早期识别和管理在儿童中制造或诱导的疾病
Christopher Bass1, Danya Glaser2
1Department of Psychological Medicine, John Radcliffe Hospital, Oxford, UK.
Lancet (London, England)
|March 12, 2014
概括
伪造或诱导的疾病发生在一个照顾者为孩子寻求不必要的医疗护理时. 儿科医生的早期识别和干预对孩子至关重要.
科学领域:
- 儿科健康 儿科健康
- 虐待儿童 虐待儿童
- 心理健康 心理健康
背景情况:
- 伪造或诱导的疾病 (FII),以前称为代理蒙查森综合征,涉及护理人员在儿童身上制造或诱导疾病.
- 护理人员欺骗是关键特征,但在临床上观察到的行为范围更广泛.
- FII可能会对孩子的身体和心理健康产生严重影响.
研究的目的:
- 审查参与伪造或诱导疾病的护理人员的特征,影响和心理社会特征.
- 突出儿童医生早期识别和管理的重要性.
- 讨论孩子和照顾者的管理策略.
主要方法:
- 对护理人员的临床表现和心理社会资料的审查.
- 对护理人员体形和虚假疾病的证据分析.
- 检查异常疾病行为的代际传播.
主要成果:
- 护理人员经常表现出体形和虚假的疾病,具有疾病行为代际传播的潜力.
- 早期的儿科医生识别可以防止FII的充分发展.
- 儿童保护和治疗支持对受影响儿童至关重要.
结论:
- 有效的管理需要解决护理人员对虐待行为的承认和与机构的合作.
- 医院的多学科网络被推用于主动的FII管理.
- 需要进一步的研究,特别是对患有体形/虚假疾病的照顾者,包括儿童在异常疾病行为中的照顾者.
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