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儿童心理健康环境中的目标制定与追踪:何时更有可能实现以及它与护理满意度相关吗?

Goal formulation and tracking in child mental health settings: when is it more likely and is it associated with satisfaction with care?

作者信息

Jacob Jenna, De Francesco Davide, Deighton Jessica, Law Duncan, Wolpert Miranda, Edbrooke-Childs Julian

机构信息

Child Outcomes Research Consortium, Evidence Based Practice Unit, University College London and the Anna Freud Centre, 21 Maresfield Gardens, NW3 5SD, London, UK.

Evidence Based Practice Unit, University College London and the Anna Freud Centre, London, UK.

出版信息

Eur Child Adolesc Psychiatry. 2017 Jul;26(7):759-770. doi: 10.1007/s00787-016-0938-y. Epub 2017 Jan 18.

Abstract

Goal formulation and tracking may support preference-based care. Little is known about the likelihood of goal formulation and tracking and associations with care satisfaction. Logistic and Poisson stepwise regressions were performed on clinical data for N = 3757 children from 32 services in the UK (M  = 11; SD = 3.75; most common clinician-reported presenting problem was emotional problems = 55.6%). Regarding the likelihood of goal formulation, it was more likely for pre-schoolers, those with learning difficulties or those with both hyperactivity disorder and conduct disorder. Regarding the association between goal formulation and tracking and satisfaction with care, parents of children with goals information were more likely to report complete satisfaction by scoring at the maximum of the scale. Findings of the present research suggest that goal formulation and tracking may be an important part of patient satisfaction with care. Clinicians should be encouraged to consider goal formulation and tracking when it is clinically meaningful as a means of promoting collaborative practice.

摘要

目标设定与追踪可能有助于基于偏好的护理。关于目标设定与追踪的可能性以及与护理满意度的关联,我们所知甚少。对来自英国32个服务机构的3757名儿童的临床数据进行了逻辑回归和泊松逐步回归分析(年龄中位数 = 11岁;标准差 = 3.75岁;临床医生报告的最常见的就诊问题是情绪问题 = 55.6%)。关于目标设定的可能性,学龄前儿童、有学习困难的儿童或同时患有多动症和品行障碍的儿童更有可能设定目标。关于目标设定与追踪和护理满意度之间的关联,有目标信息的儿童的父母更有可能通过在量表最高分来报告完全满意。本研究结果表明,目标设定与追踪可能是患者对护理满意度的重要组成部分。应鼓励临床医生在具有临床意义时考虑目标设定与追踪,将其作为促进协作实践的一种手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f58/5489638/3fe3a79b979a/787_2016_938_Fig1_HTML.jpg

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