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预防和控制针对智障人士暴力行为的成功策略:范围综述。

Successful strategies for preventing and controlling violence against people with intellectual disabilities: a scoping review.

机构信息

Department of Public Health, Federal University of São Paulo, São Paulo, Brazil.

出版信息

BMC Public Health. 2024 Oct 14;24(1):2807. doi: 10.1186/s12889-024-20289-z.

Abstract

BACKGROUND

Violence against people with intellectual disabilities is unfortunately a reality all over the world, as they are one of the populations most vulnerable to various forms of aggression. Assertive prevention and control measures are crucial to tackle and reduce this problem. The aim of this study was to map and summarize the main measures for preventing and controlling domestic violence against people with intellectual disabilities.  METHODS: This was a scoping review conducted in accordance with the JBI guidelines. The databases consulted were: National Library of Medicine (PubMed); Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science; Excerpta Medica DataBASE (EMBASE); Latin American and Caribbean Health Sciences Literature (LILACS) and SCOPUS. Studies included in this review reported on strategies to address domestic violence against people with intellectual disabilities, published in  the last ten years, in Portuguese, Spanish or English.

RESULTS

A total of 11 studies were included in this review. Six studies had high methodological quality and five had moderate. Cognitive-behavioral intervention programs, educational  technologies and/or auxiliary tools, along with the full participation of people with intellectual disabilities in domestic violence prevention measures are appropriate strategies for dealing with this issue.

CONCLUSION

Domestic violence against people with intellectual disabilities is relatively unexplored in the health-field scientific literature. Prevention and control measures should be developed with the active involvement of people with intellectual disabilities, generating engagement and knowledge. Preventive measures should be adapted to the personal context and conditions of individuals with special needs, such as those with persistent or chronic mental disorders.

摘要

背景

暴力侵害智障人士的行为在世界各地屡见不鲜,他们是最容易受到各种形式侵犯的人群之一。采取自信的预防和控制措施对于解决和减少这个问题至关重要。本研究旨在绘制和总结预防和控制智障人士家庭暴力的主要措施。

方法

这是一项按照 JBI 指南进行的范围性综述。咨询的数据库包括:美国国立医学图书馆(PubMed);护理与健康相关文献累积索引(CINAHL)、科学引文索引扩展版(Web of Science);医学文摘数据库(EMBASE);拉丁美洲和加勒比健康科学文献数据库(LILACS)以及 SCOPUS。本综述中纳入的研究报告了针对智障人士家庭暴力的策略,这些研究发表于过去十年间,使用葡萄牙语、西班牙语或英语。

结果

本综述共纳入 11 项研究。其中 6 项研究具有较高的方法学质量,5 项研究具有中等质量。认知行为干预计划、教育技术和/或辅助工具,以及智障人士全面参与家庭暴力预防措施,是处理这一问题的适当策略。

结论

智障人士遭受家庭暴力在健康领域的科学文献中相对较少被探讨。应制定预防和控制措施,让智障人士积极参与,从而产生互动和知识。预防措施应根据个人的背景和特殊需求人士的状况进行调整,例如那些患有持续性或慢性精神障碍的人士。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bfc/11472419/9ed873a6e4e5/12889_2024_20289_Fig1_HTML.jpg

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