目的:本研究的目的是确定一线卫生专业人员如何识别和管理非致命性绞窄事件。
方法:进行叙事综合综合综述。
方法:在六个电子数据库中进行了全面的数据库搜索(CINAHL,科学大会,发现,Scopus,PubMed和Scholar)产生了49篇潜在合格的全文,在应用排除标准后,减少至10篇文章可纳入.
方法:根据系统评价和荟萃分析(PRISMA)声明指南的首选报告项目进行综合评价。数据被提取,使用Whittemore和Knafl(2005)框架进行了叙述性综合,以确定一线卫生专业人员如何识别和管理非致命勒死事件。
结果:研究结果确定了三个主要主题:卫生专业人员总体上未能识别非致命性勒死,未能报告事件,事件发生后未能跟进受害者。围绕非致命勒死的污名和预先确定的信念,以及缺乏关于体征和症状的知识,是文献中的显著特点。
结论:缺乏培训和对不知道下一步该做什么的恐惧是为勒死受害者提供护理的障碍。未能检测到,管理和支持受害者将通过勒死的长期健康影响继续伤害的循环。早期发现和管理绞窄对预防健康并发症至关重要,特别是当受害者反复接触这种行为时。
结论:这篇综述似乎是首次探讨卫生专业人员如何识别和管理非致命性绞窄。它确定了对教育和强有力和一致的筛查和出院政策的巨大需求,以协助非致命勒死受害者参加的服务的卫生提供者。
UNASSIGNED:本综述不包含患者或公众贡献,因为它检查了卫生专业人员识别非致命性绞窄的知识以及临床实践中使用的筛查和评估工具。
OBJECTIVE: The aim of this study was to determine how front-line health professionals identify and manage nonfatal strangulation events.
METHODS: Integrative
review with narrative synthesis was conducted.
METHODS: A comprehensive database search was conducted in six electronic databases (CINAHL, Wed of Science, DISCOVER, SCOPUS, PubMed and Scholar) resulting in 49 potentially eligible full texts, reduced to 10 articles for inclusion after exclusion criteria were applied.
METHODS: An integrative
review was undertaken in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement guidelines. Data were extracted, and a narrative synthesis using Whittemore and Knafl (2005) framework was undertaken to determine how front-line health professionals identify and manage nonfatal strangulation events.
RESULTS: The findings identified three main themes: an overall failure by health professionals to recognize nonfatal strangulation, a failure to report the event and a failure to follow up on victims after the event. Stigma and predetermined beliefs around nonfatal strangulation, along with a lack of knowledge about signs and symptoms, were the salient features in the literature.
CONCLUSIONS: Lack of training and fear of not knowing what to do next are barriers to providing care to victims of strangulation. Failure to detect, manage and support victims will continue the cycle of harm through the long-term health effects of strangulation. Early detection and management of strangulation are essential to prevent health complications, particularly when the victims are exposed to such behaviours repeatedly.
CONCLUSIONS: This
review appears to be the first to explore how health professionals identify and manage nonfatal strangulation. It identified the significant need for education and robust and consistent screening and discharge policies to assist health providers of services where victims of nonfatal strangulation attend.
UNASSIGNED: This
review contains no patient or public contribution since it was examining health professionals\' knowledge of identifying nonfatal strangulation and the screening and assessment tools used in clinical practice.