家庭医生对注意力缺陷多动障碍患者的管理。
The management of patients with attention-deficit hyperactivity disorder by family practitioners.
作者信息
Eppright T D, Bradley S, Vogel S J, Williamson H A
机构信息
Department of Psychiatry and Neurology, University of Missouri-Columbia, USA.
出版信息
Mo Med. 1998 Mar;95(3):118-22.
BACKGROUND
The objective of this study was to describe the practices of family practitioners in Missouri in the treatment of patients with ADHD.
METHOD
The 634 Diplomats of the American Board of Family Practice of Missouri were surveyed.
RESULTS
Respondents considered stimulant medication to be effective treatment for ADHD; methylphenidate was the drug of choice. Most respondents (79%) reported recommending behavioral management to parents. Reported efficacy of stimulants (item 2) and use of behavior management (item 8) were related in the negative direction, while reported efficacy of stimulants and using stimulants alone (item 13) were related in the positive direction.
CONCLUSIONS
Family practitioners in Missouri used accepted treatments for ADHD, but in general, practices were not entirely consistent with the current standard of care. Physicians' belief in the efficacy of stimulants may have prejudiced them against multimodal treatment.
背景
本研究的目的是描述密苏里州家庭医生治疗多动症患者的实践情况。
方法
对密苏里州美国家庭医学委员会的634名外交官进行了调查。
结果
受访者认为兴奋剂药物是治疗多动症的有效方法；哌甲酯是首选药物。大多数受访者（79%）报告向家长推荐行为管理。兴奋剂的报告疗效（第2项）与行为管理的使用（第8项）呈负相关，而兴奋剂的报告疗效与单独使用兴奋剂（第13项）呈正相关。
结论
密苏里州的家庭医生采用了公认的多动症治疗方法，但总体而言，实践并不完全符合当前的护理标准。医生对兴奋剂疗效的信念可能使他们对多模式治疗产生偏见。
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