Gurmit Gill, Ananth U Nayak, Julie Wilkins, George I Varughese, Lakshminarayanan Varadhan, Department of Diabetes and Endocrinology, University Hospital of North Staffordshire NHS Trust, Stoke on Trent, ST4 6QG, United Kingdom.
World J Diabetes. 2014 Oct 15;5(5):630-5. doi: 10.4239/wjd.v5.i5.630.
Diabetes mellitus is a complex condition with far reaching physical, psychological and psychosocial effects. These outcomes can be significant when considering the care of a youth transferring from paediatric through to adult diabetes services. The art of mastering a smooth care transfer is crucial if not pivotal to optimising overall diabetic control. Quite often the nature of consultation varies between the two service providers and the objectives and outcomes will mirror this. The purpose of this review is to analyse the particular challenges and barriers one might expect to encounter when transferring these services over to an adult care provider. Particular emphasis is paid towards the psychological aspects of this delicate period, which needs to be recognised and appreciated appropriately in order to understand the particular plights a young diabetic child will be challenged with. We explore the approaches that can be positively adopted in order to improve the experience for child, parents and also the multi- disciplinary team concerned with the overall delivery of this care. Finally we will close with reflection on the potential areas for future development that will ultimately aim to improve long-term outcomes and experiences of the young adolescent confronted with diabetes as well as the burden of disease and burden of cost of disease.
糖尿病是一种复杂的疾病，会产生广泛的身体、心理和心理社会影响。在考虑从儿科到成人糖尿病服务的青年患者的护理时，这些结果可能非常重要。如果不是至关重要的话，掌握平稳的护理交接的艺术对于优化整体糖尿病控制至关重要。通常情况下，两个服务提供者之间的咨询性质有所不同，其目标和结果也会反映这一点。本综述的目的是分析在将这些服务转移到成人护理提供者时可能遇到的特殊挑战和障碍。特别强调了这一微妙时期的心理方面，需要适当认识和重视，以便了解年轻糖尿病儿童将面临的特殊困境。我们探讨了可以积极采用的方法，以改善儿童、家长以及负责提供这种护理的多学科团队的体验。最后，我们将反思未来发展的潜在领域，最终目的是改善面临糖尿病的青少年以及疾病负担和疾病成本负担的长期结果和体验。
