Castrejón Isabel
Departamento de Medicina, División de Reumatología, NYU Hospital for Joint Diseases, Nueva York, Estados Unidos.
Reumatol Clin. 2012 Jan-Feb;8(1):20-6. doi: 10.1016/j.reuma.2011.06.008. Epub 2011 Nov 15.
Transitional care programs are developed to facilitate the passage of a young patient with a chronic disease to an adult clinic where he needs to learn how to get involved in his own care. Various models have been proposed to address this transition in a multidisciplinary process. This review will address, in an updated format, various aspects of the transition units. With this objective in mind, we developed a narrative overview of the available information in the literature on transition units (TU) in rheumatic diseases. The most relevant information is presented in different stages: description and recommendations for the management of the adolescent patient, guidelines and information on programs at TU, and a description of aspects that should be part of a TU. Although several transition programs have been described, we do not have enough information to know what the ideal one would be like. More research is needed in this field, focusing on variables such as quality of life, satisfaction, activity and chronic damage.
过渡性护理项目旨在帮助患有慢性病的年轻患者顺利转诊至成人诊所,在那里患者需要学会如何参与自身护理。为解决这一多学科过程中的过渡问题,人们提出了各种模式。本综述将以更新的形式探讨过渡单元的各个方面。出于这一目的,我们对文献中有关风湿性疾病过渡单元(TU)的现有信息进行了叙述性概述。最相关的信息分不同阶段呈现:青少年患者管理的描述与建议、TU项目的指南和信息,以及TU应涵盖的方面的描述。尽管已描述了多个过渡项目,但我们尚无足够信息了解理想的过渡项目是什么样的。该领域需要更多研究,重点关注生活质量、满意度、活动和慢性损伤等变量。