Chen Yi-Wen, Yeh Lily, Feng Jui-Ying
Department of Nursing, National Cheng Kung University, ROC.
Hu Li Za Zhi. 2009 Aug;56(4):71-6.
Child abuse is a serious health problem, which threatens children and has a wide reaching effect on family and society. While the concept of child abuse and related factors have been widely explored in interdisciplinary studies, a definition of 'child abuse' that is both precise and consistent has yet to be given. Lack of such limits the ability of clinicians to identify child abuse in clinical settings, and creates difficulties in conducting rigorous scientific research studies. Therefore, the purpose of this paper was to analyze the concept of child abuse based on literature published between 1960 and 2008 (n = 32) using Walker and Avant's concept analysis model in which child abuse is determined along two dimensions. These dimensions include the objective physical dimension, which addresses children younger than 20 years of age who experience repeated injuries or whose history of injury is incompatible with the findings of physical examinations, and the subjective psychological dimension, which addresses children who were treated unfairly or malevolently and their subsequent subjective feelings. Antecedents consist of abuser, victim, and environmental characteristics. Consequences include both physical and psychological aspects. Nurses and other professionals should benefit from a clearer definition of child abuse in their clinical and research settings.
虐待儿童是一个严重的健康问题,它威胁着儿童,并对家庭和社会产生广泛影响。虽然虐待儿童的概念及相关因素已在跨学科研究中得到广泛探讨,但尚未给出一个精确且一致的“虐待儿童”定义。缺乏这样的定义限制了临床医生在临床环境中识别虐待儿童的能力,并给进行严谨的科学研究带来困难。因此,本文的目的是使用沃克和阿万特的概念分析模型,基于1960年至2008年间发表的文献(n = 32)分析虐待儿童的概念,在该模型中,虐待儿童是从两个维度来确定的。这些维度包括客观身体维度,涉及年龄小于20岁且遭受反复伤害或其受伤史与体格检查结果不符的儿童;以及主观心理维度,涉及受到不公平或恶意对待的儿童及其随后的主观感受。前因包括施虐者、受害者和环境特征。后果包括身体和心理两个方面。护士和其他专业人员应能从在临床和研究环境中对虐待儿童有更清晰的定义中受益。