通过围产家庭访问来解决母亲和儿童健康差异
Ankita Sarawagi1, Mychoua Vang1, Ke Yan1
1Medical College of Wisconsin, Milwaukee, Wisconsin.
实施HARK工具标准化了亲密伴侣暴力 (IPV) 查,提高了在妇产科诊所的检测率. 该协议成功地发现了更多IPV病例,突出了其在医疗保健环境中的价值.
科学领域:
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
- 妇女健康 妇女健康
背景情况:
- 亲密伴侣暴力 (IPV) 每年影响数百万名孕妇,对母亲和儿童的健康构成重大风险.
- IPV与不良结果有关,包括抑郁症,PTSD,胎盘断裂,子宫破裂和出血.
- 早期识别有风险的孕妇对于干预和预防伤害至关重要.
研究的目的:
- 使用HARK工具评估标准化IPV查协议的影响.
- 评估IPV查实践在一家妇产科诊所的变化,在协议实施之前和之后.
- 分析标准化前后的查率和阳性检测率.
主要方法:
- 从2019-2021年4月至9月的IPV查数据的回顾性图表审查.
- 在2020年实施羞辱,恐惧,强奸, (HARK) 工具以标准化查.
- 查前期和后期期间的查数量和阳性率的比较.
主要成果:
- 在协议标准化之后,2020年和2021年查人数显著增加.
- 与2019年和2020年相比,2021年IPV查总体阳性率较低.
- 已婚或有伴侣的患者比单身或分居/离婚/丧偶的患者显著减少了阳性IPV查.
结论:
- 使用HARK工具进行标准化IPV查,增加了妇产科医院诊所进行的查数量.
- 该协议促进了识别可能以前错过的额外阳性IPV病例.
- 这种标准化查协议的成功实施可以在其他医疗保健机构中复制.
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