Westphal Richard J, Convoy Sean P
Online J Issues Nurs. 2015 Jan 31;20(1):4.
With over 13 years of war and military combat operations, the number of veterans, military families, and service members with mental health needs continues to increase across civilian and federal healthcare services. Knowledge about severe battle wounds, traumatic brain injury, and traumatic stress has influenced the delivery of healthcare. The invisible wounds of war associated with brain injury and traumatic stress will increase clinical care challenges into the foreseeable future. The purpose of this article is to describe two interrelated concepts, military cultural competence and stress injuries. The authors also differentiate stress reactions versus stress injury. Nurses with military cultural competence and knowledge about stress injuries will be better able to deliver patient-centered care to patients with military culture experiences.
历经13年多的战争和军事作战行动，在民用和联邦医疗服务体系中，有心理健康需求的退伍军人、军人家属及现役军人数量持续增加。对严重战伤、创伤性脑损伤和创伤应激的了解影响的认知影响了医疗服务的提供。与脑损伤和创伤应激相关的战争无形创伤在可预见的未来将增加临床护理挑战。本文旨在描述两个相互关联的概念，即军事文化能力和应激损伤。作者还区分了应激反应与应激损伤。具备军事文化能力且了解应激损伤的护士将更有能力为有军事文化经历的患者提供以患者为中心的护理。
