Said Sameh M, Driscoll David J, Dearani Joseph A
Division of Cardiovascular Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Division of Pediatric Cardiology, Mayo Clinic, Rochester, MN.
Semin Pediatr Surg. 2015 Apr;24(2):69-72. doi: 10.1053/j.sempedsurg.2015.01.003. Epub 2015 Jan 8.
Improvement in surgical techniques, anesthesia, and perioperative care has resulted in the majority of children born with congenital heart defects surviving into adulthood with a normal or near-normal quality of life. A careful transition from pediatric to adult care providers is important to avoid issues related to loss of continuity of care and any undue financial or psychological burdens to the patients and their families. The patients, their families, and the health care providers are faced with many challenges during this transition process that can be optimized and overcome by education about the heart defects and a team approach with clear lines of communication. This review addresses the challenges related to the transition of care from pediatrics to adults and provides the necessary recommendations to ensure a smooth transition process.
手术技术、麻醉和围手术期护理的改进，使得大多数患有先天性心脏缺陷的儿童能够存活至成年，拥有正常或接近正常的生活质量。从儿科护理人员到成人护理人员的谨慎过渡，对于避免与护理连续性丧失相关的问题以及给患者及其家庭带来任何不必要的经济或心理负担非常重要。在这个过渡过程中，患者、其家人和医疗保健提供者面临着许多挑战，通过对心脏缺陷的教育以及采用沟通清晰的团队方法，可以对这些挑战进行优化并克服。本综述探讨了从儿科护理向成人护理过渡相关的挑战，并提供了必要的建议，以确保过渡过程顺利进行。
