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童年期性虐待的康复:定性研究的元综合分析

Healing from Childhood Sexual Abuse: A Meta-Synthesis of Qualitative Studies.

作者信息

Jeong Sookyung, Cha Chiyoung

机构信息

a Department of Nursing , Wonkwang University , Iksan , South Korea.

b College of Nursing , Ewha Womans University , Seoul , South Korea.

出版信息

J Child Sex Abus. 2019 May-Jun;28(4):383-399. doi: 10.1080/10538712.2019.1574945. Epub 2019 Mar 11.

Abstract

Although the global prevalence of childhood sexual abuse (CSA) is very high, the experience of healing after such abuse has not been well documented. The goal of this study was to characterize the healing experience among CSA survivors presented in the literature. Metaethnography was used to synthesize an integrative literature review. The CINAHL, PubMed, PsycINFO, and Web of Science databases were used as data sources. Eight articles that explored healing experiences from CSA, published between 2007 and 2017, were included in the analysis. After performing a quality assessment, line-of-argument synthesis was used to construct the integrating scheme of healing experiences from CSA. CSA healing experiences included dissociating oneself from the memories of CSA, finding peace by creating a comfort zone, disclosure as the start of healing, attempting to establish identity through ongoing self-reflective activities, feeling comfort by sharing experiences and connecting with CSA survivors, and accepting CSA as part of the life history and stepping forward. Healing experiences from CSA synthesized from the analysis focused on personal growth, supporting previous theory on CSA health in the broader literature. A tailored care plan could be developed for CSA survivors who are at varying stages of healing.

摘要

尽管全球儿童性虐待(CSA)的发生率很高,但此类虐待后的康复经历尚未得到充分记录。本研究的目的是描述文献中CSA幸存者的康复经历。采用元民族志方法进行综合文献综述。使用CINAHL、PubMed、PsycINFO和Web of Science数据库作为数据来源。分析纳入了2007年至2017年间发表的8篇探讨CSA康复经历的文章。在进行质量评估后,采用论证线合成法构建CSA康复经历的整合方案。CSA康复经历包括将自己与CSA记忆分离、通过创建舒适区找到平静、披露作为康复的开始、通过持续的自我反思活动试图建立身份认同、通过分享经历和与CSA幸存者建立联系获得安慰,以及接受CSA作为生活历史的一部分并向前迈进。分析得出的CSA康复经历集中在个人成长方面,支持了更广泛文献中关于CSA健康的先前理论。可以为处于不同康复阶段的CSA幸存者制定量身定制的护理计划。

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