Sadowski Laura, Casteel Carri
Collaborative Research Unit, Cook County Hospital/Department of Internal Medicine, Rush Medical College, Chicago, USA.
BMJ Clin Evid. 2010 Feb 24;2010:1013.
Between 10% and 70% of women may have been physically or sexually assaulted by a partner at some stage, with assault rates against men reported at about one quarter of the rate against women. In at least half of people studied, the problem lasts for 5 years or more. Women reporting intimate partner violence (IPV) are more likely than other women to complain of poor physical or mental health, and of disability.
We conducted a systematic review and aimed to answer the following clinical question: What are the effects of interventions initiated by healthcare professionals aimed at female victims of intimate partner violence? We searched: Medline, Embase, The Cochrane Library, and other relevant databases up to September 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review).
We found 26 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
In this systematic review we present information relating to the effectiveness and safety of the following interventions: advocacy; career counselling plus critical consciousness awareness; cognitive behavioural counselling; cognitive trauma therapy; counselling; nurse support and guidance; peer support groups; safety planning; and shelters.
10%至70%的女性在某个阶段可能遭受过伴侣的身体或性侵犯,据报告男性遭受侵犯的比例约为女性的四分之一。在至少一半的研究对象中,这个问题持续5年或更长时间。报告亲密伴侣暴力(IPV)的女性比其他女性更有可能抱怨身心健康状况不佳和残疾。
我们进行了一项系统评价,旨在回答以下临床问题:医疗保健专业人员针对亲密伴侣暴力女性受害者采取的干预措施有哪些效果?我们检索了:截至2009年9月的Medline、Embase、Cochrane图书馆及其他相关数据库(Clinical Evidence综述会定期更新,请查看我们的网站获取本综述的最新版本)。
我们找到了26项符合我们纳入标准的系统评价、随机对照试验或观察性研究。我们对干预措施的证据质量进行了GRADE评估。
在本系统评价中,我们提供了以下干预措施的有效性和安全性相关信息:宣传;职业咨询加批判性意识培养;认知行为咨询;认知创伤治疗;咨询;护士支持与指导;同伴支持小组;安全规划;以及庇护所。