Rodríguez-Blanes Gloria M, Vives-Cases Carmen, Miralles-Bueno Juan José, San Sebastián Miguel, Goicolea Isabel
Centro de Salud Pública de Alcoy (Alicante); Consellería de Sanidad Universal y Salud Pública, Generalitat Valenciana, España.
Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, Alicante, España; Grupo de Investigación de Salud Pública, Universidad de Alicante, Alicante, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España.
Gac Sanit. 2017 Sep-Oct;31(5):410-415. doi: 10.1016/j.gaceta.2016.11.008. Epub 2017 Feb 8.
Intimate partner violence (IPV) against women is a significant public health and human rights problem. Primary care professionals play a key role in detecting and addressing this issue. The aim of this study is to determine the frequency of IPV and its associated factors in primary care by means of a screening questionnaire and to describe the main actions taken in identified cases.
Cross-sectional study in 15 health centres in four autonomous regions of Spain with a total of 265 health professionals. The information was collected through the self-administered PREMIS questionnaire (Physician Readiness to Manage Intimate Partner Violence Survey), which includes variables concerning screening questions, sociodemographic factors, level of training/knowledge about IPV, perceptions and actions. A descriptive and analytical study was conducted.
67.2% of participants said they ask about IPV during consultations. The most frequent actions were: referring patients to other departments, individual counselling and information delivery. ≥21hours of training, an advanced training level, knowledge of policies and programmes and the implementation of an appropriate protocol and reference resources were all factors that increased the likelihood of investigating IPV. The asking of questions increases in line with professionals' perceived level of training in IPV and the provision of a case management protocol.
Two thirds of health professional respondents said they inquire about IPV. Given the influence of training in IPV and awareness of the resources to address the issue, it is essential to continue investing in the IPV training of healthcare personnel.
针对妇女的亲密伴侣暴力是一个重大的公共卫生和人权问题。初级保健专业人员在发现和解决这一问题方面发挥着关键作用。本研究的目的是通过一份筛查问卷确定初级保健中亲密伴侣暴力的发生率及其相关因素，并描述在已识别案例中采取的主要行动。
在西班牙四个自治区的15个健康中心进行横断面研究，共有265名卫生专业人员参与。通过自我管理的PREMIS问卷（医生处理亲密伴侣暴力的准备情况调查）收集信息，该问卷包括有关筛查问题、社会人口学因素、关于亲密伴侣暴力的培训/知识水平、认知和行动的变量。进行了描述性和分析性研究。
67.2%的参与者表示他们在会诊时会询问亲密伴侣暴力情况。最常见的行动是：将患者转诊至其他科室、提供个别咨询和信息。≥21小时的培训、高级培训水平、对政策和方案的了解以及实施适当的协议和参考资源都是增加调查亲密伴侣暴力可能性的因素。询问问题的情况随着专业人员对亲密伴侣暴力的感知培训水平和提供病例管理协议而增加。
三分之二的卫生专业受访者表示他们会询问亲密伴侣暴力情况。鉴于亲密伴侣暴力培训以及对解决该问题资源的认识的影响，继续投资于医护人员的亲密伴侣暴力培训至关重要。
