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一项多中心儿童虐待研究:28例病例的多学科随访

A multicenter child maltreatment study: twenty-eight cases followed-up on a multidisciplinary basis.

作者信息

Oral R, Can D, Hanci H, Miral S, Erşahin Y, Tepeli N, Bulguç A G, Tiraş B

机构信息

Dr. Behçet Uz Children's Hospital, Izmir.

出版信息

Turk J Pediatr. 1998 Oct-Dec;40(4):515-23.

Abstract

Twenty-eight maltreated cases were presented in this multicenter study. Hospital distribution was as follows: Dr. Behçet Uz Children's Hospital, 54 percent; Dokuz Eylül University Hospital, 21 percent; Ege University Hospital, 14 percent; Tepecik Social Security Hospital, 7 percent; Atatürk State Hospital, 4 percent. Age and sex distribution was two months to 25 years and 43 percent male, 57 percent female. The offender was the father in 71 percent, the mother in 32 percent and multiple in 25 percent of the cases. More than three child maltreatment risk factors were present in 93 percent. Nineteen patients (68%), nine of which were effectively followed-up were reported to the Social Affairs Bureau. Sixty-four percent gained acceptable health with the support of our team, 14 percent died, and 21 percent failed to comply with follow-up. A multidisciplinary group may interfere both medically and socially with these cases to interrupt the course of maltreatment. Every children's hospital needs such a team to increase diagnosis establishment necessary to initiate social support.

摘要

这项多中心研究呈现了28例受虐病例。医院分布情况如下:贝赫切特·乌兹儿童医院,54%;多库兹艾吕尔大学医院,21%;伊兹密尔埃杰大学医院,14%;泰佩奇社会保障医院,7%;阿塔图尔克州立医院,4%。年龄和性别分布为2个月至25岁,男性占43%,女性占57%。在71%的病例中施虐者为父亲,32%为母亲,25%为多人。93%的病例存在三种以上儿童虐待风险因素。19名患者(68%),其中9名得到有效随访,已向社会事务局报告。在我们团队的支持下,64%的患者健康状况得到改善,14%死亡,21%未遵守随访。多学科团队可以从医疗和社会两方面对这些病例进行干预,以中断虐待行为的进程。每家儿童医院都需要这样一个团队,以增加启动社会支持所需的诊断。

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