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俄克拉荷马护士协会2005年代表大会决议。亲密伴侣暴力评估、干预与记录。

Oklahoma Nurses Association 2005 House of Delegates resolution. Intimate partner violence assessment, intervention and documentation.

出版信息

Okla Nurse. 2005;50(4):7.

Abstract

Intimate Partner Violence (IPV), physical and/or sexual assault of a spouse or intimate partner, has been highly associated with severe health problems such as chronic pain, recurring central nervous system symptoms, injuries, chronic disabilities, gastrointestinal disorders, sexually transmitted diseases, gynecological disorders, unintended pregnancies, depression, substance abuse, and post traumatic stress disorder. Statistically, 40-50% of women in IPV experience both physical and sexual assault. IPV is also associated with 3-13% of pregnancies, posing a threat to health and risk of death for the mother or fetus or both from trauma. Further, 40-60% of female murders in North America are committed by intimate partners. Oklahoma ranks 13th in the nation for women murdered by men in single victim, single offender incidents. IPV associated mortality also includes suicide of women with chronic depression related to violence. Women involved with IPV utilize health care providers and the health care system 3 times more frequently than non-battered women' and generate 92% more health plan costs per year as compared to non-battered women. There is sufficient research concurrence to demonstrate a significant number of women in Oklahoma, the nation and world have severe short and long term physical and mental health effects from IPV. Some victims of IPV may turn to health care professionals for help while other victims are fearful of asking for such assistance. Therefore, it is critical that nurses, as the largest group of health care providers and often the first to come in contact with a victim of IPV, do not miss an opportunity for accurate assessment, appropriate intervention and documentation of IPV in order to provide for a safe, timely and healthy resolution.

摘要

亲密伴侣暴力(IPV),即配偶或亲密伴侣遭受的身体和/或性侵犯,与慢性疼痛、反复出现的中枢神经系统症状、伤害、慢性残疾、胃肠疾病、性传播疾病、妇科疾病、意外怀孕、抑郁症、药物滥用以及创伤后应激障碍等严重健康问题高度相关。据统计,40%-50%遭受亲密伴侣暴力的女性同时经历身体和性侵犯。亲密伴侣暴力还与3%-13%的怀孕相关,对母亲或胎儿或两者因创伤而造成的健康和死亡风险构成威胁。此外,在北美,40%-60%的女性谋杀案是由亲密伴侣实施的。在单受害者、单犯罪者事件中,俄克拉荷马州男性谋杀女性的案件数量在全国排名第13。亲密伴侣暴力相关的死亡率还包括患有与暴力相关的慢性抑郁症的女性自杀。遭受亲密伴侣暴力的女性利用医疗保健提供者和医疗保健系统的频率比未受虐待的女性高出3倍,并且每年产生的医疗计划费用比未受虐待的女性高出92%。有足够的研究共识表明,俄克拉荷马州、美国乃至全世界有相当数量的女性因亲密伴侣暴力而受到严重的短期和长期身心健康影响。一些亲密伴侣暴力的受害者可能会向医疗保健专业人员寻求帮助,而其他受害者则害怕寻求此类帮助。因此,至关重要的是,护士作为最大的医疗保健提供者群体,而且往往是最先接触亲密伴侣暴力受害者的人,不要错过准确评估、适当干预和记录亲密伴侣暴力的机会,以便提供安全、及时和健康的解决方案。

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