美国海军陆战队训练期间肌肉骨骼疾病就医行为的决定因素:海军陆战队训练:专题分析。

IF 2.6 2区 医学 Q1 SPORT SCIENCES
Carolyn E Dartt, Alexandria B Gregory, Sarah J de la Motte, Emily A Ricker
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引用次数: 0

摘要

背景:肌肉骨骼损伤(MSK-I)是军事人群中一个有据可查的问题,也是各军种致残的主要原因。然而,只有一部分遭受 MSK-I 伤害的军人会向医疗服务提供者报告。尽管有多项研究指出了军人群体中存在的就医障碍,但对促使军人就 MSK-I 就医的因素却知之甚少:描述新入伍海军陆战队员在军事训练期间因 MSK-I 和/或肌肉骨骼疼痛 (MSK-P) 而就医的决定因素:设计:定性研究:患者或其他参与者:1,097 名美国海军陆战队员进入 SOI-W 的步兵训练营或海军陆战队战斗训练:参与者在进入(基线)和从 SOI-W 毕业时填写了书面调查问卷。封闭式问题的回答用于计算 MSK-I/MSK-P 和寻求护理的频率。采用归纳主题分析法对描述寻求护理行为决定因素的开放式回答进行分析:结果:10%的参与者自称在基础训练期间持续出现MSK-I症状,14%的参与者自称在SOI-W训练期间持续出现MSK-I症状。与SOI-W培训相比,有更大比例的学员表示在基础培训期间曾因MSK-I/MSK-P就医。专题分析得出了三个主题,描述了就医的驱动因素和障碍:1)自我感觉需要医疗护理;2)优先考虑军事训练;3)特定训练的影响因素:结论:了解就医行为的决定因素对于设计干预策略以促进早期 MSK-I 治疗非常重要。我们的研究结果补充了之前的研究,阐明了MSK-I/MSK-P就医决策的根本原因。包括教育策略和直接方法在内的干预措施(如在部队中嵌入医疗服务提供者)可最大限度地减少军队中的就医障碍,从而减轻MSK-I/MSK-P给军人整个军旅生涯带来的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determinants of Medical Care-Seeking Behavior for Musculoskeletal Conditions During US Marine Corps Training: A Thematic Analysis.

Context: Musculoskeletal injuries (MSK-I) are a well-documented problem in military populations and a leading contributor to disability across military services. However, only a portion of Service members who sustain an MSK-I report it to medical providers. Although several studies have identified barriers to seeking medical care in military populations, less is known about what motivates Service members to seek care for MSK-I.

Objective: To describe determinants of medical care-seeking behavior for MSK-I and/or musculoskeletal pain (MSK-P) in recently enlisted US Marines during military training.

Design: Qualitative study.

Setting: School of Infantry-West (SOI-W), Marine Corps Base Camp Pendleton, California.

Patients or other participants: A total of 1097 US Marines entering Infantry Training Battalion or Marine Combat Training at SOI-W.

Data collection and analysis: Participants completed written surveys at entry to (baseline) and graduation from SOI-W. Closed-ended question responses were used to calculate MSK-I/MSK-P and care-seeking frequencies. Open-ended responses describing determinants of care-seeking behavior were analyzed using inductive thematic analysis.

Results: Ten percent of participants self-reported sustaining MSK-I during basic training, whereas 14% self-reported sustaining an MSK-I in SOI-W training. A greater proportion reported seeking medical care for their MSK-I/MSK-P during basic training than during SOI-W training. The thematic analysis resulted in 3 main themes that describe drivers and barriers for seeking medical care: (1) self-perceived need for medical care, (2) prioritizing military training, and (3) training-specific influences.

Conclusion: Understanding determinants of care-seeking behavior is valuable when designing intervention strategies to promote early MSK-I treatment. Our findings add to previous research to elucidate reasons underlying the decisions about care-seeking for MSK-I/MSK-P. Interventions, including educational strategies and direct approaches like embedding medical providers within units, to minimize barriers to seeking medical care in the military may reduce the burden of MSK-I/MSK-P on Service members throughout their military careers.

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来源期刊
Journal of Athletic Training
Journal of Athletic Training 医学-运动科学
CiteScore
5.30
自引率
6.10%
发文量
106
审稿时长
6 months
期刊介绍: The mission of the Journal of Athletic Training is to enhance communication among professionals interested in the quality of health care for the physically active through education and research in prevention, evaluation, management and rehabilitation of injuries. The Journal of Athletic Training offers research you can use in daily practice. It keeps you abreast of scientific advancements that ultimately define professional standards of care - something you can''t be without if you''re responsible for the well-being of patients.
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