关键词: adolescence adult care emerging adulthood emotional aspects experiences nursing psychosocial aspects qualitative transfer transition type 1 diabetes young adults

Mesh : Male Humans Female Young Adult Child Transition to Adult Care Diabetes Mellitus, Type 1 / therapy psychology Delivery of Health Care Qualitative Research Emotions

来  源:   DOI:10.1111/jan.15740

Abstract:
OBJECTIVE: To explore young adults\' experiences of living with type 1 diabetes in the transition to adulthood, including experiences of the transfer from paediatric to adult care.
METHODS: A qualitative approach was used.
METHODS: Ten young adults, six women and four men, aged 19-29 years, participated. Participants were recruited at their regular diabetes clinic from spring 2021 to spring 2022. Semi-structured interviews were transcribed and analysed using qualitative content analysis.
RESULTS: Dreaming of being nurtured towards self-reliance was the overarching theme. Personal experiences of the transition to adulthood, including the transfer from paediatric to adult care, were described in terms of struggling to find balance in daily life, dealing with feelings of being different, being gradually supported to achieve independence, and wishing to be approached as a unique person in healthcare.
CONCLUSIONS: In healthcare, it is important to emphasize not only diabetes-related factors but also emotional and psychosocial aspects of life connected to the transition to adulthood, including the transfer to adult care. The young adults wished to be seen as unique persons in healthcare during their emerging adulthood and should therefore be supported to achieve self-reliance through personal preparations for new challenges and for the consequences of transitioning to adulthood. Specialist nurses can provide appropriate knowledge and leadership.
UNASSIGNED: These findings can guide nurse specialists in support for emerging adults to achieve self-reliance and indicate the importance of person-centred care when experiencing transition and transfer.
UNASSIGNED: The study adhered to EQUATOR guidelines, and the COREQ checklist for qualitative studies was used as the reporting method.
摘要:
目的:探讨年轻成年人在向成年过渡的1型糖尿病患者的生活经历,包括从儿科转移到成人护理的经验。
方法:采用定性方法。
方法:十个年轻人,六个女人和四个男人,19-29岁,参与。从2021年春季到2022年春季,参与者在他们的常规糖尿病诊所招募。使用定性内容分析对半结构化访谈进行了转录和分析。
结果:梦想自力更生是首要主题。过渡到成年的个人经历,包括从儿科到成人护理的转移,被描述为在日常生活中努力寻找平衡,处理不同的感觉,逐步支持实现独立,并希望成为医疗保健领域的独特人物。
结论:在医疗保健方面,重要的是不仅要强调与糖尿病有关的因素,还要强调与成年过渡有关的生活的情感和社会心理方面,包括转移到成人护理。年轻人希望在成年后被视为医疗保健方面的独特人物,因此应通过个人准备应对新挑战和过渡到成年的后果来支持实现自力更生。专科护士可以提供适当的知识和领导。
这些发现可以指导护士专家支持新兴成年人实现自力更生,并表明在经历过渡和转移时以人为本的护理的重要性。
这项研究遵循了EQUATOR准则,采用定性研究的COREQ检查表作为报告方法。
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