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[暴力受害者的性别包容性护理:亚琛大学医院的“性别暴力概念”示范项目]

[Gender-inclusive care of victims of violence : The model project "Gender Gewaltkonzept" at the University Hospital Aachen].

作者信息

Evler A, Scheller M, Wagels L, Bergs R, Clemens B, Kohn N, Pütz A, Voss B, Schneider F, Habel U

机构信息

Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.

Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Nijmegen, Niederlande.

出版信息

Nervenarzt. 2016 Jul;87(7):746-52. doi: 10.1007/s00115-015-0024-6.

DOI:10.1007/s00115-015-0024-6
PMID:26628043
Abstract

Violence is a topic of great social relevance, frequently causing tremendous health consequences for those affected and high consequential costs for health care and the national economy. The established consulting and assistance services are usually restricted to offers for ambulant supply, mainly from private agencies or societies. As a result, there is no identification and care for patients who have experienced violence and who are treated in hospital. Another deficiency is the identification and care of male victims of violence. Despite wide-ranging offers of assistance, only very few gender-specific consulting and support services have been available to date.Therefore, the model project "Gender Gewaltkonzept" was initiated at Aachen University Hospital to assess the prevalence of violence and the potential consequences of the violence experienced on the patients' health. In addition, we investigated whether males and females are in need of different supply requirements.Based on the results of the project "Gender Gewaltkonzept" so far, and on prevalence estimates proving that there is a high rate of violent experiences in both males and females, this overview is aimed at presenting the aid and protection concepts available for victims of violence, in addition to the existing deficiencies of the care system. We present approaches to resolving these deficiencies to be able to establish all-encompassing gender-appropriate support for victims of violence.

摘要

暴力是一个具有重大社会意义的话题,常常给受害者带来巨大的健康后果,给医疗保健和国民经济造成高昂的成本。现有的咨询和援助服务通常仅限于提供门诊服务,主要来自私人机构或社团。因此,对于遭受暴力且在医院接受治疗的患者,没有进行识别和护理。另一个不足之处是对男性暴力受害者的识别和护理。尽管有广泛的援助服务,但迄今为止,针对特定性别的咨询和支持服务却非常少。因此,亚琛大学医院启动了“性别暴力概念”示范项目,以评估暴力的发生率以及所经历的暴力对患者健康的潜在后果。此外,我们还调查了男性和女性是否有不同的供应需求。根据“性别暴力概念”项目目前的结果,以及患病率估计表明男性和女性都有很高的暴力经历发生率,本综述旨在介绍针对暴力受害者的援助和保护概念,以及护理系统现有的不足之处。我们提出了解决这些不足的方法,以便能够为暴力受害者建立全面的、适合性别的支持。

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引用本文的文献

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Brain network changes in adult victims of violence.暴力成年受害者的脑网络变化
Front Psychiatry. 2023 Feb 2;14:1040861. doi: 10.3389/fpsyt.2023.1040861. eCollection 2023.

本文引用的文献

1
[Physical and psychological violence perpetration and violent victimisation in the German adult population: results of the German Health Interview and Examination Survey for Adults (DEGS1)].德国成年人群中的身体暴力和心理暴力实施情况及暴力受害情况:德国成年人健康访谈与检查调查(DEGS1)的结果
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 May;56(5-6):755-64. doi: 10.1007/s00103-013-1691-8.
2
[Costs of intimate partner violence against women. A systematic review].[亲密伴侣对女性暴力行为的代价。系统评价]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 May;55(5):715-27. doi: 10.1007/s00103-012-1482-7.
3
Child abuse as a life-course social determinant of adult health.
儿童虐待作为成人健康的生命历程社会决定因素。
Maturitas. 2010 May;66(1):51-5. doi: 10.1016/j.maturitas.2010.02.002. Epub 2010 Mar 6.
4
Sexual abuse and lifetime diagnosis of somatic disorders: a systematic review and meta-analysis.性虐待与躯体疾病的终生诊断:一项系统评价与荟萃分析。
JAMA. 2009 Aug 5;302(5):550-61. doi: 10.1001/jama.2009.1091.
5
[(Domestic) violence against women: socioeconomic consequences and societal costs. Introduction and overview].[(国内)针对妇女的暴力行为:社会经济后果及社会成本。引言与概述]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2009 Mar;52(3):330-8. doi: 10.1007/s00103-009-0795-7.