Vandenberghe Anke, Hendriks Bavo, Peeters Laura, Roelens Kristien, Keygnaert Ines
International Centre for Reproductive Health (ICRH), Department of Uro-Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, UZP114, 9000, Ghent, Belgium.
Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Ghent University Hospital, Corneel Heymanslaan 10, UZP3, 9000, Ghent, Belgium.
BMC Health Serv Res. 2018 Oct 22;18(1):807. doi: 10.1186/s12913-018-3608-6.
Having ratified the Convention of Istanbul, the Belgian federal government commits itself to the foundation of Sexual Assault Care Centres (SACC). In the light of researching the feasibility of these centres, this study aimed to evaluate the care for victims of sexual violence (SV) in Belgian hospitals anno 2016 as well as to formulate recommendations for the intended model.
Between April and October 2016, a questionnaire was distributed to 159 key health professionals active in 17 different hospitals attached to an AIDS Referral Centre. The survey covered four parts, i.e. the health professionals' profile, their knowledge, attitude and practices, an assessment of the hospital's policy and the caregivers' opinion on the care for victims of SV and on the intended SACCs. Subsequently, a descriptive analysis using 'IBM SPSS Statistics 23' was performed.
A total of 60 key health professionals representing 15 different hospitals completed the questionnaire resulting in a response rate of 38%. The results showed a lack of knowledge and practical experience of caregivers' regarding the care for SV victims. Approximately 30% of responders face personal or professional difficulties upon provision of care to victims of SV. Participants evaluate the current care as good, despite the limited psychosocial support, follow-up, insight for the needs of vulnerable groups and support for family, relatives and health professionals. Yet, the majority of health professionals appraise the SACCs as the best approach for both victims and caregivers.
By introducing a SACC, the Belgian federal government aims to provide holistic and patient-centred care for victims of SV. Essential in patient-centred health care is an extensive and continuous education, training and supervision of health professionals concerning the care for victims, support for family, relatives and caregivers. At the end and as a result of a participatory process with many professional experts as well as victims, a specific Belgian model, adjusted to the health care system anno 2016 was developed for piloting. The main challenges in establishing SACCs are situated at the institutional and policy level. Collaborating with other institutions and further research are herewith required.
比利时联邦政府批准了《伊斯坦布尔公约》后，致力于建立性侵犯护理中心（SACC）。鉴于研究这些中心的可行性，本研究旨在评估2016年比利时医院对性暴力受害者（SV）的护理情况，并为预期模式提出建议。
2016年4月至10月期间，向活跃于17家隶属于艾滋病转诊中心的不同医院的159名关键卫生专业人员发放了问卷。该调查涵盖四个部分，即卫生专业人员的概况、他们的知识、态度和做法、对医院政策的评估以及护理人员对性暴力受害者护理和预期性侵犯护理中心的看法。随后，使用“IBM SPSS Statistics 23”进行描述性分析。
共有代表15家不同医院的60名关键卫生专业人员完成了问卷，回复率为38%。结果显示，护理人员在性暴力受害者护理方面缺乏知识和实践经验。约30%的受访者在为性暴力受害者提供护理时面临个人或专业困难。尽管心理社会支持、后续跟进、对弱势群体需求的洞察以及对家庭、亲属和卫生专业人员的支持有限，但参与者认为当前的护理良好。然而，大多数卫生专业人员认为性侵犯护理中心对受害者和护理人员来说都是最佳方法。
通过引入性侵犯护理中心，比利时联邦政府旨在为性暴力受害者提供全面且以患者为中心的护理。以患者为中心的医疗保健的关键在于对卫生专业人员进行关于受害者护理、对家庭、亲属和护理人员支持的广泛且持续的教育、培训和监督。最后，经过与众多专业专家以及受害者的参与过程，制定了一个适应2016年医疗保健系统的特定比利时模式用于试点。建立性侵犯护理中心的主要挑战在于机构和政策层面。因此需要与其他机构合作并进行进一步研究。
