怀孕期间的家庭暴力:临床指南的系统审查
Raheleh Babazadeh1, Farangis Sharifi2, Malikeh Amel Barez3
1Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
在怀孕期间管理家庭暴力的临床指南显示存在差距. 制定全面的指导方针对于确保受虐待的孕妇及其孩子的安全和福祉至关重要.
科学领域:
- 公共卫生 公共卫生
- 人权 人权 人权 人权 人权.
- 临床实践指南 临床实践指南
背景情况:
- 在全球范围内,家庭暴力影响了超过三分之一的孕妇,造成了严重的公共卫生和人权问题.
- 干预对于减轻家庭暴力对母亲和婴儿的不利影响至关重要.
研究的目的:
- 系统地评估现有的临床指南的质量,范围和一致性,以管理怀孕期间的家庭暴力.
主要方法:
- 按照PRISMA指南进行系统审查,搜索多个数据库和指南存储库.
- 通过使用AGREE II工具进行质量评估,对14个选定的临床指南进行评估.
- 文本综合用于比较和评估指导方针中的建议.
主要成果:
- 只有七个国家有针对怀孕期间家庭暴力的具体指导方针.
- 在所有AGREE II领域中,没有一条指导方针达到75%以上;范围,目的和清晰度被评为最高.
- 常见的建议包括隐私,查,识别,支持和文档; 93%的建议涉及沟通,建立信任,儿童保护和专业培训.
结论:
- 关于暴力模式,风险因素,医疗保健,家庭访问,自我护理,预防,后续和社区教育的指导方针存在重大差距.
- 有必要制定或调整临床指导方针,以满足受虐待的孕妇的综合需求.
- 加强指导方针对于确保遭受家庭暴力的孕妇的安全和福祉至关重要.
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