Verey Anna, Keeling M, Thandi G, Stevelink S, Fear N
Psychological Medicine, King's Centre for Military Health Research, King's College London, London, UK.
School of Social Work, Center for Innovation and Research on Veterans and Military Families, University of Southern California, Los Angeles, California, USA.
J R Army Med Corps. 2017 Dec;163(6):388-393. doi: 10.1136/jramc-2016-000725. Epub 2017 Oct 9.
When a service person has been wounded, injured or sick (WIS), family members may provide care during their recovery in an unpaid capacity. This may occur in diverse environments including hospitals, inpatient rehabilitation centres, in the community and at home.
Thirty-seven family members of WIS personnel were interviewed regarding their support needs, family relationships and use of UK support services. Semistructured, in-depth telephone interviews were used, with data analysis undertaken using a thematic approach.
'Family member involvement' was the main theme under which four subthemes were situated: 'continuity of support', 'proactive signposting and initiating contact', 'psychoeducation and counselling' and 'higher risk groups'. Family members felt they might benefit from direct, consistent and continuous care regardless of the WIS person's injury or engagement type, and whether the WIS person was being treated in a hospital, rehabilitative centre or at home.
The findings of this study suggest that family members of WIS personnel value proactive, direct and sustained communication from support service providers. We suggest that families of UK service personnel may benefit from family care coordinators, who could provide continuous and consistent care to family members of WIS personnel.
当军人受伤、患病或生病（WIS）时，其家庭成员可能会在他们康复期间无偿提供护理。这种情况可能发生在包括医院、住院康复中心、社区和家中等各种环境中。
对37名WIS人员的家庭成员就其支持需求、家庭关系以及对英国支持服务的使用情况进行了访谈。采用半结构化的深度电话访谈，并使用主题分析法进行数据分析。
“家庭成员参与”是主要主题，在此主题下有四个子主题：“支持的连续性”“积极的引导和主动联系”“心理教育与咨询”以及“高风险群体”。家庭成员认为，无论WIS人员的受伤情况或参与类型如何，也无论WIS人员是在医院、康复中心还是在家中接受治疗，他们都可能从直接、持续和连贯的护理中受益。
本研究结果表明，WIS人员的家庭成员重视支持服务提供者积极、直接和持续的沟通。我们建议，英国军人的家属可能会从家庭护理协调员中受益，他们可以为WIS人员的家庭成员提供持续和连贯的护理。
