21年,そしてまだ強い:タイプ1糖尿病移行プログラムのレジリエンスの若者,青少年,および利害関係者の関与を調査する質的研究
Ann Carrigan1, Veslemøy Guise2, D Jane Holmes-Walker3,4
1Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
まとめ
1型糖尿病 (T1D) トランジション・クリニックにおける強い関係と 支持的なリーダーシップは 回復力を育む. これらの要因は,青春期と若い成人期における慢性疾患の管理において,個人を中心としたケアに不可欠です.
科学分野:
- 医療管理
- 青春期 医学
- 内分泌学
背景:
- 青春期は 競合する要求により 最適な糖尿病のケアに挑戦します
- 1型糖尿病 (T1D) トランジションクリニックは,小児から成人のケアへの患者をサポートします.
- T1Dの診療所のような慢性疾患の管理における回復力要因に関する研究は限られている.
研究 の 目的:
- ステークホルダーとの関係がT1D移行クリニックの回復力にどのように貢献するか検討する.
- 青少年,介護者,医療従事者の 臨床の回復力に関する役割を調査する.
- T1Dの移行ケアにおける持続的なポジティブな結果を支える要因を特定する.
主な方法:
- 小児と成人のT1D移行診療所で臨床観察が行われました.
- 8人の医療従事者とT1D患者 (17歳~25歳) とのインタビューが行われました.
- 分析は7つの原則の枠組みを用いて行われ 患者とステークホルダーが医療におけるレジリエンスへの関与を図りました
主要な成果:
- 7つのレジリエンス原則がすべて実証され,個々の要因,リーダーシップの影響,利害関係に強い支持がありました.
- 安定したチーム,スタッフの継続性,強力なリーダーシップ,クリニックのコーディネーター,オープンなコミュニケーション,そしてポジティブな文化が 重要な貢献者でした.
- 柔軟な移行タイミングや遠隔医療サービスなどの適応プロセスを通じて 状況の回復力が見られた.
結論:
- T1Dの移行ケアにおける回復力は,人中心のケア,関係性のあるリーダーシップ,そして強い関係性に依存しています.
- 研究結果は他の移行ケアクリニックに 移転可能なモデルを示唆しています
- これらのレジリエンス・ファクターの適用性を 更に研究することで 評価することができるでしょう
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