患有慢性疼痛的青少年在疫情前和后的学校上学情况
Jasmine R Berry1,2, Leslie Sim1,2, Cynthia Harbeck-Weber1,2
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.
Children (Basel, Switzerland)
|January 28, 2026
概括
随着COVID-19的流行,慢性疼痛青少年的学习格式发生了变化. 疫情后,更多的年轻人使用在线学习,但在线学习的结果更差,这表明潜在的长期挑战.
科学领域:
- 儿科慢性疼痛管理 儿童慢性疼痛管理
- 青少年的健康和教育
- 流行病对医疗保健服务的影响
背景情况:
- 患有慢性疼痛的青少年经常经历学校缺勤.
- 由于COVID-19大流行,我们需要迅速转向在线学习环境.
- 这种学习格式的变化对这个弱势群体的上学率的影响仍未得到充分研究.
研究的目的:
- 为了比较COVID-19大流行之前和之后的慢性疼痛青少年的学校出勤模式和学习格式.
- 评估疫情引起的教育交付变化对学校参与和这一群体的功能成果的影响.
主要方法:
- 一项比较性研究设计,涉及226名患有慢性疼痛的青少年 (13-18岁).
- 参与者被分为流行前 (n=113,2020年3月之前) 和流行后 (n=113,2021年11月至2023年11月) 的两组,根据年龄和性别进行匹配.
- 收集的数据包括对内化症状,功能障碍的验证措施,以及关于疼痛和学校病史的结构化问题.
主要成果:
- 在流行后的患者中,使用在线或家庭教育的比例显著更高 (p < 0.01).
- 流行病后的年轻人比流行病前的同龄人更频繁地上学 (错过的天数更少,p <0.05).
- 在流行后的小组中,在线上学的青少年比亲自上学的青少年报告了更多的错过学校日 (p < 0.01) 和更大的功能障碍 (p < 0.05).
结论:
- 随着COVID-19的蔓延,慢性疼痛青少年如何参与教育可能会产生持久的变化.
- 越来越多地采用在线学习模式,可能会加剧这一群体的功能障碍和缺勤率.
- 调查结果强调,需要提供量身定制的支持,以减轻脆弱年轻人功能衰退和放学风险.
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