Cancio Jill M, Cancio Leopoldo C
US Army Institute of Surgical Research Burn Center, 3698 Chambers Pass, Houston, TX 78234, USA.
Eur Burn J. 2023 Dec 29;5(1):12-22. doi: 10.3390/ebj5010002.
Occupational therapy has been integral to the holistic recovery of soldiers since its origin. The positive psychosocial and physiological effects of occupation-based interventions, fundamental to the profession, have long justified its relevance to the military. As such, occupational therapy has been written into US Army doctrine as an integral component of the Combat and Operational Stress Control (COSC) program. The focus of a COSC unit is to prevent, identify, reduce, and manage combat and operational stress reactions resulting from physical and mental stressors in a combat environment. COSC centers around the recognition and resolution of functional problems and the development of enhanced coping skills. Recognizing that burn patients are, like combatants, also at high risk of stress-related illness, we applied COSC concepts to peacetime burn care. In this paper we describe the theoretical basis for COSC in a burn center. The COSC model supports holistic, functional recovery of the burn casualty and can augment psychosocial recovery, particularly in times of limited resources.
自职业治疗起源以来，它一直是士兵全面康复不可或缺的一部分。基于职业的干预措施所产生的积极心理社会和生理影响，是该专业的基础，长期以来证明了其与军事领域的相关性。因此，职业治疗已被写入美国陆军条令，成为作战与行动压力控制（COSC）计划的一个组成部分。COSC单位的重点是预防、识别、减轻和管理作战环境中身体和心理压力源所导致的作战与行动压力反应。COSC围绕着对功能问题的识别与解决以及增强应对技能的发展。认识到烧伤患者与战斗人员一样，也面临与压力相关疾病的高风险，我们将COSC概念应用于和平时期的烧伤护理。在本文中，我们描述了烧伤中心COSC的理论基础。COSC模型支持烧伤伤员的全面功能恢复，并可增强心理社会康复，特别是在资源有限的时期。
