Messinger Seth D, Pasquina Paul F
is a Research Scientist at Ipsos Public Affairs, and Affiliate Associate Professor of Anthropology at the University of Washington in Seattle. is Chair, Department of Physical Medicine and Rehabilitation at the Uniformed Services University of the Health Sciences in Bethesda, Maryland.
Fed Pract. 2021 Jan;38(1):35-39. doi: 10.12788/fp.0082.
There are ongoing discussions about reorganizing the delivery of health care within the US Armed Forces. The military cultural context of care has beneficial qualities for patients with orthopedic and extremity trauma acquired during deployments to conflict zones.
The study included 35 participants with lower limb amputations who had been discharged from the Amputee Patient Care Program ≥ 12 months prior to the study. Participants were interviewed using a lightly structured schedule designed to elicit accounts of community integration, which attended to reports of belongingness supported by accounts of social engagement in work, school, family, and social events. Interviews were analyzed using a modified content analysis approach.
Participants generally described their postcare lives as "successful" that had been built on "good outcomes." For most former patients, remembering the social intensity of their rehabilitation program was an important element in their narratives of recovery. Weekly amputee clinics worked to alleviate stress and anxiety in participants' minds around the complexities of their injuries and care.
Participants reported that features of their care were particularly valuable to their recovery and their current assessment of their injury related health. These features are present, in part because of the military cultural context that is part of the framework of care delivery.
关于美国武装部队内部医疗保健服务的重组，相关讨论正在进行中。对于在部署到冲突地区期间遭受骨科和肢体创伤的患者而言，军事护理文化背景具有有益的特质。
该研究纳入了35名下肢截肢参与者，这些参与者在研究前至少12个月已从截肢患者护理项目中出院。采用结构较为宽松的日程安排对参与者进行访谈，旨在引出社区融入情况的描述，其中涉及通过工作、学校、家庭及社交活动中的社会参与报告所支持的归属感报告。使用改良的内容分析方法对访谈进行分析。
参与者普遍将他们护理后的生活描述为建立在“良好结果”之上的“成功”生活。对于大多数 former patients（原文如此，疑为former patients）来说，回忆康复项目中的社交强度是他们康复叙述中的一个重要元素。每周一次的截肢者诊所致力于缓解参与者对自身伤势和护理复杂性的压力与焦虑。
参与者报告称，他们护理的特点对其康复以及当前对与损伤相关健康状况的评估特别有价值。这些特点之所以存在，部分原因在于作为护理服务框架一部分的军事文化背景。
