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心理社会筛查、住院治疗及出院计划:临床医生的观点

Psychosocial screening, in-patient care, and disposition planning: Clinicians' perspectives.

作者信息

Chong Alyssa, Virk Punit, Doan Quynh

机构信息

Department of Pediatrics, Faculty of Medicine, University of British Columbia, Canada.

Provincial Health Services Authority, BC Children's Hospital Research Institute, Canada.

出版信息

Clin Child Psychol Psychiatry. 2025 Apr;30(2):502-515. doi: 10.1177/13591045241303543. Epub 2024 Nov 25.

DOI:10.1177/13591045241303543
PMID:39585190
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11951344/
Abstract

ObjectiveOur objective was to explore clinicians' views on the MyHEARTSMAP screening report; whether this report has impacted their patient care, and if so, how. MyHEARTSMAP is a psychosocial self-screening tool for youth to identify mental health concerns.MethodsWe conducted a cross-sectional study as a sub-study of the MyHEARTSMAP In-Patient randomized control trial. Eligible clinicians (nurses and physicians who have cared for patients in one of our partnered specialties and have seen a MyHEARTSMAP report in their patients' charts) provided their perceptions of the screening report through a survey.ResultsSixty-five clinicians were enrolled; 60 (92.3%; 95% CI 85.8-98.8%) believe psychosocial screening is beneficial, with many finding it helpful for building rapport with patients/families and providing additional mental health information. Thirty-seven clinicians (56.9%; 95% CI 44.9-69%) had previously read or used the MyHEARTSMAP report, and 31 (83.8%; 95% CI 71.9-95.7%) of these clinicians found the report helpful. Clinicians specifically found the report helpful for communicating with the patient, and guiding patient-centered care.ConclusionClinicians' perceptions towards the MyHEARTSMAP report were positive amongst those who had previously encountered it. While clinicians believe psychosocial screening is beneficial, exploring options for better accessibility to the screening results is necessary to increase utilization.

摘要

目的

我们的目的是探讨临床医生对MyHEARTSMAP筛查报告的看法;该报告是否对他们的患者护理产生了影响,如果有影响,是如何产生影响的。MyHEARTSMAP是一种用于青少年的心理社会自我筛查工具,用于识别心理健康问题。

方法

我们进行了一项横断面研究,作为MyHEARTSMAP住院随机对照试验的子研究。符合条件的临床医生(在我们合作的专科之一中照顾过患者并在患者病历中看过MyHEARTSMAP报告的护士和医生)通过一项调查提供了他们对筛查报告的看法。

结果

招募了65名临床医生;60名(92.3%;95%置信区间85.8 - 98.8%)认为心理社会筛查是有益的,许多人发现它有助于与患者/家属建立融洽关系并提供额外的心理健康信息。37名临床医生(56.9%;95%置信区间44.9 - 69%)之前阅读或使用过MyHEARTSMAP报告,其中31名(83.8%;95%置信区间71.9 - 95.7%)临床医生认为该报告有帮助。临床医生特别发现该报告有助于与患者沟通并指导以患者为中心的护理。

结论

在之前接触过MyHEARTSMAP报告的临床医生中,他们对该报告的看法是积极的。虽然临床医生认为心理社会筛查是有益的,但有必要探索更好地获取筛查结果的方法,以提高其利用率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ea/11951344/96e362f1258b/10.1177_13591045241303543-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ea/11951344/96e362f1258b/10.1177_13591045241303543-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ea/11951344/96e362f1258b/10.1177_13591045241303543-fig1.jpg

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