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[广州医院工作场所暴力的流行病学特征及危险因素分析]

[Analysis on the epidemiological features and risk factors of hospital workplace violence in Guangzhou].

作者信息

Chen Zu-hui, Wang Sheng-yong, Lu Ye-cheng, Jing Chun-xia

机构信息

Department of Prevention and Health, First Affiliated Hospital of Jinan University, Guangzhou 510632, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2004 Jan;25(1):3-5.

Abstract

OBJECTIVE

To study the epidemiological features and relevant risk factors of hospital workplace violence.

METHODS

A retrospective study using logistic regression on hospital staff was carried out. Based on WHO's last definition for workplace violence from "new research showing workplace violence threatening health services" issued on May 10th, 2002.

RESULTS

Among 4062 staff members investigated, 2619 had been subjected to workplace violence in the last 12 months preceding the survey, with a rate of 64.48% which was accounted for 49.12% of psychological and 15.36% of physical violence respectively. Male staff were more vulnerable to physical violence against female. Those victims aged 30 - 39 years were at greatest risk. Doctors and nurses were leading victims of workplace violence. Most of workplace violence happened during day shift, in the ward. The main risk factors contributing to workplace violence would include: unreasonable demand from patients or their relatives, late recovery as expected, and expensive cost. Patients' relatives often took the leading role as perpetrators and followed by patients themselves.

CONCLUSION

Magnitude of hospital workplace violence in hospitals in Guangzhou asked for comprehensive measures to improve staff-patient relationship for the prevention and control of violence.

摘要

目的

研究医院工作场所暴力的流行病学特征及相关危险因素。

方法

采用回顾性研究方法,对医院工作人员进行逻辑回归分析。依据世界卫生组织于2002年5月10日发布的“新研究表明工作场所暴力威胁卫生服务”中对工作场所暴力的最新定义。

结果

在调查的4062名工作人员中,2619人在调查前的过去12个月内遭受过工作场所暴力,发生率为64.48%,其中心理暴力占49.12%,身体暴力占15.36%。男性工作人员比女性更容易遭受身体暴力。年龄在30 - 39岁的受害者风险最大。医生和护士是工作场所暴力的主要受害者。大多数工作场所暴力发生在白天的病房。导致工作场所暴力的主要危险因素包括:患者或其亲属的不合理要求、未按预期康复以及费用高昂。患者亲属常为首实施暴力者,其次是患者本人。

结论

广州医院工作场所暴力的严重程度要求采取综合措施改善医患关系以预防和控制暴力。

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