一般医生对亲密伴侣暴力的共同受害者儿童的知识和管理
Justine Launey1, Bernard Brau1, Mathieu Kuchenbuch2
1Department of General Medicine, University of Rennes 1, Rennes, France.
概括
法国的全科医生经常遇到影响儿童的亲密伴侣暴力 (IPV) 情况,但缺乏足够的培训和对儿童保护的信心. 加强全科医生教育和专业咨询对于保护暴露于IPV的儿童至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会科学 社会科学 社会科学
背景情况:
- 亲密伴侣暴力 (IPV) 在全球范围内显著影响儿童作为二级受害者.
- 关于法国全科医生 (GPs) 在识别和管理暴露于IPV的儿童方面的作用的研究显著缺乏.
- 了解全科医生的现行实践对于改善儿童保护框架至关重要.
研究的目的:
- 评估法国一般医生在IPV病例中的儿童保护方面的知识和实践.
- 确定一般医生的培训和对暴露于IPV的儿童的临床方法的现有差距.
- 为加强受家庭暴力影响的儿童支持系统的战略提供信息.
主要方法:
- 在2020年5月至2022年5月期间,布列塔尼的91名全科医生进行了电子调查.
- 该调查评估了全科医生的人口统计数据,IPV的临床经验,暴露儿童的管理策略以及对儿童福祉的感知影响.
- 数据分析的重点是了解当前的做法,并确定改善儿童保护的领域.
主要成果:
- 67%的全科医生报告说,在过去一年中遇到了IPV情况,平均每名医生发现有2名儿童处于危险之中.
- 48%的儿童生活在IPV的家庭中,但35%的全科医生观察了暴露的儿童,但没有将其视为危物.
- 一般医生评价他们对IPV对儿童影响的知识为5/10,表达了不适 (4/10),并发现他们的培训不足 (3/10).
结论:
- 整体医生在法国识别和管理暴露于IPV的儿童方面发挥着至关重要的作用,尽管目前的知识和实践有限.
- 建议加强全科医生培训,标准化儿童保护协议,改善获得专业咨询服务的机会 (例如,UAPED).
- 加强专业间合作对于改善IPV环境中的儿童保护结果至关重要.
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