进入成年期的过渡期护理:青少年特异性脊柱病的管理
Aashka Sheth1, Jasmine Omair1, David Freeman1
1Department of Neurosurgery, University of Louisville, Louisville, KY, USA.
概括
青少年异常学脊椎病 (AIS) 患者需要终身监测并发症和手术需求. 护理过渡到成年期需要多学科的团队,以实现最佳的管理和生活质量.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 儿科医疗保健 儿科医疗保健
背景情况:
- 青少年异常脊椎病 (AIS) 是一种常见的儿科脊柱疾病,需要终身治疗.
- 目前的成人医疗保健系统缺乏针对AIS患者的标准化过渡期护理策略.
- 有限的研究解决了儿科脊柱病理的过渡性护理模式.
研究的目的:
- 确定AIS患者过渡到成人医疗保健的挑战.
- 审查术后护理,并发症监测和成人新诊断.
- 评估成年期的手术干预和与健康相关的生活质量 (HRQoL).
主要方法:
- 对AIS自然史和成年人管理的系统审查.
- 使用PRISMA指南搜索了PubMed和Ovid数据库.
- 包括15项符合特定搜索标准的研究.
主要成果:
- 在一些患者队列中,复手率高达20%.
- 成人手术干预与更高的并发症率和更长的住院时间相关.
- 青少年时期的手术治疗比支架或观察产生了更高的患者满意度.
结论:
- 患有AIS的患者需要持续对神经衰退和手术指示进行成年人监测.
- 多学科团队对于管理功能,心理健康和HRQoL领域至关重要.
- 手术咨询应整合放射性,临床和HRQoL评估.
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