Abdullah M A, Al-Salhi H S, Anani M A, Melendrez L Q
Department of Pediatrics, Security Forces Hospital, PO Box 3643, Riyadh 11481, Kingdom of Saudi Arabia.
Saudi Med J. 2000 Jan;21(1):24-30.
The importance of providing special health care services for adolescents has been recently stressed. In Saudi Arabia, adolescents have no special services. In this study, we describe our first 5 years experience of an adolescent endocrinology clinic in Security Forces Hospital. We believe it is the first clinic with this objective in the Kingdom.
An adolescent endocrinology clinic was run by a team composed of pediatric endocrinologist, diabetic nurse educator, clinic nurse and a dietician in collaboration with other supportive staff and consultants from other disciplines. The methodology of setting up, staffing and running the clinic is described.
About 223 cases were registered over 5 years. The most common problems were short stature 53 (24%), diabetes mellitus 49 (22%), obesity 40 (18%), thyroid disorders 28 (13%), delayed puberty 20 (9%) and rickets (8%). The clinic was well accepted by parents and their families. We learned a lot on how to handle these problems locally.
Based on our experience, we recommend establishing special health care services for adolescents both at the primary care, as well as secondary and tertiary care levels.
近期强调了为青少年提供特殊医疗服务的重要性。在沙特阿拉伯，青少年没有特殊服务。在本研究中，我们描述了我们在安全部队医院青少年内分泌诊所的头5年经验。我们认为这是王国首个以此为目标的诊所。
青少年内分泌诊所由一个团队运营，该团队由儿科内分泌学家、糖尿病护士教育者、诊所护士和一名营养师组成，并与其他支持人员以及其他学科的顾问合作。描述了诊所的设立、人员配备和运营方法。
5年期间共登记了约223例病例。最常见的问题是身材矮小53例（24%）、糖尿病49例（22%）、肥胖40例（18%）、甲状腺疾病28例（13%）、青春期延迟20例（9%）和佝偻病（8%）。该诊所受到家长及其家人的广泛认可。我们在如何在当地处理这些问题方面学到了很多。
基于我们的经验，我们建议在初级保健以及二级和三级保健层面为青少年建立特殊医疗服务。
