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障碍急诊室临床医生对提供儿科创伤知情护理的信心
Nimrah Afzal1, Mark D Lyttle2,3, Eva Alisic4
1Department of Psychology University of Bath Bath UK.
JCPP advances
|July 11, 2023
概括
紧急部门的临床医生需要更多的培训,以创伤为儿童提供照顾. 缺乏培训和害怕打扰家庭是为受伤儿童提供心理社会支持的关键障碍.
科学领域:
- 儿科急救医学 儿科急救医学
- 创伤信息化的护理
- 心理社会支持 心理社会支持
背景情况:
- 童年创伤影响大约31%的儿童,通常是由于需要住院治疗的严重事故造成的.
- 创伤后应激障碍 (PTSD) 在创伤事件后发生在约15%的儿童身上.
- 紧急部门 (ED) 的临床医生可以使用创伤知情方法提供关键的早期干预.
研究的目的:
- 评估英国和爱尔兰急诊室 (ED) 临床医生对在创伤后为儿童和家庭提供心理护理的信心.
- 识别影响临床医生提供创伤信息化心理社会护理能力的障碍.
- 为ED临床医生制定有针对性的培训计划提供信息.
主要方法:
- 分析英国和爱尔兰的数据 (N=434) 来自国际调查ED临床医生.
- 使用问卷来衡量临床医生的信心和对心理社会护理的感知障碍.
- 层次线性回归用于识别临床医生信心的预测因素.
主要成果:
- 临床医生报告对提供心理社会护理的信心中等 (M=3.19).
- 与信心负面相关的关键预测因素包括缺乏培训,害怕打扰患者和部门支持的低水平.
- 回归模型解释了临床医生的信心差异的38.9% (R2=0.389).
结论:
- 进一步培训对于提高ED临床医生在儿科创伤性压力和心理社会护理方面的技能至关重要.
- 制定国家相关的培训路径对于解决已识别的障碍至关重要.
- 提高临床医生的信心和心理社会护理的提供,可以减轻创伤对儿童和家庭的影响.
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