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儿童在患幼年特发性关节炎的第一年参与支持项目的经历:来自定性访谈的见解

Children's experiences of a support program during their first year with juvenile idiopathic arthritis : - Insights from qualitative interviews.

作者信息

Mördrup Karina, Bartholdson Cecilia, Broström Eva, Jungner Johanna Granhagen

机构信息

Department of Women´s and Children´s Health, Karolinska Institutet, Karolinska vägen 37 A 171 64 Solna, Stockholm, Sweden.

Highly specialized pediatric medicine and surgical divisions, Astrid Lindgren Children´s Hospital, Karolinska University Hospital, Stockholm, Sweden.

出版信息

Pediatr Rheumatol Online J. 2025 Sep 16;23(1):92. doi: 10.1186/s12969-025-01142-y.

Abstract

BACKGROUND

Research reveals that both children and parents often experience fear and anxiety upon being diagnosed with a chronic disease like juvenile idiopathic arthritis. A one-year juvenile arthritis support program (JASP-1) has been developed to offer patient- and family-centered support and education to empower children and their parents in their new situation. However, there is limited knowledge about children's experiences of participating in such support programs. Therefore, this study aimed to describe children's experiences of participating in JASP-1 during their first year with juvenile idiopathic arthritis.

METHODS

Data were collected using individual semi-structured interviews with children who had participated in JASP-1. The interviews were transcribed and analyzed using qualitative content analysis.

RESULTS

Fourteen children between 12 and 17 years of age, with a mean age of 14 years, were interviewed. Three distinct categories were identified. The children reported that their involvement in JASP-1 provided them with a sense of security through treatment, a sense of security through information and support; and that contact, visits, and school presence were in balance.

CONCLUSION

The results showed that JASP-1 successfully integrated contact through phone calls, visits, and medical and psychosocial support in a satisfactory and accessible way for children recently diagnosed with JIA. This provided them with a comprehensive sense of security. Our findings indicate that patient- and family-centered programs like JASP-1 not only have the potential to enhance and standardize care for children newly diagnosed with JIA but also to contribute to improved and equitable healthcare outcomes in the future.

摘要

背景

研究表明,儿童和家长在被诊断患有幼年特发性关节炎等慢性病时,常常会感到恐惧和焦虑。现已制定了一项为期一年的青少年关节炎支持计划(JASP - 1),以提供以患者和家庭为中心的支持与教育,帮助儿童及其家长在新的状况下增强能力。然而,对于儿童参与此类支持计划的体验了解有限。因此,本研究旨在描述儿童在患幼年特发性关节炎的第一年参与JASP - 1的体验。

方法

通过对参与JASP - 1的儿童进行个人半结构化访谈收集数据。访谈内容经转录后采用定性内容分析法进行分析。

结果

对14名年龄在12至17岁之间、平均年龄为14岁的儿童进行了访谈。确定了三个不同的类别。儿童报告称,他们参与JASP - 1通过治疗为他们提供了一种安全感,通过信息和支持获得了一种安全感;并且接触、探访和在学校的活动保持平衡。

结论

结果表明,JASP - 1以一种让新诊断为幼年特发性关节炎的儿童满意且易于接受的方式,成功整合了通过电话、探访以及医疗和心理社会支持的接触。这为他们提供了全面的安全感。我们的研究结果表明,像JASP - 1这样以患者和家庭为中心的项目不仅有可能加强和规范对新诊断为幼年特发性关节炎儿童的护理,而且在未来有助于改善医疗保健结果并实现公平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a7/12439369/d372addf3454/12969_2025_1142_Fig1_HTML.jpg

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