A Practice Research Study of How Youth Understand and Manage Risks Associated With Their Food Allergy

IF 3.4 3区 医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-03-03 DOI:10.1111/jan.16858
Britt Egmose, Dorthe S. Nielsen, Carsten Bindslev-Jensen, Charlotte G. Mørtz, Lotte Huniche
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Abstract

Aim

To explore how youth understand and manage risk associated with food allergy in everyday life, aiming to inform future advanced nursing and care initiatives.

Design

Qualitative study based on critical psychological practice research.

Methods

Data was generated through participant observation and informal interviews during a 2-day camp with youth aged 18–23years (n = 10), diagnosed with food allergy in childhood. Data analysis used thematic analysis informed by a critical psychology theoretical framework.

Findings

Risk associated with food allergy is an integrated aspect of the youth life trajectories. The allergy clinic plays a crucial role in how they come to understand and manage risk. Paradoxically, knowledge of risk fosters safety as well as uncertainty. Bodily awareness plays a crucial role in managing food allergy, but minor bodily sensations can trigger anxiety and fear of anaphylaxis. Establishing routines emerges as a key strategy for managing risk, as routines reduce anxiety and facilitate participation in everyday social activities.

Conclusion

The study highlights the complexity of managing food allergy in the everyday life of youth. How risk knowledge is translated from the clinic into everyday life varies and impacts risk management strategies in different ways.

Implications for Profession and Patients

HCP must address both physical and psychosocial aspects of living with the risk associated with food allergy. Individually tailored risk communication that considers personal circumstances and experiences can help reduce anxiety and support strategies for managing food allergy in everyday life.

Impact

Integrating patients' everyday perspectives and risk management into healthcare fosters personalised care. Nurses and doctors should help patients bridge the gap between medical advice and its practical application, addressing both physical and emotional aspects of managing health risks.

Reporting Methods

The SRQR guideline for reporting qualitative research.

Patient or Public Contribution

Patient representatives were involved in developing the protocol, research questions and study aims.

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青少年如何理解和管理与食物过敏相关的风险的实践研究。
目的:探讨青少年在日常生活中如何理解和管理与食物过敏相关的风险,旨在为未来的高级护理和护理举措提供信息。设计:基于批判性心理实践研究的定性研究。方法:在为期2天的夏令营中,通过参与者观察和非正式访谈获得数据,其中18-23岁的青少年(n = 10)在儿童期被诊断为食物过敏。数据分析采用了批判性心理学理论框架下的主题分析。研究结果:与食物过敏相关的风险是青少年生活轨迹的一个综合方面。过敏诊所在他们如何理解和管理风险方面起着至关重要的作用。矛盾的是,对风险的了解既促进了安全性,也促进了不确定性。身体意识在控制食物过敏中起着至关重要的作用,但轻微的身体感觉会引发对过敏反应的焦虑和恐惧。建立例行程序成为管理风险的关键策略,因为例行程序可以减少焦虑并促进日常社会活动的参与。结论:这项研究强调了在年轻人的日常生活中管理食物过敏的复杂性。风险知识如何从诊所转化为日常生活各不相同,并以不同的方式影响风险管理策略。对职业和患者的影响:HCP必须处理与食物过敏相关的生理和心理方面的风险。考虑个人情况和经历的个性化风险沟通有助于减少焦虑,并支持日常生活中管理食物过敏的策略。影响:将患者的日常观点和风险管理整合到医疗保健中,促进个性化护理。护士和医生应该帮助患者弥合医疗建议与其实际应用之间的差距,解决管理健康风险的身体和情感方面的问题。报告方法:定性研究报告的SRQR指南。患者或公众贡献:患者代表参与制定方案、研究问题和研究目标。
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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