Hoyte Flavia C L
Pediatr Ann. 2017 Jun 1;46(6):e229-e234. doi: 10.3928/19382359-20170518-01.
Allergic disorders and immunodeficiencies are generally chronic and even lifelong conditions, often changing over time, making the cautious transition of care from childhood to adulthood particularly important. Many, but not all, patients can continue to receive their care from the same physician as they transition through adolescence and emerging adulthood, made possible because allergy/immunology training programs require cross-training in the care of both pediatric and adult patients. Although keeping the same physician makes the transition easier for many allergy/immunology patients, even these patients face psychosocial issues unique to adolescents and emerging adults, including increased autonomy, risk-taking behavior, and medical self-management. Successful transition for patients with chronic allergic and immunologic conditions involves an understanding of the natural history of these conditions by patients and physicians alike, a gradual increase in self-management depending on individual readiness, and careful communication between pediatric and adult specialists as care is transitioned. [Pediatr Ann. 2017;46(6):e229-e234.].
过敏性疾病和免疫缺陷通常是慢性甚至是终身性疾病，且常随时间变化，因此谨慎地将护理从儿童期过渡到成年期尤为重要。许多（但并非所有）患者在从青春期过渡到成年早期的过程中可以继续由同一位医生提供护理，这之所以成为可能，是因为过敏/免疫学培训项目要求在儿科和成年患者护理方面进行交叉培训。尽管对许多过敏/免疫学患者来说，由同一位医生护理会使过渡更容易，但即使是这些患者也面临着青少年和成年早期特有的心理社会问题，包括自主性增强、冒险行为和医疗自我管理。患有慢性过敏性和免疫性疾病的患者成功过渡需要患者和医生都了解这些疾病的自然史，根据个人准备情况逐渐增加自我管理，并在护理过渡时儿科和成人专科医生之间进行仔细沟通。[《儿科年鉴》。2017年；46(6):e229 - e234。]
