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本文引用的文献

1
Including Family Caregivers In Seriously Ill Veterans' Care: A Mixed-Methods Study.将家庭护理员纳入重病退伍军人的护理中:一项混合方法研究。
Health Aff (Millwood). 2019 Jun;38(6):957-963. doi: 10.1377/hlthaff.2019.00012.
2
Whole Health in the Whole System of the Veterans Administration: How Will We Know We Have Reached This Future State?美国退伍军人事务部整个系统中的全面健康:我们如何知道我们已经实现了这个未来状态?
J Altern Complement Med. 2019 Mar;25(S1):S7-S11. doi: 10.1089/acm.2018.29061.gau.
3
Personalized Health Planning in Primary Care Settings.基层医疗环境中的个性化健康规划
Fed Pract. 2016 Jan;33(1):27-34.
4
Employment and vocational rehabilitation experiences among veterans with polytrauma/traumatic brain injury history.创伤后应激障碍/颅脑损伤病史退伍军人的就业和职业康复经历。
Psychol Serv. 2020 Feb;17(1):65-74. doi: 10.1037/ser0000283. Epub 2018 Sep 27.
5
Effect of Evidence-Based Supported Employment vs Transitional Work on Achieving Steady Work Among Veterans With Posttraumatic Stress Disorder: A Randomized Clinical Trial.基于证据的支持性就业与过渡性工作对创伤后应激障碍退伍军人实现稳定工作的效果比较:一项随机临床试验。
JAMA Psychiatry. 2018 Apr 1;75(4):316-324. doi: 10.1001/jamapsychiatry.2017.4472.
6
Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs.对家庭照顾者的全面支持:对退伍军人医疗保健利用和成本的影响。
Med Care Res Rev. 2019 Feb;76(1):89-114. doi: 10.1177/1077558717697015. Epub 2017 Apr 1.
7
Health services and rehabilitation for active duty service members and veterans with mild TBI.为患有轻度创伤性脑损伤的现役军人和退伍军人提供的医疗服务与康复治疗。
Brain Inj. 2017;31(9):1220-1234. doi: 10.1080/02699052.2016.1274777.
8
Supported Employment for Veterans With Traumatic Brain Injury: Patient Perspectives.创伤性脑损伤退伍军人的支持性就业:患者观点。
Arch Phys Med Rehabil. 2018 Feb;99(2S):S4-S13.e1. doi: 10.1016/j.apmr.2017.06.027. Epub 2017 Aug 4.
9
Barriers and Facilitators Related to Work Success for Veterans in Supported Employment: A Nationwide Provider Survey.支持性就业中退伍军人工作成功的相关障碍与促进因素:一项全国范围的服务提供者调查。
Psychiatr Serv. 2016 Apr 1;67(4):412-7. doi: 10.1176/appi.ps.201500108. Epub 2015 Dec 15.
10
Mixed methods study examining work reintegration experiences from perspectives of Veterans with mental health disorders.一项混合方法研究,从患有精神健康障碍的退伍军人的角度审视重返工作岗位的经历。
J Rehabil Res Dev. 2015;52(4):477-90. doi: 10.1682/JRRD.2014.11.0289.

利用机构支持为家庭照顾者提供支持,以满足残疾人士的健康和职业需求。

Leveraging institutional support for family caregivers to meet the health and vocational needs of persons with disabilities.

机构信息

Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, NC; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC.

Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, NC; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC.

出版信息

Nurs Outlook. 2020 Mar-Apr;68(2):184-193. doi: 10.1016/j.outlook.2019.08.006. Epub 2019 Sep 27.

DOI:10.1016/j.outlook.2019.08.006
PMID:31570147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7500826/
Abstract

BACKGROUND

Family caregivers might enhance veteran engagement in health and nonhealth services (i.e., vocational/educational assistance).

PURPOSE

To describe how veterans with disabilities perceive their recovery needs, identify types of social support from caregivers that help veterans engage in Veterans Affairs (VA) health and nonhealth services, and explore participant views of VA institutional support for caregivers to help veterans engage in these services.

METHODS

Joint in-depth qualitative interviews with U.S. veterans and family caregivers (n = 26).

FINDINGS

Caregivers performed social support functions that helped veterans engage in health and vocational/educational services and institutional support from VA enhanced caregivers' capacity.

DISCUSSION

Caregivers are well positioned to align health and nonhealth services with patient needs to enhance recovery. Staffing a point person for caregivers within the health system is key to help families develop a coordinated plan of treatment and services to improve patient success across health and nonhealth domains. Nurses are well suited to perform this role.

摘要

背景

家庭成员照顾者可能会增强退伍军人参与健康和非健康服务(即职业/教育援助)的能力。

目的

描述残疾退伍军人如何看待他们的康复需求,确定照顾者提供的帮助退伍军人参与退伍军人事务部(VA)健康和非健康服务的社会支持类型,并探讨参与者对 VA 为照顾者提供机构支持以帮助退伍军人参与这些服务的看法。

方法

与美国退伍军人和家庭成员照顾者(n=26)进行联合深入定性访谈。

发现

照顾者发挥了社会支持功能,帮助退伍军人参与健康和职业/教育服务,VA 的机构支持增强了照顾者的能力。

讨论

照顾者在将健康和非健康服务与患者需求保持一致方面具有得天独厚的优势,从而促进康复。在卫生系统中为照顾者配备一名负责人是帮助家庭制定协调一致的治疗和服务计划的关键,以改善健康和非健康领域的患者成功率。护士非常适合担任这一角色。