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[患者中的家庭暴力——被医护人员低估:来自德国萨克森州德累斯顿和开姆尼茨门诊临床机构以及德累斯顿医科大学住院部医护人员的自我报告数据]

[Domestic violence in patients - underestimated by medical staff: self-report data from medical staff of the outpatient clinical settings in Dresden and Chemnitz and of the inpatient departments of the Medical University of Dresden in Saxony, Germany].

作者信息

Epple Franziska, Croy Ilona, Schellong Julia

机构信息

Klinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl-Gustav-Carus der TU Dresden.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2011;105(6):452-8. doi: 10.1016/j.zefq.2010.09.040. Epub 2010 Nov 3.

Abstract

Medical staffs have a key role in the adequate treatment of victims of domestic violence. The present study collects self-report data about subjective perception, general knowledge and motivation for further training about domestic violence from medical staff of inpatient and outpatient clinical settings. A questionnaire was developed and sent to doctors, nursing staff, midwives, and psychotherapists working in outpatient clinical settings in Dresden and Chemnitz and in the inpatient departments of the Medical University of Dresden in Saxony, Germany. 1,107 (23%) of 4,886 distributed questionnaires were returned and analysed. The participants reported that they were seldom confronted with the consequences of domestic violence in their clinical practice. The unawareness among staff in specialised care facilities and advisory centres was highly noticeable. More than 90% of the participants did not know the main advisory centre for victims of domestic violence. Even if some facilities were known there was virtually no contact. The majority was not satisfied with the level of support they were able to offer. Further difficulties pointed out by participants included lack of time and the assumption that victims were unwilling to answer questions about domestic violence. The participants also expressed a high demand for further training.

摘要

医务人员在为家庭暴力受害者提供充分治疗方面发挥着关键作用。本研究收集了来自住院和门诊临床环境的医务人员关于家庭暴力的主观认知、一般知识以及进一步培训动机的自我报告数据。设计了一份问卷,并发送给在德国萨克森州德累斯顿和开姆尼茨的门诊临床环境以及德累斯顿医科大学住院部工作的医生、护理人员、助产士和心理治疗师。共发放4886份问卷,回收并分析了1107份(23%)。参与者报告称,他们在临床实践中很少遇到家庭暴力的后果。专业护理机构和咨询中心工作人员的意识淡薄非常明显。超过90%的参与者不知道家庭暴力受害者的主要咨询中心。即使知道一些机构,实际上也没有联系。大多数人对他们能够提供的支持水平不满意。参与者指出的其他困难包括时间不足以及认为受害者不愿意回答有关家庭暴力的问题。参与者还表达了对进一步培训的强烈需求。

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