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在初级保健中照顾军属。

Caring for military spouses in primary care.

作者信息

Padden Diane, Posey Sheena M

机构信息

Uniformed Services University of the Health Sciences, Bethesda, Maryland.

出版信息

J Am Assoc Nurse Pract. 2013 Mar;25(3):141-6. doi: 10.1111/j.1745-7599.2012.00809.x. Epub 2012 Dec 2.

DOI:10.1111/j.1745-7599.2012.00809.x
PMID:24218201
Abstract

PURPOSE

To provide primary care providers with knowledge of unique challenges faced by military families. By understanding how military families cope with military lifestyle and deployment, providers can be more effective in their care of these patients and offer assistance in optimizing their health.

DATA SOURCES

Research articles, World Wide Web search of resources for military families and Department of Defense documents.

CONCLUSIONS

Military families are faced with many challenges and hardships such as frequent geographic relocations, social isolation, periodic deployments and separations, and risk of injury and death. Unique stressors associated with deployment include assumption of single parent role, altered finances, change in social support from family and friends, and concerns for the safety of the service member. Ineffective coping with stressors can manifest both physically and/or psychologically.

IMPLICATIONS FOR PRACTICE

Healthcare providers should routinely inquire about a patient's possible military affiliation. Military spouses need to be assessed for current stress levels and coping behaviors used in order to provide the most appropriate recommendations and referrals. As healthcare providers, understanding the unique demands of the military lifestyle is necessary to provide effective quality care with optimal health outcomes in this population.

摘要

目的

为初级保健提供者提供有关军人家庭所面临独特挑战的知识。通过了解军人家庭如何应对军事生活方式和部署,提供者能够在照顾这些患者时更有成效,并在优化他们的健康方面提供帮助。

数据来源

研究文章、对军人家庭资源的网络搜索以及国防部文件。

结论

军人家庭面临许多挑战和困难,如频繁的地理迁移、社会隔离、定期部署和分离,以及受伤和死亡风险。与部署相关的独特压力源包括承担单亲角色、财务状况改变、来自家人和朋友的社会支持变化,以及对军人安全的担忧。对应激源的无效应对可能在身体和/或心理上表现出来。

对实践的启示

医疗保健提供者应常规询问患者可能的军事隶属关系。需要评估军人配偶当前的压力水平和所采用的应对行为,以便提供最适当的建议和转诊。作为医疗保健提供者,了解军事生活方式的独特需求对于为该人群提供有效的优质护理并实现最佳健康结果是必要的。

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