关键词: Adolescents Emergency service Lived experience Qualitative Self-injurious behavior Systematic review Young adults

Mesh : Humans Adolescent Young Adult Self-Injurious Behavior Emergency Service, Hospital Qualitative Research Hospitals

来  源:   DOI:10.1016/j.ienj.2023.101297

Abstract:
The incidence of self-injurious behavior in adolescents and young adults is on the rise. Seeking care in the emergency department after self-injurious behavior is one way they signal for help. The purpose of this systematic evaluation was to synthesize the best available qualitative research evidence on young people\'s experiences of emergency department visits following self-harm behaviors and their need for emergency medical services.
Eleven databases were retrieved with predefined search terms from database construction to February 4, 2022. Literature was screened according to inclusion and exclusion criteria and quality assessment.
Eleven studies yielded fifty-five findings that were summarized into eight categories and aggregated into three composite statements: (1) positive emergency department experience; (2) negative emergency department experience; and (3) desire for help.
Young people with a history of self-injurious behavior have a mixed sense of experience in the emergency department. The sense of negative experience makes patients feel dissatisfied and disappointed with healthcare services, and positive experiences can help them seek further help. The emergency departments should improve the diagnosis and treatment model of self-injured adolescent patients to ensure that they receive effective and high-quality medical resources.
摘要:
目的:青少年自残行为的发生率呈上升趋势。自我伤害行为后在急诊科寻求护理是他们发出信号寻求帮助的一种方式。这项系统评估的目的是综合有关年轻人在自我伤害行为后急诊就诊的经验以及他们对急诊医疗服务的需求的最佳可用定性研究证据。
方法:从数据库建设到2022年2月4日,使用预定义的搜索词检索了11个数据库。根据纳入和排除标准和质量评估对文献进行筛选。
结果:11项研究得出了55项发现,这些发现被归纳为8类,并汇总为3个综合陈述:(1)积极的急诊科经验;(2)消极的急诊科经验;(3)渴望帮助。
结论:有自我伤害行为史的年轻人在急诊科的经验感是不同的。负面体验感使病人对医疗服务感到不满和失望,积极的经验可以帮助他们寻求进一步的帮助。急诊科应完善青少年自伤患者的诊疗模式,确保其获得有效优质的医疗资源。
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