在初级保健机构的儿童性虐待文件
Stephanie C MacPherson1,2, Megan Golonka3, Yuerong Liu3
1Department of Pediatrics, Duke University Health System, Durham, NC, USA.
Clinical pediatrics
|December 24, 2023
概括
初级保健提供者仅在43%的儿童中记录了性虐待 (SA) 史. 通过PCP改进的文档与更好的心理健康护理和这些儿童的转诊相关.
科学领域:
- 儿科 儿科 儿科
- 虐待和忽视儿童的行为
- 主要护理医学 医疗保健
背景情况:
- 初级保健提供者 (PCP) 对于性虐待史 (SA) 的儿童的持续护理至关重要.
- 有效的管理需要在初级保健机构中准确地记录和传播SA史.
- 文档上的差距可能会阻碍适当的心理健康干预.
研究的目的:
- 通过初级保健提供者 (PCP) 评估性虐待 (SA) 历史记录的程度.
- 为了确定与SA史记录在儿科初级保健相关的因素.
- 评估PCP文档对心理健康管理和SA史儿童转诊的影响.
主要方法:
- 追溯性图表审查317岁的儿童,有性虐待 (SA) 的历史.
- 对2年的初级保健医疗记录进行分析. 副专业后的SA评估.
- 描述性统计和后勤回归以确定与SA文档和心理健康护理相关的因素.
主要成果:
- 只有43%的儿童的SA病史被他们的PCP记录下来.
- 当住院医生提供护理时,记录更为常见 (P < .01).
- PCP记录了更好的心理健康管理 (52%对23%,P<.001),以及记录有SA史的儿童的转诊.
结论:
- 在初级保健机构中,儿童性虐待 (SA) 的历史记录显著不足.
- 需要改进沟通和文档机制,以提高PCP对SA历史的认识.
- 加强SA的PCP文档与改善受影响儿童的心理健康护理和转诊有关.
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