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在儿科风湿病学中进行心理健康查:一项可行性研究
Sarah James1, Laura Lolacher2, Karen Hodge2
1BC Children's Hospital, 4480 Oak St Vancouver, British Columbia, V6h 3n1, Canada. sarah.therese.james@gmail.com.
Pediatric rheumatology online journal
|November 19, 2025
概括
在常规类风湿病诊所期间,对于患有青少年异常性关节炎 (JIA) 的年轻人来说,心理健康查是可以接受和实用的. 很少有百分比的JIA患者报告过高的焦虑和抑郁症状,突出了综合护理的需要.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 儿童和青少年心理健康
- 临床实施科学 临床实施科学
背景情况:
- 在儿科风湿病学中建议进行常规的心理健康查,但缺乏在现实世界中实施的证明.
- 了解青少年异常性关节炎 (JIA) 中焦虑和抑郁症状的患病率和严重程度至关重要.
研究的目的:
- 评估JIA患者在常规多学科诊所访问期间进行心理健康查的可接受性和实用性.
- 在这个儿科群体中确定焦虑和抑郁症状的频率和严重程度.
主要方法:
- 8-17岁的患有JIA的患者在iPad上填写了PROMIS儿科焦虑和抑郁症问卷.
- 护理人员和患者也填写了可接受性问卷.
- 在诊所访问期间,提供了反和心理健康资源.
主要成果:
- 四十个患者-家长双组参与了;92%的患者和95%的护理人员认为查是可以接受的.
- 平均焦虑和抑郁的得分与一般人群相似.
- 15%的患者报告过度焦虑,5%报告过度抑郁.
结论:
- 精神健康查在风湿病诊所对JIA患者来说是非常可接受和实用的.
- 虽然整体症状水平与一般人群相似,但JIA患者的一个子集经历了高度的痛苦.
- 建议卫生专业人员将心理健康查纳入JIA年轻人的日常护理中.
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