过渡复杂的儿科手术患者到成人护理:农村外科医生的实际考虑
Maria Koenen1, Alec McLeod1, Jon Ryckman2
1Pediatric Surgery, University of South Dakota Sanford School of Medicine General Surgery Residency, Sioux Falls, SD, USA.
改善儿科手术患者的护理过渡到成人护理至关重要. 本综述提供了预防随访损失的策略,特别是对于需要持续胃肠道外科治疗的农村患者.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗保健的转型 医疗保健的转型
背景情况:
- 越来越多的患有复杂胃肠道疾病的儿童活到成年时,有着重要的外科病史.
- 从儿科到成人外科护理的过渡带来了挑战,增加了患者在随访中丢失的风险.
研究的目的:
- 审查关于从儿科转移到成人手术服务的文献.
- 为优化这一转型提供可行的干预措施,重点关注农村环境.
主要方法:
- 关于当前实践和挑战的文献综述 儿科到成人手术护理过渡中的挑战.
- 确定影响成功过渡的患者,儿科外科医生,成人外科医生和基于系统的因素.
主要成果:
- 成功的过渡需要患者/家庭教育,逐渐的患者所有权,儿科外科医生的早期启动,成人外科医生的教育和多学科诊所.
- 系统支持,包括人员和财务资源,至关重要.
- 农村地区为患者和提供者转型带来了独特的挑战.
结论:
- 优化儿科患者的手术护理过渡需要涉及患者,家庭,儿科和成人外科医生以及医疗保健系统的多学科方法.
- 需要具体的战略来应对农村人口面临的独特挑战.
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