Wieland Diane, Hursey Melodee, Delgado Deborah
La Salle University, School of Nursing & Health Sciences, USA.
Pa Nurse. 2010 Sep;65(3):4-11; quiz 12-3.
This topic can be related to the nursing profession and the need to be better educated on military mental health. Since mood disorder, suicide, alcohol abuse, PTSD and TBI are evident in actively serving and returning service members, it is imperative to educate nurses and healthcare providers about these conditions, the available evidence-based treatments and referrals to programs for these signature OEF/OIF wounds. The authors encourage nurse educators to consider ways to include military mental health and other service-related health issues into nursing curricula and to use Veterans Administration and veterans-related healthcare facilities for clinical courses. As the wars in Afghanistan and Iraq continue into the foreseeable future, many veterans will be seen not only in VA facilities, but they will self-refer to academic and community hospitals, and psychiatric and rehabilitation centers. It is important for all nurses to be aware of the effects of PTSD, depression, suicide, substance abuse and TBI on our patients and to be effective advocates for quality care of veterans in all settings. Nurses need to advocate for screening and provision of mental health services in primary care settings. When such services are offered in primary care settings, it normalizes the care and the service member will more likely allow themselves to receive the care (Jones, 2004). All nurses must understand the price of war experienced by U.S. service members and their families, and in particular, the invisible wounds of war.
这个话题可能与护理专业以及在军事心理健康方面接受更好教育的需求相关。由于情绪障碍、自杀、酒精滥用、创伤后应激障碍(PTSD)和创伤性脑损伤(TBI)在现役和退伍军人中很明显,因此必须让护士和医疗保健提供者了解这些情况、现有的循证治疗方法以及针对这些“持久自由行动/伊拉克自由行动”标志性创伤的转诊项目。作者鼓励护理教育工作者考虑将军事心理健康和其他与服役相关的健康问题纳入护理课程的方法,并利用退伍军人事务部和与退伍军人相关的医疗保健设施进行临床课程教学。随着阿富汗和伊拉克战争在可预见的未来持续,许多退伍军人不仅会在退伍军人事务部设施就诊,还会自行前往学术和社区医院以及精神病和康复中心。所有护士都必须意识到创伤后应激障碍、抑郁症、自杀、药物滥用和创伤性脑损伤对我们患者的影响,并在所有环境中有效地倡导为退伍军人提供优质护理。护士需要倡导在初级保健环境中进行心理健康筛查和提供心理健康服务。当在初级保健环境中提供此类服务时,会使护理常态化,服役人员更有可能接受护理(琼斯,2004年)。所有护士都必须了解美国服役人员及其家庭所经历的战争代价,尤其是战争的无形创伤。