Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkok Noi, Bangkok, 10700, Thailand.
Pediatr Neonatol. 2021 Mar;62(2):146-150. doi: 10.1016/j.pedneo.2020.10.005. Epub 2020 Oct 22.
Transfer of pediatric patients to adult care is an integral part of optimizing care of chronically ill patients and requires advanced infrastructure and availability of a multidisciplinary team. Thus, assessing factors associated with transition to adult care in this and the other chronic disease group will aid in the targeting intervention programs. The aim of the study was to compare factors associated with transitional readiness and health risk behaviors between adolescents with HIV infection and other chronic diseases.
Participants ages 14 to 18 were recruited from chronic care clinics at Siriraj hospital between 2015 and 2016. Self-assessment questionnaires composed of health risk behaviors and a 25-item Likert Scale transition readiness questionnaire with possible scores ranging from 25 to 100 were administered. Analysis was done by SPSS 18.
There were 165 adolescents who participated in the study. Median age was 16 years (range, 14-18). The overall transitional readiness average score was 54.15 ± 8.4 which showed no difference between HIV group (HIVG) and other chronic illness group (non-HIVG). The subjects in the HIVG scored significantly higher in self-management skills (13.03 ± 2.1 vs.12.09 ± 2.8, p < 0.05) than their non-HIV counterparts. However, they scored lower in their perception of transition readiness than non-HIVG (13.6 ±2.1 vs. 14.85 ± 2.5, p < 0.05). Adolescents who were not HIV-infected were more likely to not want to attend school because of their illness (OR = 4.33, 95% CI = 0.97-19.24.) Conversely, HIV-infected adolescents were more likely to used social media (OR=10.2, 95% CI = 3.26-31.98), consume alcohol beverage (OR = 2.83, 95% CI =1.23-6.49), smoked cigarettes (OR = 4.17, 95% CI =1.31-13.26), and lack STD knowledge (OR = 3.63, 95% CI = 1.49-8.81) rather than non-HIV infected adolescents.
HIV-infected adolescents perceived their self-management skills to be higher than adolescent with other chronic diseases. However, HIV-infected adolescents still possess increased health risk behaviors. To effectively formulate transitional care practice in the Thai context, the program should be focused on health risk behaviors.
将儿科患者转移到成人护理是优化慢性病患者护理的一个组成部分，需要先进的基础设施和多学科团队的支持。因此，评估与向成人护理过渡相关的因素将有助于有针对性地开展干预计划。本研究的目的是比较 HIV 感染和其他慢性病青少年过渡准备和健康风险行为的相关因素。
2015 年至 2016 年期间，从诗里拉吉医院的慢性病诊所招募了年龄在 14 至 18 岁的参与者。他们填写了由健康风险行为组成的自我评估问卷和 25 项李克特量表的过渡准备问卷，分数范围从 25 到 100。分析使用 SPSS 18 进行。
共有 165 名青少年参与了这项研究。中位年龄为 16 岁（范围：14-18 岁）。整体过渡准备平均得分为 54.15 ± 8.4，在 HIV 组（HIVG）和其他慢性病组（非 HIVG）之间没有差异。在自我管理技能方面，HIVG 组的得分明显高于非 HIVG 组（13.03 ± 2.1 与 12.09 ± 2.8，p < 0.05）。然而，他们对过渡准备的认知得分低于非 HIVG 组（13.6 ±2.1 与 14.85 ± 2.5，p < 0.05）。未感染 HIV 的青少年因疾病而不愿上学的可能性更大（OR = 4.33，95%CI = 0.97-19.24）。相反，感染 HIV 的青少年更有可能使用社交媒体（OR=10.2，95%CI = 3.26-31.98）、饮酒（OR = 2.83，95%CI = 1.23-6.49）、吸烟（OR = 4.17，95%CI = 1.31-13.26）和缺乏性传播疾病知识（OR = 3.63，95%CI = 1.49-8.81），而非感染 HIV 的青少年。
感染 HIV 的青少年认为自己的自我管理技能高于其他慢性病青少年。然而，感染 HIV 的青少年仍然存在更多的健康风险行为。为了在泰国有效地制定过渡护理实践，该计划应侧重于健康风险行为。
