A PRACTICAL APPROACH TO CLIENTS WHO ARE SURVIVORS OF CHILDHOOD SEXUAL ABUSE

被引:13
作者
HOLZ, KA [1 ]
机构
[1] FAIRFAX HOSP,FAIRFAX,VA
来源
JOURNAL OF NURSE-MIDWIFERY | 1994年 / 39卷 / 01期
关键词
D O I
10.1016/0091-2182(94)90037-X
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Approximately 30% of all women have experienced some form of sexual abuse in childhood or adolescence. This abuse may result in serious long-term sequelae for the survivor, such as depression, low self-esteem, post-traumatic stress disorder, and addictive behaviors. Nurse-midwives are uniquely equipped to provide health care to survivors of childhood sexual abuse because of their commitment to thorough, sensitive history-taking, anticipatory guidance, decreased use of interventions, and in-depth health education. This article draws on current literature and the clinical experience of a nurse-midwife who has cared for many survivors of sexual abuse. It offers suggestions for incorporating identification of survivors into the initial health assessment. Interventions are reviewed including how to approach the physical examination of a survivor and how to provide appropriate care in the intrapartum and postpartum period. Emphasis is given to the development of a referral network.
引用
收藏
页码:13 / 18
页数:6
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