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护士在暴力情况下对老年人实施的法医干预措施:一项比较研究。

Forensic interventions carried out by nurses on older people in situations of violence: a comparative study.

作者信息

Santos Jiovana de Souza, Almeida Francisca de Chagas Alves de, Soares Jefferson da Silva, Gomes Isabel Vitória do Nascimento Pereira, Castañeda Raúl Fernando Guerrero, Souto Rafaella Queiroga

机构信息

Universidade Federal do Pernambuco, Centro de Ciências da Saúde, Departamento de Enfermagem, Recife, PE, Brazil.

Hospital Universitário Lauro Wanderley, João Pessoa, PB, Brazill.

出版信息

Rev Esc Enferm USP. 2025 May 9;59:e20240282. doi: 10.1590/1980-220X-REEUSP-2024-0282en. eCollection 2025.

Abstract

OBJECTIVE

To investigate forensic interventions carried out by nurses with and without experience in caring for older people in situations of violence.

METHOD

Cross-sectional, quantitative study with nurses working in five hospitals in João Pessoa, Paraíba, Brazil. Data were collected with a structured questionnaire, validated by ten experts and with good reliability, presenting a Cronbach's alpha coefficient greater than 0.70. Data were analyzed using simple and relative frequency, Bayesian test for proportions, Student's t test, multivariate analysis with multiple correspondence and cluster analysis models with Chi-Square metric with hierarchical clustering form and average linkage method.

RESULTS

A total of 270 nurses participated, of which 203 had no experience with older people in situations of violence. Within the groups, a significant difference was observed (P < 0.001), that is, the interventions of the group with experience are more consistent with ethical-legal aspects than those without experience.

CONCLUSION

Significant similarity was found between the two groups, in which experienced nurses carried out appropriate and relevant interventions, although the execution of actions to interrupt the cycle of violence presented weaknesses.

摘要

目的

调查在暴力情况下,有和没有照顾老年人经验的护士所采取的法医干预措施。

方法

对巴西帕拉伊巴州若昂佩索阿市五家医院的护士进行横断面定量研究。通过一份结构化问卷收集数据,该问卷经十位专家验证且具有良好的信度,其克朗巴哈系数大于0.70。使用简单和相对频率、比例的贝叶斯检验、学生t检验、多重对应多元分析以及采用卡方度量的分层聚类形式和平均连锁法的聚类分析模型对数据进行分析。

结果

共有270名护士参与,其中203名在暴力情况下没有照顾老年人的经验。在各小组之间,观察到显著差异(P < 0.001),也就是说,有经验的小组的干预措施在伦理法律方面比没有经验的小组更一致。

结论

两组之间发现了显著的相似性,其中有经验的护士进行了适当且相关的干预,尽管在采取行动打断暴力循环方面存在不足。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f60/12068245/6bcaba600168/1980-220X-reeusp-59-e20240282-gf01.jpg

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