McConkey T E, Sole M L, Holcomb L
Rape Crisis Center, Daytona Beach, Fla., USA.
Nurse Pract. 2001 Jul;26(7 Pt 1):28-30, 33-4, 37-9; quiz 40-1.
Because sexual assault survivors often seek treatment in primary care settings, clinicians must be prepared to evaluate these patients in a nonjudgmental manner. The initial evaluation includes a medical and assault history. During the physical examination, physical injuries are noted and forensic evidence is collected. Treatment includes prophylaxis for pregnancy and sexually transmitted infections and counseling referrals. This article focuses on care of the adult female sexual assault survivor. Psychosocial support, physical examination, collection of evidence, treatment, and documentation are discussed.
由于性侵犯幸存者常常在初级保健机构寻求治疗,临床医生必须做好准备,以无偏见的方式对这些患者进行评估。初始评估包括医疗史和性侵史。体格检查时,要记录身体损伤情况并收集法医证据。治疗包括预防怀孕和性传播感染以及提供咨询转介服务。本文重点关注成年女性性侵犯幸存者的护理。文中讨论了心理社会支持、体格检查、证据收集、治疗及文件记录等方面。