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一项针对香港受虐中国孕妇的赋权培训随机对照试验。

A randomised controlled trial of empowerment training for Chinese abused pregnant women in Hong Kong.

作者信息

Tiwari A, Leung W C, Leung T W, Humphreys J, Parker B, Ho P C

机构信息

Department of Nursing Studies, The University of Hong Kong, China.

出版信息

BJOG. 2005 Sep;112(9):1249-56. doi: 10.1111/j.1471-0528.2005.00709.x.

Abstract

OBJECTIVE

To evaluate the effectiveness of an empowerment intervention in reducing intimate partner violence (IPV) and improving health status.

DESIGN

Randomised controlled trial.

SETTING

Antenatal clinic in a public hospital in Hong Kong.

SAMPLE

One hundred and ten Chinese pregnant women with a history of abuse by their intimate partners.

METHODS

Women were randomised to the experimental or control group. Experimental group women received empowerment training specially designed for Chinese abused pregnant women while the control group women received standard care for abused women. Data were collected at study entry and six weeks postnatal.

MAIN OUTCOMES MEASURES

IPV [on the Conflict Tactics Scale (CTS)], health-related quality of life (SF-36) and postnatal depression [Edinburgh Postnatal Depression Scale (EPDS)].

RESULTS

Following the training, the experimental group had significantly higher physical functioning and had significantly improved role limitation due to physical problems and emotional problems. They also reported less psychological (but not sexual) abuse, minor (but not severe) physical violence and had significantly lower postnatal depression scores. However, they reported more bodily pain.

CONCLUSION

An empowerment intervention specially designed for Chinese abused pregnant women was effective in reducing IPV and improving the health status of the women.

摘要

目的

评估赋权干预在减少亲密伴侣暴力(IPV)及改善健康状况方面的效果。

设计

随机对照试验。

地点

香港一家公立医院的产前诊所。

样本

110名有亲密伴侣虐待史的中国孕妇。

方法

将女性随机分为实验组或对照组。实验组女性接受专门为受虐中国孕妇设计的赋权培训,而对照组女性接受针对受虐女性的标准护理。在研究开始时和产后六周收集数据。

主要结局指标

亲密伴侣暴力[采用冲突策略量表(CTS)]、健康相关生活质量(SF-36)和产后抑郁[爱丁堡产后抑郁量表(EPDS)]。

结果

培训后,实验组的身体功能显著更高,因身体问题和情感问题导致的角色受限情况显著改善。她们还报告遭受的心理(但非性)虐待、轻微(但非严重)身体暴力更少,产后抑郁得分显著更低。然而,她们报告的身体疼痛更多。

结论

专门为受虐中国孕妇设计的赋权干预在减少亲密伴侣暴力及改善女性健康状况方面有效。

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