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一项针对有家庭暴力背景的住院患者的家庭功能、健康及社会支持的横断面描述性研究。

A cross-sectional descriptive study of the family functioning, health and social support of hospital patients with family violence backgrounds.

作者信息

Kivelä Salla, Leppäkoski Tuija, Helminen Mika, Paavilainen Eija

机构信息

Faculty of Social Sciences (Nursing Science), University of Tampere, Tampere, Finland.

The Hospital District of South Ostrobothnia, Seinäjoki, Finland.

出版信息

Scand J Caring Sci. 2018 Sep;32(3):1083-1092. doi: 10.1111/scs.12554. Epub 2017 Dec 19.

Abstract

Family violence (FV) has serious effects on the health and well-being of the family. The health sector plays a vital role in FV prevention by helping to identify abuse early, providing victims with the necessary treatment and referring patients to appropriate care. The aim of the present cross-sectional study was to describe the prevalence of FV among hospital patients, as well as to assess the association between family functioning, health and social support, considering patients as the perpetrators or victims of violence. The data were collected using a Family Functioning, Health and Social Support (FAFHES) questionnaire that was given to patients who visited a Finnish central hospital between October 2012 and April 2013. As a result, the data (N = 188) were contributed by the patients who returned the questionnaire and gave permission for a follow-up survey. The participation rate was 47%, of which 73% were women and 27% were men. Their ages ranged from 18 to 89 years. The data were analysed with quantitative methods using the unadjusted analyses and linear regression model. In total, 24% of both the male and female participants had experienced or used violence at home or in the family. Of these, 22 had been the perpetrators, and 23 had been the victims. Participants in relationships and who were living together had less violence than singles and those who were not living together. The family functioning and health of the participants who had experienced or used FV were worse than those of the participants who had not. Various patients can have an FV background, and nursing professionals are on the front line to identify and intervene in FV situations. The results of this study can be utilised in the treatment of FV victims and perpetrators by training healthcare workers to identify and intervene in violence.

摘要

家庭暴力(FV)对家庭的健康和幸福有着严重影响。卫生部门在预防家庭暴力方面发挥着至关重要的作用,通过帮助早期识别虐待行为、为受害者提供必要的治疗以及将患者转介至适当的护理机构。本横断面研究的目的是描述医院患者中家庭暴力的患病率,并评估家庭功能、健康和社会支持之间的关联,将患者视为暴力行为的实施者或受害者。数据收集采用了家庭功能、健康和社会支持(FAFHES)问卷,该问卷发放给了2012年10月至2013年4月期间前往芬兰一家中心医院就诊的患者。结果,数据(N = 188)由返还问卷并同意进行后续调查的患者提供。参与率为47%,其中73%为女性,27%为男性。他们的年龄在18岁至89岁之间。数据采用定量方法进行分析,使用了未调整分析和线性回归模型。总体而言,男性和女性参与者中均有24%在家中或家庭中经历过或使用过暴力。其中,22人是实施者,23人是受害者。处于恋爱关系且同居的参与者遭受的暴力比单身者和非同居者少。经历过或使用过家庭暴力的参与者的家庭功能和健康状况比未经历过的参与者更差。各类患者都可能有家庭暴力背景,护理专业人员处于识别和干预家庭暴力情况的前沿。本研究结果可用于培训医护人员识别和干预暴力行为,以治疗家庭暴力的受害者和实施者。

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