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初级保健临床医生对青少年的诊疗方法。

An approach to the adolescent for the primary care clinician.

作者信息

Smith M S

出版信息

J Fam Pract. 1979 Jan;8(1):63-6.

PMID:759550
Abstract

The clinician should take into account all development aspects when evaluating the adolescent patient. Adolescents will frequently present underlying concerns in an indirect manner, as "functional" complaints, excessive concerns over minor ailments, or nonverbal cues. The clinician should relate to the adolescent patient in a direct, interested, and sincere manner aimed at developing mutual respect and trust. Confidentiality of visits should be extended. Physical examination of adolescents should be performed with sensitivity and awareness of areas of concern. The primary care clinician can provide comprehensive physical and emotional health care to most adolescents.

摘要

临床医生在评估青少年患者时应考虑到所有发育方面的情况。青少年常常会以间接的方式表达潜在的担忧,比如以“功能性”主诉、对小病过度担忧或通过非语言暗示等形式。临床医生应以直接、关切且真诚的方式与青少年患者建立联系,旨在培养相互尊重和信任。应扩大就诊的保密性。对青少年进行体格检查时应具备敏感性,并了解他们所关注的领域。初级保健临床医生可为大多数青少年提供全面的身心健康护理。

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