Schapiro Naomi A
Department of Family Health Care Nursing, University of California, San Francisco, CA, USA.
J Pediatr Health Care. 2005 May-Jun;19(3):131-41. doi: 10.1016/j.pedhc.2005.01.012.
In the past decade, 7 million children in the United States had a mental health problem, with higher rates of medication use, primary care visits, and specialty care visits than children without such problems. Children with bipolar disorders can present diagnostic and referral dilemmas for the primary care pediatric nurse practitioner, and frequently these children take multiple medications that interact with commonly used antibiotics, over-the-counter medications, and contraceptives. Diagnostic criteria for mania are controversial and coexisting attention deficit/hyperactivity disorder, conduct disorder, and anxiety disorders can complicate the diagnosis and treatment. The primary care pediatric nurse practitioner role includes referral, co-management, and advocacy for this vulnerable population.
在过去十年中，美国有700万儿童存在心理健康问题，与没有此类问题的儿童相比，他们使用药物、看初级保健医生和专科医生的比例更高。双相情感障碍患儿可能给初级保健儿科执业护士带来诊断和转诊方面的难题，而且这些患儿经常服用多种与常用抗生素、非处方药和避孕药相互作用的药物。躁狂症的诊断标准存在争议，同时存在的注意力缺陷/多动障碍、品行障碍和焦虑症会使诊断和治疗变得复杂。初级保健儿科执业护士的职责包括为这一弱势群体进行转诊、共同管理和提供支持。
