La experiencia de un programa de atención a la violencia en una unidad de primer nivel para poblacion abierta

Abstract

IN THE LAST YEARS THE HEALTH SERVICES HAVE WITNESSED AN ALARMING INCREASE OF CASES OF VIOLENCE, PHYSICAL AS WELL AS PSYCHIC. THE FIRST ATTENTION LEVEL IS ONE OF THE BEST OPTIONS TO CAPTURE CASES OF SOCIAL OR FAMILIAR VIOLENCE, TRYING TO UNVEIL TO THE MULTIPLE CAUSES AND CONSEQUENCES THAT IT GENERATES. IN 1997 BEGAN THE PROGRAM OF ATTENTION TO THE VIOLENCE IN THE FIRST LEVEL OF CARE WHOSE OBJECTIVES ARE DETECTION, IDENTIFICATION, CARE OF PERSON AND FAMILIES WITH VIOLENCE RISK OR THAT LIVE IN VIOLENCE. OBJECTIVE: TO DESCRIBE THE PATIENT CHARACTERISTICS THAT ARRIVED TO THE PROGRAM FROM SEPTEMBER 1997 TO DECEMBER 1999. METHOD: A DESCRIPTIVE, OBSERVATIONAL STUDY THAT ANALIZED THE DATA BASES FROM THE PATIENT FIRST EVALUATION; THE METHOD USED WAS χ2 AND T STUDENT ANALIZED IN EPI 60. THE ASSOCIATION WAS CALCULATED BY COMPARISON WITH THE OLD RATIO. RESULTS: FROM SEPTEMBER 1997 TO DECEMBER 1999 WERE ATTENDED 202 PATIENT -95% WOMAN 5% MEN-. MOST COMMON WERE THE CONJUGAL MISTREATMENT, SEXUAL AND CHILD ABUSE. IN ALL CATEGORIES, INCLUDING RAPE, THE PRINCIPAL AGGRESSORS WERE THE RELATIVES. ALCOHOL WAS HIGHLY ASSOCIATED WITH CONJUGAL MISTREATMENT. CONCLUSION: IT SEEMS IMPORTANT TO DENATURALIZE THE VIOLENCE, NOT JUSTIFY IT IN THE FAMILY OR SOCIAL GROUNDS, IDENTIFY IT TO PREVENT AND GIVE ORIENTATION TO THE MOST AFFECTED. IT IS NECESSARY TO SENSITIZE PEOPLE ABOUT THE PROBLEM TO ENSURE APPROPRIATE ATTENTION AND PREVENT THAT THIS BEHAVIOR BECOMES AN " EVIL INHERITANCE".