Han Young Ran
Department of Nursing, College of Medicine, Dongguk University, Gyeongju-si, Gyeongsangbuk-do, Korea.
Public Health Nurs. 2008 Jan-Feb;25(1):88-97. doi: 10.1111/j.1525-1446.2008.00683.x.
The purpose of this study was to examine the experience of home health nursing personnel (HHNP) in identifying wife abuse and intervening with victims during home health visits, and to analyze responses to a what-if scenario involving visiting a woman who implies her husband is abusive.
A cross-sectional, descriptive design with a questionnaire survey was used and included the public health nurse's practice response to women who are abused (PHNR).
From 243 public health centers nationwide, 373 HHNPs participated.
Over the past year, 31.6% had identified abused women (average of 2.2 victims per HHNP) and 12.3% had intervened. The mean score for the PHNR was 55.76 (out of a possible 80), indicating higher value on thoughts, feelings, and actions to support abused women. Significant differences were found in the mean scores for age and position (nurse or nurse aide). The mean percentage of correct PHNR responses was 70.4%. The results showed a low level of competency and difficulty in initiating the topic of abuse, and a higher level of understanding methods to approach abused women. Time limit was not a hindrance to intervention.
The findings indicate the need for education programs to increase self-efficacy and promote effective recognition and interventions for these women.
本研究旨在考察家庭健康护理人员（HHNP）在家庭健康访视期间识别妻子受虐情况并对受害者进行干预的经历，并分析他们对一种假设情景的反应，该情景涉及访视一位暗示其丈夫有虐待行为的女性。
采用横断面描述性设计，并进行问卷调查，其中包括公共卫生护士对受虐女性的实践反应（PHNR）。
来自全国243个公共卫生中心的373名家庭健康护理人员参与了研究。
在过去一年中，31.6%的人识别出了受虐女性（每位家庭健康护理人员平均识别出2.2名受害者），12.3%的人进行了干预。公共卫生护士对受虐女性实践反应的平均得分为55.76分（满分80分），表明在支持受虐女性的想法、感受和行动方面得分较高。在年龄和职位（护士或护理助理）的平均得分上发现了显著差异。公共卫生护士对受虐女性实践反应的正确回答的平均百分比为70.4%。结果显示，在开启虐待话题方面能力水平较低且存在困难，而在了解接近受虐女性的方法方面水平较高。时间限制并非干预的障碍。
研究结果表明需要开展教育项目，以提高自我效能，并促进对这些女性进行有效的识别和干预。
