在COVID-19早期的儿科紧急心理健康演示:比较虚拟和面对面的演示
Joanna Stuart1,2, Nicole Sheridan1, Paula Cloutier3
1Children's Hospital of Eastern Ontario Research Institute, Canada.
Clinical child psychology and psychiatry
|October 17, 2024
概括
儿童心理健康 (MH) 需求在COVID-19期间激增,促使虚拟护理. 面对面的访问更常见于高风险病例,如抑郁症和自我伤害,而虚拟护理则为焦虑和行为问题提供服务.
科学领域:
- 儿科急救医学 儿科急救医学
- 心理健康服务 心理健康服务
- 远程医疗服务是远程医疗服务.
背景情况:
- 随着COVID-19的流行,儿童和青少年的心理健康需求显著增加.
- 新型儿科急诊室虚拟护理 (EDVC) 服务的实施是为了满足这些不断增长的需求.
- 了解患者的特征对于优化虚拟护理提供至关重要.
研究的目的:
- 描述使用EDVC的儿科精神健康患者群体.
- 为了比较年轻人接受虚拟与面对面的紧急心理健康服务之间的患者特定因素.
- 为未来虚拟心理健康护理平台的设计和实施提供信息.
主要方法:
- 在安大略省东部的一家儿科医院进行了回顾性图表审查.
- 包括2020年5月至12月期间接受紧急心理健康服务的儿童和青少年 (3-17岁).
- 使用描述性统计数据,比较虚拟 (EDVC) 和实体群体之间的人口统计,临床表现和处置.
主要成果:
- 绝大多数 (96.1%) 的年轻人获得了面对面的急诊室 (ED) 护理,而只有3.9%的人使用EDVC.
- 面对面的患者呈现出更高的感知风险 (78.9%对41.9%) 和更频繁的抑郁症,自杀念头,自我伤害或撕裂问题 (46.1%对35.6%).
- 焦虑,情境危机或行为问题是虚拟EDVC咨询的更常见原因. 17.8%的EDVC患者被重定向到面对面的ED.
结论:
- 在患者特定因素中,青少年在面对面和虚拟紧急心理健康护理之间存在显著差异.
- 这些发现突出了虚拟与实体儿科心理健康咨询的不同临床特征.
- 这项研究为改善和扩大儿科患者虚拟心理健康服务提供提供提供了宝贵的见解.
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