老年患者的亲密伴侣暴力查临床医生的经验和观点:对研究和实践的影响
Melissa E Dichter1,2, Katherine M Iverson3,4, Lena K Makaroun5,6
1Center for Healthcare Evaluation, Research, and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
概括
在老年人中,亲密伴侣暴力 (IPV) 查产生了患者和临床医生的混合反应,突出了对这一群体更好的教育和适应的评估方法的需求.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 家庭暴力研究 家庭暴力研究
背景情况:
- 亲密伴侣暴力 (IPV) 研究和医疗保健查主要针对生育年龄的女性.
- 老年人也面临IPV的风险,可以从医疗保健识别和干预中受益.
- 目前的IPV查协议往往不包括老年患者群体.
研究的目的:
- 检查临床医生对老年人IPV查和反应的观点.
- 了解将IPV协议应用于老年人群的挑战和机会.
- 在医疗保健机构内为解决老年人IPV的未来策略提供信息.
主要方法:
- 对来自不同医疗保健学科和角色的临床医生进行深入采访的分析.
- 探索临床医生对老年患者IPV查的经验和看法.
- 对现有的IPV查和应对方案的定性评估.
主要成果:
- 临床医生报告说,患者对直接询问IPV的反应各不相同.
- 临床医生对老年人常规IPV查的必要性和价值有不同的看法.
- 调查结果表明,在这个人口群体中解决IPV的当前做法存在差距.
结论:
- 提高患者和临床医师对老年人IPV风险的教育至关重要.
- 需要重新考虑对老年人群中的IPV和老年虐待的评估方法.
- 医疗保健机构需要适应策略,以有效地查和应对老年人中的IPV.
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