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首页> 外文期刊>Journal of pediatric gastroenterology and nutrition >Improving IBD Transition, Self-management, and Disease Outcomes With an In-clinic Transition Coordinator
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Improving IBD Transition, Self-management, and Disease Outcomes With an In-clinic Transition Coordinator

机译：提高IBD过渡，自我管理和疾病结果与临床过渡协调员

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Objectives: Deficits in the preparation of patients with inflammatory bowel disease (IBD) who are transitioning to adult care are known yet studies presenting outcome data of transition interventions in IBD are lacking. We present data evaluating the impact of a transition coordinator on behavioral and clinical transition outcomes. Methods: A retrospective chart review identified 135 patients who had met with our transition coordinator and completed the Transition Readiness Assessment Questionnaire before, and 1 year after, the intervention. Changes in transition readiness, self-management skill acquisition, and clinical outcomes (eg, number of patients transferred vs "bounced back" to pediatrics, percentage of patients over age 21, changes in disease remission) were examined and compared with patients who received no intervention. Results: Intervention participants demonstrated a significant increase in transition readiness, F(l, 134) = 24.34, P< 0.001, and self-management skill acquisition, F(l, 134) = 5.61, P<0.05. The percentage of patients in remission significantly increased from pre- to post-intervention, X~2(134) = 9.03, P<0.01. There were no significant changes in the comparison population (Ps>0.05). Following implementation of our programming, the percentage of patients over age 21 decreased by 33.07%. Conclusions: A 1-time transition coordinator-led intervention improved adolescent transition readiness and acquisition of self-management skills. The proportion of young adult patients retained in pediatric care was reduced. Benefits of hiring a transition coordinator are discussed.
机译：目的：缺乏对成人护理过渡的炎症性肠病（IBD）的患者尚是已知的，但缺乏IBD中的过渡干预措施的结果数据。我们呈现评估过渡协调员对行为和临床转型结果的影响的数据。方法：回顾性图表审查确定了135名患有过渡协调员的患者，并在干预之前完成过渡准备评估问卷和1年的干预。转型准备，自我管理技能获取和临床结果的变化（例如，转移的患者与患者转移回到儿童中的数量，21岁以上患者的百分比，疾病缓解的变化），并与收到的患者进行比较干涉。结果：干预参与者证明过渡准备的显着增加，F（L，134）= 24.34，P <0.001和自我管理技能获取，F（L，134）= 5.61，P <0.05。缓解患者的百分比从介入后的患者显着增加，X〜2（134）= 9.03，P <0.01。比较人群没有显着变化（ps> 0.05）。执行我们的编程后，21岁以上患者的百分比减少了33.07％。结论：1次过渡协调员 - LED干预改善了青少年过渡准备和自我管理技能的收购。减少了保留在儿科护理的年轻成年患者的比例。讨论了雇用过渡协调员的好处。

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