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在患有神经性下尿路功能障碍的青少年中,预测过渡准备的预测因素
Samer Maher1, Abby Varghese1, Lai Nam Tse1
1The Hospital for Sick Children, Division of Urology, Toronto, Ontario, Canada.
Journal of pediatric urology
|March 12, 2026
概括
在神经性下尿道功能障碍 (NLUTD) 中,青少年对成年人护理的准备性随着年龄的增长而提高. 然而,干净间歇性导管 (CIC) 的使用会影响社会支持,而手术会影响自我护理,需要量身定制的干预措施.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 青少年医疗保健过渡 青少年医疗保健过渡
- 神经性膀管理的神经性膀管理
背景情况:
- 患有神经性下尿路功能障碍 (NLUTD) 的青少年在生活质量和医疗保健过渡方面遇到挑战.
- 有效过渡到成人护理对于长期健康结果至关重要.
研究的目的:
- 调查人口和临床因素对NLUTD青少年过渡准备的影响.
- 通过Good2Go问卷查询,确定过渡准备的预测因素.
主要方法:
- 对75名患有NLUTD的青少年前性收集数据的回顾性审查.
- 多变量线性回归分析以评估过渡准备分数和预测因素 (年龄,性别,重建性手术,干净间歇性导管 (CIC) 使用) 之间的关系.
主要成果:
- 年龄与整体的过渡准备,知识,自我倡导和自我照顾有积极的相关性.
- 使用CIC与明显较低的社会支持得分有关.
- 重建性手术与自我护理得分的降低相关.
结论:
- 年龄的增加提高了NLUTD青少年的过渡准备.
- 需要进行干预,以减轻CIC对社会支持的负面影响,并在过渡到成人护理期间对自我护理的手术.
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