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西班牙特内里费岛一家初级保健机构中所见乌克兰难民健康需求的识别

Identification of Health Needs in Ukrainian Refugees Seen in a Primary Care Facility in Tenerife, Spain.

作者信息

Martín-Dorta Willian-Jesús, Marrero-González Cristo-Manuel, Díaz-Hernández Eva-Lourdes, Brito-Brito Pedro-Ruymán, Fernández-Gutiérrez Domingo-Ángel, Colichón Oxana-Migalievna Rebryk-De, Martín-García Ana-Isabel, Pavés-Lorenzo Estrella, Rodríguez-Santos María-Candelaria, García-Cabrera Juan-Francisco, Núnez-Marrero Janet, García-Hernández Alfonso-Miguel

机构信息

Primary Care Management Board of Tenerife, The Canary Islands Health Service, 38204 Santa Cruz de Tenerife, Spain.

Nursing Department, University of La Laguna, 38200 Santa Cruz de Tenerife, Spain.

出版信息

Nurs Rep. 2025 Jan 17;15(1):27. doi: 10.3390/nursrep15010027.

DOI:10.3390/nursrep15010027
PMID:39852649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11767421/
Abstract

BACKGROUND

Ukrainian refugees fleeing the conflict between Russia and Ukraine may face significant challenges to their physical, psycho-emotional, social, and spiritual wellbeing.

AIM

To identify the health needs of Ukrainian refugees seen in primary care facilities in Tenerife, Canary Islands, Spain.

METHODS

A mixed-methods design was employed. Quantitative data were obtained through a descriptive analysis of health records, while qualitative data were collected via focus group interviews and thematic analysis of testimonies.

RESULTS

The sample comprised 59 individuals (45.4% of all patients seen). Eight participants from five family groups took part in the focus group. The typical profile of a Ukrainian refugee in the Canary Islands is female (79.7%), relatively young, with a high socio-cultural background, generally in good health, travelling alone or with her minor children. The main reasons for consultation were routine health check-ups and control blood tests. The NANDA-I nursing diagnoses indicated a need for psycho-emotional care, with the most prevalent being Risk for Relocation Stress Syndrome (27.1%); Interrupted Family Processes, Disturbed sleep pattern, Risk for Impaired Resilience (13.6% each); and Anxiety (11.9%). Participants rated the healthcare system positively, but language barriers and long waiting times for access to specific services were noted as limitations. The primary social demands include seeking employment, learning the language, and increasing support groups among Ukrainians themselves.

CONCLUSIONS

This study underscores the need for a tailored approach to refugee care, considering their unique circumstances and needs. Early provision of information about available healthcare services and protocols can facilitate access, manage expectations, and aid decision-making.

摘要

背景

逃离俄乌冲突的乌克兰难民在其身体、心理情绪、社会和精神健康方面可能面临重大挑战。

目的

确定在西班牙加那利群岛特内里费岛的初级保健机构中就诊的乌克兰难民的健康需求。

方法

采用混合方法设计。通过对健康记录的描述性分析获取定量数据,同时通过焦点小组访谈和对证词的主题分析收集定性数据。

结果

样本包括59人(占所有就诊患者的45.4%)。来自五个家庭组的八名参与者参加了焦点小组。加那利群岛乌克兰难民的典型特征是女性(79.7%),相对年轻,社会文化背景较高,一般健康状况良好,独自旅行或带着未成年子女。就诊的主要原因是常规健康检查和控制血液检测。北美护理诊断协会(NANDA-I)的护理诊断表明需要心理情绪护理,最普遍的是迁移应激综合征风险(27.1%);家庭过程中断、睡眠模式紊乱、恢复力受损风险(各13.6%);以及焦虑(11.9%)。参与者对医疗保健系统评价积极,但指出语言障碍和获取特定服务的等待时间长是局限性。主要的社会需求包括寻找工作、学习语言以及在乌克兰人自身中增加支持群体。

结论

本研究强调需要针对难民护理采取量身定制的方法,考虑到他们的独特情况和需求。尽早提供有关可用医疗保健服务和方案的信息可以促进就医、管理期望并帮助决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cb/11767421/9e28c09b4e90/nursrep-15-00027-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cb/11767421/688347ab9ac8/nursrep-15-00027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cb/11767421/485273aa6920/nursrep-15-00027-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cb/11767421/9e28c09b4e90/nursrep-15-00027-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cb/11767421/688347ab9ac8/nursrep-15-00027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cb/11767421/485273aa6920/nursrep-15-00027-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cb/11767421/9e28c09b4e90/nursrep-15-00027-g003.jpg

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