创伤后应激障碍,退伍军人卫生管理局使用,以及近期美国退伍军人寻求护理
Ben Porter1, Mary E Dozier1, Amber D Seelig2
1Department of Psychology, Mississippi State University, Mississippi State, Mississippi, USA.
Journal of traumatic stress
|March 1, 2024
概括
可能患有创伤后应激障碍 (PTSD) 的退伍军人更有可能使用退伍军人卫生管理局 (VHA) 的服务. 然而,许多患有PTSD的人不寻求护理,特别是空军退伍军人和那些高功能的人.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 军事和退伍军人健康 军事和退伍军人健康
- 心理健康服务 心理健康服务
背景情况:
- 创伤后应激障碍 (PTSD) 显著影响了退伍军人的福祉.
- 了解医疗保健利用模式对于退伍军人有效管理PTSD至关重要.
- 退伍军人卫生管理局 (VHA) 是许多美国退伍军人的主要医疗保健提供者.
研究的目的:
- 检查可能的PTSD,VHA医疗保健使用和PTSD寻求护理行为的关系.
- 确定在美国退伍军人中寻求PTSD护理的预测因素.
- 确定患有PTSD的退伍军人小组,这些退伍军人可能不寻求足够的护理.
主要方法:
- 在千年队列研究中分析了19691名分离的军事人员的数据.
- 电子医疗记录的VHA使用数据 (2013-2016).
- 自我报告的PTSD症状和寻求护理的行为 (2014-2016年调查).
主要成果:
- 可能患有PTSD的退伍军人更有可能使用VHA服务 (aOR=1.12).
- 抑郁症诊断是VHA使用 (aOR=2.47) 和PTSD寻求护理 (OR=2.99) 的强有力的预测因素.
- 在那些可能患有PTSD的人中,VHA使用 (aOR=4.01) 是PTSD寻求护理的最强预测因素.
结论:
- 虽然VHA使用与可能的PTSD和寻求护理有关,但大量患有PTSD的退伍军人并不寻求护理.
- 空军退伍军人和那些尽管有PTSD症状但身体/精神功能很高的人面临不寻求护理的风险.
- 需要有针对性的干预措施来改善特定退伍军人群体中PTSD寻求护理率.
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