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[性别暴力:基层医疗护理人员的知识与态度]

[Gender violence: Knowledge and attitudes of nurses in Primary Care].

作者信息

Valdés Sánchez Carmen Ana, García Fernández Carla, Sierra Díaz Ángela

机构信息

Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Asturias, España.

Hospital San Agustín, Avilés, Asturias, España.

出版信息

Aten Primaria. 2016 Dec;48(10):623-631. doi: 10.1016/j.aprim.2016.01.003. Epub 2016 Mar 16.

DOI:10.1016/j.aprim.2016.01.003
PMID:26994656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6876001/
Abstract

AIM

To determine the knowledge and attitudes of nurses in Primary Care as regards gender violence and their relationship with socio-demographic factors and cases detected.

DESIGN

Cross-sectional, descriptive study.

LOCATION

Urban health centres.

PARTICIPANTS

A total of 167 nurses working in Primary Care.

MAIN MEASUREMENTS

A questionnaire was used that included questions related to knowledge, knowledge perception and attitudes to gender violence attitudes. Variables such as age, gender, marital status, work place and health area were also analysed.

RESULTS

The response rate was 114 (68.26%). The percentage of correct responses in the knowledge questions was 62.2%, with a medium level of knowledge being observed. Married nurses or couples living in a stable relationship obtained a higher score (95.2%, P=.077). The low detection (29%) is associated with marital status (P=.004), low knowledge (P=0,008), low knowledge perception (P=.001), lack of training (P=.03) and non-implementation of the gender violence protocol (P=.001). Nurses with low self-perception of their knowledge implement the protocol less often (OR=0.26; 95% CI: 0.1-0.7), and they consider that the lack of training is the main problem in determining the diagnosis (OR=11.24; 95% CI: 1.5-81.1).

CONCLUSIONS

The level of knowledge was adequate. Nurses have a lack of confidence in terms of their knowledge about gender violence. The detection and diagnosis attitudes are more related to self-perception of levels of knowledge than their real knowledge. Marital status influences the level of knowledge. Professionals state that the lack of training is the main problem to give an efficient healthcare response.

摘要

目的

确定基层医疗护理人员对性别暴力的认知和态度,以及它们与社会人口学因素和所发现案例之间的关系。

设计

横断面描述性研究。

地点

城市健康中心。

参与者

总共167名从事基层医疗工作的护士。

主要测量指标

使用了一份问卷,其中包括与性别暴力的知识、知识认知和态度相关的问题。还分析了年龄、性别、婚姻状况、工作地点和健康领域等变量。

结果

回复率为114(68.26%)。知识问题的正确回答率为62.2%,观察到的知识水平处于中等。已婚护士或处于稳定关系的伴侣得分更高(95.2%,P = 0.077)。低发现率(29%)与婚姻状况(P = 0.004)、低知识水平(P = 0.008)、低知识认知(P = 0.001)、缺乏培训(P = 0.03)和未实施性别暴力协议(P = 0.001)有关。对自身知识自我认知较低的护士较少实施该协议(比值比=0.26;95%置信区间:0.1 - 0.7),并且他们认为缺乏培训是确定诊断的主要问题(比值比=11.24;95%置信区间:1.5 - 81.1)。

结论

知识水平足够。护士对其性别暴力知识缺乏信心。发现和诊断态度与其知识水平的自我认知而非实际知识更相关。婚姻状况影响知识水平。专业人员表示缺乏培训是提供有效医疗应对的主要问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585b/6876001/09fe47fd9598/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585b/6876001/09fe47fd9598/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585b/6876001/09fe47fd9598/fx1.jpg

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本文引用的文献

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Aten Primaria. 2015 Oct;47(8):490-7. doi: 10.1016/j.aprim.2014.10.008. Epub 2015 Jan 2.
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How do primary health care professionals deal with pregnant women who are victims of domestic violence?
Rev Lat Am Enfermagem. 2014 May-Jun;22(3):448-53. doi: 10.1590/0104-1169.3108.2436.
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What are barriers to nurses screening for intimate partner violence?护士对亲密伴侣暴力进行筛查存在哪些障碍?
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Perception and Attitudes of Physicians and Nurses about Violence against Women.医生和护士对针对妇女暴力行为的认知与态度
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Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians.家庭暴力:英国部分初级保健临床医生的知识、态度和临床实践。
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