在儿科泌尿外科门诊环境中预防儿科医疗创伤应激:儿科心理社会预防健康模型(PPPHM)的应用。

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Lillian C Hayes, Jaclyn A Shepard, Michelle M SooHoo, Christina M Rouse, Jaclyn L Papadakis
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引用次数: 0

摘要

目的:本专题综述的目的是:(1)通过文献综述增加对儿科泌尿外科人群中儿科医疗创伤应激(PMTS)的了解,(2)确定一个理论模型来指导该人群中预防PMTS,以及(3)基于所确定的模型提供临床护理建议。作者引入了一个新术语“泌尿心理学”来描述专门治疗泌尿外科患者的心理实践。方法:收集来自5个儿科医疗中心的儿科泌尿心理学家,讨论他们在自己的环境中治疗PMTS的经验,并回顾现有的儿童泌尿外科和其他人群中与PMTS相关的文献,并建立预防模型。作者根据文献综述提出了预防儿科泌尿外科人群中PMTS的建议。结果:在这一人群中预防预防PMTS的证据基础上存在差距。作者利用临床经验和儿科心理社会预防健康模型(PPPHM)作为框架,提供了一系列临床护理建议。结论:虽然在儿科泌尿外科人群中对PMTS的研究有限,但泌尿外科干预措施可能被认为是侵入性的、痛苦的、令人痛苦的和创伤性的。PPPHM的应用可以指导预防和干预工作。未来的研究需要对这一人群中的PMTS进行表征,评估创伤知情预防和干预实践的有效性,并制定准确识别高危患者的筛查措施。作者建议在泌尿科医生、泌尿科专家、患者和家属之间进行跨学科合作,以制定正式的护理标准,为未来的其他研究提供途径,并公平获得泌尿科护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preventing Pediatric Medical Traumatic Stress in a Pediatric Urology Outpatient Setting: Application of the Pediatric Psychosocial Preventative Health Model (PPPHM).

Objective: The objectives of this topical review are to (1) increase understanding of pediatric medical traumatic stress (PMTS) in pediatric urology populations through literature review, (2) identify a theoretical model to guide prevention of PMTS in this population, and (3) provide clinical care recommendations based on the model identified. Authors introduce a new term "uropsychology" to describe psychological practice that specializes in the treatment of urology patients.

Methods: Pediatric uropsychologists from 5 pediatric medical care centers gathered to discuss their experience with treating PMTS in their settings and to review existing literature related to PMTS in pediatric urology, PMTS in other populations, and established models for prevention. Authors provide recommendations based on literature review for preventing PMTS in a pediatric urology population.

Results: Gaps in the evidence base for preventing PMTS in this population are identified. Authors provide a series of clinical care recommendations, utilizing clinical experience, and the Pediatric Psychosocial Preventative Health Model (PPPHM) as a framework.

Conclusions: While there is limited research on PMTS in pediatric urology populations, urologic interventions can be perceived as invasive, painful, distressing, and traumatic. Application of the PPPHM can guide prevention and intervention efforts. Future research is needed to characterize PMTS in this population, evaluate the efficacy of trauma-informed prevention and intervention practices, and develop screening measures that accurately identify at-risk patients. Authors recommend intradisciplinary collaboration among uropsychologists, urology specialists, and patients and families to create formal standards of care, avenues for other future research, and equitable access to uropsychology care.

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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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