系统边缘化和低收入的喘青少年之间的坚持和自我管理干预措施
Rachel Sweenie1, Heather Hoch De Keyser2, Ana M Gutiérrez-Colina3
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.
Clinical practice in pediatric psychology
|June 5, 2023
概括
对患有喘的青少年提供服务不足的干预措施显示出混合的结果. 提高症状识别和自我管理技能是关键,以及解决健康的社会决定因素,以改善喘公平.
科学领域:
- 儿科心理学 儿科心理学
- 健康 公平 卫生 公平
- 喘管理 喘管理
背景情况:
- 由于系统性种族主义和健康的社会决定因素,喘不成比例地影响着服务不足的年轻人.
- 在边缘化人口中,喘管理方面的健康差异仍然存在.
- 需要有效的干预来解决这些不平等问题.
研究的目的:
- 综合了对患有喘的弱势青年进行干预的研究结果.
- 确定有效的干预策略,以改善喘结果.
- 为促进儿童喘护理中的健康公平提供建议.
主要方法:
- 对涉及患有喘的年轻人 (≤18岁) 的随机试验进行系统的文献搜索.
- 研究的重点是药物坚持和/或自我管理行为.
- 使用描述性统计数据来综合研究特征和结果.
主要成果:
- 包括24篇文章,代表21个独特的干预措施.
- 46%的干预报告说,在坚持或自我管理方面有显著改善.
- 专注于症状识别和监测的自我管理干预措施是最有效的 (71.4%的显著发现).
结论:
- 对患有喘的缺乏服务的年轻人进行干预并不总是有效的.
- 儿童心理学家可以通过提高症状识别,自我管理技能和解决触发因素来改善结果.
- 解决健康的系统,结构和社会决定因素对于喘公平至关重要.
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