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脏青少年和年轻成人诊所:非洲的一个过渡模式
Zibya Barday1, Bianca Davidson1, Paul Harden2
1Division of Nephrology and Hypertension, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Pediatric transplantation
|March 4, 2024
概括
患有慢性病 (CKD) 的青少年和年轻人可以从专门的过渡诊所中获益,这在资源较少的环境中至关重要. 本综述详细介绍了一种为期20年的模型,该模型改善了结局并保持了功能.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 青少年医学 青少年医学
- 公共卫生 公共卫生
背景情况:
- 患有慢性病 (CKD) 的青少年和年轻人 (AYA) 面临着独特的挑战,包括高风险行为和治疗不良坚持.
- 成功过渡到成人护理是至关重要的,特别是在低收入和中等收入国家 (LMICs) 具有有限的置换疗法 (KRT).
- 关于AYA过渡诊所在非洲的影响的数据很少.
研究的目的:
- 审查南非第一个脏AYA过渡诊所的20年发展和影响.
- 描述一个多学科综合型的护理模式,以AYA的CKD过渡到成人服务.
- 探索在LMIC中建立和扩展这一关键服务的挑战和解决方案.
主要方法:
- 一个专门的脏AYA过渡诊所20年的经验 (2002-2022) 的回顾性审查.
- 描述10-25岁患者的多学科护理模式.
- 分析服务的演变,患者的结果,并建立支持结构.
主要成果:
- 该诊所成立于2002年,并于2015年重新设计,改善了患者的治疗结果.
- 该模型促进了同行支持,并为科医生创建了一个培训平台.
- 成立了一个青少年卓越中心,以补充过渡模式.
结论:
- 对于患有脏疾病的AYA来说,一个结构化的过渡途径在LMIC中是可行的和必不可少的,即使资源有限.
- 这种模式保留了残留的功能,最大限度地提高了全移植的存活率,并改善了粘附性.
- 这项服务已经扩展了二十多年,使年轻人能够过上富有成效的生活.
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