在军事初级保健中为复杂悲伤提供支持:关联,挑战和机会
1Department of Medicine, William Beaumont Army Medical Center, Fort Bliss, TX 79918, USA.
Military medicine
|October 21, 2023
概括
经历损失的军人家庭很少与初级保健经理 (PCM) 讨论,很少有人接受悲伤咨询或转诊. 这突显了军事医疗保健对丧亲的支持中的关键差距.
科学领域:
- 军人卫生保健 军人卫生保健
- 心理健康 心理健康
- 初级保健管理管理初级保健管理
背景情况:
- 悲伤和失去是服务人员及其家人面临的重大挑战.
- 与初级保健管理人员 (PCM) 进行有效沟通对于解决健康问题至关重要.
- 在军事初级保健中,与悲伤相关的沟通和支持的程度尚不清楚.
研究的目的:
- 检查军事患者和PCM之间关于损失的沟通.
- 确定PCM提供悲伤咨询和转介的情况.
- 探索人口统计,损失披露,悲伤转诊和寻求治疗之间的联系.
主要方法:
- 在军事医疗中心对161名初级保健患者进行了一项调查.
- 138名受访者报告了重大损失,并完成了悲伤表 (复杂悲伤清单,PG-13).
- 收集关于披露损失给PCM,悲伤咨询,转诊和寻求治疗的数据.
主要成果:
- 只有29%的哀悼患者报告了他们对PCM的重大损失.
- 披露损失的患者的悲伤症状严重程度更高.
- 只有17%的那些披露损失的人接受了悲伤咨询或转介.
- 军事地位和种族与沟通和寻求治疗有适度的关系.
结论:
- 在军事初级保健中,在解决与悲伤有关的担忧方面存在重大差距.
- 需要改进军事医疗保健中的丧亲评估协议和干预措施.
- 有针对性的教育举措和进一步的研究对于加强对军事人员和家庭的支持至关重要.
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