亲密伴侣暴力的临床后果及识别与处理技巧

Intimate Partner Violence:Clinical Outcomes,Recognition and Management Techniques

亲密伴侣暴力(IPV)是最常见的一种家庭暴力,不仅危害受害人的身心健康和生命安全,还会影响其婚姻家庭和子女成长。IPV广泛存在于各种社会经济、宗教和文化群体中。中国约有1/4的女性曾遭受过配偶不同形式的IPV。绝大多数患者不会以IPV为主诉就诊,所以在各种非特异的症状和体征中快速识别出可能的IPV是临床医生工作的重点和难点。目前,我国尚没有官方指南指导IPV的诊疗,IPV相关研究也较少。本文通过对IPV研究相关英文文献进行证据综述,重点总结了IPV的临床后果及识别与处理技巧,并讨论了如何将这些证据应用于中国。

Intimate partner violence(IPV)is the most common type of domestic violence,which not only harms the victim’s physical and mental health and life safety but also leads to the degradation of marriage,family,and children’s development.IPV occurs among all socioeconomic,religious,and cultural groups.About a quarter of Chinese women have suffered some forms of IPV from their partner.Most patients will not present to the clinic with IPV.It is difficult yet essential for clinicians to quickly identify possible IPV among various non-specific symptoms and signs.There are no official guidelines for diagnosing and treating IPV in China,and the Chinese literature on IPV is scarce.This paper summarizes the evidence in English literature on IPV,focusing on the clinical outcome,identification,and management techniques of IPV,and attempts to discuss how this evidence can be applied to China.