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儿童多系统炎症综合征急性入院后青少年及其父母的创伤后应激风险:心理筛查与支持的回顾性分析

Paediatric Post-Traumatic Stress Risk for Young People and Parents following Acute Admission for Paediatric Multisystem Inflammatory Syndrome: Retrospective Analysis of Psychological Screening and Support.

作者信息

Freeman Anita, Golding Emily, Gardner Jennifer, Berger Zoe

机构信息

Great Ormond Street Hospital, NHS Foundation Trust, London WC1N 3JH, UK.

Leeds Community Healthcare NHS Trust, Leeds LS11 0DL, UK.

出版信息

Children (Basel). 2024 Jul 15;11(7):858. doi: 10.3390/children11070858.

Abstract

BACKGROUND

Paediatric Multisystem Inflammatory Syndrome (PIMS-TS) is a novel condition that was identified for the first time during the COVID-19 pandemic. Limited research exists that describes the psychological needs of children and young people (CYP) following an acute hospital admission for PIMS-TS.

METHODS

A retrospective cohort study was conducted to explore both psychological need and access to psychology services for CYP and their families who were admitted to a paediatric tertiary hospital in London, UK, for PIMS-TS between April 2020 and May 2021.

RESULTS

We included 121 CYP and a parent/caregiver for each. In total, 23.3% of the CYP were at risk of developing a traumatic stress response and 11.6% were at risk of experiencing emotional disturbance. Of the parents screened, 40.5% also scored above clinical cut-off for a trauma response. There was a significant relationship observed between CYP and parents identified as having a trauma risk.

CONCLUSIONS

The importance of proactive screening for both trauma and emotional distress in CYP and their parents/caregivers following acute hospital admission is highlighted. In addition, there is a need to think about a CYP as part of a system of care and to ensure that clinicians pay attention to parental wellbeing and mental health when understanding the psychological impact on a child.

摘要

背景

儿童多系统炎症综合征(PIMS-TS)是在新冠疫情期间首次被确认的一种新病症。关于儿童和青少年(CYP)因PIMS-TS急性入院后的心理需求的研究有限。

方法

进行了一项回顾性队列研究,以探讨2020年4月至2021年5月期间因PIMS-TS入住英国伦敦一家儿科三级医院的CYP及其家庭的心理需求和获得心理服务的情况。

结果

我们纳入了121名CYP,每名CYP均有一名家长/照顾者。总体而言,23.3%的CYP有发生创伤应激反应的风险,11.6%的CYP有情绪障碍的风险。在接受筛查的家长中,40.5%的家长在创伤反应方面的得分也高于临床临界值。在被确定有创伤风险的CYP和家长之间观察到显著的关系。

结论

强调了在CYP及其家长/照顾者急性入院后对创伤和情绪困扰进行主动筛查的重要性。此外,有必要将CYP视为护理系统的一部分,并确保临床医生在理解对儿童的心理影响时关注家长的幸福感和心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df38/11276350/8c18c21d6665/children-11-00858-g001.jpg

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