在初级保健诊所的青少年中对焦虑的常规评估
The Nurse practitioner
|November 22, 2023
概括
在初级保健中,例行焦虑查显著增加了青少年心理健康治疗的转诊率. 这种方法有效地识别并将更多的年轻人与必要的护理联系起来,改善早期干预率.
科学领域:
- 青少年健康 青少年健康
- 心理健康查 心理健康查
- 主要护理是指初级护理.
背景情况:
- 青少年焦虑影响20-25%的个人,但只有一半接受诊断和治疗.
- 临床指南主张在初级保健中进行例行焦虑症状评估.
- 目前青少年焦虑症的识别和治疗率不足以达到最佳水平.
研究的目的:
- 为了提高青少年焦虑症状的早期识别.
- 增加在初级保健机构及时接受心理健康治疗的转诊人数.
- 实施针对青少年焦虑症的系统查过程.
主要方法:
- 在一所学校的初级保健诊所使用了通用焦虑障碍-7 (GAD-7) 查工具.
- 青少年患者在抵达诊所时完成了GAD-7自我评估.
- 提供者使用GAD-7评分来指导进一步的评估和治疗转诊.
主要成果:
- 21.6%的参与者在查后被转介到心理健康服务.
- 这与项目之前的1.2%推率相比,相当于大幅增加.
- 查工具在识别需要进一步评估的青少年方面被证明是有效的.
结论:
- 简短的自我评估调查对于选青少年焦虑症状是有效的.
- 在初级保健中,例行查成功地提高了识别和转诊率.
- 这一战略改善了青少年获得心理健康护理的机会.
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