Adolescent Preferences for Topics Addressed During Well Visits.

Adolescent Preferences for Topics Addressed During Well Visits.
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青少年对健康访问期间讨论的主题的偏好。

DOI:
10.1016/j.jpurol.2009.04.009
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发表时间:
2017
期刊:
WMJ : official publication of the State Medical Society of Wisconsin
影响因子:
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通讯作者:
Eugene Lee
Eugene Lee
中科院分区:
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文献类型:
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作者:
Eugene Lee

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背景 目前的证据是有限的主题青少年希望讨论与临床医生在常规井访问。高中学生进行了调查,以确定潜在的青少年讨论的主题,讨论的障碍,以及如何促进对话。 方法 调查于2014年10月至2015年1月期间分发给威斯康星州维罗纳的维罗纳地区高中的102名学生。 结果 在提出的主题中,青少年更喜欢与他们的临床医生讨论疫苗和情绪/压力。年轻女性更喜欢性别一致的临床医生,特别是在讨论性别或身体形象时。大多数青少年认为,与医生讨论的信息会透露给父母或当局。 结论 在与青少年接触的有限时间内,临床医生必须加强保密性以获得他们的信任。临床医生可以通过透露有关自己的信息,传达真正的关怀,并考虑社区参与来改善与青少年的关系。男性临床医生需要努力改善融洽关系,特别是在与女性青少年谈论性,身体形象,压力和情绪时。临床医生应该考虑在青少年健康检查中包括情绪、压力和疫苗的讨论。
BACKGROUND Current evidence is limited regarding the topics adolescents want to discuss with clinicians during routine well visits. High school students were surveyed to determine potential adolescent discussion topics, barriers to discussion, and ways to promote dialogue. METHODS Surveys were distributed between October 2014 and January 2015 to 102 students in the Verona Area High School in Verona, Wisconsin. RESULTS Of the topics presented, teens preferred to discuss vaccines and mood/stress with their clinicians. Young women were more likely to prefer gender congruent clinicians, especially when discussing sex or body image. The majority of teens felt that information discussed with their physician would be revealed to parents or the authorities. CONCLUSIONS In limited time with teens, it is important for clinicians to reinforce confidentiality to gain their trust. Clinicians can improve rapport with adolescents by revealing information about themselves, conveying genuine caring, and considering community involvement. Male clinicians need to work on improving rapport, especially when talking with female adolescents about sex, body image, stress, and mood. Clinicians should consider including mood, stress, and vaccine discussions in their adolescent well visits.