收稿日期: 2024-05-13
网络出版日期: 2025-03-03
Research progress on identifying and treating injuries caused by elder abuse in emergency departments
欧阳兰欣 , 刘迪 , 陈雯 . 急诊科识别及救治老年人受虐致伤的研究进展[J]. 中华急危重症护理杂志, 2025 , 6(3) : 376 -379 . DOI: 10.3761/j.issn.2096-7446.2025.03.021
Global ageing has exacerbated the problem of elder abuse，and the low rate of reporting highlights the urgency of the problem. Emergency departments have an outpost role in identifying and treating elder abuse. This article reviews the current state of emergency department identification of abused older adults，common presentations of abused older adults in the emergency department，and explores available assessment tools and interventions. The article highlights the importance of the emergency department in responding to elder abuse and suggests measures to improve the identification of elder abuse and the effectiveness of interventions through the training of healthcare professionals，optimization of the emergency department environment，establishment of multidisciplinary teams and promotion of smart screening tools. Training and the identification-response process should be further improved，cooperation with the community should be strengthened，and the improvement of relevant laws and regulations should be promoted，so as to ensure that abused elderly individuals receive continuous support and care.
Key words： Elderly; Abuse; Emergency Department; Emergency Nursing; Review Literature as Topic
| [1] | Yon Y, Mikton CR, Gassoumis ZD, et al. Elder abuse prevalence in community settings:a systematic review and meta-analysis[J]. Lancet Glob Health, 2017, 5(2):e147-e156. |
| [2] | 陶红霞, 金静, 阮海慧, 等. 中国老年人虐待发生率的系统评价[J]. 中国循证医学杂志, 2020, 20(8):938-944. |
| Tao HX, Jin J, Ruan HH, et al. The prevalence of elder abuse in China:a systematic review[J]. Chin J Evid Based Med, 2020, 20(8):938-944. | |
| [3] | Conrad KJ, Liu PJ, Iris M. Examining the role of substance abuse in elder mistreatment:results from mistreatment investigations[J]. J Interpers Violence, 2019, 34(2):366-391. |
| [4] | Dong X. Screening for elder abuse in healthcare settings:shy should we care,and is it a missed quality indicator?[J]. J Am Geriatr Soc, 2015, 63(8):1686-8. |
| [5] | Brahmandam S, Holland WC, Mangipudi SA, et al. Willingness and ability of older adults in the emergency department to provide clinical information using a tablet computer[J]. J Am Geriatr Soc, 2016, 64(11):2362-2367. |
| [6] | Dong XQ, Simon MA. Association between elder abuse and use of ED:findings from the Chicago Health and Aging Project[J]. Am J Emerg Med, 2013, 31(4):693-698. |
| [7] | Evans CS, Hunold KM, Rosen T, et al. Diagnosis of elder abuse in U.S. emergency departments[J]. J Am Geriatr Soc, 2017, 65(1):91-97. |
| [8] | Cham GW, Seow E. The pattern of elderly abuse presenting to an emergency department[J]. Singapore Med J, 2000, 41(12):571-574. |
| [9] | Nowak K, Ouellette L, Chassee T, et al. Emergency services response to elder abuse and neglect-Then and now[J]. Am J Emerg Med, 2018, 36(10):1916-1917. |
| [10] | The Lancet Healthy Longevity. Health professionals need support to target elder abuse[J]. Lancet Healthy Longev, 2023, 4(4):e126. |
| [11] | Mercier E, Jones A, Brousseau A, et al. LO13:characteristics of emergency department visits by community-dwelling older adults who screened positive for elder abuse during home care assessments[J]. CJEM, 2019, 21(S1):S11. |
