一种全面的儿童精神病学方法,在多学科环境中管理性发育差异的患者:一种替代的后续模型
N. Burcu Özbaran1, Hazal Yağmur Yılancıoğlu2, İpek İnal Kaleli1
1Ege University Faculty of Medicine, Department of Child and Adolescent Psychiatry, İzmir, Türkiye
概括
针对性发育差异 (DSD) 的新精神病学随访模型改善了住院人员的培训,但没有显著改变患者的精神病学结果. 这凸显了在DSD护理中需要结构化的支持.
科学领域:
- 医学科学 医学科学 医学科学
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
背景情况:
- 性发育差异 (DSD) 涵盖了一系列影响性别确定和差异化的情况.
- 患有DSD的患者通常需要专门的多学科护理,包括精神病学支持.
- 现有的DSD患者精神病学随访模式可能缺乏结构,影响患者护理和实习生教育.
研究的目的:
- 评估对DSD患者新型精神病学随访模型的实施.
- 评估模型对患者护理质量的影响.
- 确定新模式对儿童和青少年精神病学住院医生的培训和能力的影响.
主要方法:
- 分析了从2000年3月到2023年11月监测的129名DSD患者的队列.
- 数据收集涉及精神病学评估,临床全球印象 (CGI) 和全球评估量表 (GAS) 在模型实施前后的得分.
- 28名儿童和青少年精神病学住院医生参加了培训和评估.
主要成果:
- 实施后没有观察到精神疾病患病率或CGI/GAS得分的显著差异 (p>0.05).
- 常见的诊断包括ADHD,智力障碍和严重抑郁症.
- 住院人员报告说,在管理DSD患者,沟通,症状识别和理解多学科方法方面有主观改善.
结论:
- 结构化的精神病学支持对于有效的DSD患者管理至关重要.
- 新模式主观地提高了居民的精神病学教育,提高了他们对DSD护理的准备.
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