儿科病房针对限制性饮食失调症的结构化、支持性喂养入院治疗。
Structured, supported feeding admissions for restrictive eating disorders on paediatric wards.
作者信息
Street Karen, Costelloe Susie, Wootton Michelle, Upton Sonja, Brough Julie
机构信息
Department of Paediatrics, Royal Devon and Exeter Foundation Trust, Wonford Hospital, Exeter, UK.
Devon CAMHS, Virgin Care, Unit 1 Capitol Court, Exeter, UK.
出版信息
Arch Dis Child. 2016 Sep;101(9):836-8. doi: 10.1136/archdischild-2016-310506. Epub 2016 May 11.
BACKGROUND
Restrictive eating disorders in young people are increasingly requiring admission to the hospital and can be a challenge to manage on acute general paediatric wards.
METHODS
We have developed a joint working model with Child and Adolescent Mental Health services (CAMHS) using short, structured, supported feeding admissions to supplement outpatient treatment in high risk or 'stuck' cases.
RESULTS
We have successfully managed the majority of young people in the community avoiding lengthy, expensive, specialist CAMHS eating disorder inpatient unit admissions (tier 4). Local ward admissions are easier to manage and the attitudes of nursing and medical staff towards these young people have changed.
DISCUSSION
Joint working between paediatric and CAMHS teams enables shorter, more manageable local ward admissions, reducing the need for tier-4 units.
背景
青少年的限制性饮食失调症越来越多地需要住院治疗，在急性普通儿科病房进行管理可能是一项挑战。
方法
我们与儿童和青少年心理健康服务机构（CAMHS）建立了联合工作模式，采用短期、结构化、有支持的喂养住院治疗，以补充高风险或“陷入困境”病例的门诊治疗。
结果
我们成功地在社区中管理了大多数青少年，避免了长时间、昂贵的、专科CAMHS饮食失调症住院单元收治（第4级）。当地病房收治更容易管理，护理和医务人员对这些青少年的态度也有所改变。
讨论
儿科和CAMHS团队之间的联合工作能够实现更短、更易于管理的当地病房收治，减少对第4级单元的需求。
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