对患有肠-大脑相互作用障碍的青少年的护理过渡
Micaela Atkins1, Daniel Huynh2, Elizabeth N Madva1,3
1Center for Neurointestinal Health, MassGeneral Hospital, Boston, Massachusetts, USA.
Journal of pediatric gastroenterology and nutrition
|August 20, 2024
概括
患有肠-大脑相互作用障碍的青少年和年轻人经历了许多低于最佳的护理过渡. 家长的参与和儿科提供者的合作是改善这种过渡过程的关键.
科学领域:
- 胃肠病学 胃肠病学
- 儿科护理 儿科护理
- 过渡医学是过渡医学.
背景情况:
- 肠-大脑相互作用障碍 (DGBI) 影响青少年和年轻人 (AYA).
- 对于DGBI的AYA从儿科到成年人胃肠道治疗的过渡是不太了解的.
- 在AYA中,最佳的护理过渡对于管理慢性疾病至关重要.
研究的目的:
- 评估AYA与DGBI的最佳与次优护理过渡的发生率.
- 描述护理转型对AYA健康和生活质量的影响.
- 与DGBI一起,确定在AYA成功的护理过渡的障碍和促进者.
主要方法:
- 第1部分:从儿科转向成人神经胃肠病学护理的109个AYA的回顾性审查.
- 收集的人口统计,心理社会和医疗保健利用数据.
- 第二部分:调查和半结构面试与19名AYA和5名家长进行,使用定性方法进行分析.
主要成果:
- 20%的AYA经历了低于最佳的护理过渡,与坚持问题和功能障碍有关.
- 在过渡期间,AYA的健康和生活质量受到负面影响.
- 家长的参与和儿科的协作促进了过渡;获得和实践的变化是障碍.
结论:
- 患有DGBI的青少年和年轻人面临着高比例的低于最佳的护理过渡.
- 这些转变显著影响AYA的健康和生活质量.
- 涉及家长和儿科提供者的综合方法对于改善护理过渡至关重要.
相关概念视频
Chronic Bowel Disorders: Introduction
427
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
427
Assessment of the Gastrointestinal System II: Health Perception Pattern
87
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
87
Gastrointestinal Motility Disorders
314
Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
314
Cognitive Development During Adolescence
49
During adolescence, individuals experience significant cognitive development that enhances their understanding of others' emotions and thoughts, known as cognitive empathy. This period is marked by an increased ability to adapt to others' perspectives and a more nuanced understanding of others' mental states, a skill that is foundational for social problem-solving and conflict avoidance. The development of cognitive empathy relies heavily on the theory of mind — the...
49
Anatomy of the Intestines
71.6K
Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
71.6K
Irritable Bowel Syndrome III: Medical and Nursing Management
188
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
188


