脊柱裂患者医疗保健转型的障碍:系统性审查
Reid Colliander1, Dayna C Sloane2, Joshua E Simon2
11Chicago Medical School, Rosalind Franklin University, North Chicago.
Neurosurgical focus
|August 1, 2024
概括
青少年和年轻成人脊柱裂患者 (SB) 过渡到成人护理是复杂的. 改善教育和规划可以帮助克服SB过渡护理中的障碍.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经外科 神经外科
- 儿科 儿科 儿科
- 医疗保健管理的管理
背景情况:
- 从历史上看,儿科提供者终身管理脊柱裂 (SB) 患者.
- 医学进步使更多的SB患者能够达到成年.
- 对于许多患有SB的年轻人来说,成功过渡到成人护理仍然是一个挑战.
研究的目的:
- 确定促进或阻碍青少年和年轻成年人 (AYA) SB患者向成人提供者过渡的因素.
主要方法:
- 对PubMed,Embase和Scopus数据库进行了系统审查.
- 文章进行了相关性选,符合条件的研究进行了全文审查和分析.
- 从包含的研究中提取了影响过渡的因素.
主要成果:
- 包括20项研究,分析了神经外科,胃肠道,生殖尿道,认知,心理社会和医疗保健系统的因素.
- 持续存在的障碍包括沟通不良,负面的患者/家长态度以及缺乏正式的协议.
- 关于医疗伴随性疾病对过渡期的影响,发现了相互矛盾的结果.
结论:
- 过渡青少年和年轻成人SB患者涉及复杂的结构和心理社会因素.
- 加强教育,规划和意识可以减轻过渡障碍.
- 解决这些因素对于改善成人SB护理至关重要.
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