Zuckerman Andrea L
Obstetrics and Gynecology, Tufts Medical Center, Boston, Massachusetts, USA.
Curr Opin Obstet Gynecol. 2017 Oct;29(5):295-300. doi: 10.1097/GCO.0000000000000401.
The transition from adolescence to young adulthood can be a difficult and overwhelming time. Many adult care providers are unaware of the issues facing adolescents and young adults. Often the focus is on older patients and their problems. Internists, family practitioners and obstetricians and Gynecologists (OBGYNs) typically care for these patients. Often, young adults view their obstetrician and gynecologist as their primary care physician, so reviewing the issues facing this age group is important.
Lifestyle habits begun in childhood frequently continue throughout life. Adolescence and young adulthood are times when change in these habits may be easier to enforce. Reviewing nutrition, exercise, risky behaviors, preventive health objectives, sexuality and mental health are of utmost importance in the transition of care from a pediatric to an adult provider.
The transition from adolescence to young adulthood can be difficult for patients. Knowledge of these issues is crucial to the adult provider caring for these patients. Although visits frequently are short in duration, using screening tools and checklists filled out by the patient prior to the visit may be beneficial.
从青春期到青年期的过渡可能是一段艰难且压力巨大的时期。许多成年护理人员并不了解青少年和青年面临的问题。人们通常将关注点放在老年患者及其问题上。内科医生、家庭医生以及妇产科医生通常负责照料这些患者。年轻人常常将他们的妇产科医生视为自己的初级保健医生,因此审视这个年龄组面临的问题很重要。
童年时期养成的生活习惯常常会持续一生。青春期和青年期是改变这些习惯或许更容易实现的时候。在从儿科护理向成人护理过渡的过程中,审视营养、运动、危险行为、预防性健康目标、性健康和心理健康至关重要。
对患者来说,从青春期到青年期的过渡可能很困难。了解这些问题对于照料这些患者的成年护理人员至关重要。尽管就诊时间通常较短,但使用筛查工具以及让患者在就诊前填写清单可能会有所帮助。