酷刑受害者对牙科治疗的看法:"你的一举一动"--一项定性研究。

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Ann Catrin Høyvik, Tiril Willumsen, Birgit Lie, Per Kristian Hilden
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引用次数: 0

摘要

患有创伤后应激障碍的酷刑受害者在接受牙科治疗时经常会遇到一些可能引发创伤相关反应的因素。本研究旨在探索干预策略,使牙科保健工作者能够根据酷刑幸存者的需求调整牙科治疗。研究人员对10名曾在挪威接受过牙科治疗的酷刑幸存者进行了探索性访谈。我们使用定性内容分析法对数据进行了分析,分析结果表明,为了最大限度地减少创伤反应,牙科医护人员应将重点放在营造安全的治疗空间和加强患者的控制感上。临床建议主要分为四类:(i) 获取有关心理学、酷刑后果、文化差异、创伤知情护理以及患者个人需求的知识;(ii) 认识到忙碌或延误的潜在触发因素;(iii) 避免意外,如突然的举动或行动,并逐一探究触发因素,但确保不会唤起审讯的画面;以及;(iv) 在诊室的能见度以及牙科治疗的可预测性方面提供概述。虽然接受牙科治疗对遭受酷刑的人来说可能具有挑战性,但通过对治疗进行可行的调整并采用创伤知情方法,可以大大减少困境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Torture victims’ perspective on dental treatment: “Every sign you make, every move you take” – A qualitative study

Torture victims struggling with post-traumatic stress often experience elements in the dental treatment situation that may trigger trauma-related reactions. The aim of the study was to explore intervention strategies that will enable dental health workers to adapt dental treatment to the needs of torture survivors. Exploratory interviews were conducted with 10 torture-exposed resettled refugees with dental treatment experience in Norway. The data was analyzed using qualitative content analysis, which suggested that to minimize trauma-reactions, dental personnel should focus on creating a safe therapeutic space and strengthening the patient's sense of control. Four main categories of clinical advice were proposed: (i) Acquire knowledge about psychology, consequences of torture, cultural differences, trauma-informed care, and the patients’ individual needs; (ii) Recognize the trigger-potential of busyness or delays; (iii) Avoid surprises, such as sudden moves or actions and explore triggers individually, but make sure not to evoke images of interrogation, and; (iv) Provide overview both with respect to visibility in the clinical room, and to predictability regarding the dental treatment. Although undergoing dental treatment may be challenging for torture-exposed individuals, it is possible to reduce the predicaments considerably by making feasible adaptions to the treatment and adopting a trauma-informed approach.

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来源期刊
European Journal of Oral Sciences
European Journal of Oral Sciences 医学-牙科与口腔外科
CiteScore
3.50
自引率
5.30%
发文量
61
审稿时长
2 months
期刊介绍: The European Journal of Oral Sciences is an international journal which publishes original research papers within clinical dentistry, on all basic science aspects of structure, chemistry, developmental biology, physiology and pathology of relevant tissues, as well as on microbiology, biomaterials and the behavioural sciences as they relate to dentistry. In general, analytical studies are preferred to descriptive ones. Reviews, Short Communications and Letters to the Editor will also be considered for publication. The journal is published bimonthly.
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