在移植接受者中青少年和年轻成年人的发展
Debra Braun-Courville1, Sarah Holliday1, Neerav Desai1
1Department of Pediatrics, Division of Adolescent and Young Adult Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Pediatric transplantation
|October 7, 2024
概括
青少年和年轻成年人 (AYA) 的固体器官移植 (SOT) 提出了独特的发展挑战. 解决心理社会需求和赋予AYA权力对于成功的移植结果至关重要.
科学领域:
- 医学科学 医学科学 医学科学
- 心理学 心理学 心理学
- 移植医学 移植医学
背景情况:
- 固体器官移植 (SOT) 是终端器官功能障碍的拯救生命的治疗方法.
- 青少年和年轻人 (AYA) 面临着不同的发展任务,包括身份形成和自治.
- 这些发育任务可能会因移植后护理的要求而复杂化.
研究的目的:
- 确定AYA经历SOT时所面临的发展挑战.
- 探索参与AYA在移植护理中的策略.
- 强调AYA移植中医疗和心理社会结果的重要性.
主要方法:
- 发展心理学和移植研究的文献综述.
- 分析青少年和年轻成年人群面临的具体挑战.
- 确定患者参与和护理的最佳实践.
主要成果:
- 在SOT后,AYA经历了放大心理社会任务 (身份,自主,社会融合).
- 身体和青春期发育可能会延迟,影响身体形象.
- 药物坚持可以与对正常和同行接受的愿望发生冲突.
结论:
- 在AYA中成功的SOT需要承认和解决独特的发展和心理社会需求.
- 通过教育和共享决策赋权可以提高移植结果.
- 通过医疗和心理社会指标来定义成功的整体方法对这一群体至关重要.
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