Patch Michelle, Anderson Jocelyn C, Campbell Jacquelyn C
Baltimore, MD; Pittsburgh, PA.
Baltimore, MD; Pittsburgh, PA.
J Emerg Nurs. 2018 Jul;44(4):384-393. doi: 10.1016/j.jen.2017.12.001. Epub 2017 Dec 30.
Nonfatal strangulation by a current or former intimate partner is a distinct mechanism of violence with the potential for severe injury or death. As nonfatal strangulation has gained recognition for its significant medical and legal implications, there have been multiple calls for nursing and other health care providers to improve practices related to strangulation screening, assessment, and treatment. Given that US estimates suggest higher prevalence of strangulation of women than of men, this integrative evidence review examines existing literature related to women's injuries and their subsequent experiences in seeking health care after surviving intimate partner strangulation.
Following PRISMA guidelines, 5 electronic databases were searched, ultimately resulting in 13 articles for inclusion.
Overall, nonfatal intimate partner strangulation was associated with multiple negative physical and psychological outcomes for women, although only 5% to 69% of strangled women sought health care in studies reporting this finding.
Nonprobability sampling, participant self-reports, and relatively small sample sizes were frequently encountered limitations across studies. Heterogeneity of women's ages and race/ethnicities also limited comparisons. However, existing research provides a beginning framework to support practice and future inquiry.
当前或前任亲密伴侣实施的非致命性勒颈是一种独特的暴力形式，有可能导致重伤或死亡。随着非致命性勒颈因其重大的医学和法律影响而得到认可，人们多次呼吁护理人员和其他医疗保健提供者改进与勒颈筛查、评估和治疗相关的做法。鉴于美国的估计表明，女性遭受勒颈的发生率高于男性，本综合证据综述考察了与女性受伤情况以及她们在亲密伴侣勒颈幸存后寻求医疗保健的后续经历相关的现有文献。
遵循PRISMA指南，检索了5个电子数据库，最终纳入13篇文章。
总体而言，非致命性亲密伴侣勒颈与女性多种负面的身体和心理后果相关，不过在报告这一发现的研究中，只有5%至69%的受勒颈女性寻求了医疗保健。
非概率抽样、参与者自我报告以及相对较小的样本量是各项研究中经常遇到的局限性。女性年龄和种族/民族的异质性也限制了比较。然而，现有研究为支持实践和未来探究提供了一个初步框架。
