The Defense and Veterans Brain Injury Center, Walter Reed Army Medical Center, Washington, DC, USA.
NeuroRehabilitation. 2010;26(3):279-83. doi: 10.3233/NRE-2010-0563.
Service members who have had a traumatic brain injury (TBI) in a war theatre [Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF)] may have associated injuries far different and/or more complex (i.e., polytrauma) than injuries obtained outside the theatre of operation. This article expands on what has been learned from monitoring patients injured during peacetime to the newly injured war veterans being monitored in the home setting via routine telephonic follow-up. As Tanielian et al. state TBI, post traumatic stress disorder (PTSD) and major depression may occur during and following deployment/s which then pose a significant health risk to these veterans. This is particularly important as veterans of these two conflicts may incur these "invisible wounds of war". Thus, safe and effective monitoring of these veterans by nurses/case managers in the home/community setting becomes important in the recovery process.
战区(持久自由行动(OEF)和伊拉克自由行动(OIF))经历过创伤性脑损伤(TBI)的军人可能会遭受与战区外获得的损伤完全不同和/或更复杂的相关损伤(即多发伤)。本文扩展了从监测在和平时期受伤的患者中获得的知识,以了解通过常规电话随访在家庭环境中监测的新受伤的退伍军人。正如 Tanielian 等人所述,创伤后应激障碍(PTSD)和重度抑郁症可能会在部署/服役期间和之后发生,这会给这些退伍军人带来重大健康风险。这一点尤为重要,因为这两场冲突的退伍军人可能会遭受这些“看不见的战争创伤”。因此,护士/个案经理在家/社区环境中对这些退伍军人进行安全有效的监测,在康复过程中变得尤为重要。