在儿科子专科诊所实现情绪健康常规查 (ARISE)
Misk Al Zahidy1, Victor Montori1, Michael R Gionfriddo1
1Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, United States.
Journal of pediatric psychology
|October 23, 2024
概括
实现情绪健康查常规 (ARISE) 系统成功地为患有慢性疾病的儿童整合了心理社会困境查,改善了护理. 这有助于在儿科子专科诊所早期识别和管理情绪健康挑战.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 心理社会瘤学 心理社会瘤学
- 儿童心理学 儿童心理学
背景情况:
- 患有严重或慢性疾病的儿童往往会经历严重的社会心理痛苦.
- 对心理社会困扰的系统查对于有效的护理至关重要,但实施通常具有挑战性.
- 现有的护理模式可能无法充分解决这些脆弱的儿科群体的情感福祉.
研究的目的:
- 描述心理社会困境查系统的实施经验,实现常规的情绪健康查 (ARISE),对患有严重或慢性疾病的儿童.
- 评估将患者报告的结果测量 (PROM) 整合到儿科子专科诊所的常规护理中的可行性和有效性.
- 识别和解决心理社会数据在临床实践中的系统收集和整合障碍.
主要方法:
- 该ARISE系统是使用以用户为中心的方法开发的,来自患者,家庭和医疗保健专业人员的投入.
- ARISE将PROM集成到护理工作流程中,以捕获和传递心理社会困境信息给临床医生.
- 该系统在四个儿科子专科诊所试点运行,服务于各种患者群体 (囊性纤维化,状细胞病,血友病,神经恶性瘤).
主要成果:
- 与可接受性,适当性和可行性相关的实施挑战通过基于利益相关者的反进行代修改来解决.
- 在四个目标子专业诊所中的三个成功实施了ARISE系统.
- 观察到患者和家庭的高度参与,有79.8%的符合条件的儿童完成PROM.
结论:
- 该ARISE计划证明了可行性和有效性,将心理社会查整合到儿科子专科护理中.
- 系统查有助于在患有严重和慢性疾病的儿童中识别心理社会困扰.
- ARISE模型提供了一种可扩展的方法,以改善面临重大医疗挑战的儿科患者的心理社会护理.
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