减少神经多样性的精神健康问题患者的兴奋
Diana Hou Yan1, Avery Jeon2, Yunfai Ng3
1Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. diana.yan@mountsinai.org.
Journal of autism and developmental disorders
|December 19, 2024
概括
一个新的医学教育课程成功地减少了急诊室内神经多样性儿科患者的激动. 这种干预措施还减少了对药物和身体限制的需求,改善了对这个脆弱人群的护理.
科学领域:
- 儿科急救医学 儿科急救医学
- 神经发育障碍 神经发育障碍
- 心理健康干预 心理健康干预
背景情况:
- 儿童和青少年面临着严重的心理健康危机.
- 神经多样性的个体经历了更高的心理健康状况和较差的结果.
- 现有的儿科急诊护理途径需要针对神经多样性患者进行优化.
研究的目的:
- 在儿科急诊室 (PED) 和观察室 (OU) 实施和评估自闭症谱系障碍护理途径.
- 降低神经多样性患者向PED/OU提交的激动的频率和严重程度.
- 减少对激动神经多样性患者的药理干预和身体限制的使用.
主要方法:
- 在社区PED和OU中进行的前性队列研究 (2023年6月 - 2024年2月).
- 实施医疗教育课程,包括多学科冠军培训和工具包推出.
- 使用行为活动评分表 (BARS) 测量激动;主要目的是降低激动频率.
主要成果:
- 从45名患者收集的数据 (19个基线,26个干预).
- 激发发生在47%的基线患者,而干预后的患者为23% (p=0.04).
- 激发频率显著降低;干预组中使用了3种药理干预措施和0种身体限制措施.
结论:
- 试点医学教育课程有效地减少了神经多样性儿科患者的精神健康投诉中的激动.
- 自闭症谱系障碍护理途径显示了改善神经多样性青年紧急护理的希望.
- 这项研究为将课程扩展到一般应急部门提供了基础.
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