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亲密伴侣暴力幸存者的健康教育需求:女性幸存者和社会服务提供者的观点

Health education needs of intimate partner violence survivors: Perspectives from female survivors and social service providers.

作者信息

Ferranti Dina, Lorenzo Dalia, Munoz-Rojas Derby, Gonzalez-Guarda Rosa M

机构信息

MHP Salud, Tampa, FL, USA.

School of Business Administration, University of Miami, Coral Gables, FL, USA.

出版信息

Public Health Nurs. 2018 Mar;35(2):118-125. doi: 10.1111/phn.12374. Epub 2017 Nov 26.

Abstract

OBJECTIVE

To explore the health education needs and learning preferences of female intimate partner violence (IPV) survivors in a social service agency located in South Florida, United States.

DESIGN AND SAMPLE

An exploratory two-phase sequential mixed-methods study was completed through semistructured interviews with social service providers (n = 10), followed by a survey with predominately female IPV survivors (n = 122, 98.4%).

MEASURES

Data obtained from interviews with social service providers were analyzed through conventional thematic content analysis. Data from interviews were used in developing a health survey completed by IPV survivors and analyzed utilizing descriptive statistics, chi-square tests and t tests.

RESULTS

Three themes emerged from interviews including multidimensional health needs, navigating barriers to health care, and self-improvement specific to survivors of intimate partner violence. Survey results indicated that depression and self-esteem were the health education needs of highest priority. Demographic characteristics, including age and language use, were significantly associated to preferred methods of learning, p < .05.

CONCLUSIONS

IPV survivors present with various health education needs. Current study findings can inform public health nurses in developing interventions or health-based programs for female IPV survivors in social service agency settings.

摘要

目的

探讨美国南佛罗里达州一家社会服务机构中女性亲密伴侣暴力(IPV)幸存者的健康教育需求和学习偏好。

设计与样本

通过对社会服务提供者(n = 10)进行半结构化访谈,随后对主要为女性的IPV幸存者(n = 122,占98.4%)进行调查,完成了一项探索性的两阶段序列混合方法研究。

测量方法

通过传统主题内容分析法对从社会服务提供者访谈中获得的数据进行分析。访谈数据用于制定由IPV幸存者完成的健康调查问卷,并利用描述性统计、卡方检验和t检验进行分析。

结果

访谈中出现了三个主题,包括多维健康需求、应对医疗保健障碍以及亲密伴侣暴力幸存者特有的自我提升。调查结果表明,抑郁和自尊是最优先的健康教育需求。人口统计学特征,包括年龄和语言使用,与偏好的学习方法显著相关,p < .05。

结论

IPV幸存者存在各种健康教育需求。当前的研究结果可为公共卫生护士在社会服务机构环境中为女性IPV幸存者制定干预措施或基于健康的项目提供参考。

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