Freund K M, Bak S M, Blackhall L
Evans Department of Clinical Research, Boston University Medical Center, MA 02118, USA.
J Gen Intern Med. 1996 Jan;11(1):44-6. doi: 10.1007/BF02603485.
To improve detection of domestic violence as a problem for women seeking primary care, we compared the addition of a single question about domestic violence on an existing self-administered health history form, to discretionary inquiry alone. We studied 689 consecutive new women patients in an internal medicine practice. Domestic violence identification rose from 0% in the control group with discretionary inquiry alone to 11.6% (95% confidence interval 8.8-14.4%) when the health history form included the following question: "At any time has a partner ever hit you, kicked you, or otherwise physically hurt you?" The addition of a single question can increase identification of domestic violence as a problem in patients' lives.
为了提高将家庭暴力作为寻求初级保健的女性所面临问题的检出率，我们将在现有的自我填写健康史表格中增加一个关于家庭暴力的问题，与仅进行酌情询问进行了比较。我们研究了内科诊所连续就诊的689名新女性患者。在仅进行酌情询问的对照组中，家庭暴力识别率为0%；当健康史表格包含以下问题时，识别率升至11.6%（95%置信区间8.8 - 14.4%）：“伴侣是否曾在任何时候殴打你、踢你或以其他方式对你造成身体伤害？”增加一个问题可以提高将家庭暴力识别为患者生活中一个问题的比例。
