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青少年/青年慢性肾病患者及其家庭在医疗护理过渡期间的经历。

Experience of adolescents/young adults with chronic kidney disease and of their families during transition of care.

作者信息

Roveri Júlia Rudzinski, Dos Santos Maiara Rodrigues, Mendes-Castillo Ana Márcia Chiaradia, Silveira Aline Oliveira, Szylit Regina, Misko Maira Deguer

机构信息

Universidade Estadual de Campinas, Faculdade de Enfermagem, Campinas, SP, Brazil.

Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2025 Jun 20;59:e20240365. doi: 10.1590/1980-220X-REEUSP-2024-0365en. eCollection 2025.

Abstract

OBJECTIVE

To understand the experience of adolescents/young adults with chronic kidney disease and of their families during transition of care.

METHOD

Qualitative study, based on the assumptions of the Grounded Theory and of the theoretical framework of Symbolic Interactionism. Interviews were held with eight families of adolescents/young adults diagnosed with chronic kidney disease, in the process of transition of care, followed in a public teaching hospital, during the years 2019 and 2020. Data were obtained through participant observation, semi-structured interviews, and consultations of clinical records.

RESULTS

Comparative analysis of the data allowed us to reveal the family's experience in the process, represented by the categories "having to move on to the next phase", in which participants describe the need to strengthen the independence of the adolescent/young adult through the change of roles within the family and "exploring the new world", where the autonomy of the teenager/young adult must be encouraged.

CONCLUSION

The study highlighted the importance of individualized transition plans, collaboration between family and health team, and enhancement of adolescents and young adults' independence and self-care.

摘要

目的

了解青少年/青年慢性肾病患者及其家庭在医疗照护过渡期间的经历。

方法

基于扎根理论和符号互动主义理论框架进行定性研究。2019年至2020年期间,对在一家公立教学医院接受随访、处于医疗照护过渡阶段的8名青少年/青年慢性肾病患者的家庭进行了访谈。通过参与观察、半结构化访谈和临床记录查阅获取数据。

结果

对数据的比较分析使我们能够揭示家庭在这一过程中的经历,以“必须进入下一阶段”和“探索新世界”这两个类别为代表。在“必须进入下一阶段”类别中,参与者描述了需要通过家庭内部角色的转变来增强青少年/青年的独立性;在“探索新世界”类别中,必须鼓励青少年/青年的自主性。

结论

该研究强调了个性化过渡计划、家庭与医疗团队之间合作以及增强青少年和青年独立性与自我照护能力的重要性。

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