在退伍军人中伴随性慢性疼痛和创伤后应激障碍:护理方法
Alessandra A Pratt1, Jennifer Van Tiem1,2,3, Brian C Lund1,2
1Center for Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IA 52246, United States.
Military medicine
|April 11, 2025
概括
患有慢性疼痛和PTSD的退伍军人希望得到协调的护理,但目前在不同的VA服务中进行的分散治疗对整合和最佳健康结果提出了重大挑战.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床心理学 临床心理学
- 疼痛医学 医学 疼痛医学
背景情况:
- 伴随性慢性疼痛 (CP) 和创伤后应激障碍 (PTSD) 是退伍军人中非常普遍和共同加剧的疾病.
- 退伍军人事务 (VA) 系统中的传统护理模式往往将CP和PTSD的治疗分开,阻碍了综合管理.
研究的目的:
- 调查VA内部的共病性CP和PTSD的当前护理交付方法.
- 确定CP+PTSD退伍军人综合护理模式的障碍和促进因素.
主要方法:
- 一种多方法方法,结合VA行政数据的分析 (N=456,544) 和与退伍军人的定性访谈 (N=22).
- 行政数据分析了CP,PTSD和并发性疾病诊断的访问模式.
- 定性访谈探讨了退伍军人的经验和对护理协调的看法.
主要成果:
- CP和PTSD主要在VA内的单独的临床环境中得到治疗;90.7%的PTSD访问是精神健康,而CP访问分布在初级保健,康复和外科手术服务中.
- 只有4.8%的访问被编码为CP和PTSD,这表明有限的综合护理.
- 退伍军人报告说,他们对这些疾病的护理是孤立的,并确定了实施协调护理的障碍.
结论:
- 退伍军人表达了对接受联合性CP和PTSD协调治疗的强烈兴趣.
- 目前在不同的服务线上提供护理,这给优化CP+PTSD退伍军人护理协调带来了挑战.
更多相关视频
相关概念视频
01:27Post-traumatic Stress Disorder
21
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
21
01:24Treatment Strategies for Psychological Disorders
61
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
61
01:29Chronic Pancreatitis II: Collaborative Care
50
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
50
01:15Methods of Documentation VI: Case Management Model
543
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
543
01:29Theoretical Approaches to Psychological Disorder
53
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
53
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K