自我报告的伤害史,身体投诉和在陆军基本军事训练期间的医疗注意力伤害之间的关联
Neil Gibson1, Jace R Drain2, Matthew Whalan1,3
1School of Medical, Indigenous and Health Sciences, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW 2522, Australia.
Military medicine
|May 19, 2025
概括
之前的伤害史没有预测在陆军基础军事训练期间的医疗护理伤害. 然而,每天自我报告的身体抱怨可能表明受伤风险增加,可能会防止严重的后果.
科学领域:
- 军事医学 军事医学
- 运动医学 运动医学
- 伤害预防 预防伤害
背景情况:
- 在陆军基本军事训练 (BMT) 期间减少受伤率和负担至关重要.
- 这项研究调查了军人新兵的受伤风险因素.
- 军事训练环境需要有效的伤害预防策略.
研究的目的:
- 检查在BMT期间先前的伤害史和医疗护理 (MA) 伤害之间的关联.
- 评估BMT中每天自我报告的MA损伤的身体投诉的关系和预测准确性.
- 识别军事新兵受伤的潜在早期预警信号.
主要方法:
- 一组625名新兵 (524名男性,101名女性) 填写了先前受伤史问卷.
- 新兵每天使用修改后的奥斯陆体育创伤研究中心关于健康问题的问卷 (OSTRC-H) 报告身体问题.
- 考克斯回归和通用线性混合效应模型分析了先前损伤,OSTRC-H反应和MA损伤之间的关联.
主要成果:
- 之前的伤害史与在BMT期间增加的MA伤害风险没有显著关联.
- 与参与,严重程度和位置相关的自我报告的身体投诉与在7天内发生MA损伤的更高几率显著相关.
- 脊柱,上肢和下肢的特定投诉与这些区域的受伤相关,尽管预测准确性有限.
结论:
- 仅仅是先前的受伤史并不是在陆军BMT期间MA受伤的重要预测因素.
- 每天自我报告的身体不适可以作为MA受伤风险增加的指标.
- 监测身体病情可能有助于早期发现和预防军事学员中更严重的伤害.
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