Health Care Transition in Adolescents and Young Adults With Chronic Kidney Disease: Focus on the Individual and Family Support Systems

IF 2 3区 医学 Q2 UROLOGY & NEPHROLOGY Advances in chronic kidney disease Pub Date : 2022-05-01 DOI:10.1053/j.ackd.2022.02.004
Cozumel S. Pruette , Daniel Ranch , Weiwen Vivian Shih , Maria Diaz-Gonzalez Ferris
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引用次数: 2

Abstract

Health care transition (HCT) from pediatric to adult-focused services is a longitudinal process driven by the collaboration and interactions of adolescent/young adult patients, their families, providers, health care agencies, and environment. Health care providers in both pediatric and adult-focused settings must collaborate, as patients' health self-management skills are acquired in the mid-20s, after they have transferred to adult-focused care. Our manuscript discusses the individual and family support systems as they relate to adolescents and young adults with chronic or end-stage kidney disease. In the individual domain, we discuss demographic/socioeconomic characteristics, disease complexity/course, cognitive capabilities, and self-management/self-advocacy. In the family domain, we discuss family composition/culture factors, family function, parenting style, and family unit factors. We provide a section dedicated to patients with cognitive and developmental disability. Furthermore, we discuss barriers for HCT preparation and offer solutions as well as activities for HCT preparation.

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青少年和青年慢性肾病患者的医疗保健转变:关注个人和家庭支持系统
卫生保健过渡(HCT)从儿科到成人为重点的服务是一个纵向的过程,由青少年/年轻成人患者,他们的家庭,提供者,卫生保健机构和环境的协作和互动驱动。儿童和成人医疗机构的医疗服务提供者必须合作,因为患者的健康自我管理技能是在25岁左右获得的,在他们转移到成人医疗机构之后。我们的手稿讨论了个人和家庭支持系统,因为他们涉及到青少年和年轻人慢性或终末期肾脏疾病。在个体领域,我们讨论人口统计学/社会经济特征、疾病复杂性/病程、认知能力和自我管理/自我倡导。在家庭领域,我们讨论了家庭构成/文化因素、家庭功能、父母教养方式和家庭单位因素。我们为认知和发育障碍患者提供了一个专区。此外,我们讨论了HCT制备的障碍,并提供了解决方案以及HCT制备的活动。
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来源期刊
Advances in chronic kidney disease
Advances in chronic kidney disease 医学-泌尿学与肾脏学
自引率
3.40%
发文量
69
审稿时长
11.1 weeks
期刊介绍: The purpose of Advances Chronic Kidney Disease is to provide in-depth, scholarly review articles about the care and management of persons with early kidney disease and kidney failure, as well as those at risk for kidney disease. Emphasis is on articles related to the early identification of kidney disease; prevention or delay in progression of kidney disease
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