注意缺陷/多动障碍的诊断和管理:从从业者的角度来看
Mansour M Alotaibi1,2, Naif Z Alrashdi3,4, Sultan A Alanazi3
1Department of Rehabilitation, Faculty of Applied Medical Sciences, Northern Border University, Arar 73213, Saudi Arabia.
沙特阿拉伯的医疗保健提供者在诊断和治疗注意力缺陷/多动障碍 (ADHD) 方面表现出不同的方法. 在遵守DSM-5标准和获得治疗方面存在差距,强调需要国家指导方针和改善药物可用性.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科精神病学 儿科精神病学
- 临床心理学 临床心理学
背景情况:
- 注意缺陷/多动障碍 (ADHD) 在沙特阿拉伯普遍存在,面临诊断和治疗可访问性挑战.
- 了解当前的临床实践对于改善该地区ADHD护理至关重要.
研究的目的:
- 检查卫生保健从业人员在沙特阿拉伯对ADHD诊断和管理的方法.
- 在ADHD临床实践中识别现有的差距和障碍.
主要方法:
- 一项横截面研究调查了沙特阿拉伯43名医疗保健从业者 (精神病医生,儿科医生,心理学家).
- 收集了关于诊断标准遵守 (DSM-5),查工具使用,治疗策略和感知到的挑战的数据.
主要成果:
- 大多数从业者 (86.0%) 使用了查工具,但只有55.8%评估了所有18个DSM-5ADHD症状.
- 首选的是联合治疗 (74.4%),但由于指导方针不清楚,安非他命兴奋剂的处方很低 (7.0%).
- 主要障碍包括缺乏早期查 (65.1%),有限的药物选择 (51.2%),以及长时间的转诊等待 (44.2%).
结论:
- 在沙特阿拉伯的医疗保健提供者中,在ADHD诊断和治疗实践中存在显著的变化.
- 不遵守DSM-5标准,精神兴奋剂供应有限,以及长时间的等待列表,阻碍了有效的ADHD护理.
- 倡导制定全国性的ADHD协议,并加强对各种治疗方法的获取,对于改善患者的治疗结果至关重要.
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