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从儿童到使用家用机械通气的青少年的过渡。

The transition from children to young people living with home mechanical ventilation.

机构信息

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.

Faculty of Medicine, Lund University, Lund, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2024 Dec;19(1):2399432. doi: 10.1080/17482631.2024.2399432. Epub 2024 Sep 4.

Abstract

PURPOSE

This study aimed to examine how young people living with Home Mechanical Ventilation experience the transition from childhood to young adulthood in relation to everyday life, perceived health and transition into adult professional healthcare.

METHODS

Nine young adults (three females and six males aged 18-31) were interviewed, and data was primary analysed using phenomenological hermeneutics. In the actual study, data was reworked using secondary analysis as described by Beck. Two interviewees were ventilated invasively and six non-invasively, and one was treated with continuous positive airway pressure (CPAP).

RESULTS

The results are presented in two main categories. First; moving towards adulthood; and second, To handle changes in health and healthcare contacts. The study highlights the importance of ongoing social relations and being part of a socializing and physically active community. The transfer from paediatric to adult healthcare was solid and worked out well but was a process in which the participants struggled to find their own voice.

CONCLUSIONS

The transition into adulthood is a sensitive and challenging time for young people with HMV, but stable, close relationships and a well-organized transfer can enable this group to feel safe and able to find and use their own voice.

摘要

目的

本研究旨在探讨患有家用机械通气的年轻人在日常生活、感知健康和过渡到成人专业医疗保健方面如何经历从儿童到成年的过渡。

方法

对 9 名年轻人(3 名女性和 6 名男性,年龄 18-31 岁)进行了访谈,并使用现象学解释学对数据进行了初步分析。在实际研究中,如 Beck 所述,使用二次分析重新处理数据。其中 2 名受访者采用有创通气,6 名采用无创通气,1 名采用持续气道正压通气(CPAP)。

结果

结果呈现为两个主要类别。第一,迈向成年;第二,应对健康和医疗保健接触的变化。研究强调了持续的社会关系以及融入社交和积极活跃社区的重要性。从儿科到成人医疗保健的过渡是稳定的,效果良好,但这是一个参与者努力寻找自己声音的过程。

结论

对于患有 HMV 的年轻人来说,成年过渡期是一个敏感和具有挑战性的时期,但稳定、密切的关系和组织良好的过渡可以使这一群体感到安全,并能够找到和使用自己的声音。

相似文献

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The transition from children to young people living with home mechanical ventilation.从儿童到使用家用机械通气的青少年的过渡。
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2399432. doi: 10.1080/17482631.2024.2399432. Epub 2024 Sep 4.

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