Little Jeanne M, Odiaga Janice A, Minutti Carla Z
J Pediatr Health Care. 2017 Mar-Apr;31(2):215-221. doi: 10.1016/j.pedhc.2016.08.009. Epub 2016 Sep 29.
For adolescents with diabetes, ineffective health care transition to adult health services may result in suboptimal adherence to medical supervision, leading to poor glycemic control, increased diabetes complications, and hospitalization. Despite national recommendations, few youth receive the needed preparation to transition to adult health services. A data transition registry was created at a large Midwest urban academic medical center to identify patients 14 years and older with Type 1 diabetes. Thirty-nine patients with Type 1 diabetes were identified, and 33 were eligible to begin transition planning. Baseline Transition Readiness Assessment Questionnaires (TRAQs) were completed in 21 (64%) of the 33 identified patients, with a mean TRAQ skill score of 66.62 out of 100. There was no correlation between better TRAQ scores and hemoglobin A1c level. Participants had lower baseline TRAQ scores for appointment keeping and tracking health issues. Participants were confident managing daily activities, talking with providers, and managing medications.
对于患有糖尿病的青少年而言，向成人医疗服务进行的无效医疗保健过渡可能会导致对医疗监督的依从性欠佳，进而导致血糖控制不佳、糖尿病并发症增加以及住院治疗。尽管有国家层面的建议，但很少有青少年为向成人医疗服务过渡做好所需的准备。一家位于美国中西部的大型城市学术医疗中心创建了一个数据过渡登记处，以识别14岁及以上的1型糖尿病患者。共识别出39例1型糖尿病患者，其中33例有资格开始过渡计划。在这33例已识别患者中，有21例（64%）完成了基线过渡准备评估问卷（TRAQ），TRAQ技能得分平均为满分100分中的66.62分。TRAQ得分较高与糖化血红蛋白水平之间没有相关性。参与者在预约就诊和跟踪健康问题方面的基线TRAQ得分较低。参与者对管理日常活动、与医护人员沟通以及管理药物充满信心。
