Poamaneagra Silvia Cristina, Galos Felicia, Tataranu Elena, Mihai Catalina, Anton Carmen, Andronic Cristiana-Mihaela, Gilca-Blanariu Georgiana-Emmanuela, Balan Gheorghe G, Timofte Oana, Anchidin-Norocel Liliana, Rosu Oana Maria, Diaconescu Smaranda
Doctoral School, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 540139 Targu Mures, Romania.
Marie Curie Emergency Childrens Hospital, 077120 Bucharest, Romania.
Medicina (Kaunas). 2024 Dec 22;60(12):2104. doi: 10.3390/medicina60122104.
: The transition from the pediatric to the adult healthcare system is a challenging process involving adolescents, parents, and pediatric and adult specialists. For a successful approach for an organized transition program, we must assess the level of training of adolescents facing transition. : We applied a clinic-based questionnaire measuring perceived self-management skills, adherence to health-related tasks, medication knowledge, and social adjustment to pediatric patients with chronic digestive diseases from North-East Romanian medical units, including a tertiary center and private practice offices. : There were 124 participants; 73.38% from rural areas, 26.62% from urban areas; 59.67% were females, and 40.33% were males; 91.93% attended school and 73.4% declared wanting to pursue university classes after turning 18. Adolescents from urban areas showed better medication managerial ( < 0.01) and tracking healthcare change skills. Significant correlations were found between medication and appointment making, tracking health dynamics, and communication skills. Other correlations were found between communication skills and medication knowledge, appointments management, and tracking healthcare dynamics. All the investigated domains were positively correlated with the overall scores, highlighting the potential impact of active targeted interventions during transition. : We identified significant areas to address and potentially influence during an organized transition program such as communication skills and knowledge regarding the chronic disease and the followed medication.
从儿科医疗系统向成人医疗系统的过渡是一个具有挑战性的过程，涉及青少年、家长以及儿科和成人专科医生。为了成功开展有组织的过渡计划，我们必须评估面临过渡的青少年的培训水平。我们采用了一份基于诊所的问卷，对罗马尼亚东北部医疗单位（包括一家三级中心和私人诊所）患有慢性消化系统疾病的儿科患者的自我管理技能认知、对健康相关任务的依从性、用药知识以及社会适应情况进行了测量。共有124名参与者；73.38%来自农村地区，26.62%来自城市地区；59.67%为女性，40.33%为男性；91.93%的人在上学，73.4%的人表示18岁后想上大学课程。来自城市地区的青少年在用药管理（<0.01）和跟踪医疗变化技能方面表现更好。在用药与预约、跟踪健康动态以及沟通技能之间发现了显著相关性。在沟通技能与用药知识、预约管理以及跟踪医疗动态之间也发现了其他相关性。所有调查领域均与总分呈正相关，突出了过渡期间积极的针对性干预措施的潜在影响。我们确定了在有组织的过渡计划中需要解决并可能产生影响的重要领域，如沟通技能以及有关慢性病和所服用药物的知识。
