Dissertation/ Thesis
Perception by general practitioner about their role in the care of the stress disorders ; Perception par les médecins des forces de leur rôle dans la prise en charge des troubles psychiques post-traumatiques
| العنوان: | Perception by general practitioner about their role in the care of the stress disorders ; Perception par les médecins des forces de leur rôle dans la prise en charge des troubles psychiques post-traumatiques |
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| المؤلفون: | Grall, Benoît Yves |
| المساهمون: | Université Paris Descartes - Faculté de Médecine (UPD5 Médecine), Université Paris Descartes - Paris 5 (UPD5), École du Val de Grâce (EVDG), Service de Santé des Armées, Bertrand Lahutte |
| المصدر: | https://dumas.ccsd.cnrs.fr/dumas-01305029 ; Médecine humaine et pathologie. 2015. |
| بيانات النشر: | HAL CCSD |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Cas cliniques, Traumatismes psychiques, État de stress post-traumatique, Médecine militaire, Médecine générale, Évaluation des pratiques, Évaluation des pré-requis, MESH: Combat Disorders, MESH: Stress Disorders, Post-Traumatic, MESH: Military medicine, MESH: General practice, MESH: Peer review, health care, MESH: Review of reported cases, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| الوصف: | Introduction: Post-traumatic stress disorder is a major concern of the French Army Health Service who made military GPs the pivot of care courses and field actions. Previous works have shown that despite a good theoretical understanding of pathologies, difficulties remain in the care. We wanted to understand the motivations and the practices of military GPs about TPPT disregarding local opportunities. Patients and methods: A questionnaire by clinical cases was sent electronically to a sample of 400 metropolitan GPs. Results: 151 physicians answered our study. 66.1% had already established an initial diagnosis of traumatic mental disorder. They were related mainly with a military psychiatrist (93%). A restriction of fitness searched mainly to protect the patient from further traumatic encounter (44.5% in 1st choice). The identification of trauma patients had to apply to all personnel returning from foreign countries (88.1%) and by a self-administered questionnaire like PCL-S (23.9% in 1st choice) or collective information (21.8% in 1st choice). Responders were taking care of the direct and indirect witness of a traumatic event risk (71.9%) mainly to diagnose acute stress disorders (54.4% in 1st choice) using a collective information on psychological trauma (25.7% in 1st choice). The information provided to the patient on the evolution of disturbances was mainly focused on the need to support (36.3% in 1st choice) to positively support the evolution of symptoms (46.8% in 1st choice). Discussion: Despite the diversity of experiences and local practices, many principles of action are shared by military GPs. Early identifying and treat is approved by a large proportion of responders. Our study also shows the high exposure of healthcare professionals to traumatic situations. ; Introduction : Les troubles psychiques post-traumatiques sont une préoccupation majeure du Service de Santé des Armées qui a fait du médecin des forces le pivot du parcours de soin et des actions de terrain. Les travaux précédents ont montré ... |
| نوع الوثيقة: | master thesis |
| اللغة: | French |
| Relation: | dumas-01305029; https://dumas.ccsd.cnrs.fr/dumas-01305029; https://dumas.ccsd.cnrs.fr/dumas-01305029/document; https://dumas.ccsd.cnrs.fr/dumas-01305029/file/ThExe_GRALL_Benoit-Yves_DUMAS.pdf |
| الاتاحة: | https://dumas.ccsd.cnrs.fr/dumas-01305029 https://dumas.ccsd.cnrs.fr/dumas-01305029/document https://dumas.ccsd.cnrs.fr/dumas-01305029/file/ThExe_GRALL_Benoit-Yves_DUMAS.pdf |
| Rights: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.C0729E0C |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |