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父母对于慢性病患儿向成人护理过渡期间干预措施的看法及需求。

Parents' views on and need for an intervention during their chronically ill child's transfer to adult care.

作者信息

Thomsen Ena L, Hanghøj Signe, Esbensen Bente A, Hansson Helena, Boisen Kirsten A

机构信息

Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital, Rigshospitalet, Denmark.

Center of Rheumatology and Spine Disorders, Centre of Head and Orthopaedics, Copenhagen University Hospital, Rigshospitalet, Denmark.

出版信息

J Child Health Care. 2023 Dec;27(4):680-692. doi: 10.1177/13674935221082421. Epub 2022 Apr 28.

Abstract

Parents of chronically ill adolescents play a significant role during their child's transition and transfer to adult care. Parents seek help and support, but appropriate initiatives are still lacking. Thus, there is an urgent call for knowledge regarding parents' needs and views on such support. The aim of this study was to examine, in relation to parents of chronically ill adolescents: 1) views and experiences regarding their child's transfer from paediatric to adult care, and 2) which initiatives parents preferred in relation to the transfer. The study was based on the interpretive description method, and data were collected through face-to-face or telephone interviews with parents of chronically ill adolescents aged 16-19 (n = 11). We found three overall findings: 'Feeling acknowledged vs. feeling excluded', 'Perceived differences between paediatric and adult care' and 'Feeling safe vs. entering the unknown', together with three preferred initiatives: 1) Joint consultations, 2) Educational events and 3) Online support/website. In general, we found that some parents were extremely worried about the transfer, while others were not. Our results suggest that transfer initiatives targeting parents should focus on knowledge, expectations, relationships and goals in accordance with the social-ecological model of adolescent and young adult readiness to transition (SMART).

摘要

患有慢性病的青少年的父母在孩子向成人护理过渡和转诊过程中发挥着重要作用。父母寻求帮助和支持,但仍缺乏适当的举措。因此,迫切需要了解父母在这种支持方面的需求和观点。本研究的目的是针对患有慢性病的青少年的父母,调查:1)关于其孩子从儿科护理向成人护理转诊的观点和经历;2)父母在转诊方面更喜欢哪些举措。该研究基于解释性描述方法,通过与16 - 19岁患有慢性病的青少年的父母进行面对面或电话访谈收集数据(n = 11)。我们发现了三个总体结果:“感到被认可与感到被排斥”、“儿科护理与成人护理的感知差异”以及“感到安全与进入未知”,以及三个首选举措:1)联合咨询;2)教育活动;3)在线支持/网站。总体而言,我们发现一些父母对转诊极为担忧,而另一些父母则不然。我们的结果表明,针对父母的转诊举措应根据青少年和青年成人过渡准备的社会生态模型(SMART),关注知识、期望、关系和目标。

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