Swahnberg Katarina, Thapar-Björkert Suruchi, Berterö Carina
Division of Gender and Medicine, Department of Molecular and Clinical Medicine, Faculty of Health Sciences, Linköping University, Sweden.
J Psychosom Obstet Gynaecol. 2007 Sep;28(3):161-7. doi: 10.1080/01674820601143211.
In a study performed with The NorVold Abuse Questionnaire (NorAQ) among Nordic gynecological patients, the prevalence of lifetime abuse in health care (AHC) was 13 - 28%. In the present study we chose a qualitative approach. Our aim was to develop a more in-depth understanding of AHC; as experienced by female Swedish patients.
Qualitative interviews with 10 Swedish gynecological patients who had experienced AHC. The interviews were analyzed through Grounded Theory.
Saturation was reached after six interviews. In the analyses four categories emerged which explain what AHC meant to the participating women: felt powerless, felt ignored, experienced carelessness, and experienced non-empathy. To be nullified is the core category that theoretically binds the four categories together. The women's narratives described intensive current suffering even though the abusive event had taken place several years ago.
The fact that AHC exists is a critical dilemma for an institution that has the society's commission to cure and/or to alleviate pain and suffering. In their narratives, women described the experience of 'being nullified', a core category that embodies AHC.
在一项针对北欧妇科患者使用诺沃德虐待问卷(NorAQ)进行的研究中,医疗保健领域终身虐待(AHC)的患病率为13%-28%。在本研究中,我们采用了定性研究方法。我们的目的是更深入地了解瑞典女性患者所经历的AHC。
对10名经历过AHC的瑞典妇科患者进行定性访谈。通过扎根理论对访谈进行分析。
六次访谈后达到饱和。分析中出现了四个类别,解释了AHC对参与研究的女性意味着什么:感到无力、感到被忽视、经历粗心大意和经历缺乏同理心。“被否定”是从理论上将这四个类别联系在一起的核心类别。尽管虐待事件发生在几年前,但女性的叙述描述了她们目前强烈的痛苦。
AHC的存在这一事实对于一个肩负着社会治愈和/或减轻痛苦使命的机构来说是一个关键困境。在她们的叙述中,女性描述了“被否定”的经历,这是体现AHC的一个核心类别。