Srivastava Rajendu, Stone Bryan L, Murphy Nancy A
Department of Pediatrics, University of Utah School of Medicine, 100 North Medical Drive, Salt Lake City, UT 84132, USA.
Pediatr Clin North Am. 2005 Aug;52(4):1165-87, x. doi: 10.1016/j.pcl.2005.03.007.
The nature of inpatient pediatrics is changing. Over the past decade, several factors have converged to influence the kinds of children currently being hospitalized. There has been a shift in the relative proportion of otherwise healthy children with acute illnesses being hospitalized to children with increasing medical complexity. This article focuses on hospitalist care of medically complex children and provides an overview on (1) the challenges in defining this population, (2) the unique issues surrounding their inpatient care (using a family-centered care approach that includes coordinated care, minimizing secondary complications, nutritional needs, functional limitations, transdisciplinary collaboration, and primary care issues), (3) technology devices commonly found, and (4) a proposal for a research agenda regarding medically complex children.
住院儿科的性质正在发生变化。在过去十年中，多种因素共同作用，影响了目前住院儿童的类型。原本健康的急性病患儿住院的相对比例有所下降，转而住院的是病情日益复杂的儿童。本文重点关注病情复杂儿童的住院医师护理，并概述了以下内容：（1）界定这一群体所面临的挑战；（2）围绕其住院护理的独特问题（采用以家庭为中心的护理方法，包括协调护理、尽量减少继发性并发症、营养需求、功能限制、跨学科协作和初级保健问题）；（3）常见的技术设备；（4）关于病情复杂儿童的研究议程提案。
