Departments of Internal Medicine and Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Departments of Physical Medicine and Rehabilitation, Pediatrics, and Public Health and Preventive Medicine, UpstateMedical University, Syracuse, NY, USA.
J Pediatr Rehabil Med. 2020;13(4):513-523. doi: 10.3233/PRM-200718.
Individuals with Spina Bifida (SB) have unique lifelong medical and social needs. Thus, when considering how to promote health and offer preventive care, providers must adapt general healthcare screening and counseling recommendations to their patients' physical and cognitive impairments along with discerning how to monitor secondary or chronic conditions common to the population. This article provides an update on the health promotion and preventive health care guidelines developed as part of the Spina Bifida Association's fourth edition of the Guidelines for the Care of People with Spina Bifida. The guidelines highlight accommodations needed to promote general preventive health, common secondary/chronic conditions such as obesity, metabolic syndrome, hypertension, musculoskeletal pain, and considerations for preventing acute care utilization for the SB population throughout the lifespan. Further research is needed to understand the effectiveness of preventive care interventions in promoting positive health outcomes and mitigating potentially preventable acute care utilization.
脊髓裂患者(SB)具有独特的终生医疗和社会需求。因此,在考虑如何促进健康和提供预防保健时,提供者必须根据患者的身体和认知障碍以及如何监测常见于人群的继发性或慢性疾病来调整一般医疗保健筛查和咨询建议。本文介绍了作为脊髓裂协会第四版《脊髓裂患者护理指南》一部分制定的健康促进和预防保健指南的更新。该指南重点介绍了促进一般预防保健、肥胖、代谢综合征、高血压、肌肉骨骼疼痛等常见继发性/慢性疾病以及预防 SB 人群整个生命周期急性护理利用所需的适应措施。需要进一步研究来了解预防保健干预措施在促进积极健康结果和减轻潜在可预防的急性护理利用方面的效果。