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儿童躯体症状及相关障碍:初级保健提供者的观点

Pediatric Somatic Symptom and Related Disorders: Primary Care Provider Perspectives.

作者信息

Malas Nasuh, Donohue Laura, Cook Robin J, Leber Steven M, Kullgren Kristin A

机构信息

1 University of Michigan Medical School, Ann Arbor, MI, USA.

2 University of Michigan-Ann Arbor, MI, USA.

出版信息

Clin Pediatr (Phila). 2018 Apr;57(4):377-388. doi: 10.1177/0009922817727467. Epub 2017 Aug 25.

Abstract

Somatization, or physical symptoms that are inconsistent with a physiological cause that may or may not involve an identified stressor, is common in outpatient pediatrics. When these symptoms persist, they can impair function and progress to a somatic symptom and related disorder (SSRD), resulting in increased health care use and increased demands on primary care providers (PCPs). We performed a needs assessment among PCPs to better understand how best to support providers caring for children with SSRDs. Pediatric PCPs (n = 77) were surveyed to better understand their training, experience, perceptions, and practices of SSRD care. Findings indicate that PCPs have limited training in SSRD care but express interest in learning more. Many barriers to effective care were reported. We hope to use these findings to develop training materials and support services for pediatric PCPs managing SSRDs.

摘要

躯体化,即与生理原因不符的身体症状,可能涉及或不涉及已确定的应激源,在儿科门诊中很常见。当这些症状持续存在时,会损害功能并发展为躯体症状及相关障碍(SSRD),导致医疗保健使用增加以及对初级保健提供者(PCP)的需求增加。我们对初级保健提供者进行了需求评估,以更好地了解如何最好地支持照顾患有SSRD儿童的提供者。对儿科初级保健提供者(n = 77)进行了调查,以更好地了解他们在SSRD护理方面的培训、经验、看法和做法。结果表明,初级保健提供者在SSRD护理方面的培训有限,但表示有兴趣了解更多。报告了许多有效护理的障碍。我们希望利用这些结果为管理SSRD的儿科初级保健提供者开发培训材料和支持服务。

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