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Journals / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi / 2022 / Cilt: 2 - Sayı: 3

Transition of Adolescents with Chronic Diseases from Pediatrics to Adult Services: Healthcare Transition and the Role of the Nurse

Kronik Hastalığı Olan Adölesanların Pediatri Servisinden Yetişkin Servise Geçişi: Sağlık Bakım Geçişi ve Hemşirenin Rolü

Fatma DİNÇ
Dilek YILDIZ
Pages
661–669
Publication Date
2022-12-26
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The present review aims to provide information regarding the importance of healthcare transition in adolescents with chronic diseases and the role of the nurse.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Adolescence is a period when independence is acquired, identity is developed and dynamic changes occur in family and peer relationships as well as academic and professional success.
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Key Findings & Data:However, the differences between pediatric and adult services and deficiencies related to planning care increase the resistance of adolescents who are not yet ready for the adult care system in terms of the transition.
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Conclusion & Impact:The present review aims to provide information regarding the importance of healthcare transition in adolescents with chronic diseases and the role of the nurse.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Adölesan · Hemşirelik · Kronik hastalık

Abstract

Adolescence is a period when independence is acquired, identity is developed and dynamic changes occur in family and peer relationships as well as academic and professional success. With the improvements in healthcare, technological developments and innovative treatments, ninety percent of children with diseases diagnosed during childhood are expected to reach the age of maturity. Additionally, it is aimed for adolescents with chronic diseases to manage their daily treatment independently. However, the differences between pediatric and adult services and deficiencies related to planning care increase the resistance of adolescents who are not yet ready for the adult care system in terms of the transition. Disappointment may occur following the transition, the process may cause the individual to change doctors, neglect regular check-up, stop using their medicine and frequently apply to emergency service. Therefore, the transfer of adolescents to adult care is important in pediatric terms. As an indispensable part of healthcare professionals, nurses play a significant part in ensuring a smooth transition from pediatric healthcare to adult healthcare for adolescents with chronic diseases as well as participating in, initiating and leading evidence-based transition planning. Additionally, nurses also play a role in evaluating the readiness of adolescents and young adults for the transition, providing training on self-management and self-care skills, supporting the family during the transition period, providing training on the use of medicine, sharing transition program information and evaluating home care needs. The present review aims to provide information regarding the importance of healthcare transition in adolescents with chronic diseases and the role of the nurse.

Özet

Adölesan dönem, bağımsızlıkların kazanıldığı, kimlik gelişiminin olduğu, aile, akran ilişkilerinde, okul ve mesleki başarıda dinamik değişikliklerin yaşandığı bir dönemdir. Sağlık hizmetindeki ilerlemeler, teknolojik gelişmeler, yenilikçi tedaviler ile çocukluk döneminde teşhis edilen hastalığa sahip çocukların yüzde doksanının olgunluk yaşına ulaşması beklenmektedir. Kronik hastalığı olan adölesanların ayrıca günlük tedavilerini bağımsız bir şekilde yönetmeleri istenmektedir. Fakat pediatrik ve yetişkin servisi arasındaki farklılıklar ile bakımın planlanması ile ilgili eksiklikler henüz yetişkin bakım sistemi için hazır olmayan adölesanların geçiş konusundaki direncini yükseltmektedir. Geçiş sonrasında hayal kırıklığı yaratabilmekte, erişkin doktorunu değiştirmesine neden olmakta, kontrollere düzenli gelmemelerine, ilaçlarına devam etmemelerine, acil servise sık başvurmalarına neden olabilmektedir. Bu nedenle kronik hastalığı olan adölesanların, pediatrik bakımdan yetişkin bakıma devri önemlidir. Sağlık ekibinin ayrılmaz bir parçası olarak hemşirelerin kronik hastalığı olan adölesanların sorunsuz bir geçiş sağlamada, kanıta dayalı geçiş planlamasına katılmada, başlatmada ve liderlik etmede önemli konumdadır. Ayrıca hemşirelerin sağlık bakım geçişinde adölesan ve genç yetişkinlerin geçişe hazır oluşunu değerlendirme, öz yönetim ve öz bakım becerileri konusunda eğitim verme, geçiş boyunca aileyi destekleme, ilaçların kullanımı konusunda eğitim verme, geçiş program bilgisini paylaşma, evde bakım ihtiyaçlarını değerlendirme rolleri vardır. Bu derlemenin amacı kronik hastalığı olan adölesanlarda sağlık bakım geçişinin önemi ve hemşirenin rolleri hakkında bilgi vermektir.

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Cite This Article

DİNÇ, F., YILDIZ, D. (2022). Transition of Adolescents with Chronic Diseases from Pediatrics to Adult Services: Healthcare Transition and the Role of the Nurse. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 2 - Sayı: 3, 661–669. https://ajindex.com/articles/873397

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