Young people with chronic illness: the approach to transition
Young people with chronic illness: the approach to transition
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DOI：
10.1111/j.1445-5994.2007.01440.x
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发表时间：
2007-08-01
影响因子：
2.1
通讯作者：
Sawyer, S. M.
中科院分区：
文献类型：
--
作者：
Kennedy, A.;Sloman, F.;Sawyer, S. M.
随着越来越多患有慢性病的年轻人进入成年期，他们的持续医疗保健必须演变为在成人而不是儿科环境中提供，这一过程称为过渡。为实现这一目标，越来越多的儿科医院和成人医院正在开展工作，促进对患有慢性病的年轻人的持续护理。越来越多的证据表明，如果过渡安排不充分，就会对健康产生不利影响。本文借鉴了从皇家儿童医院，墨尔本产生的过渡方案的经验，并介绍了准备工作，可以确保有效的年轻人与慢性疾病的成人机构的过渡。在儿科环境中，这包括让年轻人有机会自己看医生，以鼓励他们独立实现保健目标，并确保向成人服务提供充分的健康信息。在成人机构中，了解青少年发展的概念将鼓励年轻人与新的卫生保健提供者接触，以改善健康结果。儿科和成人保健小组之间的联合诊所可以改善病人个人知识的传授，促进对病人护理采取合作办法，促进护理的连续性，并从医疗和病人的角度建立信心。让患者参与过渡服务的决策过程将鼓励以青年为中心的服务发展，这将有助于为患有慢性病的年轻人取得最佳结果。
As increasing numbers of young people with chronic illness reach adulthood, their ongoing medical care must evolve to be delivered in an adult rather than paediatric setting, a process known as transition. Towards this goal, increasing numbers of paediatric and adult hospitals are engaging in processes to promote the continuity of care for young people with chronic illness. Increasing evidence shows that adverse health consequences occur when inadequate transition arrangements are in place. This article draws from the experience of a transition programme emanating from the Royal Children's Hospital, Melbourne and describes the preparation that can ensure effective transition of young people with chronic illness to adult institutions. In paediatric settings, this includes opportunities for young people to be seen medically on their own to encourage independence with health-care goals and ensuring that adequate health information is transferred to the adult service. in adult institutions, understanding the concept of adolescent development will encourage young people's engagement with the new health-care providers to improve health Outcomes. Joint clinics between paediatric and adult health-care teams can improve the transfer of individual patient knowledge, promote a collaborative approach to patient care, facilitate continuity of care and build confidence from both medical and patient perspectives. Including patients in decision-making processes around transition services will encourage youth-focused service developments that will help achieve optimal outcomes in young people with chronic illness.