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首页> 外文期刊>AIDS care. >Transition from paediatric to adult services: experiences of HIV-positive adolescents.
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Transition from paediatric to adult services: experiences of HIV-positive adolescents.

机译：从儿科服务向成人服务的转变：艾滋病毒阳性青少年的经历。

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摘要

In this small, preliminary study, semi-structured interviews were conducted with seven adolescents to explore their experiences of transition between paediatric and adult HIV care services. In general, the transition process established between the two health care units was considered by most participants to be beneficial, particularly the introduction of adult service providers early on in the transition preparation period. Four of the participants found the transition 'easy', whereas three had concerns that possibly delayed their transition, including coordination of haemophiliac and HIV care and fear of an adult environment. Individuals who had experienced little input into their care decisions during their paediatric appointments were more positive and ready for transition than those who had been more involved. Confidence and attachment with paediatric staff generally involved those who had been more involved in their care decision making. On transition, some of the participants were not prepared for the predominantly gay male population and were disappointed in not seeing other adolescents. The benefits of transition included the sense of independence, the shift in responsibility to the individual and general satisfaction in being treated as an adult. For those with strong paediatric staff rapport, a sense of loss in these relationships was expressed. Participants were forthcoming in suggesting recommendations for future transitions that are discussed.
机译：在这项小型的初步研究中，对七个青少年进行了半结构化访谈，以探讨他们在儿科和成人HIV护理服务之间过渡的经验。通常，大多数参与者认为在两个卫生保健部门之间建立的过渡过程是有益的，特别是在过渡准备阶段的早期引入成人服务提供者。其中四名参与者认为过渡“容易”，而三名参与者担心可能会推迟过渡，包括血友病和艾滋病毒治疗的协调以及对成年环境的恐惧。与那些参与程度更高的人相比，在儿科任命期间几乎没有对其护理决定提供任何投入的个人更加积极和愿意过渡。与儿科医务人员的信任和依恋通常涉及那些更加参与其护理决策制定的人。在过渡期，一些参与者没有为以同性恋者为主的人群做好准备，并对没有见到其他青少年感到失望。过渡的好处包括独立感，对个人的责任转移以及成年后的普遍满足感。对于那些儿科工作人员关系融洽的人，他们在这些关系中感到失落。与会者提出了有关所讨论的未来过渡的建议。

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