Using telehealth to assess depression and suicide ideation and provide mental health interventions to groups of chronically ill adolescents and young adults.
Using telehealth to assess depression and suicide ideation and provide mental health interventions to groups of chronically ill adolescents and young adults.
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DOI：
10.1002/nur.22089
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发表时间：
2021-03
影响因子：
2
通讯作者：
Smith CE
中科院分区：
文献类型：
--
作者：
Wright S;Thompson N;Yadrich D;Bruce A;Bonar JRM;Spaulding R;Smith CE
鉴于年轻、慢性病患者群体众多的医疗复杂性以及伴随而来的抑郁和/或自杀意念，远程医疗保健是年轻、慢性病患者群体的重要资源。这份手稿分享了远程保健方法，用于准备一项更大规模的干预研究，以增加青少年和年轻人的慢性护理、弹性和预防抑郁症的技能。在这项研究中，年轻患者被开出终身家庭非肠道营养输液的处方，用于治疗短肠疾病。介绍了我们的心理健康护士和心理学家远程进行抑郁和自杀意念评估的培训方法。回顾了团体促进干预的研究、实施方法和讨论。小组讨论是通过视听远程医疗设备通过加密的防火墙保护连接与家中的患者和办公室的专业人员进行的。描述了40名参与者的评估结果，其中25%(n=10)有抑郁症状或自杀意念。根据参与者的评估，在研究的一年中，他们随后的抑郁测量都在正常范围内，没有任何自杀想法。在能够与类似情况下的其他年轻患者联系、使用视听设备以及从干预中学习新的有用信息方面，患者的评估评级很高。为这项研究开发的方法确保了参与者的安全和福祉通过远程保健得到支持。
Telehealth distance health care is a significant resource for young, chronically ill patient populations given their numerous medical complexities and their concomitant depression and/or suicide ideation experiences. This manuscript shares the telehealth methods used to prepare for a larger study of interventions for increasing adolescents’ and young adults’ chronic care resiliency and skills for preventing depression. The young patients in this study were prescribed lifelong home parenteral nutrition infusions, treatment for those with short gut bowel diseases. The training methods for our mental health nurse and psychologist to conduct depression and suicide ideation assessments from a distance are presented. The study implementation methods of group facilitated interventions and discussion are reviewed. The group discussions were conducted via audiovisual telehealth devices over encrypted firewall-protected connections with patients in their own homes and professionals in an office. The results of assessments of the 40 participants, 25% (n = 10) with depressive symptoms or suicide ideation, are described. Following participants’ assessments, their subsequent depression measures were all in the normal range, without any suicide ideation, across the year of the study. Patient evaluation ratings were high in the areas of being able to connect with other young patients in similar situations, using the audiovisual equipment, and learning new useful information from the interventions. The methods developed for the study ensured that the safety and well-being of participants were supported through telehealth.
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影响因子：
1.3
作者：
Bonar, Jaime Rachelle M.;Wright, Shawna;Smith, Carol E.
通讯作者：
Smith, Carol E.
影响因子：
3.2
作者：
Epstein, Jennifer A.;Spirito, Anthony
通讯作者：
Spirito, Anthony
影响因子：
3.4
作者：
Chopy, Katelyn;Winkler, Marion;Greene, Geoffrey
通讯作者：
Greene, Geoffrey
影响因子：
2.9
作者：
Nelson, Eve-Lynn;Duncan, Angela Banitt
通讯作者：
Duncan, Angela Banitt
DOI：
10.1016/j.cppeds.2015.12.006
发表时间：
2016-06-01
影响因子：
1.6
作者：
Perry-Parrish, Carisa;Copeland-Linder, Nikeea;Sibinga, Erica M. S.
通讯作者：
Sibinga, Erica M. S.