Culver Wygant Carmella Rose, Bruera Eduardo, Hui David
Department of Social Work, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Department of Palliative Care and Rehabilitation Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
J Pain Symptom Manage. 2014 Apr;47(4):806-13. doi: 10.1016/j.jpainsymman.2013.05.018. Epub 2013 Aug 12.
Although a few studies have evaluated intimate partner violence (IPV) in the oncology setting, to our knowledge no studies exist of IPV among palliative care patients. IPV may be exacerbated at the end of life because patients and their caregivers often experience significant stressors associated with physical, emotional, social, and financial burdens. We discuss IPV in the palliative care setting using the example of a patient with advanced cancer who experienced IPV. A better understanding and awareness of IPV at the end of life could help clinicians support and counsel patients and ameliorate the suffering caused by this “unspoken” trauma. We further discuss 1) the prevalence and indicators of IPV, 2) how to initiate conversations about IPV, 3) the resources available to clinicians, and 4) various management strategies.
尽管有一些研究评估了肿瘤治疗环境中的亲密伴侣暴力（IPV），但据我们所知，尚无关于姑息治疗患者中IPV的研究。IPV在生命末期可能会加剧，因为患者及其护理人员经常会经历与身体、情感、社会和经济负担相关的重大压力源。我们以一名患有晚期癌症且经历过IPV的患者为例，讨论姑息治疗环境中的IPV。更好地理解和认识生命末期的IPV有助于临床医生支持和辅导患者，并减轻这种“难以启齿”的创伤所带来的痛苦。我们还将进一步讨论：1）IPV的患病率和指标；2）如何开启关于IPV的对话；3）临床医生可利用的资源；4）各种管理策略。
