The Transition From Pediatric to Adult Diabetes Care Services
The Transition From Pediatric to Adult Diabetes Care Services
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DOI：
10.1097/nur.0b013e31828c8372
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发表时间：
2013-05-01
影响因子：
1.2
通讯作者：
Woodward, Jason
中科院分区：
文献类型：
--
作者：
Hanna, Kathleen M.;Woodward, Jason
目的：对文献进行系统回顾，以确定证据水平，并描述青少年糖尿病患者从儿科到成人医疗保健服务转变的证据。背景：从儿科到成人医疗保健服务的转变是青少年糖尿病患者的期望；然而，对这种过渡的指导政策和程序知之甚少。项目描述：首先根据预定的标准对文献进行检索和筛选，然后评估证据水平。结果：共纳入16项混合定性和/或定量研究，23项定量研究和2篇专家意见文章。大多数证据来自非受控研究。青年报告了在服务转型方面面临的挑战。延迟寻求成人服务和诊所出勤率低是这些青年的问题。然而，目前尚不清楚这些问题是否是服务转型的结果。对几个有希望的过渡方案进行了评估，总的来说，青年认为这些方案是可以接受和有用的。总的来说，有证据表明这些项目可以改善血糖控制。结论：在这一具有挑战性的领域，需要更多的研究来指导政策和程序。含义：专家意见是目前政策和程序的指南。
Purpose:A systematic review of the literature was conducted to identify the level of evidence and to describe the evidence on the transition from pediatric to adult healthcare services among youth with diabetes.Background:The transition from pediatric to adult healthcare services is an expectation of youth with diabetes; however, little is known to guide policy and procedures on such transitions.Description of Project:The literature was first searched and screened according to predetermined criterion and then evaluated for level of evidence.Outcome:There were 16 mixed qualitative and/or quantitative studies, 23 quantitative studies, and 2 expert opinion articles reviewed. Most of the evidence was from uncontrolled studies. Youth report challenges in making the transition in services. Delay in seeking adult services and poor clinic attendance are issues for these youth. However, it is unclear if these problems are a result of the transition in services. Several promising transition programs have been evaluated and, overall, are found acceptable and useful by youth. In general, evidence suggests that these programs improve glycemic control.Conclusions:More research is needed in this challenging area to guide policies and procedures.Implications:Expert opinion is a guide for policy and procedures at this point in time.