改善慢性病儿科患者的护理过渡:一个试点项目
Melvin Chan1, Sarah Young2, Melisha Hanna1
1Pediatric Nephrology, Children's Hospital Colorado, Aurora, USA.
Cureus
|July 30, 2024
概括
年龄较小和男性性别预测儿童慢性病 (CKD) 患者的过渡准备不佳. 一个结构化的远程课程显著改善了所有领域的过渡准备.
科学领域:
- 儿科脏病学 儿科脏病学
- 关怀的过渡 关怀的过渡
- 慢性病管理 慢性病管理
背景情况:
- 将儿科患者转移到成人护理对于长期健康结果至关重要.
- 从儿科到成人医疗保健系统的不良过渡与医疗保健利用率的增加和更糟糕的结局有关.
- 对于慢性病 (CKD) 的儿科患者的过渡准备和有效干预措施的预测因素的研究有限.
研究的目的:
- 确定患有CKD的青少年和年轻成年人过渡准备的预测因素.
- 评估结构化,远程课程在改善过渡准备方面的有效性.
- 评估年龄和性别对这一群体的过渡准备能力的影响.
主要方法:
- 招募了42名非透析,非移植的CKD患者 (2+阶段,14+岁).
- 收集人口和临床数据,使用过渡准备评估问卷 (TRAQ) 评估过渡准备.
- 实施了结构化,远程课程,并在六个月后进行了重复的TRAQ评估.
主要成果:
- 年龄较小和男性性别被确定为过渡准备不足的风险因素.
- 年龄较大与药物,预约和总域中较高的TRAQ分数正相关.
- 男性的性别与预约和沟通领域的较低的TRAQ分数有关.
- 该课程在六个月内将所有领域的Traq分数提高了约25%.
- 随访间隔 (3个月与6个月) 并没有显著影响结果.
结论:
- 年龄较小和男性性别是儿童慢性脏病过渡准备不足的重要风险因素.
- 一个结构化的远程教育课程有效地提高了这个患者群体的过渡准备.
- 这些发现凸显了有针对性的干预措施的必要性,以支持在护理过渡期间脆弱的患者子组.
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