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为青少年开处方。

Prescribing for adolescents.

作者信息

Kang Melissa, Kim Kiely

机构信息

Public Health, University of Technology Sydney.

GP Synergy, Sydney.

出版信息

Aust Prescr. 2019 Feb;42(1):20-23. doi: 10.18773/austprescr.2019.004. Epub 2019 Feb 1.

DOI:10.18773/austprescr.2019.004
PMID:30765905
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6370610/
Abstract

The process of prescribing changes as children move into adulthood. For some medicines, such as psychotropic drugs, safety and efficacy are less well understood in adolescents As adolescents mature they attain the capacity to consent to their own medical treatment. An assessment of their competency will need to take into account the nature of the treatment being proposed Parental involvement is usually beneficial particularly for adolescents with chronic or complex conditions, but increasing adolescent autonomy needs to be respected Adherence to treatment can be supported by understanding adolescent development and involving adolescents in management plans

摘要

随着儿童步入成年期而调整用药的过程。对于某些药物,如精神药物,青少年对其安全性和有效性的了解较少。随着青少年的成熟,他们获得了同意接受自身医疗治疗的能力。对他们的行为能力进行评估时需要考虑所提议治疗的性质。父母的参与通常是有益的,特别是对于患有慢性或复杂疾病的青少年,但青少年日益增强的自主性也需要得到尊重。了解青少年的发育情况并让他们参与管理计划有助于提高治疗的依从性。

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本文引用的文献

1
Talking to migrant and refugee young people about sexual health in general practice.
Aust J Gen Pract. 2018 Aug;47(8):564-569. doi: 10.31128/AJGP-02-18-4508.
2
LARCs as first-line contraception - What can general practitioners advise young women?长效可逆避孕法作为一线避孕方式——全科医生能给年轻女性什么建议?
Aust Fam Physician. 2017 Oct;46(10):710-715.
3
Encouraging adherence to long-term medication.鼓励长期药物治疗的依从性。
Aust Prescr. 2017 Aug;40(4):147-150. doi: 10.18773/austprescr.2017.050. Epub 2017 Aug 1.
4
What do young Australian women want (when talking to doctors about contraception)?年轻的澳大利亚女性(在与医生谈论避孕问题时)想要什么?
BMC Fam Pract. 2017 Mar 15;18(1):35. doi: 10.1186/s12875-017-0616-2.
5
Paediatric pharmacokinetics and drug doses.儿科药代动力学与药物剂量。
Aust Prescr. 2016 Dec;39(6):208-210. doi: 10.18773/austprescr.2016.071. Epub 2016 Dec 5.
6
Our future: a Lancet commission on adolescent health and wellbeing.我们的未来:《柳叶刀》青少年健康与福祉委员会
Lancet. 2016 Jun 11;387(10036):2423-78. doi: 10.1016/S0140-6736(16)00579-1. Epub 2016 May 9.
7
Consent to medical treatment: the mature minor.医疗同意:成熟未成年人。
Aust Fam Physician. 2011 Mar;40(3):159-60.
8
Contraception.
Aust Fam Physician. 2011 Mar;40(3):93.
9
Adherence to treatment in adolescents.青少年对治疗的依从性。
Paediatr Child Health. 2008 Jan;13(1):19-24. doi: 10.1093/pch/13.1.19.
10
Encounters between adolescents and general practice in Australia.澳大利亚青少年与全科医疗的接触情况。
J Paediatr Child Health. 2008 Dec;44(12):699-705. doi: 10.1111/j.1440-1754.2008.01409.x. Epub 2008 Nov 20.