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基层医疗中的注意缺陷多动障碍管理。

Management of Attention-Deficit/Hyperactivity Disorder in Primary Care.

机构信息

Department of Community Mental Health, University of South Alabama, College of Nursing, HAHN 304 / 5721 USA Drive North, Mobile, AL 36688-002, USA.

California State University Long Beach, School of Nursing, 1250 Bellflower Boulevard, MS 0301, Long Beach, CA 90804, USA.

出版信息

Nurs Clin North Am. 2019 Dec;54(4):517-532. doi: 10.1016/j.cnur.2019.08.001. Epub 2019 Oct 12.

Abstract

Management of attention-deficit/hyperactivity disorders require provider skill, rapport, and referral acumen to treat patients across the life span. Incidence and prevalence have increased in the United States and globally. There are innovative models of evidence-informed screening techniques, treatment strategies to help providers work with patients and their families. Diplomatic management of highly charged treatment controversies, drug diversion, and risk factor reduction helps to ethically address this growing public health phenomenon. This article examines risk factors and treatment considerations in the United States for evidence-informed care, with a focus on affordable and readily accessible treatment in primary care settings.

摘要

治疗注意缺陷/多动障碍需要提供者具备技能、建立融洽关系和转诊敏锐度,以满足整个生命周期的患者需求。在美国和全球范围内,该病的发病率和患病率都有所增加。目前存在创新的基于证据的筛查技术和治疗策略模式,以帮助提供者与患者及其家属合作。妥善处理高度争议的治疗问题、药物滥用和降低风险因素,有助于以合乎道德的方式处理这一日益严重的公共卫生现象。本文在美国探讨了基于证据的护理的风险因素和治疗注意事项,重点关注初级保健环境中负担得起和易于获得的治疗方法。

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