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参与考古活动的退伍军人的生物心理社会益处与不足。

The biopsychosocial benefits and shortfalls for armed forces veterans engaged in archaeological activities.

作者信息

Finnegan Alan

机构信息

Centre for Research & Innovation in Veterans Wellbeing, Faculty of Health & Social Care, University of Chester, Riverside Campus, Castle Drive, Chester CH1 1SL.

出版信息

Nurse Educ Today. 2016 Dec;47:15-22. doi: 10.1016/j.nedt.2016.03.009. Epub 2016 Mar 19.

Abstract

BACKGROUND

Organised outdoor activities are advocated as promoting multiple benefits for a veteran's wellbeing, of whom up to 50% have suffered either/both physical and mental health (MH) problems. This has resulted in significant investment in a growing number of outdoor events, one of which is the Defence Archaeology Group (DAG) which utilises the technical and social aspects of field archaeology in the recovery and skill development of injured veterans.

OBJECTIVE

To advance knowledge within veterans' MH and wellbeing through an understanding of the potential long term biopsychosocial benefits and shortfalls for veterans undertaking DAG activities.

DESIGN

A constructivist grounded theory approach was used to enable identification of the issues from the participant veteran's perspective.

SETTING

DAG archaeological excavations in April and August 2015.

METHOD

Semi-structured interviews with 14 veterans.

RESULTS

The qualitative coding resulted in the indication of 18 categories subsumed within four clusters: motivation and access; mental health; veteran and teamwork; therapeutic environment and leadership.

DISCUSSION

The psychological benefits were improved self-esteem, confidence, a reduction in stigma and motivation to seek help. The reduction in situational stressors associated with difficult life conditions also appeared to improve mood, and there was a clear benefit in being in a caring environment where other people actively paid an interest. There were extended social benefits associated with being accepted as part of a team within a familiar military environment, which presented an opportunity to establish friendships and utilise military skill sets.

CONCLUSION

Organised outdoor activities offer multi-factorial hope for veterans searching for ways to ease the transition to civilian life and recover from military stress and trauma. The relaxing and reflective environment within a military setting appears to construct a sense of personal safety and thereby offers therapeutic value.

摘要

背景

有组织的户外活动被认为能给退伍军人的福祉带来多重益处,高达50%的退伍军人患有身体和心理健康问题中的一种或两种。这导致对越来越多户外活动的大量投资,其中之一是国防考古小组(DAG),该小组在受伤退伍军人的康复和技能发展中利用野外考古的技术和社交方面。

目的

通过了解参与DAG活动的退伍军人潜在的长期生物心理社会益处和不足,增进对退伍军人心理健康和福祉的认识。

设计

采用建构主义扎根理论方法,以便从参与的退伍军人角度识别问题。

地点

2015年4月和8月的DAG考古发掘现场。

方法

对14名退伍军人进行半结构化访谈。

结果

定性编码得出18个类别,归入四个集群:动机与参与机会;心理健康;退伍军人与团队合作;治疗环境与领导力。

讨论

心理益处包括自尊提高、信心增强、耻辱感减轻以及寻求帮助的动机增强。与艰难生活状况相关的情境压力源减少似乎也改善了情绪,身处他人积极关心的关爱环境中显然有益。在熟悉的军事环境中被接纳为团队一员带来了额外的社会益处,这为建立友谊和运用军事技能提供了机会。

结论

有组织的户外活动为寻求缓解向平民生活过渡并从军事压力和创伤中恢复的退伍军人提供了多方面的希望。军事环境中的放松和反思氛围似乎营造了一种个人安全感,从而具有治疗价值。

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