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导航过渡:评估内分泌学护理中的连续性和损失
Endocrine connections
|February 25, 2025
概括
这项关于慢性疾病过渡的研究发现,82.5%的患者在进入成人医疗保健后继续接受随访护理. 加强联合访问和患者教育可以改善长期遵守和儿童到成人护理过渡的结果.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 关怀的过渡 关怀的过渡
- 慢性疾病管理 慢性疾病管理
背景情况:
- 对于患有慢性疾病的青少年来说,从儿科到成人医疗保健的过渡至关重要.
- 这个过程涉及准备年轻患者独立管理他们的健康状况.
- 联合会议和访问是推的策略,以促进这一关键阶段.
研究的目的:
- 为了评估一个8年的过渡经验在一个儿科内分泌科诊所.
- 确定影响过渡的成人和儿科内分泌学实践之间的差异.
- 为了确定在过渡期间在各种疾病群体中对随访率的损失.
主要方法:
- 分析了335名在8年内参加过渡会议的患者.
- 访问频率的比较,在过渡前的一年和过渡后的前两年.
- 评估患者对随访的损失,并按疾病组分类别.
主要成果:
- 56.3%的患者参加了联合过渡会议.
- 82.5%的患者在过渡后保持了随访护理,其中17.5%的随访失去了.
- 在过渡的第一年 (P = 0.000) 后,观察到访问频率的统计学上显著下降.
结论:
- 从青春晚期开始,积极的患者和家庭关于过渡的教育至关重要.
- 灵活的日程安排和增加联合访问可以提高患者参与率和后续治疗率.
- 儿科和内科之间实践风格的差异可能会影响随访频率.
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