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评估退伍军人的创伤后应激障碍:初级保健临床医生指南

Assessing military veterans for posttraumatic stress disorder: a guide for primary care clinicians.

作者信息

Romanoff Maria R

机构信息

Massachusetts General Hospital, Boston, USA.

出版信息

J Am Acad Nurse Pract. 2006 Sep;18(9):409-13. doi: 10.1111/j.1745-7599.2006.00147.x.

DOI:10.1111/j.1745-7599.2006.00147.x
PMID:16958771
Abstract

PURPOSE

To educate primary care providers on the physical effects of posttraumatic stress disorder (PTSD), explain why military veterans are at great risk, and describe how to identify PTSD in primary care clients.

DATA SOURCES

Current scientific and psychiatric literature on PTSD.

CONCLUSIONS

PTSD is prevalent in the military community because of the frequency and type of trauma seen in the combat zone. With the ongoing military deployments, assessment for the presence of PTSD is increasingly important for comprehensive and high-quality primary care. Clients with trauma histories, such as veterans, are at increased risk for physical disorders such as heart disease and psychological disorders such as anxiety, depression, and PTSD.

IMPLICATIONS FOR PRACTICE

Primary care clinicians, including those outside the military health system, are essential in identifying trauma histories and directing clients to appropriate care.

摘要

目的

对初级保健提供者进行关于创伤后应激障碍(PTSD)身体影响的教育,解释退伍军人为何面临高风险,并描述如何在初级保健患者中识别PTSD。

数据来源

关于PTSD的当前科学和精神病学文献。

结论

由于战区所见创伤的频率和类型,PTSD在军人社区中很普遍。随着军事部署的持续进行,对PTSD存在情况的评估对于全面和高质量的初级保健日益重要。有创伤史的患者,如退伍军人,患心脏病等身体疾病以及焦虑、抑郁和PTSD等心理疾病的风险增加。

对实践的启示

包括军事卫生系统以外的初级保健临床医生对于识别创伤史并指导患者获得适当护理至关重要。

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