性暴力与成年人报告的直肠症状之间的关联:系统性审查
Tara Reman1,2, Jeanne Bertuit3, Veronique Feipel4,5
1HESAV School of Health Sciences - Vaud, HES-SO University of Applied Sciences and Arts Western Switzerland, 21 Av Beaumont (HESAV), Lausanne, Switzerland. tara.reman@hesav.ch.
性暴力 (SV) 幸存者经常报告直肠症状,但联系不清楚. 这次审查发现,直肠问题患者的SV患病率 (4,1-62%) 差异很大,这凸显了对标准化研究的需要.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 创伤研究的研究.
背景情况:
- 直肠症状和性暴力 (SV) 经常一起报告.
- 这种关联的确切关系和患病率仍然不太清楚.
- 性暴力的成年幸存者可能会遇到各种直肠问题.
研究的目的:
- 系统地审查成年性暴力幸存者的直肠症状的患病率和严重程度.
- 为了评估性暴力与两性异质直肠症状之间的关联.
- 确定当前关于这种关联的研究中的差距.
主要方法:
- 在CINAHL,Embase和MEDLINE/PubMed.中按照PRISMA指南进行系统的文献搜索.
- 包括英语和法语的定量观察研究 (横截面,队列,病例控制,病例系列).
- 使用混合方法评估工具 (MMAT) 进行包含的研究质量评估.
主要成果:
- 13项研究符合纳入标准,主要是横截面 (12/13) 并且在医疗环境中进行.
- 性暴力的发病率从4.1%到62%在直肠疾病患者或幸存者中.
- 便秘和便失禁是研究最多的直肠症状;评估方法缺乏标准化.
结论:
- 性暴力和直肠症状之间存在显著的关联,尽管患病率差异很大.
- 目前的研究缺乏对性暴力和直肠疾病的标准化评估.
- 用标准化方法进行进一步的研究对于改善幸存者的创伤信息护理至关重要.
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