析进行分析。

参与者

参与者包括青少年( = 9,年龄范围 = 13-18 岁)、年轻成人( = 14,年龄范围 = 22-30 岁),以及他们各自的照顾者( = 17)。大多数参与者为截瘫(78%)和完全损伤(52%)。大多数照顾者是母亲(88%)。确定了两个主要主题:过渡的促进因素和过渡的障碍。从这些主题中,每个类别都制定了五个子主题。SCI 青年和照顾者将受益于提供动态和渐进式护理选择的组织,包括社会重新融入计划、朋辈指导机会,以及教授 SCI 患者及其家庭如何培养动力、适应力和独立生活技能的计划。最后,医疗保健提供者之间更好的沟通以及增加跨学科和可及的成人医疗保健设施将促进 SCI 患者取得更大的过渡成功。

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