Communication about ADHD and its treatment during pediatric asthma visits.
Communication about ADHD and its treatment during pediatric asthma visits.
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在儿科哮喘就诊期间就多动症及其治疗进行交流。
DOI：
10.1007/s10597-013-9678-3
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发表时间：
2014
影响因子：
2.7
通讯作者：
Sandler,Adrian
中科院分区：
文献类型：
--
作者：
Sleath,Betsy;Sulzer,SandraH;Carpenter,DeleshaM;Slota,Catherine;Gillette,Christopher;Sayner,Robyn;Davis,Stephanie;Sandler,Adrian
本研究的目的是探讨在儿童哮喘就诊期间，提供者与家庭之间关于注意力缺陷障碍的沟通情况。在五个儿科诊所招募了8至16岁的哮喘儿童及其父母。所有医疗访问都进行了录音。共有296名哮喘儿童参加了该研究，其中67名儿童还患有注意力缺陷多动障碍（ADHD）。很少讨论国家指南建议的ADHD沟通要素。如果访问与哮喘无关，提供者更有可能讨论，教育和询问有关ADHD药物的一个或多个问题。提供者在3%的访问期间将儿童输入纳入ADHD治疗方案，在4.5%的访问期间将父母输入纳入其中。只有一个孩子和三个家长问了关于ADHD的问题。提供者可能会忽视ADHD儿童的良好ADHD管理和沟通的重要方面，这些儿童患有ADHD加上另一种慢性疾病，如哮喘。提供者应该设定适当的治疗期望，建立目标症状，并鼓励儿童和父母提出问题，以便共同决策。
The objectives of the study were to examine provider-family communication about attention deficit disorder during pediatric asthma visits. Children with asthma, aged 8 through 16 and their parents were recruited at five pediatric practices. All medical visits were audio-taped. There were 296 asthmatic children enrolled into the study and 67 of them also had attention deficit hyperactivity disorder (ADHD). ADHD communication elements suggested by national guidelines were discussed infrequently. Providers were more likely to discuss, educate, and ask one or more questions about ADHD medications if the visit was non-asthma related. Providers included child input into the ADHD treatment regimen during 3 % of visits and they included parent input during 4.5 % of visits. Only one child and three parents asked questions about ADHD. Providers may neglect essential aspects of good ADHD management and communication in children who have ADHD plus another chronic condition such as asthma. Providers should set appropriate treatment expectations, establish target symptoms, and encourage children and parents to ask questions so mutual decision-making can occur.