在农村初级保健诊所采用循证应对计划对儿童焦虑症进行儿科执业护士管理。
Pediatric Nurse Practitioner Management of Child Anxiety in a Rural Primary Care Clinic With the Evidence-Based COPE Program.
作者信息
Kozlowski Jessica L, Lusk Pamela, Melnyk Bernadette M
出版信息
J Pediatr Health Care. 2015 May-Jun;29(3):274-82. doi: 10.1016/j.pedhc.2015.01.009. Epub 2015 Mar 20.
INTRODUCTION
Anxiety is the most common mental health disorder in children. Many communities have shortages of mental health providers, and the majority of children with anxiety are not receiving the evidence-based treatment they need. The purpose of this pilot study was to assess the feasibility and effects of a brief seven-session cognitive behavioral skills-building intervention, Creating Opportunities for Personal Empowerment (COPE), which was delivered to anxious children by a pediatric nurse practitioner in a primary care setting.
METHODS
A pre-experimental, one-group, pretest and post-test design was used.
RESULTS
Children who participated had a significant decrease in anxiety symptoms (13.88 points, SD = 17.96, 95% confidence interval [CI] = -1.13-28.89), as well as an increase in knowledge of cognitive-behavioral coping skills (M = 11.38, CI = 5.99-8.26, p = .00) and improved functioning (at school and at home). Evaluations by parents and children were positive.
DISCUSSION
COPE is a promising evidence-based intervention for children with anxiety with feasible delivery by pediatric nurse practitioners in primary care.
引言
焦虑是儿童中最常见的心理健康障碍。许多社区心理健康服务提供者短缺，大多数焦虑儿童未得到他们所需的循证治疗。本试点研究的目的是评估一种简短的七节认知行为技能培养干预措施——创造个人赋权机会（COPE）的可行性和效果，该干预措施由一名儿科执业护士在初级保健机构中为焦虑儿童实施。
方法
采用实验前单组前测和后测设计。
结果
参与的儿童焦虑症状显著减轻（13.88分，标准差=17.96，95%置信区间[CI]=-1.13 - 28.89），认知行为应对技能知识增加（M = 11.38，CI = 5.99 - 8.26，p = .00），在学校和家庭中的功能得到改善。家长和儿童的评价是积极的。
讨论
COPE是一种有前景的针对焦虑儿童的循证干预措施，由儿科执业护士在初级保健中实施具有可行性。
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