Mukamana Donatilla, Collins Anthony, Rosa William E
Res Theory Nurs Pract. 2018 May 1;32(2):125-143. doi: 10.1891/1541-6577.32.2.125.
In 1994, the Rwandan genocide claimed the lives of approximately 1 million Tutsi and moderate Hutu citizens. Systematic rape was a strategic component of the Hutu extremist plan to eradicate the Tutsi minority population. This involved collective and repeated sexual assaults with brutal violence, public humiliation, and torture. This article maps the ongoing psychological impact on Rwandan genocide rape survivors and identifies implications for international nursing practice. The research formalizes their narratives, identifying a number of interconnected elements that combine to produce myriad forms of chronic psychological suffering in the Rwandan context. This work in turn reveals the specific needs of these survivors that may be addressed by nursing. It allows nurses, as experts in managing the human responses to health and illness, to develop a more complete understanding of psychological suffering as it pertains to vulnerable populations during and in the wake of extreme social conflict. This clarifies the roles of nurse educators, clinicians, and policy advocates as key agents in providing genocide rape survivors with the resources and expertise needed to effectively manage their ongoing trauma.
1994年，卢旺达种族灭绝致使约100万图西族和温和派胡图族公民丧生。有组织的强奸是胡图族极端分子根除图西族少数人口计划的一个战略组成部分。这包括集体且反复的性侵犯，并伴有暴力 brutality、公开羞辱和折磨。本文描绘了卢旺达种族灭绝强奸幸存者持续遭受的心理影响，并确定了对国际护理实践的启示。该研究将他们的叙述形式化，识别出一些相互关联的因素，这些因素共同作用，在卢旺达的背景下产生了多种形式的慢性心理痛苦。这项工作进而揭示了这些幸存者可能通过护理得到满足的特定需求。它使护士作为管理人类对健康和疾病反应的专家，能够更全面地理解极端社会冲突期间及之后弱势群体所遭受的心理痛苦。这明确了护士教育工作者、临床医生和政策倡导者作为关键角色，为种族灭绝强奸幸存者提供有效应对持续创伤所需的资源和专业知识。
