Woolsey Colleen, Smoldon Jeremy, Devney Robert
College of Nursing, Seattle University, Seattle, Washington.
Rutgers University, New Brunswick, New Jersey.
J Am Assoc Nurse Pract. 2020 Jan;32(1):8-14. doi: 10.1097/JXX.0000000000000209.
Attention-deficit/hyperactivity disorder (ADHD) is a commonly occurring neurodevelopmental disorder in children and young adults. If under or inadequately treated, long-term morbidity, mortality, increased social, and health care costs may follow. Standardized assessment tools aid in accurate diagnosis and ongoing treatment modifications; however, they are underused by providers at follow-up visits. This article discusses the development of an assessment tool, presents initial data on the use of a nonstandardized visual analog scale (VAS), and re-emphasizes the importance of regular inclusion of standardized rating scales during periodic reassessments. A targeted literature search of PubMed, Articles+, ERIC, CINAHL, and Google Scholar was performed and findings were reported. An interview with the developer was conducted along with a chart review comparing those using and not using the VAS. The use of the VAS may improve appointment efficiency and result in more thorough symptom assessment. Introduction of the VAS may remind providers of the importance of using standardized tools to reassess all ADHD symptoms regularly. Furthermore, the need for practice efficiency highlights the value of standardization of this VAS.
注意缺陷多动障碍（ADHD）是儿童和青年中常见的神经发育障碍。如果治疗不足或不当，可能会导致长期发病、死亡、社会成本和医疗保健成本增加。标准化评估工具有助于准确诊断和持续调整治疗方案；然而，在随访就诊时，医疗服务提供者对其使用不足。本文讨论了一种评估工具的开发，介绍了使用非标准化视觉模拟量表（VAS）的初步数据，并再次强调了在定期重新评估期间定期纳入标准化评定量表的重要性。对PubMed、Articles+、ERIC、CINAHL和谷歌学术进行了有针对性的文献检索，并报告了研究结果。对该量表开发者进行了访谈，并对使用和未使用VAS的患者进行了病历审查。使用VAS可能会提高就诊效率，并导致更全面的症状评估。引入VAS可能会提醒医疗服务提供者定期使用标准化工具重新评估所有ADHD症状的重要性。此外，对实践效率的需求凸显了该VAS标准化的价值。
