Department of Urology, Boston Children's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Department of Urology, Boston Children's Hospital, Boston, Massachusetts.
Urology. 2022 Nov;169:191-195. doi: 10.1016/j.urology.2022.07.036. Epub 2022 Aug 5.
To increase awareness and understanding of how psychology, social work, and child life specialties can integrate into interdisciplinary pediatric urology care. To advocate for increased access to psychology, social work, and child life specialty care in other pediatric urology care centers.
Authors participated in a series of discussion groups to develop the aim and goals for this study and identify patients that would best exemplify the interdisciplinary nature of care provided. Initially, fifteen patients were selected; further focused discussion groups supported the selection of 6 patients that are described in this study.
Authors present a series of 6 case studies aimed to illustrate the interdisciplinary support available to pediatric urology patients in 1 tertiary care center. Cases review a range of presenting issues, including a patient learning clean intermittent catheterization (CIC), a patient resistant to surgical intervention, patients with bowel and bladder dysfunction, a patient undergoing voiding cystourethrogram (VCUG), and a patient with urinary frequency, all of whom presented with a range of psychosocial needs that impacted their urological treatment.
Access to a psychosocial support staff can improve adherence to medical treatment by reducing barriers to care and promoting behavioral change, support patients in coping and reducing post-traumatic stress following surgery and invasive procedures, improve communication between patients, families, and medical staff, and treat psychological issues that contribute to urinary symptoms. Additional literature exploring how these interventions reduce costs associated with medical intervention, hospitalizations, outpatient visits, emergency visits, and sedation for procedures would be beneficial.
提高对心理学、社会工作和儿童生活专业如何融入跨学科小儿泌尿科护理的认识和理解。倡导在其他小儿泌尿科护理中心增加获得心理学、社会工作和儿童生活专业护理的机会。
作者参加了一系列的讨论小组，以确定本研究的目的和目标，并确定最能体现所提供护理的跨学科性质的患者。最初选择了 15 名患者；进一步的重点讨论小组支持选择 6 名在本研究中描述的患者。
作者提出了一系列 6 个案例研究，旨在说明在 1 个三级护理中心为小儿泌尿科患者提供的跨学科支持。案例回顾了一系列的问题，包括学习清洁间歇性导尿（CIC）的患者、对手术干预有抵触的患者、肠和膀胱功能障碍患者、接受排尿性膀胱尿道造影（VCUG）的患者以及有尿频的患者，所有这些患者都存在一系列影响其泌尿科治疗的社会心理需求。
获得社会心理支持人员可以通过减少护理障碍和促进行为改变来提高对医疗治疗的依从性，帮助患者应对和减少手术和侵入性程序后的创伤后应激，改善患者、家庭和医务人员之间的沟通，并治疗导致尿症状的心理问题。探索这些干预措施如何降低与医疗干预、住院、门诊就诊、急诊就诊和程序镇静相关的成本的更多文献将是有益的。
