Patterson M M
Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical Center, Worcester, USA.
Orthop Nurs. 1998 Jan-Feb;17(1):49-54; quiz 55-6.
The National Statistics on Child Abuse and Neglect are staggering and rising despite a national objective to decrease domestic violence, of which child abuse is a part. More than 3 million children are abused each year. That figure represents 25 out of every 1,000 children being physically, sexually, or emotionally abused or neglected by their caretakers. It is important to note that 50% of abused children have an abused mother (American Medical Association, 1992). There are immediate as well as long-term sequelae of abuse including emotional and developmental problems, permanent injury, death, and perpetuation of abuse to the next generation. Since fractures are often part of the constellation of injuries seen in the abused child, orthopaedic nurses may encounter these children in a range of settings. Recognizing the signs of abuse is an important step for intervention on behalf of the child.
尽管国家制定了减少家庭暴力（虐待儿童是其中一部分）的目标，但全国关于虐待和忽视儿童的统计数据令人震惊且呈上升趋势。每年有超过300万儿童遭受虐待。这一数字意味着每1000名儿童中有25名受到其照顾者的身体、性或情感虐待或忽视。需要注意的是，50%受虐待儿童的母亲也曾遭受虐待（美国医学协会，1992年）。虐待会带来即时和长期的后果，包括情感和发育问题、永久性伤害、死亡以及虐待行为延续至下一代。由于骨折常常是受虐儿童一系列损伤的一部分，骨科护士可能会在多种场合遇到这些儿童。识别虐待迹象是为儿童进行干预的重要一步。
