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比利时性暴力受害者的当前护理和未来的性侵犯护理中心:受害者的视角。

Current care for victims of sexual violence and future sexual assault care centres in Belgium: the perspective of victims.

机构信息

International Centre for Reproductive Health (ICRH), Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, UZP114, B-9000, Ghent, Belgium.

Department of obstetrics and gynecology, CHU Saint Pierre, Université Libre de Bruxelles, rue Haute 320, 1000, Brussels, Belgium.

出版信息

BMC Int Health Hum Rights. 2019 Jun 27;19(1):21. doi: 10.1186/s12914-019-0207-5.

DOI:10.1186/s12914-019-0207-5
PMID:31248413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6598354/
Abstract

BACKGROUND

Sexual violence is a global health problem. After ratifying the Convention of Istanbul in 2016, this Belgian study was set up to map the perspective of victims of rape on the current sexual violence care provision in Belgium and to inquire on their need for more specialised and holistic care in future Sexual Assault Care Centres.

METHODS

Sixteen rape victims participated in this sub-study. A mixed-method design (questionnaire, in-depth interview or small focus group) was applied depending on the time elapsed between rape and participation. Descriptive Thematic Framework Analysis was performed in duo.

RESULTS

The participants thought it of utmost importance that every victim should receive all medical, psychological and forensic care without necessarily having to involve the police first. They stated that the current Belgian sexual violence care provision could be much more patient-centred, specifically the forensic examination and psychological care. Alongside medical and psychological consequences, victims emphasised the high personal financial and relational burden of sexual violence. The holistic care offered in Sexual Assault Care Centres was perceived to enhance the recovery process of victims of sexual violence. Their doors should be open to all victims and their relatives. They should not only provide acute care for the victim, but also improve victims' reintegration into society while reducing their personal costs significantly.

CONCLUSION

All care for victims of sexual violence, especially forensic and psychological care, needs drastic improvement in Belgium. All participants agreed that having specialised, multidisciplinary and longitudinal care in a Sexual Assault Care Centre that would be open 24/7 for everyone, victims and their significant others, would be an improvement to the currently available care all over Belgium.

TRIAL REGISTRATION

This research was registered on April 1st 2016. Registration number B670201628242.

摘要

背景

性暴力是一个全球性的健康问题。在 2016 年批准《伊斯坦布尔公约》后,这项比利时研究旨在绘制强奸受害者对当前比利时性暴力护理服务的看法,并调查他们未来在性侵犯护理中心对更专业和全面护理的需求。

方法

这项子研究纳入了 16 名强奸受害者。根据强奸发生与参与之间的时间间隔,采用了混合方法设计(问卷、深入访谈或小型焦点小组)。采用双人描述性主题框架分析进行分析。

结果

参与者认为,每位受害者都应获得所有医疗、心理和法医护理,而不必先与警方联系,这一点至关重要。他们指出,当前比利时的性暴力护理服务可以更加以患者为中心,特别是法医检查和心理护理。除了医疗和心理后果外,受害者还强调了性暴力给个人带来的巨大经济和人际关系负担。性侵犯护理中心提供的整体护理被认为可以增强性暴力受害者的康复过程。这些中心应该向所有受害者及其亲属开放。它们不仅应为受害者提供急性护理,还应改善受害者的社会融入,同时大大降低其个人成本。

结论

比利时所有性暴力受害者的护理,特别是法医和心理护理,都需要大幅改善。所有参与者都同意,在性侵犯护理中心提供专业、多学科和纵向护理,该中心 24/7 对所有人开放,包括受害者及其重要他人,将改善比利时各地现有的护理服务。

试验注册

这项研究于 2016 年 4 月 1 日注册。注册号为 B670201628242。

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本文引用的文献

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Establishing Sexual Assault Care Centres in Belgium: health professionals' role in the patient-centred care for victims of sexual violence.在比利时设立性侵犯护理中心:医疗专业人员在为性暴力受害者提供以患者为中心的护理中的作用。
BMC Health Serv Res. 2018 Oct 22;18(1):807. doi: 10.1186/s12913-018-3608-6.
2
Towards a more integrated and gender-sensitive care delivery for victims of sexual assault: key findings and recommendations from the Belgian sexual assault care centre feasibility study.为性侵受害者提供更加综合和性别敏感的护理服务:来自比利时性侵护理中心可行性研究的主要发现和建议。
Int J Equity Health. 2018 Sep 24;17(1):152. doi: 10.1186/s12939-018-0864-3.
3
Mental health, sexual violence and the work of Sexual Assault Referral centres (SARCs) in England.心理健康、性暴力与英格兰性侵犯转介中心(SARCs)的工作
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The Relationship Between Childhood Gender Nonconformity and Experiencing Diverse Types of Homophobic Violence.儿童性别不一致与经历不同类型恐同暴力之间的关系。
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