儿童创伤和创伤后症状查在儿童保健所访问
Stephen S DiGiovanni1, Rebecca J Hoffmann Frances2, Rebecca S Brown2
1From the Barbara Bush Children's Hospital at Maine Medical Center, Department of Pediatrics, Portland, Maine.
Pediatric quality & safety
|May 30, 2023
概括
在健康儿童访问期间对不良童年经历 (ACE) 的查是可行的. 实施查方法的变化和提供者培训改善了儿科创伤和PTSD的识别和应对.
科学领域:
- 儿科卫生健康 儿科卫生健康
- 公共卫生 公共卫生
- 行为健康 行为健康
背景情况:
- 童年不良经历 (ACE) 是一个重大的公共卫生危机.
- 早期识别和干预对于减轻童年创伤的长期影响至关重要.
研究的目的:
- 增加每年的创伤查率在健康儿童访问期间.
- 改善创伤后应激障碍 (PTSD) 症状查,对儿童进行识别创伤.
- 增强创伤症状的儿童与行为健康服务的联系.
主要方法:
- 一个跨学科的团队利用了三个计划-做-研究-行动周期来完善查和响应协议.
- 使用自动化报告和图表审查来监测实现目标的进展.
- 对查方法和提供者培训的变化进行了实施和评估.
主要成果:
- 在89.8%的健康儿童访问期间完成了创伤查,在9.7%的病例中确定了创伤.
- 在识别童年创伤方面,书面查方法比口头查更有效.
- 创伤后应激障碍反应指数在57.3%的被查儿童中发现了PTSD症状,转诊率和与行为健康服务的现有联系率各不相同.
结论:
- 在健康儿童访问期间对儿科创伤进行查和应对是可以实现的.
- 优化查方法和提供者培训可以提高儿童创伤和PTSD的识别和管理.
- 需要进一步努力来增加PTSD症状查,并确保与行为健康护理的牢固联系.
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