对患有胆脉的青少年和年轻成年人转移照顾责任的过程模型:二次和整合性分析
Katsuhiro Hiratsuka1, Nobue Nakamura2
1Department of Nursing, School of Nursing and Rehabilitation Sciences, Showa Medical University, 1865, Tokaichibacho, Yokohama Midori-ku, Yokohama 226-8555, Japan.
Nursing reports (Pavia, Italy)
|August 27, 2025
概括
青少年和年轻成年人患有胆管缩症面临着从父母独立过渡的挑战. 一个新的模式指导护士支持关键的护理转型和共享决策.
科学领域:
- 儿童胃肠病学
- 青少年医学
- 质量健康研究
背景情况:
- 患有胆道缩的青少年和年轻人 (AYA) 经历了长期的父母参与.
- 这种广泛的依赖阻碍了AYA的独立和自我照顾能力的发展.
- 现有研究不足以解决AYA和家长之间的责任转移的双向导航问题.
研究的目的:
- 阐明胆道动症患者与其父母之间的共同责任过渡过程.
- 开发一个实用的护理模式来支持这些转变.
- 确定影响该群体成功转换关键因素.
主要方法:
- 从八个青少年-家长对象的定性数据的二次和整合性分析.
- 对半结构面试数据应用的修改基础理论方法.
- 整合两项先前研究的结果,构建一个整合过程模型.
主要成果:
- 在过渡过程中确定了四个不同的阶段:由父母领导的恢复,控制/叛乱周期,责任轴转移,以及调整父母-孩子节奏.
- 转变动态受到AYA演变的认知和行为变化的影响.
- 该模型强调通过沟通,谈判和反思相互适应,揭示护理干预点.
结论:
- 建议护士使用一个实用的流程模型来管理胆道动症患者的护理转换.
- 该模型有助于评估过渡准备,支持角色转换,并帮助共同制定护理策略.
- 它提供了基于关系的沟通和二元背景下的共享决策的见解.
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