家庭虐待和更年期的交集:一个范围审查
C Mann1, K Hinsliff-Smith2, S Olewe-Richards3
1CHILL (Centre for Health Innovation, Leadership & Learning), NUBS University of Nottingham, Nottingham, UK. c.mann@nottingham.ac.uk.
家庭虐待 (DA) 幸存者经历更严重的绝经症状. 面临虐待的中年女性需要创伤信息的护理,因为更年期可能是DA的风险时期,也是识别的机会.
科学领域:
- 妇女健康 妇女健康
- 公共卫生 公共卫生
- 妇科 妇科医生 妇科
背景情况:
- 更年期和家庭虐待 (DA) 的交叉点在妇女健康方面研究不足.
- 更年期是一个重要的生命过渡期,可以受到虐待经历的影响或有助于虐待经历.
- 本综述侧重于在绝经前期和绝经后期 (中年,年龄40-65岁) 的DA.
研究的目的:
- 探索家庭虐待对更年期症状严重性的影响.
- 为了检查中年和更年期的虐待动态.
- 为了调查在更年期期间经历DA的妇女的医疗保健参与.
主要方法:
- 根据JBI和PRISMA-ScR指南进行全面的范围审查.
- 搜索了主要数据库 (MEDLINE,CINAHL,Web of Science,EMBASE) 的相关英语研究.
- 包括涉及有DA史的绝经前或绝经后妇女的研究.
主要成果:
- 包括39项研究,截面研究是最常见的.
- 在DA和更年期症状严重程度增加之间存在强烈的联系 (34项研究).
- 在中年/更年期,DA倾向于升级,在医疗保健中错过了披露机会 (14项研究).
结论:
- 家庭虐待显著加重更年期症状,影响妇女的整体健康.
- 更年期是识别DA的关键时期,需要敏感的医疗保健方法.
- 迫切需要对创伤有所了解,对更年期敏感的护理和更多的英国研究.
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