Liver Unit, Birmingham Women's & Children's Hospital, University of Birmingham, UK.
Heart and Lung Directorate, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London WC1N 3JH, UK.
Best Pract Res Clin Gastroenterol. 2020 Jun-Aug;46-47:101687. doi: 10.1016/j.bpg.2020.101687. Epub 2020 Sep 23.
The majority of children who undergo liver transplantation now survive into adulthood and their requirement for life-long follow-up means that they will need to transition from paediatric to adult services. Poor transition is a risk factor for poor clinical and psychosocial outcomes and one of the barriers to effective transition is vulnerability to risk-taking behaviours, and specifically non-adherence. This chapter focuses on practical considerations for transitioning young people from paediatric to adult services, with a particular focus on the risk factors associated with non-adherence and examples of interventions for managing it.
现在，大多数接受肝脏移植的儿童都能存活到成年，他们需要终身随访，这意味着他们需要从儿科过渡到成人服务。过渡不良是临床和心理社会结局不良的一个风险因素，而有效过渡的障碍之一是易发生冒险行为，特别是不遵医嘱。本章重点介绍将年轻人从儿科过渡到成人服务的实际注意事项，特别关注与不遵医嘱相关的风险因素，并举例说明管理不遵医嘱的干预措施。
