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首页> 外文期刊>Journal of clinical nursing >Enough of the problem: A review of time for health care transition solutions for young adults with a chronic illness
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Enough of the problem: A review of time for health care transition solutions for young adults with a chronic illness

机译：问题已足够：对患有慢性病的年轻人进行医疗过渡的解决方案的时间回顾

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Aims and objectives. In this article, we critically assess the state of the science of transition care in chronic conditions using diabetes care as an exemplar and provide a case for the adoption of the principles of the Chronic Care Model in driving health care reform. Background. Globally, there is an increasing burden of chronic conditions including among adolescents and young adults. As a consequence adolescents are transitioning, at an increasing rate, from paediatric services into mainstream adult services, which are often ill equipped to meet their needs. Design. Integrative literature review. Methods. An integrative literature review method was used to summarise key issues facing adolescents with chronic illness and generate strategies for improving health care services. Conclusion. Strengthening the capacity for transitioning from a service that is family focused to one with an individual orientation requires a paradigmatic shift and clear identification of roles and responsibilities in the health care system. The absence of empirically developed models of care, in a context of growing need, signals the importance of ongoing discussion, debate and research. Implications for clinical practice. There is a need for a change in philosophical orientation to promote service provision on the basis of need, rather than a model based on diagnosis and chronology. Nurses and other health professionals need to increase their awareness of issues facing adolescents with chronic conditions making the transition to adult health services.
机译：目的和目标。在本文中，我们以糖尿病护理为例，认真评估了慢性病过渡护理的科学状况，并为在推动医疗改革中采用慢性护理模式的原则提供了案例。背景。在全球范围内，包括青少年和年轻人在内的慢性疾病负担日益增加。结果，青少年正以越来越多的速度从儿科服务转变为主流成人服务，而成人服务通常无法满足他们的需求。设计。综合文献综述。方法。综合文献综述方法用于总结慢性病青少年面临的关键问题，并提出改善医疗服务的策略。结论。增强从以家庭为中心的服务过渡到以个人为导向的服务的能力，需要进行范式转变，并清楚地确定医疗保健系统中的角色和责任。在需求不断增长的情况下，缺乏经验开发的护理模式，这表明正在进行的讨论，辩论和研究的重要性。对临床实践的影响。需要改变哲学方向以促进基于需求的服务提供，而不是基于诊断和时间顺序的模型。护士和其他卫生专业人员需要提高对患有慢性病的青少年所面临问题的认识，从而过渡到成人卫生服务。

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