Rodriguez Brieana, Mandich Madalyn
Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Arch Acad Emerg Med. 2019 Nov 24;7(1):e68. eCollection 2019.
Domestic violence (DV) is a problem defined as physical, sexual, and/or mental abuse used by one person in a relationship in order to gain control over the other. This study aimed to investigate what victims of domestic violence are experiencing when they present to the emergency department (ED).
The survey was conducted during the women's initial visit to Sojourner Family Peace Center (SFPC) in Milwaukee, WI. It included 22 questions assessing women's encounters with screening and treatment for domestic violence in the ED.
24 surveys were collected over 7 months. Thirteen women presented for treatment of injuries related or not related to abuse. Problems with abuse-related care they received were identified. 31% of women presenting with obvious signs of abuse, such as human bite wounds or head injury, were not screened. Four of 11 women were screened with family or law enforcement present. Nine of 11 were screened by a nurse, social worker, or police officer, not a physician. Four women felt rushed by healthcare professionals and that they did not genuinely care. Most noticeably, women were not screened at all.
DV screening must be done with no family present. Removing law enforcement from rooms is noted to make women feel more comfortable. If a family member is adamant about remaining with the patient, the patient can be removed for a blood draw or sensitive exam to attain privacy. Standardizing screening could aid in making DV victims feel less rushed and more at ease. The courageous women sharing personal stories help pave the way to better treatment for future victims of DV presenting to the ED.
家庭暴力（DV）是一个被定义为关系中的一方使用身体、性和/或精神虐待来控制另一方的问题。本研究旨在调查家庭暴力受害者在前往急诊科（ED）时的经历。
该调查在威斯康星州密尔沃基市索杰纳家庭和平中心（SFPC）对女性的初次就诊期间进行。它包括22个问题，评估女性在急诊科接受家庭暴力筛查和治疗的情况。
在7个月内收集了24份调查问卷。13名女性因与虐待相关或无关的伤害前来接受治疗。她们在接受的与虐待相关护理方面存在问题。31%有明显虐待迹象（如人类咬伤或头部受伤）的女性未接受筛查。11名女性中有4名是在家人或执法人员在场的情况下接受筛查的。11名女性中有9名是由护士、社会工作者或警官而非医生进行筛查的。4名女性感觉医护人员很匆忙，而且他们并不真心关心她们。最明显的是，女性根本没有接受筛查。
家庭暴力筛查必须在没有家人在场的情况下进行。注意将执法人员请出房间会让女性感觉更舒适。如果家庭成员坚持要和患者在一起，可以让患者离开去抽血或进行敏感检查以获得隐私。标准化筛查有助于让家庭暴力受害者感觉不那么匆忙，更自在。勇敢分享个人故事的女性有助于为未来前往急诊科的家庭暴力受害者获得更好的治疗铺平道路。
