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加拿大和澳大利亚的老年人虐待问题:对护士的启示。

Elder abuse in Canada and Australia: implications for nurses.

作者信息

Trevitt C, Gallagher E

机构信息

School of Nursing, University of Canberra, Belconnen, Australia.

出版信息

Int J Nurs Stud. 1996 Dec;33(6):651-9. doi: 10.1016/s0020-7489(96)00022-3.

DOI:10.1016/s0020-7489(96)00022-3
PMID:8970862
Abstract

This paper examines the issue of elder abuse from a Canadian and Australian perspective. A research project was undertaken in Canada and Australia to identify registered nurses' knowledge about the types of abuse, skill at recognition and comfort counselling and intervening in cases of elder abuse. Although a phenomenon that has probably been in existence for many years, it is only during the last decade that elder abuse has come into prominence as an important aspect of family violence. A recent Canadian report records that elder abuse today is at the same level of publicity as wife abuse 10 years ago (Canadian Nurses Association, 1993). It is estimated that as many as 4% of the elderly population in each country are exposed to elder abuse (Podneiks and Pillemer, 1990, National Survey on Abuse of the Elderly in Canada. Ryerson Polytechnic Inst., Toronto; Kurrle et al., 1992, Modern Med. Austral., September, pp. 58-71). This takes the form of physical, emotional as well as financial abuse. Each country has an increasingly ageing population. By the year 2000 the percentage of the population over the age of 65 is predicted to be 13.6% in Canada and 11.7% in Australia (Gnaedinger, 1989, National Forum on Family Violence; Rowland, 1991, Ageing in Australia, Longman Cheshire, Melbourne). Nurses in both community practice and health care facilities have a responsibility to this elderly population to identify those being abused and those at greatest risk. This study questioned a small sample of registered nurses in both countries to identify whether nurses were adequately prepared to identify, intervene and manage patients in an abusive situation. Results show that nurses in both countries were not knowledgeable about the types of abuse, or comfortable and skilled when dealing with the types of elder abuse.

摘要

本文从加拿大和澳大利亚的视角审视虐待老年人这一问题。在加拿大和澳大利亚开展了一项研究项目,以确定注册护士对于虐待类型的了解、识别技能以及在虐待老年人案例中提供咨询和干预的能力。尽管这一现象可能已存在多年,但直到过去十年,虐待老年人才作为家庭暴力的一个重要方面而受到关注。加拿大最近的一份报告记录称,如今虐待老年人的受关注程度与十年前虐待妻子的情况相当(加拿大护士协会,1993年)。据估计,每个国家多达4%的老年人口遭受过虐待(波德尼克斯和皮勒默,1990年,《加拿大老年人虐待情况全国调查》。瑞尔森理工学院,多伦多;库尔勒等人,1992年,《澳大利亚现代医学》,9月,第58 - 71页)。虐待形式包括身体虐待、情感虐待以及经济虐待。每个国家的人口老龄化程度都在日益加深。预计到2000年,加拿大65岁以上人口的比例将达到13.6%,澳大利亚为11.7%(格纳丁格,1989年,家庭暴力全国论坛;罗兰,1991年,《澳大利亚的老龄化》,朗文柴郡出版社,墨尔本)。社区医疗机构和医疗保健机构的护士都有责任关注老年人群体,识别受虐待者和高危人群。本研究对两国的一小部分注册护士进行了调查,以确定护士在识别、干预和处理虐待情况中的患者时是否准备充分。结果显示,两国的护士对虐待类型了解不足,在处理虐待老年人的情况时既不自在也缺乏技能。

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