儿科息护理提供者的抗抑郁药处方实践
1Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Journal of palliative medicine
|March 12, 2024
概括
儿童息护理提供者经常处方抗抑郁药,尽管在心理健康评估和心理药理学方面的培训有限. 大多数人表示希望在管理严重疾病儿童的行为健康问题方面获得额外的教育.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 儿童精神病学 儿童精神病学
- 心理药理学 心理药理学
背景情况:
- 心理健康状况经常与儿童的复杂医学疾病同时发生.
- 儿科医生可能对心理药理学缺乏信心,儿童精神病学家的访问往往受到限制.
- 儿科息护理 (PPC) 提供者管理严重的儿科疾病,并可能解决心理健康,但往往只有有限的培训.
研究的目的:
- 描述PPC提供者之间的抗抑郁药物处方模式.
- 评估PPC提供者在评估和治疗儿科焦虑和抑郁症方面的培训和舒适度.
- 了解他们的精神药物处方做法.
主要方法:
- 一项全国电子调查被分发给PPC提供商.
- 该调查得到了美国临终关怀和息医学学院的批准.
- 58家提供商回复,回复率为12.3%.
主要成果:
- 大多数受访者 (79%) 处方各种抗抑郁药,但很少有人使用正式的查工具来诊断抑郁症 (7%) 或焦虑症 (16%).
- 在处方抗抑郁药之前,不到三分之一 (29%) 的孩子在咨询儿童精神病学.
- 超过一半 (54.5%) 报告没有接受过儿童心理健康评估和治疗的正式培训,但70%的人对处方抗抑郁药感到满意.
结论:
- PPC提供者经常在心理健康评估和心理药理学方面的有限的正式培训下处方抗抑郁药.
- 对于PPC提供者来说,在管理行为健康和精神药物处方方面有很大需要有针对性的教育计划.
- 大多数PPC提供者对进一步培训感兴趣,以提高他们在行为健康评估和治疗方面的技能.
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