在初级保健中进行青少年行为风险查:医生的观点
Taslina Eisner-Fellay1, Joan-Carles Suris1, Yara Barrense-Dias1
1Research Group on Adolescent Health, Department of Epidemiology and Health Services, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Family practice
|November 16, 2023
概括
医生对青少年和年轻人 (AYA) 进行心理社会风险查,但时间和咨询优先级是障碍. 确保保密性显著改善了查习惯,以及医生自我有效性.
科学领域:
- 青少年和年轻人的健康 (AYA)
- 主要护理医学 医疗保健
- 心理社会风险行为
背景情况:
- 青少年和年轻人 (AYA) 没有定期查心理社会风险行为,尽管定期咨询医生.
- 这项研究调查了医生在AYA中对这些行为进行自我报告的查实践.
- 它旨在确定阻碍或促进查能力的因素.
研究的目的:
- 检查初级保健医生 (PCP) 对青少年和年轻成年人 (AYA) 心理社会风险行为的自我报告查实践.
- 确定影响PCP对AYA心理社会风险行为查的障碍和促进者.
- 了解诸如保密性和医生自我效能等因素对查习惯的影响.
主要方法:
- 在瑞士1,824名初级保健医生 (PCP) 进行的横截面定量调查 (29%的响应率).
- 2018年收集的关于不同年龄组 (10-25岁) 中对HEEADSSS项目进行查的自我报告问卷数据.
- 两变量分析 (Chi-square测试) 和多项逻辑回归被用于数据分析.
主要成果:
- 大多数医生对3-5个心理社会风险因素进行查,主要咨询动机和时间缺乏是显著的影响.
- 医生的经验和事先讨论的保密性与解决更多的风险话题相关.
- 机密性成为影响查习惯的重要变量.
结论:
- 诸如有限的咨询时间和优先级等障碍并没有显著阻碍查习惯.
- 确保保密是影响查习惯的主要因素,其次是医生自我有效性.
- 这些发现强调了保密的重要性,促进心理社会风险查在AYA护理.
相关概念视频
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Conduct Disorder
36
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
36
Attention-Deficit/Hyperactivity Disorder
68
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
68
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Pharmacovigilance
857
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
857
Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K


