小児初等医療クリニック内のPHQ-9Mを使用した井戸訪問における小児青年患者に対する普遍的なうつ病スクリーニング
Ashley E Barber1,2,3, Ashley Marass2
1Wellstar School of Nursing, Kennesaw State University, Kennesaw, GA, USA abarbe40@kennesaw.edu.
Journal of doctoral nursing practice
|August 25, 2025
まとめ
小児のプライマリーケア提供者は,Patient Health Questionnaire-9 Modified for Adolescents (PHQ-9M) を使用して,若者のうつ病を効果的にスクリーニングすることができます. 青年のうつ病の診断と管理を 改善するには 医療従事者の教育が不可欠です
科学分野:
- 小児 初等医療
- 青少年 の 精神 的 な 健康
- 鬱病 の 検診
背景:
- 小児のプライマリーケア提供者は 青春期うつ病の治療に不可欠です
- 現在行われている治療法は 青少年における鬱病の効果的な治療のために 強化する必要があります
研究 の 目的:
- 小児のプライマリーケアにおけるうつ病のスクリーニング,診断,管理を改善する.
- PHQ-9Mを用いた普遍的なうつ病スクリーニングの有効性を評価する.
主な方法:
- 2ヶ月間にわたってPHQ-9Mを使用した12~21歳の患者の普遍的なスクリーニング.
- スクリーニング率,診断,紹介,フォローアップケアを評価するための遡及的なチャートレビュー.
- 青年のうつ病に関する医療従事者や スタッフの知識に関する教育前後の評価
主要な成果:
- 3人の患者 (1. 4%) はうつ病と診断され,12人の患者 (5. 8%) は感情的/行動的問題と診断された.
- 6. 8% の患者が紹介を受け, 5. 8% が予定されたフォローアップを受けたが,フォローアップは1. 9% しか完了しなかった.
- 提供者とスタッフの知識スコアは 教育介入の後に2.5%上昇した.
結論:
- PHQ-9Mは青年のうつ病を検出するのに有効です.
- プロバイダーとスタッフの教育は成功するために不可欠です.
- ユニバーサルスクリーニングと教育は 青春期うつ病の治療を 改善します
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