日本小児循環器学会雑誌 Pediatric Cardiology and Cardiac Surgery

Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society of Pediatric Cardiology and Cardiac Surgery Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Pediatric Cardiology and Cardiac Surgery 33(4): 281-286 (2017)
doi:10.9794/jspccs.33.281

ReviewReview

移行期医療Transitional Care

九州大学病院小児科 ハートセンター成人先天性心疾患外来Department of Pediatrics, Adult Congenital Heart Disease Clinic, Kyushu University Hospital Heart Center ◇ Fukuoka, Japan

発行日:2017年7月1日Published: July 1, 2017
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医学の進歩により小児慢性疾患患者の多くが成人期に達し,その多くは合併症や遺残症を伴い,引き続き医療が必要である.疾患を有する小児が生涯にわたり持てる機能と能力を最大限に発揮できるよう,小児期医療から成人期医療への円滑な橋渡しを行うのが移行期医療(transitional care)である.単なる転科(transfer)にとどまらず,年齢や理解度に応じた本人への説明や,チェックリストの活用などにより,セルフケアの確立に向けた患者教育を早期から開始することが大切である.医学的なことのみならず,進学・就職や社会保障制度の切り替えについても患者個人で解決するには苦労が大きく,必要に応じて専門的な支援が必要である.移行期医療については,先天性心疾患は他分野よりも一歩進んでおり,今後もその推進役となることが期待される.

Advances in medicine have improved the outcomes for children with chronic diseases, and most children with special healthcare needs enter adulthood. Many, however, still require medical care for their chronic conditions, sequelae, and complications. The goal of transitional care is to maximize lifelong functioning and potential through the provision of high-quality, developmentally appropriate healthcare services that continue uninterrupted even when the individual moves from adolescence to adulthood. To achieve this goal, it is necessary for such individuals to start training for their own health management in adolescence or even earlier if possible. Checklists, which are tailored to patient age and intelligence, are valuable for disease comprehension. It is also important to support patient in any education and employment problems that they may face. Transition in patients with congenital heart disease has been a step ahead of those in other diseases. It is important to promote progress in transitional care not only in cardiology but also in other specialties in our country.

Key words: transitional care; young adults with special health care needs; adult congenital heart disease

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This page was last modified on 2017-08-14T17:01:25.9+09:00


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