改善接受子专家护理的儿童获得心理健康护理的机会
Kristin Hittle Gigli1, Genevieve Graaf2
1University of Texas at Arlington College of Nursing and Health Innovation, 411 S. Nedderman Drive, Arlington, TX, 76019, USA. kristin.gigli@uta.edu.
Maternal and child health journal
|June 26, 2025
概括
儿童和青少年有特殊医疗需求 (CYSHCN) 需要分专医护理,往往有心理健康需求. 接受小专家护理可以显著减少这些儿童未满足的心理健康需求.
科学领域:
- 儿科子专业护理 儿科子专业护理
- 儿童心理健康服务 儿童心理健康服务
- 为CYSHCNCN提供医疗保健服务
背景情况:
- 具有特殊医疗需求的儿童和青少年 (CYSHCN) 经历了大量未满足的医疗需求,特别是心理健康.
- 政策制定者主张儿科子专家提供心理健康护理,以改善获得.
- 心理健康需求的程度和子专家在CYSHCN中解决这些问题的作用需要澄清.
研究的目的:
- 描述CYSHCN中需要儿科子专家护理的心理健康护理需求.
- 为了确定这些心理健康需求未得到满足的速度.
- 评估接受子专科护理对未得到满足的心理健康需求的影响.
主要方法:
- 以儿童健康国家调查数据 (2016-2021) 进行回顾性队列研究.
- 包括20335名需要小专家护理的CYSHCN.
- 分析的重点是描述心理健康护理需求和未满足需求的比例.
主要成果:
- 40%的CYSHCN需要小专家护理的人报告说需要心理健康护理.
- 接受专家护理的CYSHCN的未满足心理健康护理需求明显低 (12.5%) 与没有接受专家护理的 (43.5%) 相比.
- 接受子专家护理与未满足的心理健康需求减少24个百分点有关.
结论:
- 需要小专科医疗护理的CYSHCN表现出相当大的心理健康需求,大多数需求在接受专科医疗护理时得到满足.
- 亚专科护理与未满足的心理健康需求的减少有关.
- 进一步的研究应该调查支持子专家提供综合体和精神健康护理的策略,而不是仅仅作为精神健康提供者.
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