McFarlane J, Parker B, Soeken K, Silva C, Reel S
Texas Woman's University, Houston 77030, USA.
J Obstet Gynecol Neonatal Nurs. 1998 Jan-Feb;27(1):64-9. doi: 10.1111/j.1552-6909.1998.tb02592.x.
To evaluate an intervention protocol, administered during pregnancy, for increasing safety-seeking behaviors of abused women.
Prospective, ethnically stratified cohort analysis.
Public prenatal clinics.
Pregnant women reporting physical or sexual abuse in the year before or during the present pregnancy. One hundred thirty-two women met study criteria, received the intervention, and were followed for 1 year after the completion of the pregnancy.
Three education, advocacy, and community referral sessions that included information on safety behaviors.
Adoption of safety behaviors by abused women. Safety behaviors were measured before the intervention, twice during pregnancy, and at 2, 6, and 12 months after completion of the pregnancy.
Repeated measures analysis of variance showed a significant increase in adoption of each safety behavior (p < .0001), with most behaviors showing a significant increase after the first intervention session.
Pregnant women who were abused and were offered an intervention protocol report a significant increase in safety behavior adoption during and after pregnancy. Abuse during pregnancy is common. Identification of abuse and immediate clinical intervention that includes information about safety behaviors can result in safety behavior adoption that may prevent future abuse and increase the safety and well-being of women and infants.
评估一种在孕期实施的干预方案，以增加受虐妇女寻求安全的行为。
前瞻性、按种族分层的队列分析。
公共产前诊所。
在本次怀孕前一年或孕期报告遭受身体或性虐待的孕妇。132名妇女符合研究标准，接受了干预，并在孕期结束后随访1年。
三次教育、宣传和社区转诊会议，内容包括安全行为信息。
受虐妇女采取安全行为的情况。在干预前、孕期两次以及孕期结束后2个月、6个月和12个月测量安全行为。
重复测量方差分析显示，每种安全行为的采用率均显著增加（p <.0001），大多数行为在第一次干预会议后即显著增加。
接受干预方案的受虐孕妇报告在孕期及产后采取安全行为的情况显著增加。孕期受虐很常见。识别虐待行为并立即进行包括安全行为信息的临床干预，可促使采取安全行为，这可能预防未来的虐待行为，并提高妇女和婴儿的安全与福祉。
