对先天性神经性膀患者的过渡期护理计划的9年评估
Aleksandar Blubaum1, Jennifer Lewis1, Dominic Frimberger2
1Department of Urology, OU Health University of Oklahoma Medical Center, Oklahoma City, OK.
Urology
|July 14, 2023
概括
一个结构化过渡诊所显著改善了先天性神经性膀患者的长期坚持,从儿科转向成人泌尿科护理. 早期参与和一致的访问是成功过渡的关键因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科泌尿外科 儿科泌尿外科
- 青少年医学 青少年医学
背景情况:
- 从儿科到成人护理的有效过渡对于患有先天性神经性膀的患者至关重要.
- 已建立的过渡诊所旨在改善这一关键阶段的护理连续性和坚持.
- 了解坚持模式和影响因素对于优化过渡过程至关重要.
研究的目的:
- 评估先天性神经性膀患者在分阶段过渡诊所的短期和长期坚持和不坚持.
- 为了比较使用结构化过渡诊所的患者和自主开始成人护理的患者之间的坚持结果.
- 确定影响过渡诊所成功的因素.
主要方法:
- 自2014年以来,通过过渡诊所管理的先天性神经性膀患者的回顾性图表审查.
- 对人口统计和临床数据的分析,以评估对护理转移和长期随访的遵守.
- 确定积极和负面影响过渡临床成功的因素.
主要成果:
- 准备过渡的患者中有96.2%成功转移到成人护理,其中72.4%仍然活跃.
- 过渡阶段之间的访问数量较多与持续的积极随访相关 (P=.006).
- 与没有过渡的患者相比 (36.8%,P<.001),正式过渡的患者的年度参与率显著更高 (72.4%).
结论:
- 结构化过渡诊所有助于成功转移,并改善先天性神经性膀患者的长期坚持.
- 早期向成人提供者介绍和增加访问频率对坚持有积极影响.
- 不遵守儿科护理会对过渡期的坚持产生负面影响.
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