Using Theories of Posttraumatic Stress to Inform Perinatal Care Clinician Responses to Trauma Reactions.

Using Theories of Posttraumatic Stress to Inform Perinatal Care Clinician Responses to Trauma Reactions.
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使用创伤后应激理论告知围产期护理临床医生对创伤反应的反应。

DOI:
10.1111/jmwh.13287
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发表时间:
2021-09
期刊:
Journal of midwifery & women's health
影响因子:
--
通讯作者:
Seng JS
Seng JS
中科院分区:
其他
文献类型:
--
作者:
Granner JR;Seng JS

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对解决医疗保健中创伤的重要性的认识正在迅速增加。医疗保健提供者可能正在积极寻求通过创伤信息连续护理来解决影响患者的创伤后遗症的方法。这样的连续体包括普遍的方法、有针对性的干预(即做法和方案)、创伤后应激障碍(PTSD)的专家治疗以及对历史性和代际创伤的反应。客户演示及其需求是高度个性化的。因此,理解导致创伤后应激障碍的主要理论可能有助于围产期护理专业人员调整他们的实践,使其成为创伤信息和创伤专有的。本文的目的是回顾与围产期实践相关的创伤后应激障碍的四种理论,并提出一个基于证据的实践框架,该框架鼓励与客户价值观和偏好一致的协作性选择。简要总结了目前基于证据的创伤后应激障碍治疗指南。
Understanding of the importance of addressing trauma in health care is increasing rapidly. Health care providers may be actively seeking ways to address trauma sequelae affecting their patients with a trauma-informed continuum of care. Such a continuum includes a universal approach, targeted interventions (ie, practices and programs), and specialist treatment for posttraumatic stress disorder (PTSD), as well as responses to historic and intergenerational trauma. Client presentations and their needs are highly individualized. Therefore, an understanding of prominent theories of what causes PTSD may assist perinatal care professionals in adapting their practice to be trauma-informed and trauma-specific. The purpose of this article is to review 4 theories of PTSD relevant to perinatal practice and present an evidence-based practice framework that encourages collaborative choices consistent with client values and preferences. A brief summary of current evidence-based PTSD treatment guidelines is presented.
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