| [12] | Rosen T, Stern ME, Mulcare MR, et al. Emergency department provider perspectives on elder abuse and development of a novel ED-based multidisciplinary intervention team[J]. Emerg Med J, 2018, 35(10):600-607. |
| [13] | Rosen T, LoFaso VM, Bloemen EM, et al. Identifying injury patterns associated with physical elder abuse:analysis of legally adjudicated cases[J]. Ann Emerg Med, 2020, 76(3):266-276. |
| [14] | Danesh MJ, Chang ALS. The role of the dermatologist in detecting elder abuse and neglect[J]. J Am Acad Dermatol, 2015, 73(2):285-293. |
| [15] | Rosen T, Stern ME, Elman A, et al. Identifying and initiating intervention for elder abuse and neglect in the emergency department[J]. Clin Geriatr Med, 2018, 34(3):435-451. |
| [16] | Platts-Mills TF, Hurka-Richardson K, Shams RB, et al. Multicenter validation of an emergency department-based screening tool to identify elder abuse[J]. Ann Emerg Med, 2020, 76(3):280-290. |
| [17] | Platts-Mills TF, Sivers-Teixeira T, Encarnacion A, et al. EM-SART:A scalable elder mistreatment screening and response tool for emergency departments[J]. Generations, 2020, 44(1):51-58. |
| [18] | Makaroun LK, Halaszynski JJ, Rosen T, et al. Leveraging VA geriatric emergency department accreditation to improve elder abuse detection in older Veterans using a standardized tool[J]. Acad Emerg Med, 2023, 30(4):428-436. |
| [19] | Cannell B, Gonzalez JMR, Livingston M, et al. Pilot testing the detection of elder abuse through emergency care technicians (DETECT) screening tool:results from the DETECT pilot project[J]. J Elder Abuse Negl, 2019, 31(2):129-145. |
| [20] | Abujarad F, Ulrich D, Edwards C, et al. Development and usability evaluation of VOICES:a digital health tool to identify elder mistreatment[J]. J Am Geriatr Soc, 2021, 69(6):1469-1478. |
| [21] | Rosen T, Platts-Mills TF, Fulmer T. Screening for elder mistreatment in emergency departments:current progress and recommendations for next steps[J]. J Elder Abuse Negl, 2020, 32(3):295-315. |
| [22] | Ernst JS, Maschi T. Trauma-informed care and elder abuse:a synergistic alliance[J]. J Elder Abuse Negl, 2018, 30(5):354-367. |
| [23] | Ramsey-Klawsnik H, Miller E. Polyvictimization in later life:trauma-informed best practices[J]. J Elder Abuse Negl, 2017, 29(5):339-350. |
| [24] | Rosen T, Hargarten S, Flomenbaum NE, et al. Identifying elder abuse in the emergency department:toward a multidisciplinary team-based approach[J]. Ann Emerg Med, 2016, 68(3):378-382. |
| [25] | Baek D, Elman A, Gottesman E, et al. Initial steps in addressing the challenges of elder mistreatment evaluation:protocol for evaluating the Vulnerable Elder Protection Team[J]. BMJ Open, 2023, 13(10):e071694. |
| [26] | 黄蓉蓉, 孙慧敏. 养老机构虐待老人现状及影响因素研究进展[J]. 护理学报, 2017, 24(23):23-27. |
| Huang RR, Sun HM. Research progress on the current situation and influencing factors of elder abuse in pension institutions[J]. J Nurs China, 2017, 24(23):23-27. | |
| [27] | Melady D, Schumacher JG. Developing a geriatric emergency department:people,processes,and place[J]. Clin Geriatr Med, 2023, 39(4):647-658. |
| [28] | 陈晨, 王明明, 王敏. 急诊老年创伤患者预检分诊的研究进展[J]. 中华急危重症护理杂志, 2024, 5(2):137-141. |
| Chen C, Wang MM, Wang M. Research progress on triage of emergency elderly trauma patients[J]. Chin J Emerg Crit Care Nurs, 2024, 5(2):137-141. | |
| [29] | Daly JM, Butcher HK. Evidence-based practice guideline:elder abuse prevention[J]. J Gerontol Nurs, 2018, 44(7):21-30. |
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