Sahebihagh Mohammad Hasan, Hosseini Seyedeh Zahra, Hosseinzadeh Mina, Shamshirgaran Seyed Morteza
Tabriz Health Sciences Management Research, Department of Community Health Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Member of Student Research Committee, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Int J Community Based Nurs Midwifery. 2017 Jul;5(3):264-274.
Child abuse is a widespread social phenomenon with serious life-time consequences. Since parents bring their children to healthcare centers for growth screening and vaccinations, Community Health Workers play an important role in identifying and reporting child abuse cases. Thus, the current study aimed to investigate knowledge, attitude and performance of Community Health Workers regarding child abuse in Tabriz.
This is a descriptive (cross-sectional) study; census method was used for sampling. Study population consists of 265 people, employed at units of family health and vaccination in Tabriz healthcare centers in 2015-2016. A questionnaire was used to collect the data. Data analysis was carried out using SPSS, version 23 through descriptive (mean and standard deviation) and analytical (Two Independent Samples T-test and analysis of variance) statistics.
Findings indicate that 58.5 percent of Community Health Workers had good knowledge about causes of child abuse and 45 percent had good knowledge of the signs, symptoms and complications of child abuse. Their total knowledge was good (57%). The mean score of awareness (knowledge) was significant according to the variable of training participation (P=0.04). The participants had a favorable attitude toward dealing with child abuse (91.3 %); the mean score of attitude was significant according to the educational field (P<0.001) and their performance in dealing with child abuse was moderate and lower (94.3 %).
Community Health Workers had good knowledge regarding child abuse, favorable attitude toward dealing with child abuse, and poor performance in dealing with child abuse. This may be due to fear of side issues to deal with child abuse, or lack of clear legal guidelines regarding this.
虐待儿童是一种普遍存在的社会现象，会产生严重的终生后果。由于父母会带孩子到医疗保健中心进行生长发育筛查和接种疫苗，社区卫生工作者在识别和报告虐待儿童案件方面发挥着重要作用。因此，本研究旨在调查大不里士地区社区卫生工作者对虐待儿童问题的知识、态度和表现。
这是一项描述性（横断面）研究；采用普查方法进行抽样。研究对象包括2015 - 2016年在大不里士医疗保健中心家庭健康与疫苗接种单位工作的265人。通过问卷调查收集数据。使用SPSS 23版软件进行数据分析，采用描述性统计（均值和标准差）以及分析性统计（两独立样本t检验和方差分析）。
研究结果表明，58.5%的社区卫生工作者对虐待儿童的原因有充分了解，45%的人对虐待儿童的体征、症状和并发症有充分认识。他们的总体知识水平良好（57%）。根据培训参与变量，意识（知识）的平均得分具有统计学意义（P = 0.04）。参与者对处理虐待儿童问题持积极态度（91.3%）；态度的平均得分根据教育领域具有统计学意义（P < 0.001），他们在处理虐待儿童问题上的表现中等偏下（94.3%）。
社区卫生工作者对虐待儿童问题有充分的知识，对处理虐待儿童问题持积极态度，但在处理虐待儿童问题上表现不佳。这可能是由于担心处理虐待儿童问题会引发其他问题，或者缺乏关于此问题的明确法律指导方针。
