Abstract：
The number of torture survivors is on the rise, posing issues for their care in healthcare settings. Even healthcare experts with training in refugee care are unaware of the health difficulties faced by torture survivors. Any medical evaluation or treatment has the potential to re-traumatize torture survivors, thereby reactivating trauma symptoms without applicable guidelines to prevent re-traumatization.
Our objective was to identify, characterize, evaluate, and organize current, available evidence presenting existing recommendations and suggestions to prevent re-traumatization during the treatment of torture survivors\' physical diseases in healthcare services.
A comprehensive search of electronic databases was conducted. Gray literature coverage was obtained by searching for publications from relevant associations and healthcare organizations focusing on torture survivors. Clinical practice guidelines (CPGs) and research focusing on somatic healthcare services for adult torture survivors, regardless of study design, were eligible for review. Studies that concentrated on psychiatric departments were excluded. To conduct an overview of the available research and describe the scope and distribution of evidence, a mapping review methodology was used.
Forty out of 13,111 initial citations met our criteria. There were two guidelines, and text and opinion statements predominated. Two authors independently assessed the risk of bias in each primary research study using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for the research design.
This mapping review identifies triggers that may re-traumatize torture survivors during treatment and makes recommendations for prevention. Only a few studies have considered torture survivors\' perspectives on treatment and re-traumatization. According to the findings of the mapping review, healthcare providers should consider survivors\' biopsychosocial situations, demonstrate cultural sensitivity, and change theirpersonal attitudes . They must also identify tortured patients and determine when professional interpreters should be used.
Our objective was to identify, characterize, evaluate, and organize current, available evidence presenting existing recommendations and suggestions to prevent re-traumatization during the treatment of torture survivors\' physical diseases in healthcare services.
A comprehensive search of electronic databases was conducted. Gray literature coverage was obtained by searching for publications from relevant associations and healthcare organizations focusing on torture survivors. Clinical practice guidelines (CPGs) and research focusing on somatic healthcare services for adult torture survivors, regardless of study design, were eligible for review. Studies that concentrated on psychiatric departments were excluded. To conduct an overview of the available research and describe the scope and distribution of evidence, a mapping review methodology was used.
Forty out of 13,111 initial citations met our criteria. There were two guidelines, and text and opinion statements predominated. Two authors independently assessed the risk of bias in each primary research study using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for the research design.
This mapping review identifies triggers that may re-traumatize torture survivors during treatment and makes recommendations for prevention. Only a few studies have considered torture survivors\' perspectives on treatment and re-traumatization. According to the findings of the mapping review, healthcare providers should consider survivors\' biopsychosocial situations, demonstrate cultural sensitivity, and change theirpersonal attitudes . They must also identify tortured patients and determine when professional interpreters should be used.
摘要：
背景：酷刑幸存者的数量正在上升，给他们在医疗保健环境中的护理带来问题。即使是接受过难民护理培训的医疗保健专家也不知道酷刑幸存者面临的健康困难。任何医学评估或治疗都有可能再次伤害酷刑幸存者，从而在没有适用指南的情况下重新激活创伤症状，以防止再创伤。
目标：我们的目标是确定，表征，评估，组织电流，提供现有建议和建议的现有证据，以防止在医疗服务中治疗酷刑幸存者的身体疾病期间再次遭受创伤。
方法：对电子数据库进行全面检索。灰色文献报道是通过搜索相关协会和医疗保健组织关注酷刑幸存者的出版物获得的。临床实践指南（CPG）和研究重点关注成人酷刑幸存者的躯体医疗服务，不管研究设计如何，有资格接受审查。集中在精神科的研究被排除在外。对现有研究进行概述，并描述证据的范围和分布，使用了映射审查方法。
结果：13,111篇初始引文中有40篇符合我们的标准。有两个指导方针，文本和意见陈述占主导地位。两位作者使用JoannaBriggs研究所（JBI）关键评估清单进行研究设计，独立评估了每项主要研究研究中的偏倚风险。
结论：这项绘图审查确定了可能在治疗期间再次伤害酷刑幸存者的触发因素，并提出了预防建议。只有少数研究考虑了酷刑幸存者对治疗和再创伤的看法。根据绘图审查的结果，医疗保健提供者应该考虑幸存者的生物心理社会情况，表现出文化敏感性，改变他们的个人态度。他们还必须识别遭受酷刑的患者，并确定何时应使用专业口译员。
目标：我们的目标是确定，表征，评估，组织电流，提供现有建议和建议的现有证据，以防止在医疗服务中治疗酷刑幸存者的身体疾病期间再次遭受创伤。
方法：对电子数据库进行全面检索。灰色文献报道是通过搜索相关协会和医疗保健组织关注酷刑幸存者的出版物获得的。临床实践指南（CPG）和研究重点关注成人酷刑幸存者的躯体医疗服务，不管研究设计如何，有资格接受审查。集中在精神科的研究被排除在外。对现有研究进行概述，并描述证据的范围和分布，使用了映射审查方法。
结果：13,111篇初始引文中有40篇符合我们的标准。有两个指导方针，文本和意见陈述占主导地位。两位作者使用JoannaBriggs研究所（JBI）关键评估清单进行研究设计，独立评估了每项主要研究研究中的偏倚风险。
结论：这项绘图审查确定了可能在治疗期间再次伤害酷刑幸存者的触发因素，并提出了预防建议。只有少数研究考虑了酷刑幸存者对治疗和再创伤的看法。根据绘图审查的结果，医疗保健提供者应该考虑幸存者的生物心理社会情况，表现出文化敏感性，改变他们的个人态度。他们还必须识别遭受酷刑的患者，并确定何时应使用专业口译员。
