在战士护理和过渡计划中康复后返回服务后的心理健康护理利用
Ian S Sorensen1,2, Sarah Prabhaker1,2, Jay Dintaman1,3
1Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, United States.
Military medicine
|September 23, 2025
概括
在战士护理和过渡计划 (WCTP) 中,患有心理健康损伤的美国服务人员经历了更高的服务后心理健康护理访问率. 持续的支持对于这些士兵返回服役至关重要.
科学领域:
- 军事医学 军事医学
- 心理健康服务研究 心理健康服务研究
- 创伤后康复 创伤后康复
背景情况:
- 美国军人面临高伤病率,需要长期的心理健康护理.
- 战士护理和过渡计划 (WCTP) 旨在重伤士兵的康复.
- 评估WCTP对士兵康复后心理健康的影响至关重要.
研究的目的:
- 评估战士护理和过渡计划 (WCTP) 对士兵在返回现役后使用心理健康护理的影响.
- 为了比较WCTP参与者与非参与者之间的心理健康护理访问率.
- 根据受伤类型 (身体,精神健康或两者兼而有之) 分析心理健康护理的利用率.
主要方法:
- 确定了返回现役服役的WCTP参与者 (2007-2017年).
- 分类伤害为身体 (PhI),心理健康 (MHI) 或两者 (Ph&MHI).
- 使用Poisson回归来比较WCTP参与者和匹配的非参与者之间的心理健康护理访问率 (门诊和住院),包括物质使用和睡眠障碍的子结果.
主要成果:
- 与PhI.MHI和MHI的WCTP参与者相比,与PhI.MHI的参与者相比,门诊和住院心理健康护理访问率显著增加.
- 无论伤害类型如何,WCTP参与者在门诊和住院心理健康护理访问率都高于非WCTP士兵.
- 与酒精/物质使用和睡眠障碍相关的子结果访问中观察到类似的趋势.
结论:
- 伤害中有心理健康因素 (MHI,Ph&MHI) 的士兵在WCTP后的心理健康护理访问率有所增加.
- 与非参与者相比,WCTP参与与心理健康护理利用率增加有关.
- WCTP参与者,特别是那些患有精神健康损伤的人,需要持续支持才能成功地继续军事生涯.
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