对多次转诊和复杂健康投诉的儿童和青少年进行跨学科干预:可行性研究
Ragnhild B Lygre1,2,3, Rolf Gjestad4,5, Tone M Norekvål6,7
1Department of Clinical Medicine, University of Bergen, Postbox 7804, 5020, Bergen, Norway. ralyg0358@uib.no.
这项研究发现,跨学科干预对于患有复杂健康问题的儿童和青少年来说是非常可接受的. 父母报告说,与以前的医疗保健相比,这种新方法的体验明显更好.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 跨学科的护理模式.
- 年轻人的复杂健康状况.
背景情况:
- 针对多个专家转诊的儿童的分散护理带来了风险.
- 低于最佳的健康结果和医疗错误是儿科护理中的担忧.
- 评估新的干预措施对于改善护理协调至关重要.
研究的目的:
- 评估一种新的跨学科干预措施的可行性.
- 收集儿童,青少年和家长对干预的经验.
- 改善对患有复杂健康状况和多次转诊的年轻人的护理.
主要方法:
- 这是一项非受控的开放性试验,涉及47名儿童/青少年 (6-16岁).
- 一个为期半天的生物心理社会模型咨询由儿科医生,理疗师和心理学家提供.
- 通过接受/完成率评估可行性;使用CARE规模和定制问卷进行测量的经验.
主要成果:
- 对跨学科干预的高度接受 (96%的同意,92%的完成)
- 儿童/青少年报告了积极的关系同理心 (47-77%"非常好"/"优秀").
- 父母报告了非常积极的经验 (92-100%) 和显着比之前的护理更满意 (p < .001).
结论:
- 这种跨学科的干预方法对患有复杂需求的儿科患者具有很高的可接受性和积极的经验.
- 需要进一步的研究,包括随机对照试验,以确认有效性.
- 这种干预措施有望改善护理协调和患者满意度.
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