Figueroa E, Kolasa K M, Horner R E, Murphy M, Dent M F, Ausherman J A, Irons T G
Department of Pediatrics, Pitt County Adolescent Health Project, Greenville, NC.
J Adolesc Health. 1991 Sep;12(6):443-9. doi: 10.1016/1054-139x(91)90021-o.
This study examined attitudes, knowledge, and training relating to adolescent health issues, of medical residents in six different specialties who provide care to adolescents, at a southern, rural medical school without an organized curriculum in adolescent medicine. An original 18-item questionnaire was developed which examined four broad health care categories: general medicine, sexuality, high-risk behaviors, and development. Of 118 residents 91 (77%) responded. For any health care area, residents reported managing fewer than 10 adolescent patients and often fewer than 3 patients. However, they reported comfort and confidence and little desire for additional training in most of these areas. There were few differences between specialties or year of training. Almost one-half (42%) believed that pediatric care should end by age 16 years; 32% thought it should end at age 18 years. However, there was little support for pediatricians providing prenatal care to pregnant teens. These findings are useful for planning curriculum in ambulatory adolescent health and developing strategies for encouraging residents to understand and embrace the challenge of adolescent health care.
本研究调查了一所位于南方的农村医学院校中六个不同专业、为青少年提供护理服务的住院医师对青少年健康问题的态度、知识和培训情况，该医学院校没有关于青少年医学的系统课程。我们设计了一份包含18个条目的初始问卷，调查了四个广泛的医疗保健类别：普通医学、性健康、高风险行为和发育。在118名住院医师中，91名（77%）做出了回应。对于任何一个医疗保健领域，住院医师报告称管理的青少年患者少于10名，通常少于3名。然而，他们表示在大多数这些领域感到舒适和自信，并且对额外培训的需求不大。不同专业或培训年份之间几乎没有差异。近一半（42%）的人认为儿科护理应在16岁结束；32%的人认为应在18岁结束。然而，几乎没有人支持儿科医生为怀孕青少年提供产前护理。这些研究结果对于规划门诊青少年健康课程以及制定鼓励住院医师理解并接受青少年医疗保健挑战的策略很有帮助。
