改善风险行为在患有风湿性疾病的青少年的识别
Kristina Ciaglia1, May Lau2, Chan-Hee Jo3
1University of Texas Southwestern Medical Center and Scottish Rite Hospital for Children, Dallas.
Arthritis care & research
|October 18, 2024
概括
12%的青少年类风湿病患者报告了性活动,强调了查的必要性. 一个电子社会历史问卷 (SHQ) 和警报系统有效地确定了患有风湿性疾病的年轻人的风险行为.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 青少年医学 青少年医学
- 数字健康数字健康
背景情况:
- 患有风湿性疾病的青少年患者通常将他们的风湿病学家视为他们的主要医生.
- 根据美国儿科学会的建议,对这种人群进行性活动和物质使用的查至关重要.
- 许多类风湿病患者需要使用原药物,因此性活动查尤为重要.
研究的目的:
- 实施电子社会历史问卷 (SHQ) 和警报系统.
- 确定风险行为,特别是性活动和物质使用,在患有风湿性疾病的青少年.
- 提醒临床医生与患者私下讨论敏感的健康信息.
主要方法:
- 在类风湿病门诊期间,通过平板电脑向14岁及以上的青少年提供电子社会史问卷 (SHQ).
- 该SHQ的目的是调查患者的性活动以及酒精,烟草和毒品的使用.
- 积极的响应会在电子病历中引发最佳实践咨询 (BPA) 警报,促使临床医生讨论.
主要成果:
- 总共调查了877名独特的患者.
- 12% (90名患者) 报告性活跃,性活跃的患者年龄大 (17.2岁与15岁相比).
- 性活跃的患者更有可能吸烟,饮酒和使用其他药物. 酒精使用与男性性别,白人种族和公共保险有很强的关联.
结论:
- 12%的青少年类风湿病患者报告性活动,强调需要进行常规查.
- 电子SHQ和BPA警报系统在识别有风险的患者和促使必要的临床讨论方面被证明是有效的.
- 实施此类系统可以改善患有风湿性疾病的青少年的风险行为识别和管理.
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