Dueweke Aubrey R, Hanson Rochelle F, Wallis Elizabeth, Fanguy Emily, Newman Carla
Medical University of South Carolina, Charleston, SC, USA.
Clin Pediatr (Phila). 2019 Oct;58(11-12):1239-1249. doi: 10.1177/0009922819859868. Epub 2019 Jun 27.
This study examined the feasibility and outcomes of a training designed to enhance pediatric residents' trauma-informed practices in primary care. Paired samples tests examined changes in 33 residents' attitudes, perceived competence, and perceived barriers toward trauma-informed care after a 2-hour training. Fisher's exact tests measured changes in residents' screening and referral behaviors. A subsample (n = 9) of residents were interviewed about the training. Residents reported increases in favorable attitudes ( = .065) and perceived competence ( < .001) and decreases in perceived barriers ( = .001 to .521) to implementing trauma-informed care practices. Chart reviews revealed a significant increase in completed trauma screens (0% to 8.0%, < .001) but no difference in referrals for psychology/psychiatry services (1.9% to 4.2%, = .200). Residents reported finding the training helpful. Although residents were willing and understood the utility of assessing for trauma, they faced substantial barriers.
本研究考察了一项旨在增强儿科住院医师在初级保健中采用创伤知情做法的培训的可行性及效果。配对样本检验考察了33名住院医师在接受两小时培训后，其对创伤知情护理的态度、感知能力及感知障碍的变化。费舍尔精确检验衡量了住院医师筛查和转诊行为的变化。对一部分住院医师样本（n = 9）进行了关于该培训的访谈。住院医师报告称，在实施创伤知情护理做法方面，积极态度有所增加（P = .065），感知能力有所提高（P < .001），感知障碍有所减少（P = .001至.521）。病历审查显示，完成的创伤筛查显著增加（从0%增至8.0%，P < .001），但转介至心理/精神科服务方面无差异（从1.9%增至4.2%，P = .200）。住院医师报告称该培训很有帮助。尽管住院医师愿意且理解评估创伤的效用，但他们面临诸多重大障碍。
