Shi Meilynn, Stey Anne, Tatebe Leah C
Feinberg School of Medicine, Northwestern University, Chicago, IL USA.
Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Feinberg School of Medicine, Northwestern University, Chicago, IL USA.
Curr Trauma Rep. 2021;7(4):83-91. doi: 10.1007/s40719-021-00217-x. Epub 2021 Nov 13.
The number of refugees across the globe continues to grow, leaving a large proportion of the global population in a vulnerable state of health. However, the number of robust clinical interventions has not kept apace. This paper provides a general review of literature on the trauma and violence that refugees face, the impact on health outcomes, and some of the promising models for clinical intervention.
Refugees experience a cycle of trauma, violence, and distress that begins before migration and continues during migration and after resettlement. It has been challenging to develop robust clinical interventions due to the cumulative and cyclic effects of trauma, as well as the unique experiences of trauma that each refugee community and each refugee individual faces.
Trauma-informed care is a critical component of health care. Developing stronger guidelines for trauma-informed care will help clinicians better provide inclusive and equitable care for refugee patients.
全球难民数量持续增加,使得全球很大一部分人口处于健康脆弱状态。然而,强有力的临床干预措施数量并未跟上。本文对有关难民所面临的创伤和暴力、对健康结果的影响以及一些有前景的临床干预模式的文献进行了全面综述。
难民经历了一个创伤、暴力和痛苦的循环,这个循环在移民前就开始了,并在移民期间和重新安置后持续存在。由于创伤的累积和循环影响,以及每个难民群体和每个难民个体所面临的独特创伤经历,制定强有力的临床干预措施一直具有挑战性。
创伤知情护理是医疗保健的关键组成部分。制定更强有力的创伤知情护理指南将有助于临床医生更好地为难民患者提供包容和平等的护理。