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利雅得一家三级医院医生对虐待儿童及报告问题的认知与态度

Knowledge and attitude of physicians toward child abuse and reporting in a tertiary hospital in Riyadh.

作者信息

Alaraik Enas Fahad, Saad Hussain, Al Lafi Abrar Humoud Fahad, Alshuniefi Abeer Suliman Abdulaziz, Alruwayshid Mashael Suwailem Mohammed, Alaraik Ayman Fahad, Alsaad Samaher Z

机构信息

Department of Family and Community Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia.

Department of Family and Community Medicine, King Fahad Medical City, Riyadh, Saudi Arabia.

出版信息

J Family Med Prim Care. 2022 Nov;11(11):6988-6994. doi: 10.4103/jfmpc.jfmpc_79_22. Epub 2022 Dec 16.

DOI:10.4103/jfmpc.jfmpc_79_22
PMID:36993111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10041209/
Abstract

BACKGROUND

Child abuse is a common global devastating issue for the patient and physician. It can lead to much unpleasant and danger and even death. One of the most essential parts of a doctor's job is to help people in need and a child should be top priority as they are dependent for protection and care.

OBJECTIVES

To analyze the experience and knowledge of Saudi residents from both specialty family medicine and pediatrics working in Riyadh city toward the recognition and diagnosis of child abuse and neglect and spot the light on the barriers that prevent its reporting and to assess the need for further training.

METHOD

A cross-sectional study was conducted in four major tertiary hospitals in Riyadh (KKUH, National Guard Hospital, King Fahad Medical City, Prince Sultan Medical City) from March 2019 to January 2020.

RESULTS

Most participants did not have sufficient knowledge regarding the physical assessment of suspected child abuse and neglect. The result showed no significant difference in terms of knowledge and attitude between family physicians and pediatrics working in tertiary centers in Riyadh.

CONCLUSION

The study concluded that the Saudi residents from both specialties, that is, family medicine and pediatrics, had insufficient knowledge regarding child abuse. In addition, the residents had positive attitudes toward child abuse prevention. Finally, the study recommends conducting awareness campaigns to increase the knowledge of physicians about child abuse and the predictive factors.

摘要

背景

虐待儿童是一个在全球范围内对患者和医生而言都很常见的灾难性问题。它会导致诸多不良后果和危险,甚至死亡。医生工作中最重要的部分之一就是帮助有需要的人,而儿童因其依赖他人提供保护和照料,应成为首要关注对象。

目的

分析在利雅得市工作的沙特家庭医学和儿科学专科住院医师在识别和诊断虐待及忽视儿童方面的经验和知识,找出阻碍报告此类情况的因素,并评估进一步培训的需求。

方法

2019年3月至2020年1月在利雅得的四家主要三级医院(国王哈立德大学医院、国民卫队医院、法赫德国王医疗城、苏丹王子医疗城)开展了一项横断面研究。

结果

大多数参与者对疑似虐待及忽视儿童的体格检查没有足够的知识。结果显示,在利雅得三级医疗中心工作的家庭医生和儿科医生在知识和态度方面没有显著差异。

结论

该研究得出结论,沙特家庭医学和儿科学这两个专科的住院医师对虐待儿童的知识掌握不足。此外,住院医师对预防虐待儿童持积极态度。最后,该研究建议开展宣传活动,以增加医生对虐待儿童及其预测因素的了解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803c/10041209/283eb0749c89/JFMPC-11-6988-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803c/10041209/369e222ce811/JFMPC-11-6988-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803c/10041209/283eb0749c89/JFMPC-11-6988-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803c/10041209/369e222ce811/JFMPC-11-6988-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803c/10041209/283eb0749c89/JFMPC-11-6988-g002.jpg

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Mandatory reporting between legal requirements and personal interpretations: Community healthcare professionals' reporting of child maltreatment.
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