Division of Gastroenterology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Division of Gastroenterology and Hepatology, Boston University School of Medicine, 72 East Concord Street, Boston, MA 02118, USA.
Gastroenterol Clin North Am. 2023 Sep;52(3):629-644. doi: 10.1016/j.gtc.2023.05.004. Epub 2023 Jun 20.
Health care transition from pediatric to adult care has been identified as a priority in the field of medicine, especially for those with chronic illnesses such as inflammatory bowel disease (IBD). Although there is no universally accepted model of preparing the pediatric patient for transfer to adult care, transition care is best accomplished in a structured and consistent manner. The authors highlight concepts for optimizing the transition of care for patients with IBD, which include setting expectations throughout adolescence with the gradual nurturing of self-management skills, preparing and assessing of readiness for transfer, and enacting a successful transfer to adult care.
医疗保健从儿科向成人护理的转变已被确定为医学领域的一个重点，特别是对于患有慢性疾病（如炎症性肠病）的患者。尽管目前还没有被普遍接受的模式来准备儿科患者向成人护理的转移，但过渡护理最好以结构化和一致的方式进行。作者强调了优化炎症性肠病患者护理过渡的概念，包括在整个青春期设定期望，逐步培养自我管理技能，准备和评估转移的准备情况，以及成功地向成人护理转移。
