Mental Health and COVID-19 in Pediatric Emergency Departments: Perspectives From Directors.
Mental Health and COVID-19 in Pediatric Emergency Departments: Perspectives From Directors.
复制标题
儿科急诊科的心理健康和 COVID-19：主任的观点。
DOI：
10.1016/j.jadohealth.2022.03.019
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发表时间：
2022-09
影响因子：
7.6
通讯作者：
Doupnik, Stephanie K.
中科院分区：
文献类型：
--
作者：
Bowden, Cadence F.;Worsley, Diana;Doupnik, Stephanie K.
本研究的目的是了解儿科急诊科 (PED) 主任对 COVID-19 大流行对因心理健康问题而就诊的 PED 的影响的看法。对全国 PED 主管的方便样本进行了半结构化电话访谈。采访被记录下来，逐字转录，并使用快速内容分析进行分析。来自 18 个州的 21 名 PED 主管接受了采访。主任们发现心理健康就诊量有所增加，患者的敏锐度也提高了。一些 PED 创新地调整了服务，但由于个人防护设备的使用增加和需要进行 COVID-19 检测，在提供护理方面也遇到了新的障碍。由于整体床位容量减少以及需要新冠病毒检测呈阴性，转移到精神科住院病房变得更加复杂。 COVID-19 大流行给本已脆弱的儿科紧急心理卫生系统带来了压力。建设适应基础设施和精神卫生服务储备能力有助于确保在未来突发公共卫生事件期间为患有精神卫生危机的儿科患者提供适当的护理。
The aim of this study is to understand pediatric emergency department (PED) directors’ perspectives on the COVID-19 pandemic’s effect on PED visits for mental health concerns. Semi-structured phone interviews were conducted with a national convenience sample of PED directors. Interviews were recorded, transcribed verbatim, and analyzed using rapid content analysis. Twenty-one PED directors from 18 states were interviewed. Directors perceived an increased volume of mental health visits and higher patient acuity. Some PEDs innovatively adapted services but were also met with new barriers in providing care due to increased use of personal protective equipment and required COVID-19 testing. Transfer to inpatient psychiatric units was more complicated due to reduced overall bed capacity and the need for a negative COVID test. The COVID-19 pandemic strained an already fragile pediatric emergency mental health system. Building infrastructure for adaptations and mental health service reserve capacity could help ensure proper care for pediatric patients with mental health crises during future public health emergencies.
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影响因子：
2.9
作者：
Taylor, Beck;Henshall, Catherine;Greenfield, Sheila
通讯作者：
Greenfield, Sheila
影响因子：
13.8
作者：
Krass P;Dalton E;Doupnik SK;Esposito J
通讯作者：
Esposito J
影响因子：
7.2
作者：
Gale, Randall C.;Wu, Justina;Midboe, Amanda M.
通讯作者：
Midboe, Amanda M.
DOI：
10.15585/mmwr.mm7024e1
发表时间：
2021-06-18
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Yard E;Radhakrishnan L;Ballesteros MF;Sheppard M;Gates A;Stein Z;Hartnett K;Kite-Powell A;Rodgers L;Adjemian J;Ehlman DC;Holland K;Idaikkadar N;Ivey-Stephenson A;Martinez P;Law R;Stone DM
通讯作者：
Stone DM
影响因子：
8
作者：
Plemmons, Gregory;Hall, Matthew;Williams, Derek
通讯作者：
Williams, Derek