Bash K L, Jones F
Department of Obstetrics and Gynecology, Wake Area Health Education Center, Raleigh.
N C Med J. 1994 Sep;55(9):400-3.
Domestic violence is an underrecognized problem of immense cost. It is a crime; its victims must be identified and protected. The medical and judicial communities share responsibility in addressing this issue and providing support for victims. The role of health care workers in recognizing and preventing domestic violence cannot be overestimated. Direct questioning of patients, especially about the source of any injuries and about safety at home, is the first step in uncovering abuse. Educational programs for health care providers and the general public can change society's view and tolerance of this problem. Physicians must take an active role in changing community attitudes about domestic violence and in instituting programs to reduce its incidence. Medical treatment of the injuries resulting from domestic violence is not sufficient. Abused women need the care of a team of professionals who can address psychological, emotional, and physical injuries. They must also be provided with safe housing and financial and legal assistance in order to escape the abusive relationship. Physicians and legislators must work together to effect change. Domestic violence is a public health menace. We need to break the cycle of abuse that has become an integral part of our society.
家庭暴力是一个未得到充分认识但成本巨大的问题。它是一种犯罪行为；必须识别并保护其受害者。医疗界和司法界在解决这一问题并为受害者提供支持方面共同承担责任。医护人员在识别和预防家庭暴力方面的作用再怎么强调也不为过。直接询问患者，尤其是询问任何受伤的原因以及家中的安全情况，是揭露虐待行为的第一步。针对医护人员和普通公众的教育项目可以改变社会对这个问题的看法和容忍度。医生必须积极发挥作用，改变社区对家庭暴力的态度，并开展相关项目以降低其发生率。仅对家庭暴力造成的伤害进行医学治疗是不够的。受虐妇女需要一个专业团队的照料，这个团队能够处理心理、情感和身体上的创伤。还必须为她们提供安全的住所、经济和法律援助，以使她们摆脱虐待关系。医生和立法者必须共同努力以实现变革。家庭暴力是对公众健康的威胁。我们需要打破已成为我们社会一部分的虐待循环。
