Rosen Miriam, Nguyen Breanna A, Khetarpal Susheel, Sgro Gaetan
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
VA Pittsburgh Health Care System, Pittsburgh, PA, USA.
J Patient Exp. 2022 Jan 4;9:23743735211069833. doi: 10.1177/23743735211069833. eCollection 2022.
My Life My Story (MLMS) is a national Veterans Health Administration (VA) life story interview program that aims to provide more humanistic care for veterans by focusing on the patient as a person. Our project took place at the Pittsburgh VA Healthcare System and had 3 main goals: (1) describe themes that emerge in MLMS interviews from the prompting question, ; (2) identify topics of importance to veterans and suggest ways for healthcare providers to explore them; and (3) foster a culture at the Pittsburgh VA that places not only the health but also the personal triumphs, hardships, and aspirations of veterans at the center. Veterans provided verbal consent to have their previously recorded stories used in this study. Stories were coded and then analyzed for patterns and themes. A total of 17 veterans participated in our study. Themes that emerged from the stories include (1) Early Hardships; (2) Economic Disadvantage; (3) Polaroid Snapshots; (4) Around the World; (5) Haunted by Combat; (6) Life-altering Moments; (7) Homecoming; (8) Romantic Beginnings & Obstacles; (9) Inequity across Gender & Race; and (10) Facing Mortality. This study's findings underscore the need to address the traumas associated with military service, as well as the challenges faced with re-integration into civilian life, when working with veterans. The MLMS interviews explored in this study can help clinicians identify topics of importance to veterans, strengthen their relationships with their patients, and improve the care that veterans receive.
《我的人生我的故事》（MLMS）是美国退伍军人健康管理局（VA）的一项全国性人生故事访谈项目，旨在通过关注患者个体，为退伍军人提供更具人文关怀的护理。我们的项目在匹兹堡退伍军人医疗保健系统开展，有3个主要目标：（1）描述从提示性问题中在MLMS访谈中出现的主题；（2）确定对退伍军人重要的话题，并为医疗服务提供者探索这些话题提供建议；（3）在匹兹堡退伍军人医疗保健系统营造一种文化，不仅将退伍军人的健康，而且将他们的个人成就、艰辛和抱负置于中心位置。退伍军人提供了口头同意，允许将他们之前录制的故事用于本研究。对故事进行编码，然后分析其中的模式和主题。共有17名退伍军人参与了我们的研究。从故事中浮现出的主题包括：（1）早期艰辛；（2）经济劣势；（3）宝丽来快照；（4）环游世界；（5）受战斗困扰；（6）改变人生的时刻；（7）回家；（8）浪漫的开端与障碍；（9）性别和种族不平等；（10）面对死亡。本研究的结果强调，在与退伍军人合作时，需要解决与军事服务相关的创伤以及重新融入平民生活所面临的挑战。本研究中探讨的MLMS访谈可以帮助临床医生确定对退伍军人重要的话题，加强他们与患者的关系，并改善退伍军人所接受的护理。
