Jungbluth P, Wild M, Hakimi M, Betsch M, Dassler K, Möller-Herckenhoff L, Windolf J, Ritz-Timme S, Graß H
Klinik für Unfall- und Handchirurgie, Heinrich-Heine-Universität, Düsseldorf.
Z Orthop Unfall. 2012 Feb;150(1):89-97. doi: 10.1055/s-0031-1280168. Epub 2011 Nov 7.
People who have become victims of violence have manifold problems. Besides medical diagnostics and therapy, it is necessary to recognise the situation in which these patients have become such victims, to document the consequences of this violence for use in court and to offer further assistance. Victims of violence often contact primarily a trauma ambulance. The optimisation of the medical treatment of the victims is a relevant traumatological topic, which so far has received only very scant attention. Therefore the aim of this study was to evaluate the necessity for an interdisciplinary combination of treatments for the targeted treatment of these victims.
Using a standardised data card a retrospective data analysis of all out-patients and all in-patients of a trauma centre with regard to the existence of a violent context was carried out for the year 2004. All such cases were included and the data were evaluated descriptively according to age, gender, information about the act of violence, consequences thereof, type and scope of the diagnostic findings, as well as inducements for further measures. In this context we differentiated between "domestic violence" and "public violence".
The data of 7132 patients were evaluated. Altogether 347 victims of violence were identified (among them 109 victims of "public violence", 59 victims of domestic violence, and 179 cases that could not be allocated clearly). This results in a quota of 4.9% of all patients treated. The average age of the victims was 30.6 years. It was striking that in many cases the anamnesis and documentation were rather fragmentary.
A very high percentage of victims of violence could be found among the patients needing traumatological treatment. With regard to the fragmentary care there is an enormous need for medical training and interdisciplinary treatment of victims of violence.
暴力受害者存在多种问题。除了医学诊断和治疗外，有必要了解这些患者成为受害者的情境，记录暴力行为的后果以供法庭使用，并提供进一步的援助。暴力受害者通常首先联系创伤急救车。优化对受害者的医疗救治是一个相关的创伤学主题，迄今为止该主题仅受到极少关注。因此，本研究的目的是评估对这些受害者进行针对性治疗时采用跨学科联合治疗的必要性。
使用标准化数据卡，对2004年创伤中心所有门诊患者和住院患者中存在暴力背景的情况进行回顾性数据分析。纳入所有此类病例，并根据年龄、性别、暴力行为信息、其后果、诊断结果的类型和范围以及进一步措施的诱因进行描述性评估。在此背景下，我们区分了“家庭暴力”和“公共暴力”。
对7132例患者的数据进行了评估。共识别出347名暴力受害者（其中109名“公共暴力”受害者，59名家庭暴力受害者，179例无法明确归类）。这导致在所有接受治疗的患者中占比4.9%。受害者的平均年龄为30.6岁。值得注意的是，在许多情况下，病史采集和记录相当不完整。
在需要创伤治疗的患者中可发现相当高比例的暴力受害者。鉴于护理的不完整性，对暴力受害者进行医学培训和跨学科治疗有巨大需求。
