Heart Centre for Children, The Sydney Children's Hospitals Network, Sydney, NSW, Australia.
Population Child Health Clinical Research Group, School of Women's and Children's Health, University of New South Wales, Sydney, NSW, Australia.
Psychol Health. 2024 Apr;39(4):452-478. doi: 10.1080/08870446.2022.2072843. Epub 2022 May 28.
To synthesize and critically evaluate evidence on the effectiveness of integrated psychological care models for children with complex chronic illness within pediatric hospital settings and provide recommendations for successful implementation.
Six electronic databases (Medline, Cochrane, Embase, PsycINFO, Scopus, CINAHL) were systematically searched for English language studies including families of children aged 0-17 years with complex chronic illness. Eligible studies reported on psychology or neuropsychology screening, assessment, intervention, or services provided within a pediatric hospital setting.
Fifteen studies were identified for review; nine assessed a psychological service, five examined psychosocial screening, and one examined a neuropsychology service. Three studies demonstrated the effectiveness of integrated psychological services in improving child or parent physical, psychological, or behavioral health outcomes. Uptake of psychosocial screening was high (84-96%), but only 25-37% of children or families identified as 'at-risk' engaged with on-site psychology services. Integrated psychological services offering consultations at the same time and location as the child's medical visit reported the highest rates of uptake (77-100%).
The available evidence supports co-location of child medical and psychological services. A more consistent and comprehensive approach to the assessment of patient- and caregiver-reported outcomes and implementation effectiveness is recommended.
综合评价儿科医院环境下针对复杂慢性病儿童的综合心理护理模式的有效性，并为成功实施提供建议。
系统检索了 6 个英文数据库（Medline、Cochrane、Embase、PsycINFO、Scopus、CINAHL），以寻找针对 0-17 岁患有复杂慢性病儿童的家庭的心理学或神经心理学筛查、评估、干预或服务的研究。
共确定了 15 项研究进行综述；其中 9 项评估了心理服务，5 项研究了心理社会筛查，1 项研究了神经心理学服务。有 3 项研究表明，综合心理服务可改善儿童或家长的身体、心理或行为健康结果。心理社会筛查的参与率较高（84-96%），但只有 25-37%被确定为“高危”的儿童或家庭接受了现场心理服务。在儿童就诊的同时和地点提供咨询的综合心理服务报告的参与率最高（77-100%）。
现有证据支持将儿童医疗和心理服务放在一起。建议采用更一致和全面的方法来评估患者和照顾者报告的结果以及实施效果。
