由于儿童和青少年被诊断患有自闭症谱系障碍的挑战性行为,急诊室的利用率很高
Sara R Jeglum1, Alexandra Cicero2, Jordan DeBrine3
1Blank Children's Hospital, Des Moines, IA 50309, USA.
Behavioral sciences (Basel, Switzerland)
|August 29, 2024
概括
患有自闭症谱系障碍 (ASD) 的儿童经常因行为危机而访问急诊室 (ED). 本研究研究了美国与ASD相关的ED访问,突出了护理差距,并向ED工作人员提供了信息.
科学领域:
- 儿科急救医学 儿科急救医学
- 自闭症谱系障碍 (ASD) 研究研究
- 行为健康服务 行为健康服务
背景情况:
- 患有自闭症的儿童和青少年在行为危机期间面临急诊室 (ED) 访问的高风险.
- 经常性ED访问表明危机后护理存在重大差距,包括ASD患者的随访和转诊.
- 关于这一主题的现有研究主要基于来自美国以外的数据,因此需要针对美国的具体见解.
研究的目的:
- 调查ASD儿童和青少年由于具有挑战性的行为而呈现给美国ED的频率和特征.
- 确定影响ASD相关行为危机在ED环境中的表现和管理的系统级因素.
- 为 ED 工作人员提供临床影响,为这群脆弱人群提供护理.
主要方法:
- 美国中西部地区6年来ED访问的回顾性分析.
- 专注于识别被诊断患有自闭症的儿童和青少年经历行为危机的表现.
- 检查患者的特征和导致ED利用的行为挑战.
主要成果:
- 详细分析了在患有自闭症的儿童和青少年中促使ED访问的具有挑战性的行为频率和特定类型.
- 儿童自闭症患者因行为问题寻求紧急护理的人口统计和临床概况的描述.
- 识别表明社区支持和后续护理潜在缺陷的模式.
结论:
- 在美国,患有自闭症的儿童和青少年是利用ED服务处理行为危机的重要人口.
- 调查结果强调需要改善护理协调和有针对性的干预措施,以解决ASD服务的差距.
- 该研究提供了关键数据,以告知ED协议,并加强在紧急情况下为患有自闭症的年轻人提供的护理.
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