Silva Tharuka, Rathnayake Abey, Evans Maggie, Knipe Duleeka, Rajapakse Thilini, Agampodi Thilini
South Asian Clinical Toxicology Research Collaboration, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka
Department of Psychiatry, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
BMJ Open. 2024 Dec 10;14(12):e082737. doi: 10.1136/bmjopen-2023-082737.
For healthcare professionals (HCPs) to provide optimal support for women experiencing domestic violence (DV), it is important to understand what type of support women expect from HCPs. The objective of this study was to explore what kind of support women who experienced DV in Sri Lanka expect from HCPs.
A qualitative descriptive design was used.
This study was conducted in two gender-based violence centres (Mithuru Piyasa centres) and a toxicology unit, situated in hospitals in the Central Province of Sri Lanka.
Twenty women who had experienced DV and presented to health services were purposefully recruited using the maximum variation sampling technique, ensuring diversity of age and socio-economic variables. In-depth interviews were conducted with women who consented.
Women who have experienced DV expect varying assistance from HCPs, including changing their abusive partner's behaviour, resolving their issues or restoring family and marital harmony. Women expect HCPs to intervene in different ways, such as by conversing with both parties or offering support to help the abusive partner overcome alcohol or drug addiction. Women also recommend community-based programmes that concentrate on enhancing marital and family cohesion. Financial and instrumental social support also emerged as key expectations. They anticipate emotional support from HCPs, whom they expect to maintain confidentiality, exhibit empathy, listen attentively and give more importance to DV disclosures. A few women requested referrals to other support services.
A multisectoral approach including a proper referral system and social support between health and other social services is a timely recommendation, given the women's requests for financial and instrumental social support, which go beyond the health sector. The women's requests for HCPs to talk with both women and their partners to resolve their issues is a more complex and new finding, which warrants further exploration.
对于医疗保健专业人员（HCPs）而言，要为遭受家庭暴力（DV）的女性提供最佳支持，了解女性期望从HCPs获得何种支持非常重要。本研究的目的是探讨在斯里兰卡遭受DV的女性期望从HCPs获得何种支持。
采用定性描述性设计。
本研究在位于斯里兰卡中央省医院的两个基于性别的暴力中心（Mithuru Piyasa中心）和一个毒理学部门进行。
采用最大差异抽样技术，有目的地招募了20名曾遭受DV并前往医疗服务机构就诊的女性，以确保年龄和社会经济变量的多样性。对同意参与的女性进行了深入访谈。
遭受DV的女性期望HCPs提供不同的帮助，包括改变其虐待伴侣的行为、解决她们的问题或恢复家庭及婚姻和谐。女性期望HCPs以不同方式进行干预，例如与双方交谈或提供支持以帮助虐待伴侣克服酗酒或吸毒问题。女性还推荐了专注于增强婚姻和家庭凝聚力的社区项目。经济和工具性社会支持也成为关键期望。她们期望HCPs给予情感支持，期望HCPs保密、表现出同理心、认真倾听并更重视DV披露。少数女性要求转介至其他支持服务。
鉴于女性对经济和工具性社会支持的需求超出了卫生部门，包括适当转介系统以及卫生与其他社会服务之间社会支持的多部门方法是一项及时的建议。女性要求HCPs与女性及其伴侣交谈以解决问题这一更为复杂的新发现值得进一步探索。
