儿科急诊医生的知识,态度和行为,关于保密的青少年护理
Colleen K Gutman, Atsuko Koyama1, Michelle Pickett2
1Department of Child Health, University of Arizona, College of Medicine, Phoenix, AZ.
Pediatric emergency care
|February 14, 2024
概括
儿科急诊室 (ED) 的医生对青少年保密法有适度的熟悉. 虽然提供保密护理是舒适的,但其应用因主要投诉和感知风险等因素而有所不同,可能会影响健康公平.
科学领域:
- 青少年健康 青少年健康
- 医学教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 每年有超过1900万名青少年访问急诊室 (ED).
- 保密照顾对于青少年的幸福和开放的沟通至关重要.
- 了解医生的观点是改善青少年医疗保健的关键.
研究的目的:
- 评估儿科ED医生关于保密青少年护理的知识,态度和行为.
- 确定影响ED环境中青少年提供保密护理的因素.
主要方法:
- 对美国儿科急诊医学医生进行了横截面调查.
- 24项问卷涵盖了对保密法律,态度和做法的熟悉程度.
- 统计分析,包括千二测试,比较子组.
主要成果:
- 医生对性健康法律的熟悉度超过了心理健康法律的熟悉度 (64%对49%).
- 常规保密护理的中位数年龄为12岁,有9%的人不同意.
- 提供保密护理的关键因素包括首席投诉 (97%),时间 (43%) 和家庭的存在 (23%).
结论:
- 医生报告说,他们对青少年保密法有适度的熟悉,但对保密护理的应用有所变化.
- 诸如感知到的行为健康风险和后勤因素等障碍可能会阻碍公平的保密护理.
- 制定战略来加强对青少年的保密ED护理是必不可少的.
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