Higginson Andrea, Forgeron Paula, Harrison Denise, Finley G Allen, Dick Bruce D
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Department of Anaesthesia, Dalhousie University, Halifax, Nova Scotia, Canada.
Can J Pain. 2019 Apr 26;3(1):85-97. doi: 10.1080/24740527.2019.1587707. eCollection 2019.
: The purpose of this study was to explore the transition experience of young adults with chronic pain in Canada from the pediatric health care setting to the adult health care setting. : A qualitative descriptive approach using semistructured interviews was used to capture the transition experiences of young people with chronic pain who have recently transferred from the pediatric setting to the adult health care setting. Participants were recruited from west, central, and the east coast of Canada to situate the findings within the context of Canada. Interviews were transcribed and analyzed using qualitative inductive content analysis. : Nine participants were interviewed, three from each part of Canada (west, central, and east). Five common categories were determined to describe the transition experience of young adults with chronic pain which include (1) independence (I can do it, maybe?), (2) pain trajectory (stress and pain along for the ride), (3) social support networks (need a shoulder to lean on), (4) parental support (obviously they are there), and (5) collaborative systems (the bridge). : Young people with chronic pain experience unique challenges when faced with transitioning to the adult health care setting. Supporting the young person and his or her family in preparation and readiness and collaboration between the pediatric and adult health care settings are essential to ensure a smooth transition and avoid negative transition outcomes. Further research is needed to determine the best ways to prepare young people for transition and the care activities required in both pediatric and adult health care settings to improve pain-related outcomes posttransition.
本研究的目的是探索加拿大慢性疼痛青年从儿科医疗环境过渡到成人医疗环境的经历。采用半结构化访谈的定性描述方法，以了解近期从儿科环境转至成人医疗环境的慢性疼痛青年的过渡经历。研究对象从加拿大西部、中部和东海岸招募，以便将研究结果置于加拿大的背景下。访谈内容经转录后，采用定性归纳内容分析法进行分析。共访谈了9名参与者，加拿大每个地区（西部、中部和东部）各3名。确定了五个常见类别来描述慢性疼痛青年的过渡经历，包括：（1）独立性（我能做到，也许吧？）；（2）疼痛轨迹（压力和疼痛一路相随）；（3）社会支持网络（需要一个可以依靠的肩膀）；（4）父母的支持（显然他们一直都在）；（5）协作系统（桥梁）。慢性疼痛青年在过渡到成人医疗环境时会经历独特的挑战。在准备阶段支持青年及其家庭，并促进儿科和成人医疗环境之间的协作，对于确保顺利过渡和避免负面过渡结果至关重要。需要进一步研究以确定让青年为过渡做好准备的最佳方法，以及儿科和成人医疗环境中所需的护理活动，以改善过渡后的疼痛相关结果。
