与美国儿童医院长期心理健康入院相关的因素
Adrienne G DePorre1,2, Matt Hall1,2,3, Alec M Bernstein4,2
1Divisions of Hospital Medicine.
Hospital pediatrics
|April 8, 2024
概括
儿童长期住院的精神健康 (MH) 与特定的诊断和患者的复杂性有关. 解决这些因素可以改善健康公平,减少长期停留.
科学领域:
- 儿科卫生服务研究 儿童卫生服务研究
- 儿童和青少年精神病学 儿童和青少年精神病学
- 卫生公平研究 卫生公平研究
背景情况:
- 在医疗机构的精神卫生 (MH) 住院治疗往往需要比非MH住院治疗更长的住院时间 (LOS).
- 导致长时间住院的因素和儿童的相关费用仍然不清楚.
- 了解这些因素对于优化护理和资源分配至关重要.
研究的目的:
- 确定与儿童长期住院治疗相关的患者临床和人口因素.
- 为了检查美国儿童医院MH LOS的变化.
- 为改善MH护理提供提供有针对性的干预措施提供信息.
主要方法:
- 对42,654例5-20岁儿童 (2021-2022) 的初级MH住院病例进行分析.
- 数据来源于46家儿童医院的儿科健康信息系统数据库.
- 用于评估与长时间住院 (>14天) 的关联的概括估计方程.
主要成果:
- 大多数住院患者是青少年 (14-18岁,62.4%),女性 (68.5%) 和非西班牙裔白人儿童 (53.8%).
- 自杀/自我伤害 (37.4%),抑郁症 (16.6%) 和饮食障碍 (10.9%) 是常见的初级MH诊断.
- 长时间住院 (>14天) 影响了5.1%的患者,与种族/种族,MH诊断类别和医疗/MH复杂性有关.
结论:
- 特定的诊断和临床因素是长时间住院治疗的关键指标.
- 建议采取有针对性的干预措施,包括加强行为和住院的MH资源和出院规划.
- 增加对社区和住院MH支持的投资可以促进健康公平并减少长时间住院治疗.
更多相关视频
11:31Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting
Published on: November 30, 2015
16.1K
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.7K
相关概念视频
Attention-Deficit/Hyperactivity Disorder
57
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....
57
Psychological and Sociocultural Causes of Schizophrenia
84
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
84
Stress and Mental Health
149
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
149
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Conduct Disorder
34
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;...
34
Oppositional Defiant Disorder
25
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
25
