针对遭受亲密伴侣暴力的孕妇进行解决问题技能培训的效果：一项随机对照试验。
The effect of training problem-solving skills for pregnant women experiencing intimate partner violence: a randomized control trial.
作者信息
Taghizadeh Ziba, Pourbakhtiar Maryam, Ghasemzadeh Sogand, Azimi Khadijeh, Mehran Abbas
机构信息
Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran.
School of Nursing and Midwifery, Tehran University of Medical Sciences, Iran.
出版信息
Pan Afr Med J. 2018 May 29;30:79. doi: 10.11604/pamj.2018.30.79.14872. eCollection 2018.
INTRODUCTION
Intimate partner violence (IPV) in pregnancy is considered as an additional threat to the maternal/fetal health. The present study was aimed to investigate the effectiveness of training problem-solving skills on IPV against pregnant women.
METHODS
The present randomized clinical trial was conducted on 125 and 132 women visiting the health centers of Tehran as the intervention and the control groups, respectively; samples were selected using random stratified cluster sampling. The intervention group underwent four problem-solving training sessions. Three months later, both groups completed the revised Conflict Tactics Scale questionnaire. Data were analyzed using SPSS v.16.
RESULTS
The mean (SD) ages of the participants were 27.51 (4.26) and 27.02 (4.26) years, respectively, in the control and the intervention groups. The rates of the physical and psychological violence were significantly reduced after the intervention in the intervention group. Risk differences of the physical, psychological and sexual violence before and after the intervention were 3% (95% CI: -8.23 to14.13, P = 0.6), 1.5% (95% CI: -4.93 to 8.03, P = 0.6) and 4.8% (95% CI: -7.11 to 16.52, P = 0.4) in the control group and 8.8% (95% CI: -3.47 to 20.71, P = 0.1), 25.4% (95% CI: 15.77 to 34.66, P < 0.001) and 4.9% (95% CI: -7.38 to16.97, P = 0.4) in the intervention group, respectively.
CONCLUSION
It seems that training this skill as a part of the routine prenatal care could be effective in reducing intimate partner violence.
引言
孕期亲密伴侣暴力被视为对孕产妇/胎儿健康的又一威胁。本研究旨在调查解决问题技能培训对针对孕妇的亲密伴侣暴力的有效性。
方法
本随机临床试验分别对125名和132名前往德黑兰健康中心的女性进行，她们分别作为干预组和对照组；样本采用随机分层整群抽样法选取。干预组接受了四次解决问题技能培训课程。三个月后，两组均完成了修订后的冲突策略量表问卷。数据使用SPSS v.16进行分析。
结果
对照组和干预组参与者的平均（标准差）年龄分别为27.51（4.26）岁和27.02（4.26）岁。干预组干预后身体暴力和心理暴力发生率显著降低。对照组干预前后身体暴力、心理暴力和性暴力的风险差异分别为3%（95%置信区间：-8.23至14.13，P = 0.6）、1.5%（95%置信区间：-4.93至8.03，P = 0.6）和4.8%（95%置信区间：-7.11至16.52，P = 0.4），干预组分别为8.8%（95%置信区间：-3.47至20.71，P = 0.1）、25.4%（95%置信区间：15.77至34.66，P < 0.001）和4.9%（95%置信区间：-7.38至16.97，P = 0.4）。
结论
作为常规产前护理的一部分培训这项技能似乎对减少亲密伴侣暴力有效。
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