专门推迟的亲密伴侣暴力 (IPV) 查改善了IPV幸存者的识别
Jennifer E Geller1, Khushi Patel2, Andres Alba2
1Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
概括
针对亲密伴侣暴力 (IPV) 的专门延迟查 (DDS) 发现了比早期查 (ES) 更多的患者. 建议采用ES和DDS结合的两相方法,以改善医院的IPV检测.
科学领域:
- 公共卫生 公共卫生
- 创伤护理 创伤护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 亲密伴侣暴力 (IPV) 是一个全球性的健康危机,对身体和心理健康有重大影响.
- 患有IPV的住院患者面临IPV复发性住院的风险.
- 建议对IPV进行普遍查,但面临的一致,以患者为中心的实施障碍.
研究的目的:
- 为了比较专用延迟查 (DDS) 与早期查 (ES) 的有效性,用于识别IPV风险患者.
- 评估DDS识别的风险患者比ES更多的假设.
主要方法:
- 一级创伤中心的回顾性研究,涉及15岁及以上的创伤患者 (2022年7月至2023年10月).
- 在抵达时进行的标准早期查 (ES) 与在三级调查期间进行的专用延迟查 (DDS) 的比较.
- 利用费舍尔的精确测试和曼-惠特尼U测试进行数据分析.
主要成果:
- DDS查的患者比ES (1414人) 少 (202人),但检测到IPV的频率更高 (6.3%与0.6%相比).
- 通过DDS选的患者年轻,住院时间较长.
- 与ES相比,DDS导致IPV的鉴定增加了200%以上,总共有21次阳性查.
结论:
- 专门的延迟查 (DDS) 在识别亲密伴侣暴力受害者方面比早期查 (ES) 更有效.
- 改善对这两种查方法的遵守对于IPV检测至关重要.
- 建议采用两阶段查方法,首先是ES,然后是DDS,以加强IPV识别.
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