Escher Johanna C
Department of Pediatric Gastroenterology, Erasmus MC-Sophia Children's Hospital, University Medical Center, NL-3015 GJRotterdam, The Netherlands.
Dig Dis. 2009;27(3):382-6. doi: 10.1159/000228578. Epub 2009 Sep 24.
Inflammatory bowel disease (IBD) is a lifelong disease that has great psychosocial impact on the adolescent patient and his/her family. Starting around age 12-14 years, many changes take place related to school, work, and sexual development. At some point, usually around the age of 16-18 years, these patients need to move from the pediatric clinic to the adult caregivers. A stepwise program for transition of care, aimed at coaching the adolescent patient into self-management will benefit patients, parents, and the 'adult gastroenterologist' who will take over the care from the pediatric gastroenterologist. Differences in pediatric and adult health care, transition goals, tips and tools for successful transition will be discussed.
炎症性肠病（IBD）是一种终身疾病，对青少年患者及其家庭具有重大的心理社会影响。从12至14岁左右开始，与学校、工作和性发育相关的许多变化就会发生。在某个时候，通常在16至18岁左右，这些患者需要从儿科诊所转诊至成人护理机构。一个逐步过渡护理的计划，旨在指导青少年患者进行自我管理，这将使患者、家长以及将从儿科胃肠病学家手中接管护理工作的“成人胃肠病学家”受益。本文将讨论儿科和成人医疗保健的差异、过渡目标以及成功过渡的技巧和工具。
