Research & Development, Military Rehabilitation Centre Aardenburg, Doorn, The Netherlands
Rehabilitation center De Hoogstraat, Utrecht, The Netherlands.
BMJ Mil Health. 2022 Oct;168(5):349-353. doi: 10.1136/bmjmilitary-2020-001468. Epub 2020 May 30.
After deployment, service members can experience difficulties reintegrating. Sustaining injuries on the battlefield can disrupt the reintegration period. The first aim was to follow-up the reintegration attitude towards family, work and on a personal level after deployment in Dutch battlefield casualties (BCs). The second was to compare their postdeployment reintegration attitude with that of healthy controls.
A questionnaire concerning reintegration attitude, the Postdeployment Reintegration Scale (PDRS), was provided to all service members who received rehabilitation after sustaining injuries in Op TASK FORCE URUZGAN. The questionnaire was administered in 27 BCs at a median of 2 years post incident and 5.5 years post incident. At 5.5 years post incident, the PDRS of the BCs was compared with a control group consisting of service members from the same combat units.
A significant difference was found for the BCs with an increased negative personal attitude (p=0.02) and a decreased negative attitude towards work (p=0.02) at 5.5 years compared with 2 years post incident. No differences in postdeployment reintegration attitude was observed between the BCs and controls at 5.5 years post incident.
The results showed that for the BCs the personal attitude becomes more negative in time. However, the negative attitude towards work decreases in time after deployment. Particular attention should be paid to traumatic stress and aftercare.
部署后，军人可能会遇到重新融入社会的困难。在战场上受伤会扰乱重新融入社会的时期。第一个目的是随访荷兰战场伤亡人员（BC）部署后的家庭、工作和个人层面的重新融入态度。第二个目的是将他们的部署后重新融入态度与健康对照组进行比较。
向在 Op TASK FORCE URUZGAN 中受伤后接受康复治疗的所有军人发放了一份关于重新融入态度的问卷，即“部署后重新融入量表”（PDRS）。在中位数为 2 年和 5.5 年后，对 27 名 BC 进行了问卷调查。在 5.5 年后，将 BC 的 PDRS 与来自同一作战单位的健康对照组进行了比较。
与 2 年相比，5.5 年后 BC 个人态度的消极变化具有显著差异（p=0.02），对工作的消极态度有所下降（p=0.02）。在 5.5 年后，BC 与对照组在部署后重新融入态度方面没有差异。
结果表明，随着时间的推移，BC 的个人态度变得更加消极。然而，在部署后，对工作的消极态度会随着时间的推移而减少。应特别注意创伤后应激和后续护理。
