通过毕业创造一个更容易的道路:改善患者从儿科到成人重症监护的过渡
Stephen Warrillow1,2, Ben Gelbart3,4, Jess Stevens5
1Department of Intensive Care, Austin Health, Heidelberg 3084, Victoria, Australia.
World journal of critical care medicine
|March 10, 2025
概括
从儿科到成人医疗保健的过渡给患有慢性疾病的年轻人带来了挑战. 改善这种关键护理过渡对于更好的患者结果和家庭支持至关重要.
科学领域:
- 儿童和成人医疗保健过渡期
- 慢性疾病管理 慢性疾病管理
- 青少年和年轻人的健康
背景情况:
- 青春期到成年期涉及心理社会压力,对于那些患有慢性疾病或残疾的人来说,这种压力会被放大.
- 改善的生存率意味着更多患有复杂疾病的年轻人现在达到成年.
- 专门的儿科中心提供了密集的支持,但成年人护理过渡往往是具有挑战性的.
研究的目的:
- 在医疗保健过渡期间,确定患有慢性疾病的年轻人所面临的挑战.
- 探索从儿科转向以成年人为中心的医疗保健的困难.
- 突出改善患者和家人的过渡过程的机会.
主要方法:
- 关于儿童到成人医疗保健过渡的现有文献的综述.
- 分析挑战,包括失去关系,在成人机构感知到的紧缩,和临床医生经验差距.
- 检查危急疾病期间关于护理目标的潜在冲突.
主要成果:
- 年轻的成年人经历了过渡到成人护理的重大挑战,包括失去建立的关系.
- 成人设施可能被认为不那么适应,成年临床医生可能对儿科病情的经验较少.
- 关于护理目标的分歧可能会出现,特别是在严重疾病的情况下.
结论:
- 从儿科到成人医疗保健的过渡需要大幅改善,以支持患有慢性疾病的年轻人.
- 解决诸如关系连续性和临床医生的专业知识等挑战至关重要.
- 通过制定更好的过渡过程,可以加强对这一脆弱群体的护理.
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