■为了评估三级护理环境中护理人员对虐待儿童的了解,他们对为受害者寻求医疗建议的潜在障碍的看法,并确定拟议的解决方案,以确保防止和报告虐待儿童的情况。
方法:横断面研究于2022年6月至12月在阿加汗大学医院儿科病房进行,卡拉奇,包括住院患者的护理人员。数据是使用预先设计的匿名问卷收集的,问卷由人口统计信息和27个项目组成,这些项目以6分的李克特量表进行评分。使用SPSS20对数据进行分析。
结果:在144名护理人员中,96名(66.6%)为女性,48名(33.3%)为男性。总的来说,86(59.7%)年龄<35岁,132人(91.7%)已婚,120名(83.3%)是被录取孩子的父母。大多数照顾者110(76.4%)认为自己对虐待儿童的知识水平很高。发现的障碍包括对警察和法警部门缺乏信任136(94.4%),害怕犯罪嫌疑人的影响120人(83.3%)和受害者身份缺乏机密性116人(80.6%)。建议的解决方案包括在教师136(94.4%)和护理人员131(91.0%)之间传播关于及时报告和咨询的意识,并制定适当的机制对受害者133(92.4%)采取后续行动。受访者的某些人口统计学特征与其自我感知的知识和感知之间存在显着关联(p<0.05)。
■发现有必要增强公众信任,确保机密性,并通过有针对性的战略来提高认识,为儿童创造一个更安全、更便利的环境。
UNASSIGNED: To assess the knowledge of
caregivers in a tertiary care setting about child abuse, their perception of potential barriers in the way of seeking medical advice for the victims, and to identify proposed solutions to ensure prevention and reporting of child abuse.
METHODS: The cross-sectional study was conducted from June to December 2022 at the paediatric ward of the Aga Khan University Hospital, Karachi, and comprised
caregivers who were attendants of inpatients. Data was collected using a predesigned anonymous questionnaire consisting of demographic information and 27 items that were scored on a 6-point Likert scale. Data was analysed using SPSS 20.
RESULTS: Of the 144
caregivers, 96(66.6%) were females and 48(33.3%) were males. Overall, 86(59.7%) were aged <35 years, 132(91.7%) were married, and 120(83.3%) were the admitted child\'s parent. The majority of
caregivers 110(76.4%) perceived themselves to possess a high level of knowledge about child abuse. Barriers identified included a lack of trust in police and medicolegal departments 136(94.4%), fear of repercussion from the suspect 120(83.3%) and lack of confidentiality of the victims\' identity 116(80.6%). The proposed solutions included spreading awareness among teachers 136(94.4%) and
caregivers 131(91.0%) about timely reporting and consultation, and developing proper mechanisms to follow-up on victims 133(92.4%). There were significant associations between some demographic characteristics of the respondents and their self-perceived knowledge and perceptions (p<0.05).
UNASSIGNED: There was found a need to enhance public trust, ensure confidentiality, and fostering awareness through targeted strategies for a safer and more facilitative environment for children.