O olhar dos profissionais de saúde sobre a transição de cuidados de adolescentes jovens com fibrose cística para os serviços de adultos

Abstract

The increase in the life expectancy of young adolescents with Complex Chronic Health Conditions demands the improvement of care management with regard to the transition from the Pediatric Service to the Adult Service. The transition from care to the adult service is a necessary element in the care of young adolescents with a chronic illness; currently this concept is considered a quality parameter in the services that provide care to these patients. In a sense, this study has as its object: the transition of care for young adolescents with cystic fibrosis to the adult service. Objectives: to analyze the transition of care for young adolescents with cystic fibrosis to adult services; get to know the perspective of health professionals on the transition of care for young adolescents with cystic fibrosis to adult services; describe the transition of care for young adolescents with cystic fibrosis to adult services and identify the challenges for health professionals in the transition of care for young adolescents with cystic fibrosis. Methodology: qualitative, descriptive and exploratory research, developed through a semi-structured interview with 19 health professionals. The research was approved by the Research Ethics Committee, under opinion 5,379,005. Data were processed using the IRAMUTEQ®️ software. After processing the data by the software, the interpretation of the results was carried out from the conceptual framework on care transition, and the support base of the object of study. Results: the transition of care is understood as a longitudinal and singular process that demands the development of the potential of young adolescents and family members/caregivers in the care process. They point out the structural and organizational challenges faced by health professionals in the implementation of the transition of care; as well as evidence that the absence of care flows and the planning of health actions that support the transition of care corroborates the permanence of adults in pediatric services. Final Considerations: the transition of care is configured as a key element in the care process by enabling the coordination and continuity of care with insertion in adult services. However, for its implementation that is still incipient in most health services; it becomes necessary to articulate the health care network, receive support from the management of institutions, as well as adequate structural and organizational conditions to offer a comprehensive service.