Mesh : Humans New Zealand / epidemiology Veterans / psychology Male World War I Stress Disorders, Post-Traumatic / epidemiology psychology Adult Middle Aged History, 20th Century

来  源:   DOI:10.26635/6965.6514

Abstract:
OBJECTIVE: Armed conflict remains a tragic feature of the modern world and so it is necessary to continue to study its health impacts. Even the study of historical conflicts is relevant given that certain health impacts are common to most wars e.g., post-traumatic stress disorder (PTSD).
METHODS: This study built on a previous quantitative analysis of a randomly selected group of 200 New Zealand veterans from the First World War (WWI). From this sample we selected 10 cases that illustrated particular themes around morbidity impacts.
RESULTS: The theme of severity of impacts was illustrated with a case who was severely wounded and died from suicide when back in New Zealand, and another case with severe PTSD. The theme of the high frequency of non-fatal conditions was revealed with cases illustrating new diagnoses (a case with n=8 diagnoses), hospitalisations for new conditions (n=6), non-fatal injury events (n=3) and for sexually transmitted infections (n=3). The theme of chronic debility as a consequence of various conditions was illustrated with cases who had suffered from being gassed or having gastroenteritis, malaria or pandemic influenza.
CONCLUSIONS: These 10 selected cases reiterate how severe and extensive the morbidity burden for military personnel in WWI could be. Also illustrated is how the morbidity could contribute to adverse impacts on some of their lives after returning to New Zealand.
摘要:
目的:武装冲突仍然是现代世界的悲剧性特征,因此有必要继续研究其对健康的影响。甚至对历史冲突的研究也是相关的,因为某些健康影响对大多数战争都是常见的,例如,创伤后应激障碍(PTSD)。
方法:这项研究建立在先前对200名来自第一次世界大战(WWI)的新西兰退伍军人进行定量分析的基础上。从这个样本中,我们选择了10个案例,这些案例说明了围绕发病率影响的特定主题。
结果:影响的严重性的主题是一个案例,该案例在新西兰时严重受伤并死于自杀,还有一个严重的创伤后应激障碍病例.非致命疾病发生频率高的主题揭示了新诊断的病例(n=8诊断的病例),住院新情况(n=6),非致命性损伤事件(n=3)和性传播感染(n=3)。由于各种情况而导致的慢性虚弱的主题以遭受毒气或肠胃炎的病例为例进行了说明,疟疾或大流行性流感。
结论:这10个选定的病例重申了第一次世界大战中军事人员的发病率负担可能是多么严重和广泛。还说明了这种发病率如何在返回新西兰后对他们的某些生活造成不利影响。
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