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American Journal of Perinatology Issue 12:堕胎相关就诊期间检测到的亲密伴侣暴力 2024-09-19


American Journal of Perinatology

Issue 12 · Volume 41 · September 2024



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Sabloak et al.

Intimate Partner Violence Detected during Abortion-Related Visits: A Systematic Review of Screenings and Interventions

目的:对旨在减少与堕胎相关就诊中亲密伴侣暴力(IPV)相关不良健康结局的筛查工具和干预措施进行系统回顾。

研究设计:本研究纳入符合以下条件的文献:研究对象为在美国寻求妊娠选择医疗保健服务的个体,研究内容包括对亲密伴侣暴力(IPV)的筛查或实施干预措施,且文献于2000年之后以英文发表。主要研究目的是总结筛查工具、所研究的干预措施,以及这些干预措施是否促使个体与IPV相关资源建立联系。次要研究结果包括患者对IPV相关干预措施的反应以及研究报道的任何其他结果(PROSPERO #42021252199)。

结果:在筛选出的4,205篇摘要中,有九项研究符合纳入标准。大多数研究(n=6)采用了ARCHES(医疗环境中解决生殖胁迫问题)工具来识别亲密伴侣暴力(IPV)。干预措施包括由医护人员促成的关于IPV的讨论、包含IPV信息和社区资源的安全卡,以及将患者直接与支持服务联系起来的转诊途径。对于主要研究结果,与不进行任何干预相比,与IPV相关的干预措施能够更好地向患者传达可获得的IPV相关资源信息。对于次要研究结果,对IPV进行筛查和干预与患者感知到的医护人员同理心(即关心患者安全)的提高以及患者对不健康关系做出更安全反应的情况改善有关。

结论:在堕胎相关就诊中对亲密伴侣暴力(IPV)进行筛查和干预与患者的安全性和医患关系的积极结果相关。然而,关于识别和支持这些患者的有效工具的数据极其有限。本综述强调了在堕胎相关临床就诊期间实施和评估针对IPV的特定干预措施的未满足需求。

要点:

  • 堕胎就诊为在高度受影响的群体中解决亲密伴侣暴力(IPV)问题提供了一个至关重要的环境。

  • 本研究回顾了其他分析堕胎相关就诊中针对IPV的干预措施及其相关结果的研究。

  • 针对IPV的适当干预措施可以改善医患关系,并将患者与必要的资源联系起来。

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Intimate Partner Violence Detected during Abortion-Related Visits: A Systematic Review of Screenings and Interventions

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The Impact of the COVID-19 Pandemic on Respiratory Syncytial Virus Infection in the Neonatal Period

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American Journal of Perinatology为同行评审国际期刊,每年出版14期,内容涉及原创研究和专题综述。它是产科学、新生儿科学、围产科学和母胎医学专家的权威论坛,侧重于衔接不同领域。

本刊主要关注临床和转化研究,诊断、监测和治疗方面的临床和技术进展以及循证评述。热门主题包括孕产妇、胎儿和新生儿疾病的流行病学及诊断、预防和管理。出版的稿件涉及新技术、新生儿重症监护病房 (NICU) 设置和护理等主题,以期对该领域的重要问题进行广泛的探讨。

所有论文均通过在线提交,经过严格的同行评审,稿件处理速度快,可同时提供电子版。AJP Reports是American Journal of Perinatology的姊妹期刊,为新生儿和母胎医学病例报告的开放获取期刊。