Anadolu’da Bir Şehir; Çorum’da Acil Servisde Aile İçi Şiddetin Ortaya Konması

Öz

Amaç: Bu çalışmayla acil servise aile içi şiddetle (AİŞ) başvuran kadınların maruz kaldıkları şiddet düzeyi ve boyutunun ortaya konması amaçlanmıştır.
Yöntem: AİŞ gördüğünü bildiren ve acil servislere başvuran 176 olgunun, Şiddetin Ciddiyetini Değerlendirme Skalası (ŞCDS) yapıldı.
Bulgular׃ AİŞ’e uğrayan kadınların ŞCDS göre kadınların %3,4'ü ŞCDS-1, %30,1’i ŞCDS-2, %64,2'si ŞCDS-3 idi. Acil başvurularının %67’sinin sadece fiziksel şiddet içerikli olduğu saptandı. Olguların eğitim ve medeni durumu ile şiddetin seviyesi değişmekte ve ayrıca şiddetin türü, şiddeti uygulayan kişi ve başvuru şekli de şiddeti etkilemektedir(p<0.05).
Sonuç: Şiddet skalasına göre acil servise en sık tokat, itme, yumruk, yaralanma şeklinde, ikinci ve üçüncü düzeyde başvurular gerçekleşmektedir. Bu düzeydeki yaralanmaların daha üst seviyelere ilerlememesi ve mortal seyretmemesi için erken dönemde alınabilecek önlem ve sıkı takiple yaralanmalar azaltılabilir. 

Anahtar Kelimeler

• Aile içi şiddet,Acil servis,Kadına yönelik şiddet,Eş şiddeti,Hastane,Şiddetin Ciddiyetini Değerlendirme Skalası

A City in Anatolia; Revealing Domestic Violence in The Emergency Department in Çorum

Öz

Aim: In this study, it was aimed to reveal the level and dimension of the violence experienced by women who applied to the emergency service with domestic violence (DV).
Method: The Severity of Violence Assessment Scale (SVAS) was performed in 176 cases who applied to emergency department and expressed them were under domestic violence.
Results: Women who were under domestic violence were evaluated according to SVAS. It was found that 3.4% were SVAS-1, 30.1% were SVAS-2, 64.2% were SVAS-3 according to the scale. It was reported that 67% of the emergency service applications were due to physical violence only. The level of violence and also the type of violence was changing with the educational and marital status of the cases, the person who was applying it and the type of application were also effecting the violence severity (p<0.05).
Conclusıon: According to the violence scale, most frequently, second and third level applications such as slap, push, punch and injuries apply to the emergency service. Early precautions should be taken and strict follow-up should be carried out for this level of violence to prevent mortality hence the situation may progress to higher levels.

Anahtar Kelimeler

• Domestic Violence,Emergency Service,Violence against women,Intimate partner violence,Hospital,Scale for Evaluating the Severity of Violence

Kaynakça

1. Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet 2002; 360:1083-8.
2. Şahin EM, Yetim D., Öyekçin DG. Rate of intimate partner violance against woman and attitudes of woman towards violence in Edirne Turkey. Cumhuriyet Medical Journal 2012;34:23-32.
3. Kılıççıoğlu DB, Buran CF, Küçük ZS. Forensic medical analysis of the domestic violence against women attempts to the emergency department: İzmir. Case. journal of Human Sciences 2016;13(3), 4764-4779.
4. Arslan MM, Yarımoğlu B., Çekin N. The evaluation of intimate violance cases attended to Adana branch of council of forensic medicine. Turkiye Klinikleri J Foren Med 2005;2:39-43.
5. Ahmad I., Ali PA, Rehman S., Talpur A., Dhingra K. Intimate partner violence screening in emergency department: a rapid review of the literature. J Clin Nurs. 2017 Nov;26(21-22):3271-3285.
6. Coll-Vinent B.,Martí G.,Calderón S.,Martínez B.,Céspedes F.,Fuenzalida C. Domestic violence against women patients seen with chest pain in the emergency department Semergen. 2019 Jan - Feb;45(1):23-29.
7. Kandemir Ö., Kurçer MA, Özdemir B. Experience of their knowledge levels and practice on suffered persons on domestic violence of medical staff in Viranşehir town, Şanlıurfa Turkey. J Foren Med 2010;7:13-20.
8. Duman NB, Büyükgöneç L., Güngör T. Perception of violence against woman among health care proffessionals and affecting factors. The journal of Gynecology-Obstetrics and Neonatology 2016; 13(4).

9. J.Vonkeman, P.R. Atkinson, J. Fraser. Do emergency department staff use a current domestic violence documentation tool or other forms of intimate partner violence documentation in patient records? Canadian Journal of Emergency Medicine, May 2017; volume 19.
10. Taylor JA. Bruised apples: violence against women in the education sector. Occup Environ Med. 2019 jan;76(1):1-2.
11. Sawyer S.,Coles J.,Williams A.,Williams B. Paramedics as a New Resource for Women Experiencing Intimate Partner Violence.J Interpers Violence. 2018 Apr 1:886260518769363.
12. Hofner MC, Python NV, Martin E. Prevalence of victims of violence admitted to An Emergency Department. Emerg Med J 2005;22:481-5.
13. Karaoglu L., Celbis O., Ercan C. Physical, emotional and sexual violence during pregnancy in Malatya, Turkey. European Journal of Public Health 2006;16:149-56.
14. C.W.Park, S.H. Lee, D.Y Choi, H.Y.Yang. Victimization Characteristics and Severity of Physical Injury by Domestic Violence. Korean J Fam Pract. 2018;8(2):244-251.
15. Serinken M., Şengül C., Karcıoğlu Ö. Violence against woman: analysis of emergency department presentations . Turkish Journal of Emergency Medicine 2007;7:163-6.
16. Foa EB, Cascardi M, Zoellner LA, Feeny NC. Psychological and environmental factors associated with partner violence. Trauma, Violence and Abuse 2000; 1: 67-91.
17. Çiltaş Ç.,Var Çalık E. Research On Violence Against Women And Servıce From Women’s Shelter House: Example Of Ankara, Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 2(1), 2019, 13-23.
18. C.L.Kothari, T.Rohs, S.Davidson, R.U.Kothari, C.Klein, A.Koestner, M.DeBoer, R.Cox, K.Kutzko. Emergency Department Visits and Injury Hospitalizations for Female and Male Victims and Perpetrators of Intimate Partner Violence. Advances in Emergency Medicine Volume 2015, Article ID 502703, 11 pages.