在儿科初级保健中实施焦虑管理过程:基于证据的实践质量改善倡议
概括
在初级保健中,儿科焦虑查显著增加了精神卫生保健转诊,特别是在年幼的儿童中. 早期干预是关键,尽管后续沟通挑战仍然存在.
科学领域:
- 儿科心理健康 儿科心理健康
- 提高初级保健质量的改善.
- 在儿童中进行焦虑查.
背景情况:
- 儿童焦虑率正在上升,这促使新的查建议.
- 美国预防服务工作组建议在2022年为8-18岁儿童进行普遍焦虑查.
- 早期识别儿科焦虑对于及时干预至关重要.
研究的目的:
- 实施和评估基于证据的儿童焦虑查质量改善倡议.
- 评估将焦虑查整合到初级保健健康访问中的影响.
- 测量查率的变化,精神卫生保健转诊和护理人员满意度的变化.
主要方法:
- 一个教育过程,经过验证的焦虑查工具和护理人员调查被整合到初级保健访问中.
- 该计划的目标是8-18岁的患者在例行健康检查期间进行健康检查.
- 在倡议之前和之后收集数据,以追踪查和转诊结果.
主要成果:
- 实施后,观察到焦虑查和精神卫生保健转诊的显著增加.
- 焦虑诊断和治疗转诊率从6.1%上升到21.3%,在8-11岁年龄组显著增长.
- 发现的一项挑战是,心理健康转诊的电话随访没有得到回复的比例很高.
结论:
- 将心理健康服务整合到儿科初级保健中,可以提高治疗的可用性.
- 这些发现支持对幼儿的早期焦虑查和干预.
- 该倡议的模型显示了可转移到其他初级保健机构的潜力.
相关概念视频
01:22Behavior Therapy
41
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
41
01:30Asthma-IV: Nursing Management
3.0K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.0K
01:18Anxiety: Overview
243
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
243
01:19Autism Spectrum Disorder
58
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
58
01:24Operant Conditioning Intervention
43
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
43
01:27Fundamentals of Nursing Process I
5.8K
The nursing process is the core of practice for every registered nurse to deliver holistic, patient-focused care. The following are the five steps in the nursing process.
5.8K