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当前临床理念:将心理知情实践整合到运动损伤患者的管理中。

Current Clinical Concepts: Integration of Psychologically Informed Practice for Management of Patients With Sport-Related Injuries.

机构信息

Department of Exercise and Sport Science, University of North Carolina at Chapel Hill.

Center for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital, Boston.

出版信息

J Athl Train. 2023 Sep 1;58(9):687-696. doi: 10.4085/1062-6050-0556.22.

Abstract

Psychologically informed practice is an approach to patient management that encourages clinicians to treat patients from a biopsychosocial perspective and can be adopted by athletic trainers to manage sport-related injuries. As described in the domains of athletic training clinical practice, athletic trainers are expected to identify, address, and make appropriate referrals regarding psychosocial responses to injuries and mental health symptoms. Psychologically informed practice suggests addressing physical impairments in addition to screening and intervening for psychosocial responses with patients. In this Current Clinical Concepts paper, we discuss appropriate patient-reported outcome measures used to screen for mental health symptoms and psychosocial responses, provide recommendations on psychological interventions that can be integrated to enhance patient outcomes, and describe how to effectively refer a patient to an appropriate mental health professional.

摘要

心理知情实践是一种患者管理方法,鼓励临床医生从生物心理社会的角度对待患者,运动训练师也可以采用这种方法来管理与运动相关的损伤。在运动训练临床实践的领域中描述到,运动训练师需要识别、处理和针对伤病后的心理社会反应和心理健康症状做出适当的转介。心理知情实践建议除了对伤病进行筛查和处理外,还要解决身体损伤问题。在本期临床概念文章中,我们讨论了用于筛查心理健康症状和心理社会反应的合适的患者报告结局测量指标,提供了可整合以增强患者结果的心理干预建议,并描述了如何有效地将患者转介给合适的心理健康专业人员。

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