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美国3至5岁儿童健康儿童诊所就诊最佳实践分析:一项综述

Analyzing Best Practices for Pediatric Well-Child Clinic Visits in the United States for Children Aged Three to Five Years: A Review.

作者信息

Okobi Okelue E, Akahara Patience F, Nwachukwu Onyinyechukwu B, Egbuchua Thelma O, Ajayi Olamide O, Oranu Kelechukwu P, Ibanga Ifreke U

机构信息

Family Medicine, Larkin Community Hospital Palm Springs Campus, Miami, USA.

Family Medicine, Medficient Health Systems, Laurel, USA.

出版信息

Cureus. 2023 Sep 13;15(9):e45194. doi: 10.7759/cureus.45194. eCollection 2023 Sep.

Abstract

Inadequate routine healthcare check-up visits for children aged three to five years impose substantial economic and social burdens due to morbidity and mortality. The absence of regular well-child visits and vaccinations leads to avoidable diseases, underscoring the need for a renewed emphasis on childhood immunizations and check-ups. Out of 160 articles initially screened after removing duplicates, 45 were chosen for full-text review following initial title and abstract screening by two independent reviewers. Afterward, 20 studies met the predefined inclusion criteria during the final assessment of full-text articles, and data were systematically extracted from these selected studies using standardized forms to ensure accuracy and consistency. Well-child visits promote holistic development, health, and well-being in children aged three to five years. Following established guidelines and evidence-based practices, healthcare professionals provide assessments, vaccinations, and guidance for a healthy future. Despite challenges, well-child visits are vital for preventive care, empowering informed decisions for children's growth and development. The benefits of well-child visits encompass growth monitoring, anticipatory guidance, and preventive measures, crucial for children with chronic illnesses. Key components include comprehensive assessments, developmental screenings, vision and hearing evaluations, immunizations, health education, and counseling. In the case of juvenile diabetes, parental education is paramount. Parents need to understand the intricacies of insulin administration, including proper dosage calculation based on glucose measurements, meal planning, and the importance of timing insulin injections. Implementing guidelines and principles by organizations such as Bright Futures and the American Academy of Pediatrics ensures holistic care, parent involvement, and evidence-based practices. This review explores best practices and guidelines for such visits, emphasizing their role in monitoring and promoting children's development.

摘要

三到五岁儿童常规医疗保健检查不足,会因发病和死亡带来巨大的经济和社会负担。缺乏定期的健康儿童检查和疫苗接种会导致可避免的疾病,这凸显了重新重视儿童免疫接种和检查的必要性。在去除重复项后初步筛选的160篇文章中,两名独立审稿人在初步标题和摘要筛选后选择了45篇进行全文审查。之后,在全文文章的最终评估中,有20项研究符合预先定义的纳入标准,并使用标准化表格从这些选定的研究中系统地提取数据,以确保准确性和一致性。健康儿童检查促进三到五岁儿童的全面发展、健康和幸福。遵循既定的指南和循证实践,医疗保健专业人员提供评估、疫苗接种和为健康未来的指导。尽管存在挑战,但健康儿童检查对于预防保健至关重要,能为儿童的成长和发展做出明智决策提供支持。健康儿童检查的益处包括生长监测、预期指导和预防措施,这对患有慢性病的儿童至关重要。关键组成部分包括全面评估、发育筛查、视力和听力评估、免疫接种、健康教育和咨询。对于青少年糖尿病,家长教育至关重要。家长需要了解胰岛素给药的复杂性,包括根据血糖测量正确计算剂量、饮食计划以及胰岛素注射时间的重要性。诸如“光明未来”和美国儿科学会等组织实施指南和原则,确保全面护理、家长参与和循证实践。本综述探讨了此类检查的最佳实践和指南,强调了它们在监测和促进儿童发育方面的作用。

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