Melnyk Bernadette Mazurek, Feinstein Nancy Fischbeck, Tuttle Jane, Moldenhauer Zendi, Herendeen Pamela, Veenema Tener Goodwin, Brown Holly, Gullo Sharon, McMurtrie Madelyn, Small Leigh
University of Rochester School of Nursing, NY 14642, USA.
J Pediatr Health Care. 2002 Sep-Oct;16(5):222-34.
To reduce the escalating rate of mental health/psychosocial morbidities in children and adolescents, NAPNAP initiated a new national campaign entitled Keep your children/yourself Safe and Secure (KySS). The objective of the first phase of this campaign was to conduct a national survey to assess the mental health knowledge, attitudes, worries, communication, and needs for intervention of children/teens, parents, and pediatric health care providers. This first report from the KySS survey describes the child/teen and parental findings.
A cross-section of 621 children/teens and 603 of their parents from 24 states completed the KySS survey during visits to their primary health care providers.
The five greatest worries of both children/teens and their parents included knowing how to cope with stressful things in their lives, anxiety, depression, parent-child relationships, and problems with self-esteem. The majority of children/teens and their parents reported that they do not talk to their primary care providers about these issues. Participants expressed a multitude of needs and suggestions regarding how to better recognize, prevent, and deal with mental health problems.
Opportunities must be created for children/teens and their parents to communicate their mental health worries and needs to each other and to their pediatric primary care providers to facilitate earlier diagnosis and treatment of mental health problems. Interventions are urgently needed to assist children and teens in coping with the multitude of stressors related to growing up in today's society.
为降低儿童和青少年心理健康/社会心理疾病不断上升的发病率，国家儿科护士从业者协会发起了一项名为“保护您的孩子/自己安全无忧（KySS）”的新全国性运动。该运动第一阶段的目标是开展一项全国性调查，以评估儿童/青少年、父母以及儿科医疗服务提供者的心理健康知识、态度、担忧、沟通情况以及干预需求。这份来自KySS调查的首份报告描述了儿童/青少年及家长的调查结果。
来自24个州的621名儿童/青少年及其603名家长在前往其初级医疗服务提供者处就诊时完成了KySS调查。
儿童/青少年及其父母最担心的五件事包括知道如何应对生活中的压力事件、焦虑、抑郁、亲子关系以及自尊问题。大多数儿童/青少年及其父母表示，他们不会与初级医疗服务提供者谈论这些问题。参与者就如何更好地识别、预防和处理心理健康问题表达了众多需求和建议。
必须为儿童/青少年及其父母创造机会，使他们能够相互交流以及与儿科初级医疗服务提供者交流心理健康方面的担忧和需求，以便更早地诊断和治疗心理健康问题。迫切需要采取干预措施，帮助儿童和青少年应对与在当今社会成长相关的众多压力源。
