Equilibre Humanitarian Association, Bucharest, Romania.
Int Psychogeriatr. 2010 May;22(3):403-8. doi: 10.1017/S104161020999161X. Epub 2010 Jan 25.
No previous studies have considered elder abuse in Eastern Europe. We aimed to determine the proportion of home care workers and older people receiving care in a Romanian home care service who correctly identified elder abuse in a vignette, and who had detected elder abuse at work.
In 2009, care workers and clients of a non-government home care organization serving four areas in Romania completed the Caregiver Scenario Questionnaire to measure ability to identify abuse. We asked the professionals whether they had detected a case of abuse.
35 (100%) professionals and 79 (65.8%) older people took part. Four (11.4%) professionals had encountered a case of elder abuse, two (5.7%) in the last year. No staff and only one older person correctly identified all four abusive strategies in a vignette. Staff with more professional caregiving experience recognized fewer abusive strategies (r = -0.46, p = 0.007).
Rates of identification were worryingly low among all professionals, and this was more marked if they had worked longer, suggesting their experiences may have reduced their ability to detect it. Mandatory abuse training for care professionals, and strategies to support reporters of suspected abuse, could help improve the management of elder abuse in all countries.
以往的研究都没有涉及东欧的虐待老人问题。我们旨在确定罗马尼亚家庭护理服务中家庭护理工作者和接受护理的老年人正确识别情景模拟中的虐待老人行为的比例，以及他们在工作中发现虐待老人行为的比例。
2009 年，在为罗马尼亚四个地区提供服务的非政府家庭护理组织中，护理工作者和客户完成了照顾者情景问卷，以衡量他们识别虐待的能力。我们询问专业人员是否发现过虐待案件。
共有 35 名（100%）专业人员和 79 名（65.8%）老年人参与了研究。有 4 名（11.4%）专业人员遇到过虐待老人的案例，其中 2 名（5.7%）是在过去一年中遇到的。没有工作人员和只有 1 名老年人能正确识别情景模拟中的所有 4 种虐待策略。具有更多专业护理经验的工作人员识别出的虐待策略较少（r = -0.46，p = 0.007）。
所有专业人员的识别率都令人担忧地低，如果他们的工作时间更长，这一比例会更加明显，这表明他们的经验可能降低了他们发现虐待的能力。为护理专业人员提供强制性的虐待培训，以及支持虐待举报者的策略，可以帮助所有国家改善虐待老人行为的管理。
