卡拉皮提亚教学医院急诊科人际暴力受害者的特征

Wijenayaka, C. Wijesinghe, P. Ruwanpura
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摘要

暴力是一种普遍现象,及时的数据对于通过社区干预进行预防至关重要。目的:了解卡拉皮提亚教学医院(THK)急诊科(ED)受害者的人际暴力倾向、伤害特征和结果。方法:对385名在香港医院急诊科接受治疗的人际暴力受害者进行横断面研究,采用访谈问卷和医疗文件,并使用SPSS进行分析。采用MMSE对受害者的精神状态进行评估。结果:多数患者为男性(77%),年龄在30-49岁之间(36%),社会阶层较低(77%)。最常见的暴力场所是家庭(28%)和社区(26%)。大多数报告了身体/语言暴力(96%)。性暴力较少见(2%),且与女性性别显著相关(p=0.001)。经常施暴者是熟人(65%)。最常见的原因是财产(33%)和财务(31%)。最常见的武器是钝器(81%),最不常见的是火器(1%)。常见的倾向与同伴(49%)和酒精(37%)有关,而27%的孩子有犯罪记录。挫伤(40%)是最常见的损伤,其次是擦伤(33%)。头面(41%)和上肢(38%)为常见部位。最常见的伤害类型(COH)是非严重的(61%),其次是严重的(24%),致命的(FIOCN)(3%)和危及(1%)。大约45%的患者接受了手术,2%的患者住进了ICU, 1%的患者死亡。COH与精神状态(p<0.001)和酒精气味(p=0.002)显著相关。结论:身体/语言暴力在男性中很常见,而性暴力在女性中有很强的相关性。有相当比例的严重伤害与精神状态显著相关。
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Characteristics of Victims of Interpersonal Violence Presented to Emergency Department, Teaching Hospital, Karapitiya
Introduction: Violence is a universal phenomenon and timely data is of paramount importance in prevention through community interventions.Objectives: To identify predispositions of interpersonal violence, injury characteristics, and outcomes of victims presented to the emergency department (ED) of Teaching Hospital, Karapitiya (THK).Methodology: A cross-sectional study was conducted among 385 victims of interpersonal violence admitted to ED, THK using an interviewer-administered questionnaire and medical documents which were analysed using SPSS. The mental state of victims was assessed using MMSE.Results: The majority was male (77%), aged 30-49 years (36%), and from lower social classes (77%). The commonest places of violence were home (28%) and community (26%). The majority reported physical/verbal violence (96%). Sexual violence was less common (2%) and significantly associated with female-gender (p=0.001). The frequent assailant was an acquaintance (65%). The commonest reasons were property (33%) and financial (31%). The commonest weapon was blunt objects (81%) and the least common was firearms (1%). Common predispositions were peer (49%) and alcohol (37%) related, while 27% had kids with criminal records. Contusions (40%) were the most prevalent injury followed by abrasions (33%). Head and face (41%) and upper limbs (38%) were common sites. The commonest category of hurt (COH) was non-grievous (61%) followed by grievous (24%), Fatal (FIOCN) (3%), and endangering (1%). Approximately, 45% underwent surgeries, 2% were admitted to ICU and 1% died. COH was significantly associated with the mental state (p<0.001) and smelling of alcohol (p=0.002).Conclusion: Physical/verbal-violence was common in males, whereas sexual-violence was strongly associated with females. A considerable proportion had grievous injuries which were significantly associated with mental state.
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