Burge Sandra K, Schneider F David, Ivy Linda, Catala Selina
Department of Family & Community Medicine, University of Texas Health Science Center, San Antonio 78229, USA.
Ann Fam Med. 2005 May-Jun;3(3):248-54. doi: 10.1370/afm.287.
We wanted to understand patients' views about physician interventions with family violence and conflict.
Clinic staff surveyed 253 male and female family practice patients in 6 member offices of the South Texas Ambulatory Research Network (STARNet). The survey instrument addressed demographics, relationship quality, intimate partner violence, and physician interventions with family conflict. Open-ended questions asked respondents to provide advice for "doctors who want to help patients with severe family problems."
Among women in relationships, 10% reported being physically hurt by a partner in the past year and 39% in their lifetimes. Among men in relationships, 7% reported physically hurting their partner in the past year and 16% in their lifetimes. Nearly all respondents, including 100% of victims and perpetrators of violence, believed physicians should ask about family conflict (96%), and that physicians could be helpful (93%). Two thirds of the sample reported that their physician had never asked them about family conflict. Investigators used qualitative analysis to summarize patients' advice to physicians. Responses clustered around 3 general themes: communication, assistance, and cautions or encouragement. Patients want physicians to ask about family conflict, listen to their stories, and provide information and appropriate referrals. They raised some cautions and concerns, but also provided words of encouragement.
Most patients are open to discussions about family conflict with their physicians. The skills they recommend to physicians are well within the domain of family medicine training.
我们希望了解患者对医生处理家庭暴力和冲突干预措施的看法。
诊所工作人员对南德克萨斯门诊研究网络（STARNet）6个成员办公室的253名男女家庭医疗患者进行了调查。调查问卷涉及人口统计学、关系质量、亲密伴侣暴力以及医生对家庭冲突的干预措施。开放式问题要求受访者为“希望帮助有严重家庭问题患者的医生”提供建议。
在处于恋爱关系的女性中，10%报告在过去一年中受到伴侣身体伤害，39%报告在其一生中曾受到伤害。在处于恋爱关系的男性中，7%报告在过去一年中对伴侣有身体伤害行为，16%报告在其一生中曾有过此类行为。几乎所有受访者，包括100%的暴力受害者和施暴者，都认为医生应该询问家庭冲突情况（96%），并且医生能够提供帮助（93%）。三分之二的样本报告称他们的医生从未询问过他们的家庭冲突情况。研究人员采用定性分析方法总结患者给医生的建议。回答集中在三个主要主题：沟通、协助以及警示或鼓励。患者希望医生询问家庭冲突情况，倾听他们的故事，并提供信息和适当的转诊建议。他们提出了一些警示和担忧，但也给予了鼓励的话语。
大多数患者愿意与医生讨论家庭冲突。他们向医生推荐的技能完全在家庭医学培训范围内。
