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受虐妇女不寻求专业帮助的原因:一项定性研究。

Why abused women do not seek professional help: a qualitative study.

作者信息

Prosman Gert-Jan, Lo Fo Wong Sylvie H, Lagro-Janssen Antoine L M

机构信息

Department of Primary and Community Care Unit Gender & Women's Health, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.

出版信息

Scand J Caring Sci. 2014 Mar;28(1):3-11. doi: 10.1111/scs.12025. Epub 2013 Jan 28.

Abstract

OBJECTIVE

We aimed to gain insight into the process of help seeking of abused women visiting their family physician (FP).

SETTING

Family practice in Rotterdam, the Netherlands.

METHOD

We used a qualitative method with interviews in a sample of 14 abused women, identified in an earlier cross-sectional survey with the Composite Abuse Scale (CAS) and the Beck Depression Inventory (BDI). This qualitative method with semi-structured interviews was used to obtain information on the process of seeking help.

RESULTS

Unawareness of the impact of abuse on themselves and their children, unfamiliarity and negative experiences with professionals and fear for their partner hampers abused women to seek professional help. Our study reveals that abused women need informal support by family and friends to ask for professional support. Current health care does not fit into the needs of abused women during the abuse they want more practical support, after the abuse they need also psychological help. In our study, FPs and mothers pay less attention to the impact of witnessing violence on children.

CONCLUSION

When women are unaware of the negative consequences of IPV, the physical and mental well-being of themselves and their children they do not ask for professional support. Abused women view informal support is important in the changing process. FPs should be trained to pay more attention to informal support and be alert to children's well-being.

摘要

目的

我们旨在深入了解求助于家庭医生(FP)的受虐妇女的求助过程。

背景

荷兰鹿特丹的家庭医疗实践。

方法

我们采用定性方法,对14名受虐妇女进行访谈,这些妇女是在早期使用综合虐待量表(CAS)和贝克抑郁量表(BDI)进行的横断面调查中识别出来的。这种采用半结构化访谈的定性方法用于获取有关求助过程的信息。

结果

对虐待对自身及子女影响的认识不足、对专业人员的不熟悉和负面经历以及对伴侣的恐惧阻碍了受虐妇女寻求专业帮助。我们研究表明,受虐妇女需要家人和朋友的非正式支持来寻求专业支持。当前的医疗保健不符合受虐妇女的需求,在遭受虐待期间她们想要更多实际支持,在虐待之后她们也需要心理帮助。在我们的研究中,家庭医生和母亲较少关注目睹暴力对儿童的影响。

结论

当女性未意识到亲密伴侣暴力的负面后果及其自身和子女的身心健康时,她们不会寻求专业支持。受虐妇女认为非正式支持在转变过程中很重要。家庭医生应接受培训,更多地关注非正式支持并警惕儿童的幸福。

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