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大屠杀对幸存者身体健康的影响:文献综述

Consequences of holocaust on physical health of survivors: bibliography review.

作者信息

Horáčková Kateřina, Ševčovičová Andrea, Hrstka Zdeněk, Moravcová Markéta, Lásková Martina, Derňarová Ľubica

机构信息

Faculty of Health Studies, Pardubice University, Pardubice, Czech Republic.

St. Elisabeth University of Health Care and Social Work, Bratislava, Slovak Republic.

出版信息

Cent Eur J Public Health. 2020 Sep;28(3):237-244. doi: 10.21101/cejph.a5650.

Abstract

OBJECTIVE

Period of elderly age preordains the occurrence of many health issues. People deported during World War II to concentration camps suffered from malnutrition, lack of sleep, physical and mental exhaustion. Recently, the health condition of Holocaust survivors is often complicated as a result of physical punishments and different torture methods as well as mental hardships which they had suffered during deportation. The consequences often have psychosomatic nature thus the survivors are often receivers of health care. The topic of bibliography review is based on the need to objectivize and systematically evaluate subjective health issues of Holocaust survivors in connection with trauma related to the stay in a concentration camp. The aim is to offer a review of effects of the Holocaust on health of different body systems for survivors in concentration camps and Jewish ghettos in the course of World War II.

METHODS

To map the subjective problems of Holocaust survivors, evidence-based medicine (EBM) method has been used with the help of scientific database PubMed, CINAHL Plus with full text, ProQuest and other sources with specific key words and Boole operators. Prognostic type of clinical/review questions has been selected for the bibliography review, which is trying to predict the probability of relation or output of illness/condition and based on diseases or symptoms seriousness to find out expectancy for treatment/improvement of care.

RESULTS

175 studies have been found in basic search with the use of key words both in English and in Czech language. The search has not been time-limited. The advanced search has focused on different body systems and health damage due to Nazi experiments. Fourteen studies have been used to complete the study. The research results have confirmed the significant effect of Holocaust trauma on body condition of the survivors. The reasons of this condition were insufficient nutrition, unsuitable and harmful hygienic, living and working conditions and brutality of the guards. According to the research, these factors have impacted all organ systems, mainly locomotion and cardiovascular ones. The results have shown a more frequent occurrence of osteoporosis, fractures of long bones and corresponding chronical pain of people of Jewish origin who had gone through different forms of torture during World War II. Other present symptoms include gastrointestinal problems, tumors mainly in the area of colorectum and lungs. Moreover, the stay in concentration camps had influence on women's menstrual cycle.

CONCLUSION

The studies of Holocaust effects are an example of the influence of an extreme mental and physical burden on the body condition of the survivors' health. The results of the studies have shown a wide range of the effects also in mental and social areas.

摘要

目的

老年阶段注定会出现许多健康问题。二战期间被驱逐到集中营的人们遭受营养不良、睡眠不足、身心疲惫之苦。近来,大屠杀幸存者的健康状况常常因他们在被驱逐期间遭受的体罚、各种折磨手段以及精神磨难而变得复杂。这些后果往往具有身心性质,因此幸存者常常成为医疗保健的接受者。文献综述的主题基于客观化并系统评估大屠杀幸存者与集中营经历相关创伤有关的主观健康问题的必要性。目的是综述二战期间集中营和犹太聚居区的大屠杀对幸存者不同身体系统健康的影响。

方法

为梳理大屠杀幸存者的主观问题,借助科学数据库PubMed、全文版CINAHL Plus、ProQuest以及其他来源,使用特定关键词和布尔运算符,采用循证医学(EBM)方法。文献综述选用了临床/综述问题的预后类型,旨在预测疾病/状况的关联或结果的可能性,并根据疾病或症状的严重程度来确定治疗/改善护理的预期效果。

结果

在基础搜索中,使用英文和捷克语关键词共找到175项研究。搜索未设时间限制。高级搜索聚焦于不同身体系统以及纳粹实验造成的健康损害。14项研究被用于完成本研究。研究结果证实了大屠杀创伤对幸存者身体状况的重大影响。造成这种状况的原因包括营养不足、不合适且有害的卫生、生活和工作条件以及警卫的残暴行为。根据研究,这些因素影响了所有器官系统,主要是运动系统和心血管系统。结果显示,二战期间遭受不同形式折磨的犹太裔人群中,骨质疏松、长骨骨折及相应慢性疼痛更为常见。其他现存症状包括胃肠道问题、主要发生在结肠和肺部的肿瘤。此外,在集中营的经历对女性月经周期有影响。

结论

对大屠杀影响的研究是极端身心负担对幸存者健康身体状况影响的一个例证。研究结果还表明,其影响在精神和社会领域也很广泛。

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