Hermansson Ann-Charlotte, Timpka Toomas, Thyberg Mikael
Medical Centre for Refugees, University Hospital, Linköping, Sweden.
Scand J Caring Sci. 2003 Dec;17(4):317-24. doi: 10.1046/j.0283-9318.2003.00241.x.
Today, nurses from many disciplines are expected to provide nursing care to refugees severely traumatized in war and conflict. The general aim of this study was to explore the long-term impact of torture on the mental health of war-wounded refugees. The study group consisted of 22 tortured and 22 nontortured male refugees who had been injured in war. Standardized interview schedules, exploring different background characteristics, and three instruments for assessment of mental health were used: the Hopkins Symptom Checklist, the Post Traumatic Symptom Scale and a well-being scale. The prevalence of psychiatric symptoms was high in both groups. However, there were no significant differences in mental health between the tortured and the nontortured refugees. The patterns of associations between background characteristics and mental health were different in the two groups. The strongest associations with lower level of mental health were higher education in the tortured group and unemployment in the nontortured group. Methodological difficulties in research on sequelae of prolonged traumatization remain. Further studies within the caring sciences can broaden the present understanding of the impact of torture and other war traumas.
如今，来自多个学科的护士都被期望为在战争和冲突中遭受严重创伤的难民提供护理服务。本研究的总体目标是探讨酷刑对战争受伤难民心理健康的长期影响。研究组由22名受过酷刑和22名未受过酷刑的男性战争受伤难民组成。使用了标准化访谈时间表来探究不同的背景特征，并使用了三种心理健康评估工具：霍普金斯症状清单、创伤后症状量表和幸福感量表。两组的精神症状患病率都很高。然而，受过酷刑和未受过酷刑的难民在心理健康方面没有显著差异。两组中背景特征与心理健康之间的关联模式不同。在受过酷刑的组中，与较低心理健康水平关联最强的是高等教育；在未受过酷刑的组中，是失业。长期创伤后遗症研究中的方法学困难依然存在。护理科学领域的进一步研究可以拓宽目前对酷刑和其他战争创伤影响的理解。
