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墨西哥自闭症护理的儿科和精神病学模型:诊断工具和处方干预措施的差异
Patricia Zavaleta-Ramírez1, Marcos Rosetti2,3, Lilia Albores-Gallo1
1Hospital Psiquiátrico Infantil Dr. Juan N. Navarro, Servicios de Atención Psiquiátrica, Mexico City, Mexico.
Clinical child psychology and psychiatry
|August 4, 2023
概括
自闭症谱系障碍 (ASD) 的诊断和治疗在低收入和中等收入国家有很大差异. 这项研究发现诊断工具,干预措施和测试中的不一致性,突出了对ASD改善和标准化护理途径的需求.
科学领域:
- 神经科学是一个神经科学.
- 发育儿科 发育儿科
- 儿童精神病学 儿童精神病学
背景情况:
- 自闭症谱系障碍 (ASD) 诊断和治疗方法在低收入和中等收入国家是不一致的.
- 关于在这些地区的专门中心内对ASD护理的异质性,研究有限.
研究的目的:
- 在两个专业护理中心分析用于自闭症谱系障碍 (ASD) 的诊断工具,实验室测试和干预措施.
- 为了识别儿童精神病和儿科医院之间的ASD诊断和治疗途径的变化.
主要方法:
- 定性研究涉及对被诊断患有自闭症儿童的家庭进行采访.
- 数据收集的重点是诊断工具,实验室测试,药物和心理社会干预.
- 在儿童精神病医院提供的服务与儿科医院提供的服务的比较.
主要成果:
- 诊断工具使用 (47%未使用) 和心理社会干预 (20%未收到) 显著变化.
- 据报道,药物处方的比例很高 (88%).
- 根据医院环境观察到的干预类型 (行为疗法与技能培训) 和实验室测试 (听觉/视觉与遗传/成像) 的差异.
结论:
- 在诊断工具,测试和治疗中观察到的范围表明在ASD护理中缺乏共识.
- 建议提议加强墨西哥的ASD诊断和治疗方案.
- 标准化护理对于改善ASD儿童在各种医疗机构的治疗结果至关重要.
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