Department of Pediatrics, UMass Chan Medical School, UMass Memorial Children's Medical Center, 55 Lake Avenue North, Benedict Building A2-201, Worcester, MA 01655, USA.
Lifeline for Kids, Department of Psychiatry, UMass Chan Medical School, 55 Lake Avenue, North Worcester, MA 01655, USA. Electronic address: https://twitter.com/TheDrJessica.
Pediatr Clin North Am. 2024 Dec;71(6):1101-1117. doi: 10.1016/j.pcl.2024.07.016. Epub 2024 Aug 30.
Child trauma, particularly within the context of the caregiving relationship, can have profound impacts on health, thus pediatric clinicians have a crucial role in recognizing and responding to trauma. Yet, trauma-informed care (TIC) is often described by its guiding principles rather than an approach to implementation. TIC requires the pediatric clinician to not only be familiar with the physiology of trauma, but actively promote resilience and employ strategies for primary prevention, secondary response and tertiary treatment of trauma. This study covers practical approaches to care that allow for promoting resilience, and the recognition, diagnosis and management of trauma.
儿童创伤，尤其是在照料关系的背景下，会对健康产生深远的影响，因此儿科临床医生在识别和应对创伤方面起着至关重要的作用。然而，创伤知情护理（TIC）通常是通过其指导原则来描述的，而不是一种实施方法。TIC 要求儿科临床医生不仅要熟悉创伤的生理学，还要积极促进恢复力，并采用预防、二级反应和三级治疗创伤的策略。本研究涵盖了促进恢复力的护理实用方法，以及创伤的识别、诊断和管理。
