PDF(Pubmed)
Abstract：
Lebanon, a country located on the eastern shore of the Mediterranean Sea, is one of the world\'s smaller sovereign states. In the past few decades, Lebanon endured a perpetual political turmoil and several armed conflicts. July 12, 2006, marked the start of a one-month war in Lebanon, which resulted in thousands of casualties. Little is known about the long-term consequences of war injuries inflicted on civilians during the July 2006 war.
The objectives of this paper were to identify and evaluate: 1- civilians\' access to healthcare and medicine under conditions of war; 2- the long-term socioeconomic burden on injured civilians; and 3- their quality of life more than a decade post-war. We adopted a mixed-method research design with an emphasis on the qualitative component. We conducted interviews with patients, collected clinical and financial data from hospital medical records, and administered a self-rated health questionnaire, the EQ-5D-5L. Simple descriptive statistics were calculated using Excel. NVivo 12® was used for data management and thematic analysis.
We conducted 25 interviews. Injured civilians were mostly males, average age of 27. The most common mechanism of injury was blast injury. Most patients underwent multiple surgeries as well as revision surgeries. The thematic analysis revealed three themes: 1- recall of the time of the incident, the thousand miles journey, and patients\' access to services; 2- post-trauma sequelae and services; and 3- long-term impact. Patients described the long-term burden including chronic pain, poor mobility, anxiety or depression, and limited activities of daily living.
Civilians injured during the July 2006 war described the traumatising events they endured during the war and the limited access to medical care during and post-war. Up until this study was conducted, affected civilians were still experiencing physical, psychological, and financial sequelae. Acknowledging the limitations of this study, which include a small sample size and recall bias, the findings underscore the necessity for the expansion of services catering to civilians injured during wartime.
The objectives of this paper were to identify and evaluate: 1- civilians\' access to healthcare and medicine under conditions of war; 2- the long-term socioeconomic burden on injured civilians; and 3- their quality of life more than a decade post-war. We adopted a mixed-method research design with an emphasis on the qualitative component. We conducted interviews with patients, collected clinical and financial data from hospital medical records, and administered a self-rated health questionnaire, the EQ-5D-5L. Simple descriptive statistics were calculated using Excel. NVivo 12® was used for data management and thematic analysis.
We conducted 25 interviews. Injured civilians were mostly males, average age of 27. The most common mechanism of injury was blast injury. Most patients underwent multiple surgeries as well as revision surgeries. The thematic analysis revealed three themes: 1- recall of the time of the incident, the thousand miles journey, and patients\' access to services; 2- post-trauma sequelae and services; and 3- long-term impact. Patients described the long-term burden including chronic pain, poor mobility, anxiety or depression, and limited activities of daily living.
Civilians injured during the July 2006 war described the traumatising events they endured during the war and the limited access to medical care during and post-war. Up until this study was conducted, affected civilians were still experiencing physical, psychological, and financial sequelae. Acknowledging the limitations of this study, which include a small sample size and recall bias, the findings underscore the necessity for the expansion of services catering to civilians injured during wartime.
摘要：
■黎巴嫩，一个位于地中海东岸的国家，是世界上较小的主权国家之一。在过去的几十年里，黎巴嫩经历了长期的政治动荡和几次武装冲突。2006年7月12日，标志着为期一个月的黎巴嫩战争的开始，造成数千人伤亡.人们对2006年7月战争期间战争伤害对平民造成的长期后果知之甚少。
■本文的目的是确定和评估：1-平民在战争条件下获得医疗保健和药品的机会；2-受伤平民的长期社会经济负担；以及3-战后十多年他们的生活质量。我们采用了混合方法研究设计，重点是定性部分。我们采访了病人，从医院医疗记录中收集临床和财务数据，并进行了自我评估的健康问卷，EQ-5D-5L.使用Excel计算简单的描述性统计数据。NVivo12®用于数据管理和主题分析。
■我们进行了25次采访。受伤的平民大多是男性，平均年龄27岁。最常见的损伤机制是爆炸伤。大多数患者接受了多次手术以及修正手术。主题分析揭示了三个主题:1-回忆事件发生的时间，千里之行,和患者获得服务；2-创伤后后遗症和服务；和3-长期影响。患者描述了包括慢性疼痛在内的长期负担，流动性差,焦虑或抑郁,日常生活活动有限。
■在2006年7月战争中受伤的平民描述了他们在战争期间遭受的创伤事件，以及在战争期间和战后获得医疗服务的机会有限。在这项研究进行之前，受影响的平民仍在经历身体，心理,和金融后遗症。认识到这项研究的局限性，其中包括小样本量和召回偏差，调查结果强调了扩大为战时受伤平民服务的必要性。
■本文的目的是确定和评估：1-平民在战争条件下获得医疗保健和药品的机会；2-受伤平民的长期社会经济负担；以及3-战后十多年他们的生活质量。我们采用了混合方法研究设计，重点是定性部分。我们采访了病人，从医院医疗记录中收集临床和财务数据，并进行了自我评估的健康问卷，EQ-5D-5L.使用Excel计算简单的描述性统计数据。NVivo12®用于数据管理和主题分析。
■我们进行了25次采访。受伤的平民大多是男性，平均年龄27岁。最常见的损伤机制是爆炸伤。大多数患者接受了多次手术以及修正手术。主题分析揭示了三个主题:1-回忆事件发生的时间，千里之行,和患者获得服务；2-创伤后后遗症和服务；和3-长期影响。患者描述了包括慢性疼痛在内的长期负担，流动性差,焦虑或抑郁,日常生活活动有限。
■在2006年7月战争中受伤的平民描述了他们在战争期间遭受的创伤事件，以及在战争期间和战后获得医疗服务的机会有限。在这项研究进行之前，受影响的平民仍在经历身体，心理,和金融后遗症。认识到这项研究的局限性，其中包括小样本量和召回偏差，调查结果强调了扩大为战时受伤平民服务的必要性。
