Krall Jodi, Libman Ingrid, Siminerio Linda
Project Director, University of Pittsburgh Diabetes Institute, Falk Medical Building, 3601 Fifth Avenue Pittsburgh, PA USA.
Associate Professor, Pediatric Endocrinology and Diabetes, Children's Hospital of Pittsburgh of UPMC, One Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224, USA.
Pediatr Endocrinol Rev. 2017 Jun;14(Suppl 2):422-428. doi: 10.17458/per.vol14.2017.kls.emergingadultdiabetes.
Transfer from pediatric to adult health care is a significant life event for youth with chronic medical conditions. Unfortunately, youth may not be well prepared to navigate the shift in health care services, increasing their risk for loss to follow up and poor health outcomes. This review explores transition in care through the lens of type 1 diabetes, highlighting current practices and guidelines and offering recommendations for future consideration. Limited evidence suggests that transition programs that focus on strategies to prepare youth developmentally and equip the health care system appropriately have positive impact on the hand off of care, and health outcomes. Advanced practice nurses are well positioned to play a key role in helping youth with chronic conditions with the transition process.
对于患有慢性疾病的青少年来说，从儿科医疗保健过渡到成人医疗保健是一件重大的人生事件。不幸的是，青少年可能没有做好充分准备来应对医疗保健服务的转变，这增加了他们失访的风险以及健康状况不佳的可能性。本综述从1型糖尿病的角度探讨了医疗保健过渡问题，强调了当前的实践和指南，并提出了供未来考虑的建议。有限的证据表明，侧重于为青少年提供发展准备策略并适当配备医疗保健系统的过渡项目，对医疗保健交接和健康结果有积极影响。高级执业护士在帮助患有慢性疾病的青少年进行过渡过程中具有发挥关键作用的有利条件。
