Ukrainian war trauma patients abroad: the rehabilitation process in light of language barriers, cultural differences, war, and infection isolation.

IF 2.3 4区 医学 Q1 REHABILITATION
Maria Ryssdal Kraby, Mariia Toropchyna, Anders Holtan, Frank Becker
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引用次数: 0

Abstract

Objective: To study the rehabilitation of Ukrainian war trauma patients abroad, focusing on 5 areas of particular interest: communication, cultural differences, infection isolation, psychosocial load, and the rehabilitation process.

Design: Observational study.

Subjects: (i) 14 Ukrainian patients who underwent rehabilitation at Sunnaas Rehabilitation Hospital, Norway; (ii) 15 members of multidisciplinary teams providing war trauma rehabilitation.

Methods: Combined methods.

Patients: medical file review, Client Satisfaction Questionnaire 8, custom questionnaire on the 5 focal areas. Hospital staff: focus-group interviews.

Results: Patients preferred professional interpreters, while multilingual staff served an additional role in providing psychological support and cultural mediation. All patients experienced infection isolation, and health professionals worried about the added psychological strain this entailed. Patients reported high trust in the therapists and high satisfaction with rehabilitation. Although war and infection isolation were negative influences, patients reported overall good mood. Health professionals reported becoming more skilled at facilitating rehabilitation under these conditions.

Conclusion: Despite challenges within the 5 areas assessed, providing rehabilitation to patients evacuated from a country at war is feasible and valuable for patients and health professionals. Both patients and health professionals showed willingness to adapt to foreign concepts, perhaps aided by multilingual health professionals acting as cultural mediators.

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国外乌克兰战争创伤患者:语言障碍、文化差异、战争和感染隔离的康复过程。
目的:研究国外乌克兰战争创伤患者的康复情况,重点关注5个方面:沟通、文化差异、感染隔离、心理负荷和康复过程。设计:观察性研究。研究对象:(一)在挪威Sunnaas康复医院接受康复治疗的14名乌克兰病人;15名提供战争创伤康复的多学科小组成员。方法:综合方法。患者:医疗档案审查,客户满意度问卷8,定制问卷5个重点领域。医院工作人员:焦点小组访谈。结果:患者首选专业口译员,而多语种工作人员在提供心理支持和文化调解方面发挥了额外的作用。所有患者都经历了感染隔离,卫生专业人员担心这会带来额外的心理压力。患者对治疗师的信任度高,对康复的满意度高。虽然战争和感染隔离是负面影响,但患者总体情绪良好。保健专业人员报告说,在这些条件下,他们在促进康复方面变得更加熟练。结论:尽管在评估的5个领域存在挑战,但为从战争国家撤离的患者提供康复服务是可行的,对患者和卫生专业人员都是有价值的。患者和卫生专业人员都表现出愿意适应外国概念,这可能得益于充当文化调解人的多语种卫生专业人员。
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来源期刊
CiteScore
5.60
自引率
5.70%
发文量
102
审稿时长
4-8 weeks
期刊介绍: Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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