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患有慢性风湿性疾病的年轻人应该在什么时候从儿科护理转向以成人为主的护理?

When should young people with chronic rheumatic disease move from paediatric to adult-centred care?

作者信息

Robertson Lindsay

机构信息

Plymouth Hospitals NHS Trust, Derriford Hospital, Derriford Road, Plymouth PL6 8DH, UK.

出版信息

Best Pract Res Clin Rheumatol. 2006 Apr;20(2):387-97. doi: 10.1016/j.berh.2005.11.005.

Abstract

Many young people with childhood-onset diseases, including rheumatic diseases, continue to require medical care into adult life. There are many differences between paediatric and adult health care which can make this change a dramatic and difficult one for young people and their families. Transitional care services aim to equip young people with the appropriate knowledge and skills to cope with this change. This chapter will describe the differences between transition and transfer, and the different perspectives of those involved in the transition process, and will discuss the determinants of a successful transfer. Transition models currently used in practice will also be described, as will the evolving evidence base that is contributing to the further development of transitional care services.

摘要

许多患有儿童期起病疾病(包括风湿性疾病)的年轻人在成年后仍需医疗护理。儿科医疗与成人医疗存在诸多差异,这可能使这种转变对年轻人及其家庭来说既剧烈又困难。过渡性护理服务旨在使年轻人具备应对这种转变的适当知识和技能。本章将描述过渡与转诊之间的差异、过渡过程中相关各方的不同观点,并讨论成功转诊的决定因素。还将介绍目前在实践中使用的过渡模式,以及有助于过渡性护理服务进一步发展的不断演变的证据基础。

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