应急部门对与袭击有关的伤害的年轻人进行干预:全面审查
Samaa Kemal1, Jethel Hernandez2, Katie Donnelly3
1Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.
Annals of emergency medicine
|February 16, 2025
概括
对于遭受袭击伤害的年轻人来说,急诊室的干预通常是资源密集的,并且发生在出院后. 需要对社区知情,以患者为中心的方法进行更多的研究,以获得更好的结果.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 儿科急救医学 儿科急救医学
背景情况:
- 年轻人遭受的与攻击有关的伤害会导致严重的身体和心理健康挑战.
- 紧急服务部门 (ED) 是预防暴力和对受伤青少年的干预的关键点.
- 现有的干预措施往往是资源密集型的,在初始ED护理后才会发生.
研究的目的:
- 进行对ED发起的和基于ED的干预措施进行范围审查,针对遭受袭击相关伤害的年轻人.
- 确定干预的类型,它们的实施,以及报告的结果.
- 突出当前研究中的差距,并建议未来的方向.
主要方法:
- 搜索了六个主要的数据库 (MEDLINE,Cochrane,Embase,Web of Science,PsycInfo,CINAHL) 从创立到2023年10月.
- 包括对年轻人 (0-18岁) 的干预措施的原始研究,这些干预措施涉及向ED提出的与袭击有关的伤害.
- 两位评论员选,审查完整文本,并从25个包含的研究中综合了来自5,021个独特文章的数据.
主要成果:
- 主要干预包括病例管理,行为/心理社会支持和指导.
- 大多数干预措施都是在ED开始的,但是在下放后发生的,需要大量的资源.
- 研究主要报告了伤害复发率,刑事司法参与和医疗保健使用情况,很少有关于生活质量结果的研究.
结论:
- 目前的研究重点是针对遭受袭击伤害的青少年的资源密集型,基于医院的暴力干预计划.
- 需要开发和评估以社区为基础的,基于ED的干预措施,以补充现有服务.
- 未来的研究应该优先考虑基于优势的,以患者为中心的结果和严格的评估方法.
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