过渡期:患者在一个无人之地
1Departamento de Cirurgia Pediátrica, Hospital Universitário Antônio Pedro, Niterói, RJ, Brasil.
概括
由于复杂的健康需求和不同的观点,将儿科患者转移到成人护理需要仔细规划. 一个渐进的,共同的辅助模式是成功的长期健康结果的理想选择.
科学领域:
- 医疗保健管理的管理
- 儿科到成年人的过渡期
- 慢性疾病管理 慢性疾病管理
背景情况:
- 改善先天性疾病的生存率需要从儿科转向成人医疗保健服务.
- 关键考虑因素包括患者的生活质量,独立性和长期健康保护.
- 患者,家庭,医疗保健专业人员和管理人员之间存在着对过渡的不同观点.
研究的目的:
- 讨论与从儿科到成人医疗转型患者相关的困境和挑战.
- 探索不同的过渡模式,并确定最有效的方法.
主要方法:
- 进行了对现有文献的非系统性审查.
- 困境被分析和讨论在一个结构化的格式.
主要成果:
- 过渡通常发生在青春晚期/成年早期,患者需要为复杂的疾病进行终身随访.
- 患者的愿望和护理人员的担忧之间可能出现冲突,需要平衡医疗,社会,认知和心理因素.
- 医疗保健系统面临的挑战是专业人员在管理成人与儿科疾病方面的专业知识,以及与复杂的慢性护理相关的财务负担.
结论:
- 卫生管理人员的过渡护理规划至关重要,在转移之前患者的临床稳定是至关重要的.
- 评估了三个过渡模式:直接转移,协议/年龄驱动的转移,以及以联合协助逐步过渡.
- 一个渐进的过渡模式,涉及儿科和成人团队之间的联合护理期,被认为是最有效的方法.
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