小儿慢性肾脏病与医疗保健过渡过程
Pediatric chronic kidney disease and the process of health care transition.
作者信息
Ferris Maria E, Mahan John D
机构信息
Division of Nephrology and Hypertension, UNC Kidney Center at the University of North Carolina, 7021 Burnett Womack, Chapel Hill, NC 27599-7155, USA.
出版信息
Semin Nephrol. 2009 Jul;29(4):435-44. doi: 10.1016/j.semnephrol.2009.03.018.
Health care transition is a process that involves purposeful, planned efforts to prepare the pediatric patient to move from caregiver-directed care to disease self-management. Acquisition of sufficient disease self-management skills for a complex regimen requires cognitive ability consideration for each patient. Transition programs that involve patients, families, pediatric and adult health care providers, and interdisciplinary collaboration are key to ensuring a successful transfer to adult-focused health services. Tools to measure and diagnose the process of transition and acquisition of disease self-management skills are introduced. An evidence-based transition process requires planning and education, in addition to effective coordination.
医疗保健过渡是一个过程，涉及有目的、有计划地努力，使儿科患者从由护理人员主导的护理转向疾病自我管理。对于复杂治疗方案而言，获得足够的疾病自我管理技能需要考虑每个患者的认知能力。涉及患者、家庭、儿科和成人医疗保健提供者以及跨学科协作的过渡项目是确保成功转向以成人为重点的医疗服务的关键。文中介绍了用于衡量和诊断过渡过程以及疾病自我管理技能获得情况的工具。除了有效协调外，基于证据的过渡过程还需要规划和教育。
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