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儿童和青少年注意力缺陷/多动障碍:弥合诊断、沟通及治疗差距

Attention-deficit/hyperactivity disorder in children and adolescents: closing diagnostic, communication, and treatment gaps.

作者信息

Vierhile Amy, Robb Adelaide, Ryan-Krause Patricia

机构信息

University of Rochester, Pediatric Nursing, 601 Elmwood Ave, Rochester, NY 14642, USA.

出版信息

J Pediatr Health Care. 2009 Jan-Feb;23(1 Suppl):S5-23. doi: 10.1016/j.pedhc.2008.10.009.

DOI:10.1016/j.pedhc.2008.10.009
PMID:19084757
Abstract

Nurses and nurse practitioners often play a key role in the management of children with attention-deficit/hyperactivity disorder (ADHD), a disorder that often persists into adolescence and adulthood. The diagnosis of ADHD requires careful history taking, use of standardized rating scales, and close attention to the patient's behavior and informants' reports. Stimulants appear to be most effective for patients with this diagnosis, but pharmacotherapy for ADHD should be combined with educational and behavioral interventions and careful follow-up to optimize treatment outcomes. Nurses and nurse practitioners must advocate to assist patients and families achieve goals at home and at school.

摘要

护士和执业护士在注意力缺陷多动障碍(ADHD)患儿的管理中往往发挥着关键作用,这种疾病常常会持续到青少年期和成年期。ADHD的诊断需要仔细询问病史、使用标准化评分量表,并密切关注患者的行为及他人的报告。兴奋剂似乎对患有这种疾病的患者最为有效,但ADHD的药物治疗应与教育和行为干预以及仔细的随访相结合,以优化治疗效果。护士和执业护士必须倡导并协助患者及其家庭在家庭和学校实现目标。

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引用本文的文献

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J Exerc Nutrition Biochem. 2015 Jun;19(2):115-21. doi: 10.5717/jenb.2015.15061209. Epub 2015 Jun 30.
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Association of ADHD symptoms and social competence with cognitive status in preschoolers.
注意缺陷多动障碍症状与社会能力对学龄前儿童认知状况的影响。
Eur Child Adolesc Psychiatry. 2013 Mar;22(3):153-64. doi: 10.1007/s00787-012-0334-1. Epub 2012 Oct 13.