Caring for Children and Adolescents With Eating Disorders in the Current Coronavirus 19 Pandemic: A Singapore Perspective
Caring for Children and Adolescents With Eating Disorders in the Current Coronavirus 19 Pandemic: A Singapore Perspective
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DOI：
10.1016/j.jadohealth.2020.03.037
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发表时间：
2020-07-01
影响因子：
7.6
通讯作者：
Chew, Chu Shan Elaine
中科院分区：
文献类型：
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作者：
Davis, Courtney;Ng, Kee Chong;Chew, Chu Shan Elaine
我们位于新加坡的公立儿科三级医院是针对冠状病毒 19 的强有力的公共卫生应对措施的一部分，该应对措施已根据不断变化的国际形势及时进行了调整。截至 3 月中旬，新加坡仍处于遏制模式，加强了监控并限制了社区传播。在这种背景下，我们的儿科饮食失调护理服务必须对我们的服务提供模式进行重大调整，并应对患者不断变化的社会心理需求。考虑到感染控制的要求，我们为住院和门诊环境建立了模块化的人员配置，需要任务转移和更多地使用通信技术。由于门诊容量减少以及需要尽量减少非紧急去医院的次数，我们实施了远程医疗，并利用了与学校辅导员和其他社区合作伙伴的合作关系。 “新冠恐惧症”影响了我们患者就诊的意愿，并加剧了一些患者现有的健康焦虑。对家庭和患者的健康和财务问题做出回应至关重要。随着冠状病毒 19 影响更多国家，我们机构的经验可以帮助我们深入了解在这种环境下为饮食失调患者提供持续护理所面临的挑战和可能的适应措施。 (C) 2020 年青少年健康与医学协会。版权所有。
Our public pediatric tertiary hospital in Singapore has been a part of a robust public health response to coronavirus 19 that has been calibrated in a timely manner to the evolving international situation. As of mid-March, Singapore remains in a containment mode with enhanced surveillance and limited community spread. Within this context, our service for pediatric eating disorder care has had to make significant adaptations to our models of service delivery as well as respond to the changing psychosocial needs of our patients. Given infection control requirements, we have instituted modular staffing for our inpatient and outpatient settings, necessitating task shifting and an increased use of technology for communication. Because of the reduced outpatient capacity and the need to minimize nonurgent trips to the hospital, we have implemented telemedicine and have leveraged on partnerships with school counselors and other community partners. "Coronaphobia" has influenced our patients' willingness to attend visits and worsened existing health anxiety for some. Responsiveness to families' and patients' health and financial concerns has been essential. As coronavirus 19 impacts more countries, our institution's experience can provide insight into challenges and possible adaptations to providing ongoing care for eating disorder patients in this environment. (C) 2020 Society for Adolescent Health and Medicine. All rights reserved.