注意缺陷多动障碍（attention-deficit hyperactivity disorder, ADHD）在儿科临床上属于高发病率﹑低严重度的神经发育障碍,对儿童青少年的危害颇大。临床面临的挑战是家庭对儿童的药物治疗顾虑重重。我们采用医教结合的方式,将理念变行动,强调“4W”要素,开辟医教结合双通道,建立医教结合临床途径,通过医院对父母的培训及学校与医师的结对,加强学校转介﹑参与﹑研究和教学实践。在该模式下,医师走进学校进行ADHD的公众宣传,诊治中获取教师的信息反馈,并将行为治疗的基本方法融入对儿童的教育中；教师可协助医师提高诊断的客观性和准确性,参与父母培训,并开展对家庭的教育咨询；家长能密切配合治疗,提高家庭教育质量；而儿童青少年本人则在积极治疗中改善学习﹑情绪﹑交流和社会适应性,提高生活质量。%Attention-deficit hyperactivity disorder (ADHD) is a chronic neurodevelopmental disorder pertaining to the diseases with high incidence but low severity in the pediatric clinics, that causes various functional impairment. One challenge in the pediatric practice is family’s concerns about the medication used to treat ADHD in children or adolescents. We adopt an approach that combines clinical practice with medical education to putting the idea into the action. While stressing the elements of “4W”, we open up the dual channels between medicine and education, establish a medical education system to strengthen school referrals, participation, research and teaching practice through parents training provided by hospitals and partnerships between schools and physicians. This model allows the physician to provide public medical education of ADHA in schools, receive feedback from teachers during the course of diagosis and treatment, while intergrate basic methods of therapy into chlid education. Teachers may help physicians improve the objectivity and accuracy of diagnosis, participate parent training and family counseling. Parents may cooperate closely with treatment plan, improve the quality of family education; meanwhile during active treatment child and adolescent himself may improve his learning, emotion, communication and social adaptability, and overall quality of life.
展开▼
